This is a first-in-human Phase 1 clinical trial designed to investigate the safety, tolerability, pharmacokinetics, and biodistribution of \[225Ac\]-FPI-2059 and \[111In\]-FPI-2058 in participants with neurotensin receptor 1 (NTSR1)-expressing solid tumours.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
terminated
Actual enrollment (reported)
19 participants
Study completion date
February 20, 2025
Actual (reported)
Listed locations
2 countries · 8 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
Incidence of Adverse Events to evaluate safety and tolerability of [225Ac]-FPI-2059 and [111In]-FPI-2058
approximately 5 years post final administration
Maximum tolerated dose (MTD) of [225Ac]-FPI-2059
56 days post administration
Radiation dose of [111In]-FPI-2058 and [225Ac]-FPI-2059 to whole body, organs, and selected regions of interest
within 56 days of administration
Secondary Outcomes (3)
Study Arms (2)
Phase 1 Dose Escalation
EXPERIMENTAL
Drug: [225]-FPI-2059Drug: [111In]-FPI-2058
Phase 1 Dose Expansion
EXPERIMENTAL
Drug: [225]-FPI-2059Drug: [111In]-FPI-2058
Interventions
[225]-FPI-2059Drug
\[225Ac\]-FPI-2059 is a targeted alpha therapeutic that consists of an NTSR1-targeting small molecule that is linked to Ac-225, an alpha particle emitting radionuclide. Participants will be dosed through IV administration every 56 days up to four cycles. The dose depends on cohort assignment.
In the Dose Expansion arm, \[225Ac\]-FPI-2059 will be administered at the RP2D as determined in Phase 1 Dose Escalation.
Phase 1 Dose EscalationPhase 1 Dose Expansion
[111In]-FPI-2058Drug
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Signed ICF prior to initiation of any study-specific procedures
Histologically and/or cytologically confirmed solid tumor that is metastatic or locally advanced, inoperable, or recurrent. Solid tumors indications may include PDAC, CRC, NED prostate cancer, gastric cancer, SCCHN, and Ewing sarcoma.
Squamous Cell Carcinoma of Head and NeckColorectal NeoplasmsStomach NeoplasmsSarcoma, EwingProstatic NeoplasmsCarcinoma, Squamous Cell
Condition Hierarchy (Ancestors)
CarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsHead and Neck NeoplasmsNeoplasms by SiteIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System Neoplasms
Study Officials
Aaron Enke
3B Pharmaceuticals GmbH
STUDY DIRECTOR
Enrollment
19 participants (actual enrollment reported by the registry).
Anti-tumor activity of [225Ac]-FPI-2059 regimen measured by response per RECIST v1.1
approximately 5 years post final administration
Tumor uptake of [111In]-FPI-2058 by evaluating SPECT/CT and planar images
within 56 days of administration
Pharmacokinetics (PK) of [225Ac]-FPI-2059 and [111In]-FPI-2059 by measuring changes in clearance, AUC, Cmax, and half-life
approximately 36 days of final administration
\[111In\]-FPI-2058 is an imaging agent that consists of an NTSR1-targeting small molecule linked to In-111.Participants will receive \[111In\]-FPI-2058 by IV Injection for imaging once during screening period. The dose is consistent across cohorts.
Phase 1 Dose EscalationPhase 1 Dose Expansion
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Disease that has progressed despite prior treatment, and for which additional effective standard therapy is not available or is contraindicated, not tolerable, or the patient refuses standard therapy
Measurable disease per RECIST v.1.1
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Sufficient target expression in at least one measurable lesion as determined by imaging following injection of \[111In\]-FPI-2058
Adequate organ function
Tumor tissue (either archival within the last 24 months or fresh biopsy)
You may not qualify if:
Previous treatment with any radiopharmaceutical
Contraindications to or inability to perform the imaging procedures required in this study
Anti-cancer therapy, such as chemotherapy, immunotherapy, hormonal therapy, targeted therapy, or investigational agents within certain amount of time prior to administration of the first dose of \[111In\]-FPI-2058
Radiation therapy (RT) within 28 days prior to the first dose of \[111In\]-FPI-2058
Patients with known CNS metastatic disease
Concurrent severe and/or uncontrolled illness that would limit compliance with study requirements
Known or suspected allergies or contraindication to the investigational treatment
Received any type of vaccine within 30 days prior to the first dose of \[111In\]-FPI-2058
Contact the study team to confirm eligibility.
Westmead Hospital
Sydney, New South Wales, 2145, Australia
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Stomach Diseases
Osteosarcoma
Neoplasms, Bone Tissue
Neoplasms, Connective Tissue
Neoplasms, Connective and Soft Tissue
Sarcoma
Genital Neoplasms, Male
Urogenital Neoplasms
Genital Diseases, Male
Genital Diseases
Urogenital Diseases
Prostatic Diseases
Male Urogenital Diseases
Neoplasms, Squamous Cell
Primary Completion
July 19, 2024
Actual (reported)
Study Completion
February 20, 2025
Actual (reported)
Last Updated
August 24, 2025
Record last verified: 2025-08
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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