177Lu-PSMA Radioligand Therapy for Prostate Cancer

J Nucl Med. 2017 Aug;58(8):1196-1200. doi: 10.2967/jnumed.117.191023. Epub 2017 Jun 29.

Abstract

177Lu-prostate-specific membrane antigen (PSMA) radioligand therapy (RLT) using inhibitors of PSMA is a novel therapeutic option in patients with metastatic castration-resistant prostate cancer. The current literature suggests that this therapy is well tolerated and effective. On the basis of clinical need and current evidence, the therapy is being implemented in a growing number of centers worldwide. Here, we review important aspects of 177Lu-PSMA RLT, including patient stratification, the therapy protocol, concomitant medication, and follow-up, to inform medical staff involved in the RLT and care of patients with metastatic castration-resistant prostate cancer.

Keywords: PSMA; education; genitourinary; lutetium; radionuclide therapy; therapy.

Publication types

  • Review

MeSH terms

  • Antigens, Surface / metabolism*
  • Glutamate Carboxypeptidase II / metabolism*
  • Humans
  • Lutetium / therapeutic use*
  • Male
  • Prostatic Neoplasms / metabolism*
  • Prostatic Neoplasms / radiotherapy*
  • Radioisotopes*
  • Radiotherapy / adverse effects
  • Radiotherapy / methods*
  • Safety

Substances

  • Antigens, Surface
  • Radioisotopes
  • Lutetium
  • FOLH1 protein, human
  • Glutamate Carboxypeptidase II