Prostate cancer radioligand therapy: PSMA and beyond, current landscape and future directions Review


Authors: Bent, E. H.; Morris, M. J.
Review Title: Prostate cancer radioligand therapy: PSMA and beyond, current landscape and future directions
Abstract: Purpose of ReviewThere has been a rapid increase in the use and investigation of radioligand therapies for prostate cancer. This review summarizes and synthesizes the current prostate cancer radioligand landscape. It highlights the challenges facing optimal radioligand use and outlines approaches to improve the efficacy of this therapeutic class.Recent FindingsThe prostate specific membrane antigen (PSMA)-directed radioligand 177Lu-PSMA-617 improves survival in patients with metastatic castrate resistant prostate cancer (mCRPC) after chemotherapy and is now a standard of care treatment option for these patients. Published and ongoing trials promise to expand the use of radioligand therapies in prostate cancer. These trials highlight the potential of novel radioligand targets, alternate radioisotopes, and combination therapy approaches to improve radioligand efficacy.SummaryEmerging radioligands, novel combination therapies, optimized patient selection, and dose-personalization promise to improve outcomes and expand the use of radioligand therapies in prostate cancer.
Keywords: radiotherapy; prostate cancer; membrane antigen; dosimetry; pet; phase-i trial; monoclonal-antibodies; radiation-therapy; multicenter; open-label; radioligand; psma; radiopharmaceutical; radium-223; theranostic; rlt
Journal Title: Current Oncology Reports
ISSN: 1523-3790
Publisher: Springer  
Publication status: Online ahead of print
Date Published: 2025-08-27
Online Publication Date: 2025-08-27
Language: English
ACCESSION: WOS:001558727900001
DOI: 10.1007/s11912-025-01686-y
PROVIDER: wos
PUBMED: 40864353
Notes: Review; Early Access -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding author is Michael Morris -- Source: Wos
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MSK Authors
  1. Michael Morris
    587 Morris
  2. Eric Huttenlocher Bent
    5 Bent