IIT Global Areas of Interest

Cardiovascular, Renal & Metabolism

Without drug (IgAN, FSGS)

Diagnosis and classification
- Additional ways to foster (earlier) diagnosis of IgAN and FSGS beyond biopsy
- Validate outcome measures (endpoint validation, validation of definitions) including patient-related outcomes, treatment targets, partial remission / remission and relapse criteria in IgAN
Pathophysiology and biomarkers
- Studies evaluating the mechanism of anemia with ERAs
- Role of the endothelin system in IgAN and FSGS
- Identification of approaches that lead to better characterization, management and/or correlation with outcomes in IgAN and FSGS (eg identification of biomarkers, genetic analysis, novel imaging technologies or biopsy-based studies)
Disease burden
- Burden of disease (clinical, economic and/or humanistic burden) in IgAN and FSGS
- Epidemiological studies - Prevalence, treatment patterns and RWE, sex/geography differences (incl. registries) in IgAN and FSGS
- Disease characteristics and clinical outcomes in patients with skin of color, ethnic minorities, or populations so far underrepresented in clinical trials. Gender related differences.
- Gaps in the optimal care and management of IgAN and FSGS patients
- Impact of patient education programs
- Patient perspective on disease, treatment options and QoL

With Drug (IgAN, FSGS)

Mode of action
- Mechanistic studies using atrasentan in IgAN and FSGS, including biomarkers, biopsy and novel imaging techniques (eg MRI)
- Studies evaluating non-hemodynamic effects of atrasentan in IgAN and FSGS
- Studies evaluating the effects of atrasentan on pain in IgAN and FSGS
Treatment optimization
- Studies evaluating novel implementation protocols in IgAN
- Evaluation/biomarker analysis of subgroups of patients included in the overall study populations in the atrasentan CDP
- Studies in IgAN utilising SGLT2i and/or other novel treatments in combination with atrasentan
- Studies evaluating the early use of atrasentan initiated alongside RASi +/- SGLT2i, or atrasentan alone in IgAN
Expanded populations in IgAN
- Studies of atrasentan in patients with IgAN with less severe disease (eg. lower proteinuria >0.5g/d)
- Studies of atrasentan in patients with IgAN in more severe disease (eg. CKD stage 4, eGFR 15-29 ml/min/1.73m²)
- Studies evaluating atrasentan in transplant patients with recurrent IgAN

Out of scope (IgAN, FSGS)

Pediatric studies in IgAN and FSGS
Studies exploring different dosing regimens to those currently being evaluated in current clinical development programs for IgAN and FSGS
Head-to-head comparisons with other treatments for IgAN and FSGS
Studies in IgAN including patients with eGFR <15 ml/min/1.73m² (CKD stage 5)

Studies within the label population

Long-term safety and tolerability
Health-related quality of life (HrQoL)
Implementation science and/or quality system improvement programs (ex. clinical care pathways)
Early post-event implementation
Stroke
PAD
LDL-C lowering in under-represented population
Adherence vs. other LLTs

Mechanistic Studies in secondary prevention

Remodeling, fibrosis, inflammation 
Plaque burden regression/modification
CABG graft remodeling

Mechanistic Studies in primary prevention and/or patients with statin-intolerance

Remodeling, fibrosis, inflammation 
Plaque burden regression/modification
Assessment techniques (IVUS, echo, CCTA, OTC, MRI) must be guidelines validated (pending vascular bed assessment)

Out of scope:

Studies in off-label populations (with respect to geographies)
Efficacy, safety and tolerability studies with inclisiran in pediatric population (<18 y)
Studies in adults with HoFH and/or different populations than ASCVD and ASCVD equivalent
CVOT trials
Head-to-head efficacy/safety studies with other lipid lowering therapies
Pre-Clinical Proposals (separate process)

Studies involving drug for any indication(s) currently in clinical development and not yet approved

Without drug (IgAN, C3G, IC-MPGN, aHUS, LN, AAV, FSGS)

Additional ways to foster (earlier) diagnosis of glomerulopathies, beyond biopsy including diagnostic research leveraging use of artificial intelligence in IgAN, C3G, IC-MPGN, aHUS, LN, AAV, FSGS
Identification of approaches that lead to better characterization, management and/or correlation with outcomes in IgAN,C3G, IC-MPGN, aHUS, LN, AAV, FSGS eg identification of biomarkers, genetic analysis or biopsy-based studies
Burden of disease (clinical, economic and/or humanistic burden in IgAN, C3G, IC-MPGN, aHUS, LN, AAV
Epidemiological studies - Prevalence, treatment patterns and RWE, sex/geography differences (incl. registries) in IgAN, C3G, IC-MPGN, aHUS, LN, AAV
Role of the complement system in complement mediated kidney diseases

