Title |
Delayed response after repeated 177Lu-PSMA-617 radioligand therapy in patients with metastatic castration resistant prostate cancer
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Published in |
European Journal of Nuclear Medicine and Molecular Imaging, November 2017
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DOI | 10.1007/s00259-017-3877-z |
Pubmed ID | |
Authors |
Kambiz Rahbar, Martin Bögeman, Anna Yordanova, Maria Eveslage, Michael Schäfers, Markus Essler, Hojjat Ahmadzadehfar |
Abstract |
Radioligand therapy (RLT) using Lutetium-177 labeled PSMA-617 (Lu-PSMA) ligand is a new therapeutic option for salvage therapy in heavily pretreated patients with metastatic castration resistant prostate cancer. The aim of this retrospective study was to analyze response in patients receiving 3 cycles of Lu-PSMA. Seventy-one patients (median age: 72 years; range 44-87) received 3 cycles of RLT with Lu-PSMA (mean administered activity: 6.016 ± 0.543 GBq) every 8 weeks. Response was evaluated using serum PSA levels and a PSA decline ≥50% was considered as biochemical response. Additionally, any PSA decline after the first cycle was evaluated for further therapy effects after the second and third cycle. A total of 213 cycles were performed in 71 patients. Data for response and adverse events were available for all patients. A PSA decline ≥50% and some PSA decline occurred in 56% and 66% of the patients. Of 30 patients with a PSA response after the first cycle, 28 remained responders and 12/41 of non-responders responded to further therapy cycles. RLT with Lu-177-PSMA-617 shows respectable response rates. In this retrospective analysis, a relevant number of patients showed a delayed response, even if they did not respond to the first cycle of the therapy. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 50% |
Germany | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Scientists | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 60 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 11 | 18% |
Researcher | 9 | 15% |
Student > Doctoral Student | 6 | 10% |
Student > Master | 5 | 8% |
Student > Ph. D. Student | 4 | 7% |
Other | 9 | 15% |
Unknown | 16 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 24 | 40% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 10% |
Physics and Astronomy | 3 | 5% |
Biochemistry, Genetics and Molecular Biology | 2 | 3% |
Nursing and Health Professions | 2 | 3% |
Other | 6 | 10% |
Unknown | 17 | 28% |