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Evaluation of Targeted Radionuclide Therapy of Lu-177 PSMA in Patients With Compromised Renal and/or Bone Marrow Function

Evaluation of Targeted Radionuclide Therapy of Lu-177 PSMA in Patients With Compromised Renal and/or Bone Marrow Function

Recruiting
Male
Phase N/A

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Overview

To determine the dose of Pluvicto therapy absorbed in the tumors and organs of patients whose kidneys and/or bone marrow are not working properly.

Description

Primary Objectives

• To determine the personalized radiation dose to tumors and critical organs of participants with compromised renal and / or bone marrow function.

Secondary Objectives

  • To compare target radiation doses based on varying SPECT scan duration. Plot the variability in target radiation dose versus scan duration.
  • To compare the image quality and dosimetry results when considering the low, high, and both energy peaks of Lu-177.
  • To compare target radiation doses based on multiple imaging time points versus a single time point and identify which time point is most suited for this evaluation.
  • To compare target radiation doses derived from organ versus voxel dosimetry calculation.

Eligibility

Eligibility Criteria

  • Participants that are approved for Pluvicto therapy and have been identified to have renal complications or compromised marrow function. Renal complication is defined as GFR: 30-50ml/min, creatinine: ULN-twofold ULN; while compromised marrow function is indicated by total WBC 2.5 x 109 L - LLN, or platelet count 75-100 x 109 L.
  • Participants who agree to be imaged multiple times as defined in the study protocol.

Exclusion Criteria

  • Pluvicto therapy patients without renal or marrow function complications
  • Participants who do not wish to be imaged multiple times as per the study protocol.
  • Women and children since this is treatment for prostate cancer.

Study details
    Lu-177 PSMA

NCT07169825

M.D. Anderson Cancer Center

13 May 2026

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