TABLE 4.

Study Objectives

ObjectiveDescription
Primary
 Phase ITo establish maximum tolerated dose, DLTs, and recommended phase II dose of [161Tb]Tb-PSMA-I&T in patients with mCRPC
 Phase IITo evaluate safety of [161Tb]Tb-PSMA-I&T in patients with mCRPC
SecondaryTo establish absorbed radiation dose (Gy) in normal tissue and sites of metastatic disease after 1 cycle of [161Tb]Tb-PSMA-I&T
To evaluate antitumor activity of [161Tb]Tb-PSMA-I&T in patients with mCRPC by…
 PSA response rate
 Radiographic progression-free survival
 PSA progression-free survival
 Progression-free survival
 Overall survival
 Objective response rate
To evaluate health-related quality of life within 12 mo of treatment commencement
To evaluate pain within 12 mo of treatment commencement
ExploratoryTo evaluate associations among [68Ga]Ga-PSMA-11 or [18F]DCFPyL PET/CT, [18F]FDG PET/CT, posttherapy SPECT/CT, baseline characteristics, and outcomes
To evaluate dynamic changes in circulating tumor DNA fraction and utility of circulating tumor DNA genomic aberrations as predictive biomarker of response
To evaluate molecular alterations in tissue and their correlation with clinical outcome
To evaluate treatment-related quality of life using Functional Assessment of Cancer Therapy–Radionuclide Therapy questionnaire within 12 mo of treatment commencement