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ASCO 2026 | CONVERGE-01 part 3: rosopatamab tetraxetan in Lu-PSMA-pretreated mCRPC

Jeremie Calais, MD, PhD, University of California, Los Angeles, CA, discusses dose-escalation findings from CONVERGE-01 Part 3 (NCT06549465), evaluating actinium-225-labeled rosopatamab tetraxetan in patients with lutetium PSMA-pretreated metastatic castration-resistant prostate cancer (mCRPC). Results demonstrated a well-tolerated safety profile at the recommended Phase II dose, with promising PSA response activity observed even in patients primarily refractory to prior lutetium PSMA therapy. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

So this trial is also with the actinium 225-based isotope radioligand therapy agent. Instead of PSMA 617, they use another ligand specific to PSMA as well, J591. It’s an antibody, so it has a different biodistribution profile, of course, much bigger, so it circulates very long in the blood circulation, but with potentially higher uptake. Here, they tested a different dosing schedule...

So this trial is also with the actinium 225-based isotope radioligand therapy agent. Instead of PSMA 617, they use another ligand specific to PSMA as well, J591. It’s an antibody, so it has a different biodistribution profile, of course, much bigger, so it circulates very long in the blood circulation, but with potentially higher uptake. Here, they tested a different dosing schedule. It’s only two doses back-to-back with two weeks’ time interval, and that’s it. It’s not six cycles in the other common PSMA radio ligand therapy approaches. They also did a dose escalation phase. Initially, it was weight-based. It was 45 kilobecquerel per kilo and 55 kilobecquerel per kilo. And they tried in several patients in the dose escalation. I think they will move to a fixed injected activity instead of the weight-based dose injected activity. They analyze based on the weight dose the different injected activity level because they have a variation and they will choose finally the nine megabecquerel dose for the next phase three trial.

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