A Study of [225Ac]Ac-AKY-1189 in Patients With Solid Tumors
Start Date
8/22/2025
Completion Date
6/1/2032
Summary
This is a first-in-human Phase 1b, 2-part, multicenter open-label clinical study to evaluate safety and efficacy of a Nectin-4 radiopharmaceutical (\[225Ac\]Ac-AKY-1189) in patients with locally advanced or metastatic solid tumors and to establish the maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended Phase 2 dose.
Detailed Description
This study consists of two parts (Part 1 and 2). Part 1 is the dose escalation portion of the study, which will investigate ascending doses of \[225Ac\]Ac-AKY-1189 (up to 6 cycles) in patients with locally advanced or metastatic solid tumors. The aim of Part 1 is to determine the maximum tolerated dose (MTD) or maximum administered dose (MAD) and the recommended Phase 2 dose. Part 2 will be the dose expansion portion of the study and will enroll locally advanced or metastatic solid tumor patients who are identified as Nectin-4 positive by \[64Cu\] Cu-AKY-1189. Part 2 aims to further assess the efficacy of \[225Ac\]Ac-AKY-1189 at the RP2D in 3 different cohorts of patients.
Eligibility Criteria
Age Range: 18 years to No maximum
Interventions
[225Ac]Ac-AKY-1189 (therapeutic)
[64Cu]Cu-AKY-1189 (imaging)
Conditions
Locations
City of Hope
Duarte, California 91010
United States
Hoag Memorial Hospital Presbyterian
Irvine, California 92618
United States
Biogenix Molecular, LLC
Miami, Florida 33165
United States
Advent Health Medical Group Radiation Oncology at Central Florida
Orlando, Florida 32804
United States
University of Iowa
Iowa City, Iowa 52242
United States
University of Kansas
Westwood, Kansas 66205
United States
United Theranostics
Glen Burnie, Maryland 21061
United States
BAMF Health
Grand Rapids, Michigan 49503
United States
Icahn School of Medicine at Mt. Sinai
New York, New York 10029
United States
UPMC
Pittsburgh, Pennsylvania 15232
United States
MD Anderson Cancer Center
Houston, Texas 77030
United States
Huntsman Cancer Institute
Salt Lake City, Utah 84112
United States