RecruitingPhase 1NCT07660055

Study of [177Lu]Lu-DWJ155 and [68Ga]Ga-DWJ155 in Patients With Solid Tumors

A Phase I Open-label, Multi-center Study to Evaluate the Safety, Tolerability, Dosimetry, and Preliminary Activity of [177Lu]Lu-DWJ155 and Safety and Imaging Properties of [68Ga]Ga-DWJ155 in Patients With Solid Tumors

Sponsor

Novartis Pharmaceuticals

Enrollment

156 participants

Start Date

Jun 16, 2026

Study Type

INTERVENTIONAL

Conditions

Breast Cancer Non-small Cell Lung Cancer (NSCLC)Bladder Cancer Gastric/Gastroesophageal Junction (GEJ) Cancer

Summary

The purpose of this phase I study is to evaluate the safety, tolerability, dosimetry, and preliminary anti-tumor activity of \[177Lu\]Lu-DWJ155 and the safety and imaging properties of \[68Ga\]Ga-DWJ155 in patients with histologically or cytologically confirmed advanced HER2+, HR+/HER2-negative, or triple negative breast cancer (TNBC), non-small cell lung cancer (NSCLC), HER2-3+ or 2+ (ISH positive or negative) gastric/gastroesophageal junction (GEJ) cancer, and bladder cancer.

Eligibility

Min Age: 18 YearsMax Age: 100 Years

Inclusion Criteria18

Male or female patients age ≥ 18 years.
Patients with one of the following histologically or cytologically confirmed and documented malignancies who have progressed on or been intolerant to standard of care therapy, and are not considered appropriate for any standard therapy with proven benefit, in the investigator's judgment:
Dose Escalation:
Advanced HER2+ breast cancer with disease progression after at least two prior lines of systemic therapy in the advanced setting
Advanced HR+/HER2-low breast cancer with disease progression after prior therapy in the advanced setting
Advanced NSCLC without actionable genetic alterations (AGAs) with disease progression after prior therapy in the advanced setting
Advanced NSCLC with AGAs who have received prior treatment
Measurable disease as determined by RECIST version 1.1.
Dose Expansion:
Advanced HER2+ breast cancer with disease progression after at least two prior lines of systemic therapy in the advanced setting
Advanced HR+/HER2-low breast cancer with disease progression after prior therapy in the advanced setting
Advanced HR+/HER2 0 breast cancer with disease progression after prior therapy in the advanced setting
Advanced HR-/HER2-low breast cancer with disease progression after prior therapy in the advanced setting
Advanced HR-/HER2 0 breast cancer with disease progression after prior therapy in the advanced setting
Advanced NSCLC with AGAs, who have received prior treatment
Advanced NSCLC without known AGAs who have received prior treatment.
Advanced gastric/GEJ cancer with HER2 IHC 3+ or 2+ (ISH + or -), following disease progression after prior therapy in the advanced setting
Measurable disease as determined by RECIST version 1.1.

Exclusion Criteria21

Out-of-range laboratory values defined as:
Creatinine clearance < 60 mL/min (calculated using CKD-EPI 2021 formula, or measured)
Total bilirubin > 1.5 x ULN (except for patients with Gilbert's syndrome who are excluded if total bilirubin >3.0 x ULN) or direct bilirubin > 1.5 x ULN
Alanine aminotransferase (ALT) > 3 x ULN, except for patients with tumor involvement of the liver who are excluded if ALT > 5 x ULN
Aspartate aminotransferase (AST) > 3 x ULN, except for patients with tumor involvement of the liver who are excluded if AST > 5 x ULN
Lipase > 1.5 x ULN
Absolute neutrophil count (ANC) < 1.5 x 109/L
Hemoglobin < 9 g/dL
Platelet count < 100 x 109/L
Initiation of hematopoietic colony stimulating factors, thrombopoietin mimetics, or erythroid stimulating agents initiated ≤ 2 weeks prior to imaging agent administration.
Use of transfusion support ≤4 weeks prior to imaging agent administration.
Impaired cardiac function or clinically significant cardiac disease.
Unmanageable urinary tract obstruction or urinary incontinence.
Any serious uncontrolled infection (acute or chronic).
Pregnant or breastfeeding women.
Treatment with any of the following anti-cancer therapies prior to imaging agent administration within the stated timeframes:
Prior treatment with any therapeutic radiopharmaceutical
< 10 half-lives for any imaging radiopharmaceutical
≤ 4 weeks for external beam radiation therapy (EBRT) or brachytherapy
≤ 6 months for lung-directed external beam radiotherapy
Patients with non-tumor uptake of \[68Ga\]Ga-DWJ155 in tissues or organs that, in the opinion of the investigator, increases the risk associated with \[177Lu\]Lu-DWJ155 treatment.