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DRUG:

177Lu-DOTA-girentuximab (TLX250)

i
Other names: TLX 250, TLX250, Lu-177-DOTA-cG250, TLX-250
Associations
Company:
China Grand Pharma, Telix
Drug class:
Beta radiation emitter, Carbonic anhydrase IX inhibitor
Related drugs:
Associations
1m
Prospective pilot study with [89Zr]Zr-girentuximab PET/CT: CA-IX imaging in metastatic triple negative breast cancer (OPALESCENCE). (PubMed, Eur J Nucl Med Mol Imaging)
[89Zr]Zr-girentuximab PET/CT is a sensitive imaging method and offers promise for novel theranostics for mTNBC patients.
Journal
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CA9 (Carbonic anhydrase 9)
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177Lu-DOTA-girentuximab (TLX250) • Rencarex (girentuximab)
2ms
LUTEON: Study of 177Lu-TLX250 in Advanced Relapsed or Recurrent ccRCC (clinicaltrials.gov)
P3, N=40, Not yet recruiting, Telix Pharmaceuticals (Innovations) Pty Limited
New P3 trial
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177Lu-DOTA-girentuximab (TLX250)
3ms
Enrollment open
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Welireg (belzutifan) • 177Lu-DOTA-girentuximab (TLX250)
3ms
New P1 trial
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Welireg (belzutifan) • 177Lu-DOTA-girentuximab (TLX250)
8ms
Preclinical and Clinical Feasibility Studies as the First Step Before Forthcoming Intravesical Instillation of [211At]At-anti-CA-IX Antibody (ATO-101™) Study in Patients with Non-Muscle-Invasive Bladder Cancer Unresponsive to Standard of Care. (PubMed, Cancers (Basel))
Preclinical and clinical data demonstrate the promising therapeutic role of 211At-targeted alpha agents in NMIBC, and the [211At]At-anti-CA-IX antibody (ATO-101™) could fulfill this role. A phase I FIH clinical trial is in preparation, and results are expected within the next years.
Preclinical • Journal
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CA9 (Carbonic anhydrase 9)
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177Lu-DOTA-girentuximab (TLX250) • Rencarex (girentuximab)
10ms
DNA-Dependent Protein Kinase Inhibitor Peposertib Enhances Efficacy of 177Lu-Based Radioimmunotherapy in Preclinical Models of Prostate and Renal Cell Carcinoma. (PubMed, J Nucl Med)
177Lu-DOTA-girentuximab (targeting carbonic anhydrase IX) or 177Lu-DOTA-rosopatamab (targeting prostate-specific membrane antigen) was used to deliver β-radiation to tumors via a single intravenous dose (3 or 6 MBq) in mice bearing SK-RC-52 RCC or LNCaP prostate cancer xenografts, respectively. Our findings suggest a synergistic effect between peposertib and 177Lu-based radioimmunotherapy, wherein peposertib enhanced the efficacy of radioimmunotherapy. This synergy indicates the potential to reduce the necessary dose of radioimmunotherapy for effective cancer treatment.
Preclinical • Journal
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CA9 (Carbonic anhydrase 9)
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peposertib (M3814) • 177Lu-DOTA-girentuximab (TLX250) • 177Lu-rosopatamab tetraxetan (TLX591) • Rencarex (girentuximab)
over1year
Combination of 177Lu-TLX250 and Peposertib in Patients With Carbonic Anhydrase IX -Expressing Solid Tumors (clinicaltrials.gov)
P1, N=36, Recruiting, Telix Pharmaceuticals (Innovations) Pty Limited | Phase classification: P1b --> P1
Phase classification
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CA9 (Carbonic anhydrase 9)
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peposertib (M3814) • 177Lu-DOTA-girentuximab (TLX250)
over2years
Combination of 177Lu-TLX250 and Peposertib in Patients With Carbonic Anhydrase IX -Expressing Solid Tumors (clinicaltrials.gov)
P1b, N=36, Recruiting, Telix International Pty Ltd | Not yet recruiting --> Recruiting
Enrollment open
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CA9 (Carbonic anhydrase 9)
|
peposertib (M3814) • 177Lu-DOTA-girentuximab (TLX250)
over2years
New P1 trial
|
CA9 (Carbonic anhydrase 9)
|
peposertib (M3814) • 177Lu-DOTA-girentuximab (TLX250)
over2years
89Zr-DFO-girentuximab for PET/CT Imaging of Indeterminate Renal Masses - Results from Phase 3 ZIRCON Study (AUA 2023)
Coprimary objectives were to evaluate both the sensitivity and specificity of TLX250-CDx PET/CT imaging in detecting ccRCC in patients with IDRM, using histology as standard of truth. 89 Zr-DFO-girentuximab PET/CT is well tolerated and can accurately and noninvasively identify and characterize IDRMs, showing promising utility for guiding surgical and treatment decisions.
P3 data • Late-breaking abstract
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CA9 (Carbonic anhydrase 9)
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CA9 expression
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177Lu-DOTA-girentuximab (TLX250) • Rencarex (girentuximab)
almost3years
89Zr-DFO-girentuximab for PET imaging of solid tumors likely to express high levels of carbonic anhydrase IX. (ASCO-GU 2023)
89Zr-DFO-girentuximab (hereafter referred to as TLX250-CDx) is a diagnostic radiopharmaceutical for PET imaging that targets CAIX and has demonstrated clinical success in ccRCC imaging. Statistics will be descriptive with no formal hypothesis. The study is ongoing.
IO biomarker
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CA9 (Carbonic anhydrase 9)
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CA9 expression
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177Lu-DOTA-girentuximab (TLX250) • Rencarex (girentuximab)