# OPTIMAL-PSMA Trial of TLX597-Tx Next Generation RLT Presented at IPCS 2026 Highlighting Therapeutic Potential in Prostate Cancer

- Link: https://www.thailand-business-news.com/pr-news/optimal-psma-trial-of-tlx597-tx-next-generation-rlt-presented-at-ipcs-2026-highlighting-therapeutic-potential-in-prostate-cancer
- Published: 2026-04-30T04:00:00+07:00
- Author: PR Newswire

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 ◦ TLX597-Tx is a PSMA^([1])-targeting small molecule radioligand therapy (RLT) 
   candidate, designed to improve quality-of-life and efficacy in earlier-stage 
   prostate cancer.
 ◦ OPTIMAL-PSMA^([2]) initial dosimetry data demonstrate low salivary gland and 
   kidney uptake, supporting dose intensification.
 ◦ Telix is developing two distinct prostate therapeutic programs, tailored to disease
   stage and patient condition: TLX591-Tx radio antibody-drug conjugate (rADC) in
   combinations with standard of care (Phase 3 in mCRPC^([3])) and TLX597-Tx intended
   for earlier-stage mHSPC^([4]).
 ◦ **Webcast today:** Thursday, April 30, at 9:30 a.m. AEST (Wednesday, April 29,
   at 7:30 p.m. EDT). Register here: [https://s1.c-conf.com/diamondpass/10053985-675tre.html](https://s1.c-conf.com/diamondpass/10053985-675tre.html)

MELBOURNE, Australia and INDIANAPOLIS, April 30, 2026 /PRNewswire/ — Telix Pharmaceuticals
Limited (ASX: TLX, NASDAQ: TLX, "Telix") today announces dosimetry results from 
the randomized Phase 2 OPTIMAL-PSMA trial of TLX597-Tx in metastatic castration-
resistant prostate cancer (mCRPC), presented at the 2026 International Prostate 
Cancer Symposium (IPCS 2026) held in Lugano, Switzerland. These findings support
TLX597-Tx’s potential to deliver a treatment that overcomes quality-of-life challenges
that currently limit the clinical utility of existing RLTs in earlier-stage metastatic
prostate cancer.

TLX597-Tx (^(177)Lu-DOTA-HYNIC-panPSMA) is a novel PSMA-targeting small molecule
RLT candidate with a highly favorable dosimetry profile. Significantly reduced radiation
exposure to healthy organs, including the salivary glands and kidneys^([5]), may
lower the incidence of xerostomia (dry mouth) and renal toxicity and support better
tolerability for patients. This dosimetry profile combined with higher tumor uptake
compared to existing PSMA RLTs may deliver a wider therapeutic window and enable
dose intensification to maximize tumor control while preserving patient quality-
of-life.

OPTIMAL-PSMA is an open-label, multi-center, randomized, Phase 2 investigator-initiated
trial (IIT) led by Professor Louise Emmett at St Vincent’s Hospital in Sydney, Australia.
The study is evaluating the safety, dosimetry, and efficacy of an intensified dosing
regimen of TLX597-Tx compared with a standard dose schedule in 120 men with advanced
mCRPC, randomized on a 2:1 basis. The novel dose-intensification regimen delivers
higher activity per cycle (8.5 GBq), delivered on day 1, day 3 and day 15, followed
by 10-weekly dosing for three further cycles. The study aims to confirm that a dose
intensified TLX597-Tx regimen will maximize the radiation dose to cancerous lesions
when they are most vulnerable to damage and therefore improve overall response to
treatment.

Telix believes these dosimetry data support further evaluation of TLX597-Tx in earlier-
stage disease and is initiating OPTIMAL-E, a Phase 2 study in androgen pathway-sensitive
prostate cancer (mHSPC).

Principal Investigator for OPTIMAL-PSMA, Professor Louise Emmett, commented, "The
goal of OPTIMAL-PSMA is to identify a dose regimen for TLX597-Tx that leads to deeper
and longer responses without increasing toxicity for men with metastatic prostate
cancer. We look forward to starting the Phase 2 OPTIMAL-E trial soon."

