Autor: |
Rahbar, Kambiz, Essler, Markus, Pabst, Kim M., Eiber, Matthias, Fougère, Christian la, Prasad, Vikas, Rassek, Philipp, Hasa, Ergela, Dittmann, Helmut, Bundschuh, Ralph A., Fendler, Wolfgang, Kurtinecz, Milena, Schmall, Anja, Verholen, Frank, Sartor, Oliver |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Popis: |
The radium lutetium (RALU) study evaluated the feasibility of sequential α- and β-emitter use in patients with bone-predominant metastatic castration-resistant prostate cancer. Methods: This preplanned interim retrospective analysis investigated safety and survival outcomes with 177Lu-PSMA in patients treated with prior 223Ra. Results: Forty-nine patients were evaluated. Patients received a median of 6 223Ra injections; 59% of patients received at least 4 177Lu-PSMA cycles. Most (69%) patients received at least 4 life-prolonging therapies before 177Lu-PSMA. Common Terminology Criteria for Adverse Events grade 3-4 treatment-emergent adverse events during 177Lu-PSMA therapy and a 30-d follow-up period included anemia (18%) and thrombocytopenia (2%). Median overall survival was 12.6 mo (95% CI, 8.8-16.1 mo) and 31.4 mo (95% CI, 25.7-37.6 mo) from starting 177Lu-PSMA or 223Ra, respectively. Conclusion:177Lu-PSMA treatment was well tolerated in patients who had received prior 223Ra. 223Ra use before 177Lu-PSMA is feasible and can be considered for future assessment of the optimal treatment sequence. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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