152 Participants NeededMy employer runs this trial

[225Ac]Ac-AKY-2519 for Cancer

(BActinium-2 Trial)

Recruiting at 1 trial location
TW
Overseen ByTIffany Wang, MD
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Aktis Oncology, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment, [225Ac]Ac-AKY-2519, for individuals with certain cancers that display the B7-H3 marker on imaging scans. The goal is to determine the treatment's safety and effectiveness in shrinking tumors. It targets those with solid tumors, such as advanced lung, head and neck, esophageal, colorectal, or prostate cancer, who have not previously received similar targeted treatments. Participants must be able to give consent, follow study rules, and have measurable cancer on scans. The trial excludes individuals who have recently undergone other cancer treatments or have serious heart conditions. As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the chance to be among the first to receive this new therapy.

Is there any evidence suggesting that [225Ac]Ac-AKY-2519 is likely to be safe for humans?

Research has shown that Actinium-225, used in treatments like [225Ac]Ac-AKY-2519, appears safe. Studies have found no sudden harmful or life-threatening side effects from treatments using Actinium-225, indicating that patients did not face immediate dangers during treatments.

Actinium-225 emits alpha particles, which generally cause fewer side effects than beta particles. It is also approved for treating certain prostate cancers, suggesting its safety for humans.

Since this trial is in its early stages, the main goal is to assess safety. The treatment is being closely monitored for any side effects. So far, results are encouraging, but ongoing studies will provide more information.12345

Why do researchers think this study treatment might be promising?

[225Ac]Ac-AKY-2519 is unique because it uses a novel radioisotope, Actinium-225, to specifically target and destroy cancer cells. Unlike traditional chemotherapy, which affects both cancerous and healthy cells, this treatment delivers targeted radiation therapy directly to the tumor, minimizing damage to surrounding healthy tissue. Researchers are excited about its potential for greater precision and reduced side effects, offering a promising new avenue for patients who may not respond well to existing treatments.

What evidence suggests that [225Ac]Ac-AKY-2519 might be an effective treatment for cancer?

Research has shown that [225Ac]Ac-AKY-2519, the investigational treatment tested in this trial, is a new radiation therapy designed to directly target cancer cells. Studies have found that this treatment attaches to a protein called B7-H3, present on many cancer cells, and delivers radiation to destroy them while sparing most healthy tissues. Early results indicate that tumors absorb the drug well, which may help shrink or slow the growth of cancers like prostate cancer. The treatment has also proven safe, with minimal effects on normal tissue. These findings suggest it could effectively treat solid tumors with the B7-H3 protein.678910

Are You a Good Fit for This Trial?

This trial is for adults with certain solid tumors (like lung, prostate, head and neck, esophageal, or colorectal cancer) that test positive for a marker called B7-H3. Participants must be able to undergo imaging tests and meet general health requirements.

Inclusion Criteria

Ability to give informed consent and comply with study requirements
I have at least one tumor that can be measured on a CT scan.
My major organs are working well.
See 4 more

Exclusion Criteria

Concurrent serious medical condition that would impair study participation or impact the assessment of treatment related toxicity
I have heart problems or significant heart disease.
I have been treated with a B7-H3 targeted therapy before.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Part 1: Investigate ascending doses of [225Ac]Ac-AKY-2519 in patients with locally advanced or metastatic solid tumors

4 weeks per cycle

Dose Expansion

Part 2: Assess the efficacy of [225Ac]Ac-AKY-2519 in two separate cohorts by indication

4 weeks per cycle

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 30 days following last administration

Long-term Follow-up

Monitor duration of response and progression-free survival

Up to 5 years after first administration

What Are the Treatments Tested in This Trial?

Interventions

  • [225Ac]Ac-AKY-2519

Trial Overview

The study is testing a new treatment ([225Ac]Ac-AKY-2519) designed to target B7-H3-positive cancers. It also uses an imaging agent ([64Cu]Cu-AKY-2519) to help find these tumors. The main goals are to check safety and how the drug moves in the body.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: [225Ac]Ac-AKY-2519Experimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Aktis Oncology, Inc.

Lead Sponsor

Citations

A Study of [225Ac]Ac-AKY-2519 in Patients With Metastatic ...

This early-stage study is testing a new targeted radiation medicine to see if it is safe and can help shrink or slow prostate cancer that has spread and stopped

AKY-2519, a novel B7-H3-targeted radioconjugate, and its ...

The normal tissue to tumor dose ratios observed with AKY-2519 suggest a wide therapeutic window as an Ac-225 delivering therapeutic.

NCT07581184 | A Study of [225Ac]Ac-AKY-2519 in ...

This is a Phase 1b, multi-center, open-label study to evaluate the safety, tolerability, dosimetry, and pharmacokinetics (PK) of [64Cu]Cu-AKY-2519 and/or ...

AKY-2519, a Novel B7-H3-Targeted Radioconjugate, ...

[225Ac]Ac-AKY-2519 RCT binds to B7-H3 on tumor cells (A) and results in cell death through radioactive decay (B). • AKY-2519 is being investigated in a broad ...

Clinical Trials | A Phase 1b, Multicenter, Open-label Study ...

The purpose of the study is to evaluate the safety and effects of the study drugs [225Ac]Ac-AKY-2519 and [64Cu]Cu-AKY-2519 in people with cancer.

A Clinical Study to Evaluate the Safety, Tolerability and ...

The purpose of this study is to determine the safety and efficacy of 225Ac -labeled PSMA ligand(PSMA-XT) in the treatment of mCRPC.

Navigating the safety profile of Actinium-225 targeted alpha ...

Data in the All the retrieved papers reported no acute toxicity or life- threatening adverse events after TAT with Actinium-225.

Baseline Imaging Derived Factors of Response Following ...

Baseline Imaging Derived Factors of Response Following [225Ac]Ac‐J591 Therapy in Metastatic Castration‐Resistant Prostate Cancer: A Lesion Level Analysis.

[225Ac]Ac-AKY-2519 (therapeutic) — trial | AEaH

Occurrence of adverse events by severity and occurrence of serious adverse events (SAEs) in participants who received

NCT05636267 | Study of AK119 and AK112 With or ...

This is a phase Ib/II study to evaluate the safety, tolerability, pharmacokinetics, and anti-tumor activity of AK119 and AK112 With or Without Chemotherapy for ...