Frontiers in Oncology (Apr 2023)

Case Report: Long-term complete response to PSMA-targeted radioligand therapy and abiraterone in a metastatic prostate cancer patient

  • David Parker,
  • Jessica Zambelli,
  • Montana Kay Lara,
  • Trevor Hamilton Wolf,
  • Amber McDonald,
  • Erica Lee,
  • Lotfi Abou-Elkacem,
  • Eva J. Gordon,
  • Richard P. Baum

DOI
https://doi.org/10.3389/fonc.2023.1192792
Journal volume & issue
Vol. 13

Abstract

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Despite decades of research and clinical trials, metastatic castration-resistant prostate cancer (mCRPC) remains incurable and typically fatal. Current treatments may provide modest increases in progression-free survival but can come with significant adverse effects and are disaggregated from the diagnostic imaging needed to fully assess the spread of metastatic disease. A theranostic approach, using radiolabeled ligands that target the cell surface protein PSMA, simplifies the visualization and disease treatment process by enabling both to use similar agents. Here, we describe an exemplary case wherein a gentleman in his 70s with mCRPC on diagnosis was treated with 177Lu–PSMA-617 and abiraterone, and remains disease-free to date, over five years later.

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