OncRef

Clinical Trial: NCT03939689

I-131-1095 Radioligand Plus Enzalutamide vs Enzalutamide for mCRPC That Progressed During Abiraterone (ARROW).

Status:

COMPLETED

Phase:

Phase 2

Lead Sponsor:Progenics Pharmaceuticals, Inc.
Information Provided By:Progenics Pharmaceuticals, Inc.
Last Update Posted:2025-10-14

Study Overview

Brief Summary

This clinical trial was done to show whether a radioactive drug (I-131-1095) that binds to prostate-specific membrane antigen (PSMA) is useful in treating metastatic prostate cancer that is positive for PSMA. The trial enrolled men whose PSMA-positive metastatic prostate cancer had progressed while they were taking abiraterone. During the trial, all of the men took enzalutamide (standard-of-care therapy) once a day. However, some of the men also had up to 4 doses (8 weeks apart) of I-131-1095 (in addition to taking enzalutamide once a day). At specified times during the trial, all of the men had blood tests (to measure levels of prostate-specific antigen [PSA]) and imaging studies (to assess tumor status). The two groups of men were then compared in several ways. The main comparison was the percentage of men in each group with at least a 50% decrease in PSA levels. Other comparisons involved the response of the tumors (as seen on imaging) and overall survival. To assess safety, the number of adverse events in both groups were also compared.

Official Title

A Multicenter, Randomized, Controlled Phase 2 Study: Efficacy and Safety of I-131-1095 Radiotherapy in Combination With Enzalutamide in mCRPC Patients Who Are 18F-DCFPyL PSMA-avid, Chemotherapy-naïve, and Progressed on Abiraterone (ARROW )

Conditions

Metastatic Prostate Cancer, Castration-resistant Prostate Cancer, Prostatic Neoplasm, Cancer of the Prostate, Progressive mCRPC

Intervention / Treatment

  • Drug: I-131-1095
  • Drug: Enzalutamide

Other Study ID Numbers

  • 1095-2301

Start Date (Actual)

2019-05-30

Primary Completion Date (Actual)

2023-09-21

Study Completion Date (Actual)

2024-09-24

Enrollment (Actual)

120

Study Type

Interventional

Phase

Phase 2