Asset profile

225Ac-AKY-1189

Radiopharmaceutical

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Earlyevidence

Evidence outlook

Early-stage evidence only

Phase 1 / first-in-human studies establish safety, tolerability, and dosing; they are not designed to demonstrate efficacy, so no evidence signal is assigned yet. The first graded signal arrives with a completed confirmatory readout.

Also in development:Non-Small Cell Lung Cancer · Phase 1

How the evidence outlook works ↗

Competitive landscape

120 competitors in this universe: 5 direct rivals (same mechanism and indication), 0 same-class, 115 same-indication; 118 further along in development.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
225Ac-AKY-1189: this drugPhase 1RadiopharmaceuticalNectin-4
Enfortumab VedotinPhase 3Antibody–drug conjugateNectin-4
SHR-A2102Phase 3Antibody–drug conjugateNectin-4
Zelenectide PevedotinPhase 2PeptideNectin-4
IPH4502Phase 1Antibody–drug conjugateNectin-4
LY4052031Phase 1Antibody–drug conjugateNectin-4
Abemaciclib (Verzenio)ApprovedSmall moleculeCDK4 and CDK6
Afatinib (Gilotrif)ApprovedSmall moleculeEGFR/HER1, HER2, HER4
Alectinib (Alecensa)ApprovedSmall moleculeALK
Alpelisib (BYL719)ApprovedSmall moleculePI3K-alpha
Alymsys (bevacizumab-Maly)ApprovedMonoclonal antibodyVEGF-A
AmivantamabApprovedMultispecific antibodyEGFR x c-MET
AnastrozoleApprovedSmall moleculeAromatase
AtezolizumabApprovedMonoclonal antibodyPD-L1
BAT1706 (Avzivi)ApprovedMonoclonal antibodyVEGF-A
BAY2927088 (Hyrnuo)ApprovedSmall moleculeHER2 (ERBB2) exon 20 insertions and point mutations; also mutant-selective EGFR

…and 105 more. Research shows the complete landscape.

Research

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(1 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2027 (1)
December 2027 (1)
Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-12 · NCT07020117 · CT.gov ↗
What to watch
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 1 (1)