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NCT06780670Recruiting

Open-label Study Comparing AAA817 Versus Standard of Care in the Treatment of Previously Treated PSMA-positive mCRPC Adults Who Have Disease Progressed on or After [177Lu]Lu-PSMA Targeted Therapy

Summary

This is a Phase II/III study. Patient population is adult participants with PSMA-positive mCRPC who had treatments with androgen receptor pathway inhibitor (ARPI) and taxane-based chemotherapy and progressed on or after \[177Lu\]Lu-PSMA targeted therapy. Treatment of interest: the investigational treatment is AAA817 regardless of subsequent anti-neoplastic treatment. The control treatment is investigator's choice of Standard of Care, regardless of subsequent anti-neoplastic treatment

Inclusion criteria

∙ • adults ≥ 18 years of age. • ECOG performance status of 0 to 2. • histopathological and/or cytological confirmation of adenocarcinoma of the prostate. • PSMA-positive disease as assessed by PSMA PET/CT scan using an approved PSMA imaging agent as protocol instructed, • castrate level of serum/plasma testosterone (\< 50 ng/dL or \< 1.7 nmol/L). • Prior treatments with an androgen receptor pathway inhibitor (ARPI) and taxane-based chemotherapy, and progressed on or after \[177Lu\]Lu-PSMA targeted therapy. • ≥ 1 metastatic lesion that is present on screening/baseline CT, MRI, or bone scan imaging obtained ≤ 28 days prior to randomization • eGFR as requested by the sponsor

Exclusion criteria

• Any investigational agents within 28 days prior to the day of randomization. • Any 225Ac-based investigational compound used prior to the day of randomization. • Participants with a history of CNS metastases who are neurologically unstable, symptomatic, or receiving corticosteroids for the purpose of maintaining neurologic integrity. • Concurrent acute kidney injury (renal failure developed between 48 hours to 7 days) or chronic kidney disease (at least 3 months of ongoing renal injury) • Baseline xerostomia ≥ Grade 2 by CTCAE v.5 • History of uncontrolled hypertension, myocardial infarction (MI), angina pectoris, or coronary artery bypass graft (CABG) within 6 months prior to ICF signature and/or clinically active significant cardiac disease • History of lymphoproliferative disease or any known malignancy or history of malignancy of any organ system within the past 2 years (except for basal cell carcinoma or actinic keratosis that have been treated with no evidence of recurrence in the past 3 months, non-invasive malignant colon polyps that have been removed). Other protocol-defined inclusion/exclusion criteria may apply.

Contacts

The trial team's contact details are shown on request.

See the official trial record
Status
Recruiting
Phase
Phase 2 · Phase 3
Study type
Interventional
Countries
Switzerland, United States, Australia, Brazil, China, Hong Kong, Israel, Japan, Malaysia, Mexico, Singapore, South Korea, Taiwan
Sponsor
Novartis Pharmaceuticals(Industry)
Protocol no.
CAAA817A12201
Conditions
Prostate Cancer
Interventions
Drug

Treatments studied

  • Investigators choice of SoC
  • AAA817
  • AAA817
  • AAA817

Locations · 93

  • Basel, SwitzerlandNovartis Investigative SiteRecruiting at this site
  • Bellinzona, SwitzerlandNovartis Investigative SiteRecruiting at this site
  • Bern, SwitzerlandNovartis Investigative SiteRecruiting at this site
  • Scottsdale, United StatesHonor Health Research InstituteRecruiting at this site
  • Los Angeles, United StatesVA Greater LA Healthcare SystemRecruiting at this site
  • Palo Alto, United StatesVA Palo Alto Health Care SystemRecruiting at this site
  • Palo Alto, United StatesStanford University Medical CenterRecruiting at this site
  • Santa Barbara, United StatesSansum ClinicRecruiting at this site
  • Santa Monica, United StatesSaint Johns Cancer InstituteRecruiting at this site
  • Denver, United StatesRocky Mountain Cancer CentersRecruiting at this site
  • Hartford, United StatesHartford HospitalRecruiting at this site
  • Miami, United StatesBaptist Health SouthRecruiting at this site
  • Orlando, United StatesAdventHealthRecruiting at this site
  • Athens, United StatesUniversity Cancer and Blood Center LLCRecruiting at this site
  • Atlanta, United StatesEmory UniversityRecruiting at this site
  • Chicago, United StatesUniversity of ChicagoRecruiting at this site
  • Indianapolis, United StatesIndiana UniversityRecruiting at this site
  • Kansas City, United StatesUniversity of Kansas HospitalRecruiting at this site
  • Metairie, United StatesEast Jefferson HospitalRecruiting at this site
  • Boston, United StatesDana Farber Cancer InstituteRecruiting at this site
  • Boston, United StatesBeth Israel Deaconess Medical CenterRecruiting at this site
  • St Louis, United StatesWA Uni School Of MedRecruiting at this site
  • Omaha, United StatesNebraska Cancer SpecialistsRecruiting at this site
  • Voorhees Township, United StatesNew Jersey Urology LLCRecruiting at this site
  • New York, United StatesMount Sinai Hosp Med SchoolRecruiting at this site
  • Syracuse, United StatesAssociated Med Professionals of NYRecruiting at this site
  • The Bronx, United StatesMontefiore Medical CenterRecruiting at this site
  • Gahanna, United StatesCentral Ohio Urology GroupRecruiting at this site
  • Springfield, United StatesOregon Urology InstituteRecruiting at this site
  • Philadelphia, United StatesFox Chase Cancer CenterRecruiting at this site

In total, worldwide, all 93 sites listed in the registry are recruiting.

Site status per the ClinicalTrials.gov registry (last update posted: September 22, 2026).

This status may have changed and says nothing about your eligibility: before taking any step, check with your oncologist or the site.

+ 63 more locations

Other identifiers

  • 2024-512342-42-00 · other identifier

See also

Other versions

These results are indicative and do not replace medical advice — discuss them with your doctor.