With drug (IgAN, C3G, IC-MPGN)

Mechanistic studies using iptacopan including biopsy in IgAN C3G, IC-MPGN
Subgroups of patients that are included in the overall study population in indications in the iptacopan development program in IgAN, C3G, IC-MPGN
Studies evaluating iptacopan in transplant patients with recurrent IgAN or recurrent C3G
Evaluation/biomarker analysis for subgroups of patients included in the overall study population in IgAN, C3G and IC-MPGN
Preclinical research studies in IgAN, C3G and IC-MPGN
Studies investigating combination, sequencing of targeted treatments in IgAN

Out of scope (with drug)

Pediatric studies
Studies exploring different dosing regimens to those currently being evaluated in current clinical development program
Head-to-head comparisons
Studies including patients with GFR <20 ml/min/1.73m²

Without drug

Epidemiology associated with elevated Lp(a)
- Patient characterization, identification, and genetic risk across sub-groups
- Plaque characteristics and differences across patient sub-groups
- Association & impact on different types of CVD (ischemic stroke, CAVS, PAD), various vascular beds, and other diseases (e.g., AF, kidney disease, diabetes)
Distinct and unique pathophysiology of Lp(a)
- Insights on the pro-inflammatory or pro-thrombotic mechanisms impacted by Lp(a)
- Unique features of Lp(a)
Quantification of Lp(a) role in CV risk assessment tools
- Quantification of Lp(a) contribution to global CV risk and in light of other CV risk factors
- Risk score calculators incorporating Lp(a)
- Patient perception on contribution of Lp(a) to CVD and CV risk
Lp(a) testing and global CV risk management
- Implementation of Lp(a) testing in CVD management pathways
- Clinical and economic value of Lp(a) testing
- Guidance on management of currently modifiable risk factors in the setting of elevated Lp(a)

Out of scope:

Comparison / association with LDL-C
Studies involving drug for any indication(s) currently in clinical development and not yet approved

Heart Failure

RWE or Implementation Science studies on improvements of HF care through increase in GDMT
RWE studies with sac/val in Chronic Heart Failure with reduced EF
RWE studies with sac/val in Chronic Heart Failure with mildly-reduced or preserved EF - in geographies where it is in-label
RWE studies with sac/val in HTN - in geographies where it is in-label

Out of scope:

Comparative effectiveness studies vs other MoA, e.g. SGLT2i, MRA, BB
Studies in non-cardiovascular disease
Studies in patients with valvular disorders not related to HF
Studies in children (<18 years)
Mechanistic Studies in HF including but not limited to those looking at:
- Remodeling, fibrosis, inflammation
- Cardiac function (including diastolic function)
- Cardiac biomarkers
Studies in populations with specific, less well studied / documented HF etiologies, e.g. chemotherapy /toxicity induced HF

Without drug

Diagnosis and classification
- Additional ways to foster (earlier) diagnosis of glomerulopathies (IgAN), beyond biopsy and its impact on outcomes
- Validate outcome measures (endpoint validation, validation of definitions) including patient-related outcomes, treatment targets, partial remission / remission and relapse criteria in IgAN
Pathophysiology and biomarkers
- Role of APRIL system in IgAN, Gd-IgA1 and autoantibodies in IgAN Including the subtype characterisation
- Identification of approaches that lead to better characterization, management and/or correlation with outcomes in IgAN eg identification of biomarkers, genetic analysis or biopsy-based studies
- Predictive models for APRIL inhibition responses across disease phenotypes/genotypes
Disease burden
- Burden of disease (clinical, economic and/or humanistic burden) in IgAN
- Epidemiological studies - Prevalence, treatment patterns and RWE, sex/geography differences (incl. registries) in IgAN Disease characteristics and clinical outcomes in patients with different racial and ethnic backgrounds, or populations so far underrepresented in clinical trials. Gender related differences.
- Gaps in the optimal care and management of IgAN patients
- Impact of patient education programs
- Patient perspective on disease, treatment options and QoL

With drug

Pre-clinical
- Mechanistic studies in IgAN
- Preclinical evaluations aimed at demonstrating MoA-pathway activity and/or differentiation
Clinical
- Evaluation of zigakibart in expanded IgAN patient populations: Transplant patients with recurrent IgAN, IgA vasculitis with nephritis patients, Low proteinuria (0.5 – 1 g/d)

