From Trial to Treatment: Targeted Radionuclide Therapy Comes of Age in mCRPC
From Trial to Treatment: Integrating Targeted Radionuclide Therapy Data Into Evidence-Based mCRPC Care - Integrating_Targeted_Radionuclide_Therapy_Data_Into_Evidence-Based_mCRPC_Care A patient-advocate briefing on the evidence, the fine print, and what's still unsettled — IPCSG Newsletter BLUF (Bottom Line Up Front): Two PSMA-targeted radioligand therapies are now FDA-approved for metastatic castration-resistant prostate cancer (mCRPC) — lutetium-177 vipivotide tetraxetan (Pluvicto), approved post-taxane in 2022 and expanded to pre-taxane use in March 2025 — alongside radium-223 (Xofigo), approved in 2013 for symptomatic bone-only disease. New Phase 3 data (PSMAddition) now show a benefit when Pluvicto is added even earlier, in hormone-sensitive disease, and Novartis has filed for that expanded use with decisions expected in the second half of 2026. Not every radioligand candidate is panning out, however: Lantheus disclosed in 2026 SEC filings that it will not file...