Tests an intra-arterial radioactive drug before surgery for high-risk prostate cancer
Tests a radioactive drug given into an artery before surgery in men with prostate cancer.
Key facts
- Who runs it
- Universitaetsklinikum Essen AöR
- Where
- Essen, GermanySee the site
- Trial code
- Registry title
- A Phase I/II Study of Neoadjuvant, Intra-arterial Administration of [177Lu]Lu-PSMA-617 in Subjects with High-risk, Localised or Locally Advanced Prostate Cancer who are Candidates for Radical Prostatectomy (LUPUS)
- Status
- Recruiting
- Phase
- Phase 1/2
- People taking part
- 22 people, planned
- Started
- 10 Sept 2024
- Expected to end
- 30 Sept 2027
- Type of study
- Interventional
- Record updated
- 1 July 2026
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for men with high-risk prostate cancer that is still in the prostate area, who have not been treated yet and are planned for prostate removal surgery.
- Age
- 18 years or older.
- Sex
- Men only.
- Disease stage
- High-risk localised or locally advanced prostate cancer (adenocarcinoma) with no distant spread (no M1), and PSMA-positive disease on a PSMA-PET scan.
- Earlier treatment
- No earlier treatment for prostate cancer. GnRH analogue treatment before signing the consent form is allowed. No radioligand treatment in the last 6 months.
- Biomarker or test result
- PSMA-positive disease seen on a PSMA-PET scan.
Main reasons for not taking part
- Distant metastasis (clinical stage M1)
- Earlier treatment with androgen receptor antagonists
- Earlier systemic or local therapy for prostate cancer, including pelvic radiation
- Both testicles removed (bilateral orchiectomy)
- Major surgery within 4 weeks before joining
The registry criteria, word for word
Show all 14 criteriaShow less
Who can take part
- Histologically confirmed adenocarcinoma of the prostate including the following criteria: - High-risk prostate cancer defined by: a) a total Gleason sum score ≥4+4 (=ISUP Grade Groups 4 5), or b) any Gleason sum score and serum PSA-level ≥ 20 ng/mL or - Locally advanced high-risk prostate cancer (≥pT3a) defined as a) Extracapsular extension confirmed by mpMRI or PSMA-PET scan and/or b) Positive pelvic lymph nodes on pre-study PSMA-PET scan or c) Suspicion of pelvic lymph node involvement (cN1) on conventional imaging
- Treatment-naïve patients for adenocarcinoma of the prostate
- Eastern Cooperative Oncology Group (ECOG) performance status 0 1
- Candidate eligible for intra-arterial treatment as per investigator
- Candidate scheduled for radical prostatectomy with pelvic lymph node dissection as per the investigator
- Adequate bone marrow function, liver and renal function
- Patients must be willing to use a condom for all sexual activities
- Patients must have evidence of PSMA-positive disease as seen on a PSMA-PET scan
Who cannot take part
- Prior treatment with androgen receptor antagonists. Treatment with GnRH analogues prior to ICF signature
- History of prior systemic or local therapy for prostate cancer, including pelvic radiation for prostate cancer
- Major surgery ≤4 weeks prior to inclusion
- Previous treatment with radioligands within 6 months before inclusion
- Distant metastasis (clinical stage M1)
- Bilateral orchiectomy
Where in Germany
- Universitaetsklinikum Essen (AoR)Essen, GermanyTaking people
About the trial
What the trial wants to find out
- Safety and tolerability of intra-arterial [177Lu]Lu-PSMA-617 in the neoadjuvant treatment of patients with high-risk, localised or locally advanced prostate cancer scheduled for radical prostatectomy - Feasibility of intra-arterial [177Lu]Lu-PSMA-617 for neoadjuvant treatment of patients with high-risk, localised or locally advanced prostate cancer scheduled for radical prostatectomy
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record
Print a page for my doctorData and sources
- Registry record
- Listed on the EU's official list of trials (CTIS).
- Official title
- A Phase I/II Study of Neoadjuvant, Intra-arterial Administration of [177Lu]Lu-PSMA-617 in Subjects with High-risk, Localised or Locally Advanced Prostate Cancer who are Candidates for Radical Prostatectomy (LUPUS)
- Plain-language title
- Tests an intra-arterial radioactive drug before surgery for high-risk prostate cancerGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 9 November 2026.
- Record updated
- 1 July 2026