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Study Comparing AAA817+ARPI Versus Standard of Care in Adult Participants With PSMA-positive mCRPC

Study acronym: AcTFirst
StatusRecruiting
PhasePhase 3
Started
View on ClinicalTrials.gov ↗

Record History

  1. Minor Trial sites expanded: 95 → 100 locations Eligibility criteria expanded, about 12 words · Secondary endpoints: details revised at 4 of 15 entries · Study description revised Show 3 more changesShow less
    • Eligibility criteria expanded, about 12 words
    • Secondary endpoints: details revised at 4 of 15 entries
    • Study description revised
  2. Minor Study sites: 93 to 95v22
  3. Minor Study sites: 92 to 93v21
  4. Minor Trial sites expanded: 88 → 92 locationsv20
  5. Minor Trial sites expanded: 70 → 88 locationsv19
  6. Minor Trial sites expanded: 55 → 69 locationsv18
  7. Minor Study sites: 55 to 69v17
  8. Minor Study sites: 50 to 55v16
  9. Notable Primary completion date: Feb 29, 2028 to Sep 29, 2028 Study sites: 44 to 50v15 Show 1 more changeShow less
    • Study sites: 44 to 50
  10. Minor Study sites: 37 to 44 Primary completion date: Sep 29, 2028 to Feb 29, 2028v14 Show 1 more changeShow less
    • Primary completion date: Sep 29, 2028 to Feb 29, 2028
  11. Notable Enrollment target: 605 to 940 Primary completion date: Feb 29, 2028 to Sep 29, 2028 · Study sites: 29 to 37 · Eligibility criteria expanded, about 19 words · 2 morev13 Show 5 more changesShow less
    • Primary completion date: Feb 29, 2028 to Sep 29, 2028
    • Study sites: 29 to 37
    • Eligibility criteria expanded, about 19 words
    • Secondary endpoints revised (15)
    • Study description expanded, about 7 words

    See this version in full on ClinicalTrials.gov ↗

  12. Minor Study sites: 27 to 29v12
  13. Minor Study sites: 24 to 27v11
  14. Minor Study sites: 22 to 24v10
  15. Minor Site details revised at 9 of 22 sitesv9
  16. Minor Study sites: 8 to 22 Eligibility criteria expanded, about 44 wordsv8 Show 1 more changeShow less
    • Eligibility criteria expanded, about 44 words

    See this version in full on ClinicalTrials.gov ↗

  17. Minor Study sites: 6 to 8 Study description expanded, about 12 wordsv7 Show 1 more changeShow less
    • Study description expanded, about 12 words

    See this version in full on ClinicalTrials.gov ↗

  18. Minor Study sites: 5 to 6v6
  19. Minor Site details revised at 2 of 5 sitesv5
  20. Notable Trial status: Not Yet Recruiting to Recruiting Study sites: 0 to 5 · Start date changed from estimate of Aug 20, 2025 to Jul 1, 2025v4 Show 2 more changesShow less
    • Study sites: 0 to 5
    • Start date changed from estimate of Aug 20, 2025 to Jul 1, 2025
  21. Minor Enrollment target: 486 to 605 Primary completion date: Dec 31, 2027 to Feb 29, 2028v3 Show 1 more changeShow less
    • Primary completion date: Dec 31, 2027 to Feb 29, 2028
  22. Minor Study title shortened, about 2 wordsv2 See this version in full on ClinicalTrials.gov ↗
  23. Minor Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
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The purpose of this study is to determine whether \[225Ac\]Ac-PSMA-617 (AAA817), given for up to 6 cycles at a dose of 10 Megabecquerel (MBq) +/- 10%, plus androgen receptor pathway inhibitor (ARPI), improves the radiographic progression free survival (rPFS) compared to investigator's choice of standard of care (SOC) (ARPI change or taxane-based chemotherapy or \[177Lu\]Lu-PSMA-617 (AAA617)) in adult participants with PSMA-positive metastatic castration resistant prostate cancer (mCRPC) treated with another ARPI as last treatment and who have not been exposed to a taxane-containing chemotherapy in the mCRPC setting nor have received any prior PSMA-targeting radioligand therapy.
Trial Details
NCT Number NCT06855277
Lead Sponsor Novartis Pharmaceuticals
Conditions Prostate Cancer
Enrollment 940 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov