{"title":"177Lu-PSMA-617 extends progression-free survival in taxane-naive mCRPC","authors":"Maria Chiara Masone","doi":"10.1038/s41585-024-00970-z","DOIUrl":null,"url":null,"abstract":"<p>A new phase III, randomized, controlled trial was carried out to assess the efficacy of <sup>177</sup>Lu-PSMA-617 in patients with taxane-naive metastatic castration-resistant prostate cancer (mCRPC). A total of 468 patients with PSMA<sup>+</sup> mCRPC who experienced disease progression after receiving an androgen receptor pathway inhibitor (ARPI) were randomly allocated to receive <sup>177</sup>Lu-PSMA-617 or a different ARPI. Treatment with <sup>177</sup>Lu-PSMA-617 resulted in improved median radiographic progression-free survival (PFS) compared with a change of ARPI (11.60 months (95% CI 9.30–14.19) versus 5.59 months (95% CI 4.21–5.95)), with a good safety profile. These results showed that <sup>177</sup>Lu-PSMA-617 prolonged radiographic PFS and could be a valid therapeutic alternative for patients considered for a change of ARPI.</p>","PeriodicalId":19088,"journal":{"name":"Nature Reviews Urology","volume":"105 1","pages":""},"PeriodicalIF":12.1000,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nature Reviews Urology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41585-024-00970-z","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
A new phase III, randomized, controlled trial was carried out to assess the efficacy of 177Lu-PSMA-617 in patients with taxane-naive metastatic castration-resistant prostate cancer (mCRPC). A total of 468 patients with PSMA+ mCRPC who experienced disease progression after receiving an androgen receptor pathway inhibitor (ARPI) were randomly allocated to receive 177Lu-PSMA-617 or a different ARPI. Treatment with 177Lu-PSMA-617 resulted in improved median radiographic progression-free survival (PFS) compared with a change of ARPI (11.60 months (95% CI 9.30–14.19) versus 5.59 months (95% CI 4.21–5.95)), with a good safety profile. These results showed that 177Lu-PSMA-617 prolonged radiographic PFS and could be a valid therapeutic alternative for patients considered for a change of ARPI.
我们开展了一项新的III期随机对照试验，以评估177Lu-PSMA-617对他汀类药物无效的转移性抗性前列腺癌（mCRPC）患者的疗效。共有468名PSMA+ mCRPC患者在接受雄激素受体通路抑制剂（ARPI）治疗后出现疾病进展，他们被随机分配接受177Lu-PSMA-617或另一种ARPI治疗。与更换ARPI相比，177Lu-PSMA-617治疗可改善中位放射学无进展生存期（PFS）（11.60个月（95% CI 9.30-14.19）对5.59个月（95% CI 4.21-5.95）），且安全性良好。这些结果表明，177Lu-PSMA-617可延长放射学PFS，可作为考虑更换ARPI的患者的有效替代治疗方法。
期刊介绍：
Nature Reviews Urology is part of the Nature Reviews portfolio of journals.Nature Reviews' basic, translational and clinical content is written by internationally renowned basic and clinical academics and researchers. This journal targeted readers in the biological and medical sciences, from the postgraduate level upwards, aiming to be accessible to professionals in any biological or medical discipline.
The journal features authoritative In-depth Reviews providing up-to-date information on topics within a field's history and development. Perspectives, News & Views articles, and the Research Highlights section offer topical discussions and opinions, filtering primary research from various medical journals.
Covering a wide range of subjects, including andrology, urologic oncology, and imaging, Nature Reviews provides valuable insights for practitioners, researchers, and academics within urology and related fields.
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