Titre A Phase 1 Open-label, First-in-human, Multi-center Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Antitumor Activity of 225Ac-PSMA-Trillium in Participants With Advanced Metastatic Castration-resistant Prostate Cancer (mCRPC)
Protocole ID PAnTHA
ClinicalTrials.gov ID NCT06217822
Type(s) de cancer Prostate
Phase Phase I
Stade Résistant à la castration - métastatique
Type étude Clinique
Médicament 225Ac-PSMA-Trillium
Institution CENTRE HOSPITALIER DE L'UNIVERSITE DE MONTREAL  
Ville Montréal
Investigateur(trice) principal(e) Dr Fred Saad
Coordonnateur(trice) Amal Nadiri
 514-890-8000 poste 26074
Statut Actif en recrutement
Date d'activation 16-04-2024
Critètes d'éligibilité
  • Female patient with a new histological diagnosis of clinical T1-3 N0 breast cancer (any tumour sub-type).
  • Negative lymph node involvement at initial presentation, documented by imaging (US or MRI), fine needle aspiration (FNA) or core needle biopsy.
  • Treated with a minimum of 8 weeks NAC, with patients with Her2+ disease receiving targeted anti-Her2+ therapy.
  • Marker clip placed in the tumour bed prior to or during neoadjuvant chemotherapy when the tumour can still be identified.
  • Treated by BCS with complete excision of the tumour bed and axillary staging surgery (either sentinel lymph node biopsy or axillary lymph node dissection).
  • Final pathology demonstrating a pCR [defined as absence of residual invasive and in-situ breast cancer within the breast or lymph nodes (ypT0N0)].
Critètes d'exclusion
  • Age less than 50 years.
  • Inflammatory breast cancer or breast cancer invading the skin or chest wall (T4 disease).
  • Multicentric disease (i.e., breast cancer involving more than one quadrant in the same breast).
  • Prior history of ipsilateral or contralateral in-situ or invasive breast cancer. Patients with a history of lobular carcinoma in-situ (LCIS) are ineligible.
  • Synchronous contralateral in-situ or invasive breast cancer.
  • BRCA (breast cancer gene) 1 or 2 genetic mutation carrier, or other genetic mutation present associated with increased risk of breast cancer.
  • Other previous non-breast malignancies except adequately treated non-melanoma skin cancers, in situ cancers or other cancers curatively treated with no evidence of disease for ≥ 5 years.
  • Inability to complete entire course of neoadjuvant therapy (minimum of 8 weeks of treatment).
  • Patients with HR+ (hormone receptor) disease who are not planned to have endocrine therapy initiated.
  • Patients with Her2+ disease who have not received or are not planned to receive Her2 targeted therapy.
  • ECOG (Eastern Cooperative Oncology Group) performance status > 3.
  • Inability to provide informed consent.