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Extending Lutetium-177 PSMA Therapy

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Rechallenge and Extended [177Lu]Lu-PSMA Therapy in Metastatic Prostate Cancer | Journal of Nuclear Medicine New Evidence for Additional Treatment Cycles in Advanced Prostate Cancer BLUF (Bottom Line Up Front): Recent research published in the Journal of Nuclear Medicine demonstrates that patients with metastatic castration-resistant prostate cancer (mCRPC) who respond well to the standard six cycles of Lutetium-177 PSMA therapy may safely benefit from additional treatment through either "rechallenge" (restarting therapy after a break) or "extended" (continuing beyond six cycles without interruption) approaches. While both strategies show promising PSA responses and survival benefits with manageable side effects, careful patient selection and monitoring remain essential. Understanding the Treatment Approaches For men with advanced prostate cancer, Lutetium-177 (Lu-177) PSMA therapy has become an important treatment option when other therapies have stopped working...

New Prostate Cancer Imaging Agents Show Promise for Detecting Aggressive, Hard-to-Reach Tumors

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First-in-Human PET Imaging of Prostate Cancer Using [68Ga]Ga-AZ-093 and Its Nitroimidazole-Conjugated Derivative [68Ga]Ga-AZ-NI-093 | Journal of Nuclear Medicine BLUF (Bottom Line Up Front): Chinese researchers have developed two new radioactive imaging agents that may improve detection of prostate cancer, particularly aggressive tumors in oxygen-poor (hypoxic) environments. The experimental tracers showed higher uptake in tumors compared to current standard imaging agents, with the hypoxia-targeting version performing especially well in high-grade cancers. While promising, these agents remain investigational and require larger studies before potential clinical use, but they could potentially address critical gaps in current imaging technology including better detection of aggressive disease, improved treatment planning for radiation therapy, and identification of patients who might benefit from hypoxia-targeted therapies. Understanding the Innovation Prostate cancer imaging has be...

Transformative Advances in Prostate Cancer Care

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Transformative Advances in Prostate Cancer Care: 2025 Achievements Reshape the Treatment Paradigm TL;DR - Key Achievements of 2025 FDA Approvals: Five major approvals expanded treatment options including Akeega for BRCA2-mutated early metastatic disease (54% progression reduction), rucaparib full approval for BRCA-mutated mCRPC, darolutamide for hormone-sensitive disease, Pluvicto earlier in treatment sequence (59% progression reduction), and new PSMA PET imaging agent. Clinical Trial Breakthroughs: CAN-2409 gene therapy became first new localized prostate cancer treatment in 20+ years (30% recurrence reduction). TALAPRO-2 showed 8.8-month survival improvement with PARP inhibitor combinations. Terbium-161 radioligand achieved 70% response rate with minimal toxicity. Diagnostic Revolution: AI systems reached clinical maturity for MRI and pathology interpretation, matching expert performance. PSMA PET solidified as standard of care with updated national guidelines and predictive v...