Dr. David N. Cade, Group Chief Medical Officer at Telix, added, "These encouraging
dosimetry results from OPTIMAL-PSMA, combined with earlier exploratory work^([6]),
are very promising and highlight TLX597-Tx’s potential to substantially increase
the tumor dose while minimizing radiation to sensitive organs. For people living
with earlier-stage metastatic disease, preserving quality-of-life alongside effective
cancer control is mandatory. These findings support further study in mHSPC and reinforce
Telix’s strategy to develop differentiated PSMA-targeting therapies, so clinicians
may be able to tailor treatment choice to the patient’s disease stage and individual
condition."

TLX597-Tx is being developed alongside TLX591-Tx (lutetium-177 (^(177)Lu) rosopatamab
tetraxetan), Telix’s lead antibody-based prostate cancer therapy candidate, currently
the subject of the Phase 3 ProstACT Global^([7]) trial in mCRPC, which is actively
dosing patients in jurisdictions with regulatory approval and recently reported 
data from a safety and dosimetry lead-in^([8]). TLX591-Tx and TLX597-Tx exhibit 
complementary modes-of-action, suggesting the potential for distinct applications
in mCRPC and mHSPC settings as part of Telix’s portfolio approach to treating prostate
cancer. TLX591-Tx and TLX597-Tx have not received marketing authorization in any
jurisdiction.

To view the webcast slides, click [here](https://telixpharma.com/wp-content/uploads/2026/04/20260430_TLX597-Tx-Webinar_vFINAL.pdf).

**About Telix Pharmaceuticals Limited **

Telix is a global biopharmaceutical company focused on the development and commercialization
of radiopharmaceuticals with the goal of addressing significant unmet medical need
in oncology and rare diseases. Telix is headquartered in Melbourne (Australia) with
international operations in the United States, United Kingdom, Brazil, Canada, Europe(
Belgium and Switzerland) and Japan. Telix is listed on the Australian Securities
Exchange (ASX: TLX) and the Nasdaq Global Select Market (NASDAQ: TLX).

Visit [www.telixpharma.com](http://www.telixpharma.com/) for further information
about Telix, including details of the latest share price, ASX and U.S. Securities
and Exchange Commission (SEC) filings, investor and analyst presentations, news 
releases, event details and other publications that may be of interest. You can 
also follow Telix on [LinkedIn](https://www.linkedin.com/company/telixpharma/), 
[X](https://x.com/TelixPharma) and [Facebook](https://www.facebook.com/TelixPharma).

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**Telix Investor Relations (Global)**

Ms. Kyahn Williamson

SVP Investor Relations and Corporate

Communications

[kyahn.williamson@telixpharma.com](https://www.thailand-business-news.com/pr-news/kyahn.williamson@telixpharma.com)

  |

**Telix Investor Relations (Australia)**

Ms. Charlene Jaw

Associate Director Investor

Relations

[charlene.jaw@telixpharma.com](https://www.thailand-business-news.com/pr-news/charlene.jaw@telixpharma.com)

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**Telix Investor Relations (U.S.) ** 

Ms. Annie Kasparian  

Director Investor Relations and

Corporate Communications  

[annie.kasparian@telixpharma.com](https://www.thailand-business-news.com/pr-news/annie.kasparian@telixpharma.com) 

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**Media Contact**

Eliza Schleifstein

917.763.8106 (Mobile)

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^([1]) Prostate-specific membrane antigen.

^([2]) Australian New Zealand Clinical Trials Registry ID: ACTRN12625000971437.

^([3]) Metastatic castration-resistant prostate cancer.

^([4]) Metastatic hormone-sensitive prostate cancer.

^([5]) Steinhelfer et al. _J Nucl Med._ 2024.

^([6]) Omar et al., presented at the European Association of Nuclear Medicine 2025 Annual Congress.

^([7]) ClinicalTrials.gov ID: [NCT06520345](https://clinicaltrials.gov/study/NCT06520345).

^([8]) Telix ASX disclosure March 10, 2026.

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