Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials

Metastatic prostate cancer continues to be an incurable disease. Despite all the novel therapies approved in the past two decades, overall patient outcomes remain relatively poor, and these patients die on a regular basis. Clearly, improvements in current therapies are needed. Prostate-specific memb...

Full description

Bibliographic Details
Main Authors: Albert Jang, Ayse T. Kendi, Oliver Sartor
Format: Article
Language:English
Published: SAGE Publishing 2023-03-01
Series:Therapeutic Advances in Medical Oncology
Online Access:https://doi.org/10.1177/17588359231157632
_version_ 1811160011968086016
author Albert Jang
Ayse T. Kendi
Oliver Sartor
author_facet Albert Jang
Ayse T. Kendi
Oliver Sartor
author_sort Albert Jang
collection DOAJ
description Metastatic prostate cancer continues to be an incurable disease. Despite all the novel therapies approved in the past two decades, overall patient outcomes remain relatively poor, and these patients die on a regular basis. Clearly, improvements in current therapies are needed. Prostate-specific membrane antigen (PSMA) is a target for prostate cancer given its increased expression on the surface of the prostate cancer cells. PSMA small molecule binders include PSMA-617 and PSMA-I&T and monoclonal antibodies such as J591. These agents have been linked to different radionuclides including beta-emitters such as lutetium-177 and alpha-emitters such as actinium-225. The only regulatory-approved PSMA-targeted radioligand therapy (PSMA-RLT) to date is lutetium-177–PSMA-617 in the setting of PSMA-positive metastatic castration-resistant prostate cancer that has failed androgen receptor pathway inhibitors and taxane chemotherapy. This approval was based on the phase III VISION trial. Many other clinical trials are evaluating PSMA-RLT in various settings. Both monotherapy and combination studies are underway. This article summarizes pertinent data from recent studies and provides an overview of human clinical trials in progress. The field of PSMA-RLT is rapidly evolving, and this therapeutic approach will likely play an increasingly important role in the years to come.
first_indexed 2024-04-10T05:51:32Z
format Article
id doaj.art-20b86f12d2fe41ef9d6281df5626c054
institution Directory Open Access Journal
issn 1758-8359
language English
last_indexed 2024-04-10T05:51:32Z
publishDate 2023-03-01
publisher SAGE Publishing
record_format Article
series Therapeutic Advances in Medical Oncology
spelling doaj.art-20b86f12d2fe41ef9d6281df5626c0542023-03-04T11:03:38ZengSAGE PublishingTherapeutic Advances in Medical Oncology1758-83592023-03-011510.1177/17588359231157632Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trialsAlbert JangAyse T. KendiOliver SartorMetastatic prostate cancer continues to be an incurable disease. Despite all the novel therapies approved in the past two decades, overall patient outcomes remain relatively poor, and these patients die on a regular basis. Clearly, improvements in current therapies are needed. Prostate-specific membrane antigen (PSMA) is a target for prostate cancer given its increased expression on the surface of the prostate cancer cells. PSMA small molecule binders include PSMA-617 and PSMA-I&T and monoclonal antibodies such as J591. These agents have been linked to different radionuclides including beta-emitters such as lutetium-177 and alpha-emitters such as actinium-225. The only regulatory-approved PSMA-targeted radioligand therapy (PSMA-RLT) to date is lutetium-177–PSMA-617 in the setting of PSMA-positive metastatic castration-resistant prostate cancer that has failed androgen receptor pathway inhibitors and taxane chemotherapy. This approval was based on the phase III VISION trial. Many other clinical trials are evaluating PSMA-RLT in various settings. Both monotherapy and combination studies are underway. This article summarizes pertinent data from recent studies and provides an overview of human clinical trials in progress. The field of PSMA-RLT is rapidly evolving, and this therapeutic approach will likely play an increasingly important role in the years to come.https://doi.org/10.1177/17588359231157632
spellingShingle Albert Jang
Ayse T. Kendi
Oliver Sartor
Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials
Therapeutic Advances in Medical Oncology
title Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials
title_full Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials
title_fullStr Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials
title_full_unstemmed Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials
title_short Status of PSMA-targeted radioligand therapy in prostate cancer: current data and future trials
title_sort status of psma targeted radioligand therapy in prostate cancer current data and future trials
url https://doi.org/10.1177/17588359231157632
work_keys_str_mv AT albertjang statusofpsmatargetedradioligandtherapyinprostatecancercurrentdataandfuturetrials
AT aysetkendi statusofpsmatargetedradioligandtherapyinprostatecancercurrentdataandfuturetrials
AT oliversartor statusofpsmatargetedradioligandtherapyinprostatecancercurrentdataandfuturetrials