Perspective Therapeutics
Lead-212 alpha-therapy company whose SSTR2 agent [212Pb]VMT-α-NET reported a 43% response rate in neuroendocrine tumours and is heading for phase 3.
Overview
Phase 1/2a of [212Pb]VMT-α-NET (NCT05636618): 43% ORR in cohort 2 with 72% progression-free/alive at the 2026 update; 76 NET patients treated by July 2026; first meningioma patient dosed June 2026; EU orphan designation July 2026. Phase 3 planned at a cumulative 20 mCi dose. Also developing PSMA and melanocortin-1 receptor 212Pb agents. Its FAP-alpha agent PSV359, paired with the 203Pb/68Ga imaging analogue PSV377, is in a phase 1/2 first-in-human study (NCT06710756); on 14 September 2026 the company announced a collaboration and supply agreement with Merck to add cohorts combining [212Pb]PSV359 with pembrolizumab in FAP-alpha-positive non-small cell lung cancer and colorectal cancer, which is the first time an alpha-emitting radioligand has been taken into NSCLC. The dose-expansion part of the VMT-alpha-NET trial also enrols bronchial neuroendocrine tumours.
Scorecard
All companies- phase 1/2 +2
- targets +4
- modalities +2
- registry trials +2
A drug that targets a marker on neuroendocrine tumour cells is being tested with two versions of a radioactive metal: one lets doctors see where the tumour is on a scan, and the other delivers a strong, short-range dose of radiation to kill the tumour cells.
A drug that homes to the scaffolding cells tumours build around themselves, carrying a radioactive metal that fires alpha particles over a very short range. A matching scan version shows first whether a patient's tumour has the target.
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