Out of scope

Pediatric studies
Studies exploring different dosing regimens to those currently being evaluated in current clinical development program
Head-to-head comparisons
The value of tight control (treat to target) versus conventional management strategies in IgAN
Risk prediction models for which patients may develop hypogammaglobulinemia
Preclinical (comparison) studies (vs APRIL/BAFF or APRIL/BLyS) and other IgAN treatments
Duration and withdrawal of therapy / impact of treatment breaks
Combination evidence
Studies including patients with GFR <20 ml/min/1.73m²
Vaccine titer studies or b-cell subset characterization

Gene Therapies

Areas of interest by product

Demonstrating or validating care needs for SMA populations post OAV101 Treatment-safety related items
Expansion of treatment with OAV101 to patient populations not included in clinical trials (e.g. older/heavier, 4 copies, switch therapy, ambulatory)
Value of OAV101: Cost of care, Quality of life, and Caregiver Burden-Cost effectiveness
Methods/Processes to assess the efficacy and durability of OAV101 (e.g. bulbar function)
Biomarkers for efficacy

Out of scope

Clinical Trials involving OAV 101 re-dosing
Study of OAV101 alternative doses/maximum dose
Head-to-head comparison with other therapies and combination with other MDT
Basic Science research that request use of OAV101

Areas of interest by product

Interventional Studies of OAV IT in patients not included in clinical trials (e.g. ambulant SMA patients, severe scoliosis)
Non-interventional Studies of OAV IT assessing sleep, bulbar function, scoliosis and respiratory function, head steadiness and independence.
Studies on biomarkers assessing clinical response to OAV IT

Out of scope

Clinical Trials involving OAV 101 re-dosing
Study of OAV101 alternative doses/maximum dose
Head-to-head comparison with other therapies and combination with other MDT
Basic Science research that request use of OAV101

Global Health

Studies with crizanlizumab in sickle cell disease and related complications
- e.g- renal, leg ulcer, stroke, AVN, adolescents with SCD, priapism, splenic sequestration, VOCs
Mechanistic studies with crizanlizumab
Predictors of response to crizanlizumab
SCD biomarkers

Out of scope:

IIT requests from countries outside of US, SSA, Brazil
IIT requests in non-SCD indications

Studies with HU in sickle cell disease and organ protection
- e.g., spleen, lungs, kidneys
Societal and economic impact of HU/HU-FCT on LMIC
Studies with HU-FCT looking at treatment/stroke prevention in LMIC
HU-FCT preference by caregivers

Out of scope

IIT requests from countries outside of SSA, Brazil and India
IIT requests in non-SCD indications

Immunology

Indications: axSpA (axial spondyloarthritis), incl. r-axSpA (radiographic) and nr-axSpA (non-radiographic)

Clinical data, outcomes & RWE:

Long term RWE studies on clinical efficacy, structural progression & safety of secukinumab
Clinical outcomes with Secukinumab across different manifestations of axSpA , by gender and race

Implementation Science/HCS research.

Identification of Predictors of structural progression and treatment algorithm related to structural progression
Impact of early intervention and treat-to-target on patient outcomes
impact of Secukinumab on prevention or reduction of Comorbidities
Research Use of Novel imaging modalities for early diagnosis, pathogenesis of disease and monitoring of Secukinumab response
Evaluate the impact of Secukinumab and treatment strategy to reduce Fatigue and pain

Exploratory/ mechanistic studies:

New classification criteria of AxSpA and differences in pathogenesis of axSpA vs. axial PsA.
Role of IL-17A in the pathogenesis of axial, peripheral manifestations and comorbidities of AxSpA
Role of IL-17A across the spectrum of spondyloarthritides (SpA)

Out of scope

Studies on safety topics e.g. infections (tuberculosis, HIV, viral hepatitis), high-risk patients
Studies with combination biologics
Clinical comparative studies with other treatments

Indications: Psoriatic arthritis (PsA)

Clinical data, outcomes and RWE:

Long term RWE studies on clinical efficacy, inhibition of structural progression & safety of secukinumab
Long term RWE studies on efficacy, safety and treatment strategy in juvenile PsA (JPsA) and enthesitis-related arthritis (ERA
Clinical outcomes with Secukinumab in key manifestations of PsA, by gender, race, ethnic minorities and access to health care systems
Clinical outcomes with Secukinumab in specific phenotypes (Axial PsA, skin predominant , nail/dactylitis, Oligoarticular predominant)

Implementation Science/HCS research: cost-effectiveness, resource utilization and guideline implementation

Impact of early treatment and treat-to-target on patient outcomes and resource utilization
Impact of Secukinumab on prevention or reduction of Comorbidities (e.g.CV, metabolic)
Research studies on Novel imaging for early diagnosis and monitoring of Secukinumab response
Evaluate the impact of Secukinumab to reduce Fatigue and pain

Exploratory/ mechanistic studies:

Role of IL-17A in the pathogenesis of Axial PsA and differences with pathogenesis of. axial PsA vs axSpA
Roles of different cytokine pathways in the key manifestations of PsA notably axial disease, enthesitis, nail-dactylitis

Out of scope

Studies on safety topics e.g. infections (tuberculosis, HIV, viral hepatitis), high-risk patients
Studies with combination of other biologics
Comparative studies with other treatments

Indications: Psoriasis (PsO)

Clinical data, outcomes and RWE:

Long term RWE studies on clinical efficacy, & safety of secukinumab, risk factors and prevention of the transition period of PsO to PsA
Clinical outcomes with Secukinumab by gender, race, skin of colors, ethnic minorities and access to health care systems
Long term RWE studies on efficacy, safety and treatment strategy in pediatric PsO

Implementation Science/HCS research:

Impact of early intervention strategy on disease modification in PSO and resource utilization
Research program designed for early diagnosis and characterization of PSO patients at risk of PsA : disease burden, risk factors, screening tools/app, novel imaging

Exploratory/ mechanistic studies:

role of IL-17A in the pathogenesis of the transition period PsO to PsA
Mechanistic study of Secukinumab in Early PsO

Out of scope

Studies on safety topics e.g. infections (tuberculosis, HIV, viral hepatitis), high-risk patients
Studies with combination other biologics
Comparative studies with other treatments

Indications: Hidradenitis Suppurativa

Clinical data, outcomes and RWE:

Early intervention with Sec and impact on disease progression (including imaging techniques, such as ultrasound)
Clinical outcomes in subpopulations (e.g. disease phenotypes, Black / African American, super-responders,..)
Integrating surgical procedures with the administration of Secukinumab for the treatment of HS. (effectiveness and Safety)
HS comorbidities (Mental Health, Obesity, CV)
Effects of lifestyle intervention on HS treatment with Secukinumab

Implementation Science / HCS research:

Quality of care, cost-effectiveness, resource utilization, and guidelines implementation
AI/ML algorithms and big data approach to improve diagnosis and treatment of HS
Development and validation of scoring tools / PROs

Exploratory/ mechanistic studies:

Translational research on pathophysiology - role of IL-17A and other pathways in HS over the course of the disease , and in specific aspects of the disease e.g., Fistula/tunnel development"
Biomarkers to predict disease and treatment outcomes

Out of scope

Comparative studies with other treatments
Combination studies for Secukinumab with other biologic agents
IV dosing for HS

Indications: GCA and PMR

Pathophysiology and biomarkers

Biomarkers to monitor subclinical disease activity, predict prognosis and treatment outcomes
Effects of a mechanism-based approach to therapy
Pathways involved in refractory/flaring GCA
Biomarkers to predict drug/GC toxicity

Diagnosis and classification

Standardization of clinical trial endpoints
Validation of the definition of remission, response, relapse and disease subtypes of importance
Use of the different imaging techniques for vascular activity, damage assessment and follow-up

Treatment and treatment outcomes

Implementation Science/HCS research: quality of care, cost-effectiveness, resource utilization, and guidelines implementation
Disease characteristics and clinical outcomes in patients with skin of color, ethnic minorities, or populations so far underrepresented in clinical trials. Gender related differences
Assessment of prognosis by demographic, clinical and histological data
Predictors of response, remission or relapse
Validation of patient-reported outcomes
Predictive models for IL-17A inhibition responses across disease phenotypes
Effect of secukinumab on the development of future vascular complications

Out of scope

Effect of secukinumab on the development of future vascular complications
Combination studies of secukinumab with other biologic agents
The role of ultrasound for guiding temporal artery biopsy, specific treatment of organ complications

Disease: Chronic Urticaria – CSU (chronic spontaeous urticaria) and CindU (chronic inducible urticaria)

Product: Remibrutinib

Areas of interest by product

Disease Related Research:

Population-based epidemiology studies; studies investigating the impact of urticaria on patients; comorbidities; studies of real-world treatment patterns (incl. e.g. overuse of corticosteroids, impact on sleep)
Studies investigating biomarkers in urticaria aiming to identify predictors of chronic urticaria in patients with acute episodes, biomarkers predictive of treatment response, biomarkers correlating with the time-course of CSU, biomarkers of permanent remission or relapse, including with remibrutinib
Studies employing digital technology e.g. in silico models, machine learning techniques, telemedicine etc. to predict disease trajectories, treatment response, disease modification, etc.
Studies investigating innovative tools to support urticaria management, e.g. digital applications, sleep related
Long-term CSU observational registries and secondary use of data
Studies investigating patient preference

Clinical Studies:

Studies with remibrutinib in CindU
Studies with remibrutinib focusing on angioedema only

Mechanistic Studies

Mechanistic studies assessing the effects of remibrutinib on mast cells, basophils, B-cells in vitro or ex vivo
Studies investigating the disease modifying potential of remibrutinib, including pre-clinical in vitro or ex vivo research

Out of scope

Head-to-head comparisons of remibrutinib with other active treatments
Studies investigating remibrutinib in combination with biologics
Alternative dosing regimens to 25 mg b.i.d developed in the CSU phase 3 clinical program

Neuroscience

Focus on prognosis and diligent monitoring of patients with MS (including data and digital):
- Markers for disease prognosis, disease monitoring, and/or risk mitigation
- New or improved quantitative outcome measures in MS, including next-generation technology and patient assessment technologies
- Integration of markers/outcome measures to establish disease stability or disease control, disease progression
Mechanistic studies looking at differentiating Novartis compounds from other DMTs

Disease: Relapsing Multiple Sclerosis

Product: Remibrutinib

Areas of interest by product

Follow the science

Impact on the immune system in and outside the CNS – clinical and preclinical studies
Direct CNS effects (i.e. microglial activity, synaptogenesis, neuronal function) and correlation with clinical outcomes beyond relapses (e.g. PIRA, disability improvement) and with some patient outcomes (e.g. cognition, fatigue)
Impact on chronic inflammation and correlation with linked clinical and paraclinical outcomes (disability measures, such as EDSS/MSFC, imaging measures, fluid biomarkers)

Safety related:

BTKi – vaccine response
Pregnancy registries (in line with initiatives already in place)

Identify unmet need under current DMTs:

Patient preference
Tolerability and safety concerns (what, when, to whom – patient profile-)
Effectiveness gaps under HET (what, when, to whom – patient profile -)

Out of scope

Progressive phenotypes of MS (naSPMS or PPMS); hepatotoxicity

Oncology

Studies in adult patients Chronic Myeloid Leukemia in Chronic Phase (CML-CP) in early treatment lines, investigating:

Long-term safety and tolerability
Clinical efficacy and safety in real-world setting
Treatment sequencing
Patient-reported outcomes (PROs) and Quality of Life (QoL)
Patients with CML-CP and additional T315I mutation
Response to asciminib in patients with pre-existing mutations other than T315I or treatment approaches in patients with emerging mutations under asciminib, including compound mutations

Studies exploring additional high-need patient populations other than CML-CP:

Patients with Philadelphia-positive acute lymphoblastic leukemia (Ph+ALL)
Exploratory high risk CML populations such as patients with additional genomic alterations
CML-AP/BC

Studies in Treatment Free Remission (TFR)

Studies aiming to improve deep molecular responses, increase the eligibility for TFR attempts or reduce the risk of relapse after treatment discontinuation
Combination approaches of asciminib with non-ATP-TKI compounds

Studies providing insight into mechanistical action of asciminib, potential on- and off target effects and its use against additional mutations in patients with CML.

Out of scope:

Use of asciminib in ABL-independent diseases

With Drug

Mechanistic studies in Paroxysmal Nocturnal Hemoglobinuria (PNH);
Studies evaluating factors associated with or predictive of treatment outcome in PNH;
Studies exploring preferences in oral treatment administration approaches in PNH

Without Drug

Role of complement system in complement-mediated PNH, Immune Thrombocytopenia Purpura (ITP) and Cold Agglutinin Disease (CAD);
Approaches to facilitating and expediting diagnosis of PNH and CAD;
Identification of biomarkers that leads to better characterization, management or correlation with outcomes in PNH, ITP and CAD;
Burden of disease (clinical, economic, and/or humanistic burden) – PNH and CAD;
Epidemiology studies (incl. registries) – PNH and CAD

Out of scope:

Pediatric studies
Studies exploring different dosing regimens as currently investigated
Any study, which combines iptacopan with immunosuppressant and anti-C5 treatments
Head-to-head comparisons
Studies in other hematology diseases

** Strategic areas of interest for iptacopan (IgAN, C3G, aHUS, MN, LN), please also refer to the Cardiovascular, Renal & Metabolism section

Studies (other than prospective design) describing optimal timing and sequence of treatment in advanced or metastatic GEP-NET patients
Studies of Lutathera in advanced or metastatic NET patients in combination with other anti-cancer treatments, including chemotherapy (also bolus 1L), immuno-oncology therapies, tyrosine kinase inhibitors (TKIs), PARP-inhibitors, CDK4/6 inhibitors, or other upcoming treatments (if supported by MoA rationale)
Retrospective studies describing long-term safety or health economic aspects
Studies on biomarkers to predict and prognosticate treatment in GEP-NET

Indication: Prostate Cancer

Sequential use of different radioligand therapies (alpha- or beta-emitter)
Efficacy and safety of ¹⁷⁷Lu-PSMA-617 combinations to overcome resistance and to improve efficacy outcomes / Efficacy and safety of ²²⁵Ac-PSMA-617/R2 combinations (any disease stage)
Efficacy and safety of ¹⁷⁷Lu-PSMA-617 in low volume disease (mHSPC, OMPC)
Adaptive and alternative treatment regimens with ¹⁷⁷Lu-PSMA-617 monotherapy or in combinations (mHSPC, mCRPRC)
Efficacy and safety of radioligand therapy (alpha- or beta-emitter) in neoadjuvant setting (HRLPC)
Impact of ¹⁷⁷Lu-PSMA-617 efficacy and safety in patient populations with sub-optimal outcomes, including patients distinct mutations (e.g., PTEN-loss, AKT, DDR), patients CNS mets, liver mets etc. (mHSPC, mCRPRC)
Retrospective analysis to predict long-term safety events (mCRPC)
Treatment effect on disease biology (HRLPC, mHSPC, 1L-2L mCRPC)
Understanding PSMA expression in different stages of prostate cancer (HRLPC, mHSPC, 1L-2L mCRPC)

Beyond GU

Brain Metastasis (secondary malignancies)
Ovarian Ca
NSCLC
GBM: microenvironment and translational research (MoA deeper understanding)
GBM: Other mode of administration in GBM (not IV)
Hepatocellular Carcinoma
High grade gliomas
Others PSMA-expressing/PET-avid tumors
Imaging studies
Pediatric indications

HR+/HER2- studies in breast cancer
- Exploring data on CDK4/6 inhibitor rechallenge
- Exploring ribociclib with novel/emergent compounds
- Utilizing real world data and/or digital health technologies
- Utilizing patient reported outcomes (PRO)

Out of scope:

Any area outside HR+/HER2- breast cancer
Any study in overlap with ongoing Novartis-sponsored/supported studies

Disease: Prostrate Cancer

Product: RAG) ²²⁵Ac-PSMA-617

Areas of interest by product:

Combinations (taxane based chemotherapy, PARPi with or without ARPI, Combination in DDR+ vs DDRwt patients, others)
Retreatment or rechallenge or extension of treatment
Safety: protecting salivary gland or preventing xerostomia.
Tandem dosing schedule between ¹¹⁷Lu-PSMA-617 and ²²⁵Ac-PSMA-617
Head-to-Head ²²⁵Ac-PSMA-617 vs PARPi +/- ARPI in BRCA2mut vs ITT
Head-to-Head ²²⁵Ac-PSMA-617 vs ¹¹⁷Lu-PSMA-617
Impact of prior ARPI exposure on ²²⁵Ac-PSMA-617 combination with ARPI (ARPI resistant vs sensitive)
Impact of prior treatment on Dosimetry and Adaptive dosing

For consideration:

Concordance rate of PSMA positivity/negativity between different PSMA PET imaging agents
Define new categories of volume of disease/burden of disease in mHSPC based on PSMA – PET based imaging
Metachronous Oligometastatic CRPC detected by PSMA-PET but being non-metastatic by conventional imaging
Prospective study to correlate PET parameters with treatment outcomes.
Biomarker correlation of acquired resistance and response to ²²⁵Ac-PSMA-617
Evaluation Method of Intra-tumoral Heterogeneity by PET Imaging and Molecular expression analysis

Out of scope:

Outside prostrate cancer.