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TheranosticPeer-ReviewedPubMedEuropean urology oncology · 2026

Machine Learning Models Combining [<sup>68</sup>Ga]Ga-PSMA-11 PET Radiomics and Clinical Features to Predict Overall Survival for Metastatic Castration-resistant Prostate Cancer Treated with [<sup>177</sup>Lu]Lu-PSMA Radioligand Therapy.

Edouard L, Papillon L, Ferrer L, Godbert Y et al.

PurposeMetastatic castration-resistant prostate cancer (mCRPC) remains incurable despite recent therapeutic advances. [¹⁷⁷Lu]Lu-PSMA RLT (lutetium-177 labelled prostate-specific membrane antigen radio…

TherapeuticPeer-ReviewedPubMedEuropean urology · 2026

<sup>177</sup>Lu-Prostate-specific Membrane Antigen Prior to Stereotactic Ablative Radiotherapy in Oligorecurrent Prostate Cancer: Secondary and Exploratory End Point Results from the Randomized Phase 2 LUNAR Trial.

Kishan AU, Wilhalme H, Felix C, Enke J et al.

The phase 2 randomized LUNAR trial previously demonstrated that neoadjuvant ¹⁷⁷Lu-PNT2002 before stereotactic body radiotherapy (SBRT) significantly improved progression-free survival (PFS) in patient…

TherapeuticPeer-ReviewedPubMedAnnals of nuclear medicine · 2026

PSMA-targeted radioligand therapy in prostate cancer: evidence hierarchy, platform maturity of ¹⁷⁷Lu-PSMA-617, and the clinical differentiation challenge for emerging radionuclides.

Lin ET.

Among prostate-specific membrane antigen (PSMA)-directed radioligand therapies (RLT), ¹⁷⁷Lu-PSMA-617 is supported by two peer-reviewed phase III randomised controlled trials in metastatic castration-r…

TherapeuticPeer-ReviewedPubMedNuclear medicine communications · 2026

Publication trends and knowledge structure of prostate-specific membrane antigen radioligand therapy for prostate cancer: a bibliometric analysis, 2015-2025.

Long H, Qiao XH, Li X, Kong XJ et al.

ObjectiveTo characterize publication growth, modality trends, and thematic evolution in prostate-specific membrane antigen (PSMA) radioligand therapy (RLT) for prostate cancer from 2015 to 2025, empha…

TheranosticPeer-ReviewedPubMedJournal of nuclear medicine · 2026

Outcome Prediction After [<sup>177</sup>Lu]Lu-PSMA I&T in Metastatic Castration-Resistant Prostate Cancer: External Validation of a [<sup>68</sup>Ga]Ga-PSMA-11 PET-Based Model with [<sup>18</sup>F]F-Flotufolastat.

Karimzadeh A, Fütterer C, Hansen K, Coban Ö et al.

¹⁷⁷Lu-prostate-specific membrane antigen (PSMA)-targeted radiopharmaceutical therapy is an established treatment for metastatic castration-resistant prostate cancer, though responses vary. A prognosti…

TherapeuticPeer-ReviewedPubMedFrontiers in medicine · 2026

PSMA-targeted radioligand therapy with beta emitters in prostate cancer: current evidence, emerging indications, combination strategies, and future directions.

Noamen H, Bekkhoucha A, Bernard Tessier A, Trabelsi K et al.

Prostate-specific membrane antigen (PSMA)-targeted radioligand therapy (RLT) has emerged as a major therapeutic advance in metastatic castration-resistant prostate cancer (mCRPC), The phase III VISION…

TherapeuticPeer-ReviewedPubMedJournal of nuclear medicine · 2026

Phase 1 Dose-Escalation Study of the Rapid-Clearance Radioligand [<sup>177</sup>Lu]Lu-P17-087 in Metastatic Castration-Resistant Prostate Cancer: Dosimetry, Safety, and Preliminary Efficacy.

Zhao R, Li M, Lv J, Zhang J et al.

Given the rapid systemic clearance and favorable kinetic profile of the novel DOTA(GA)₂-conjugated ligand [¹⁷⁷Lu]Lu-P17-087, this phase 1 study aimed to systematically evaluate the safety, pharmacokin…

TherapeuticPeer-ReviewedPubMedJournal of nuclear medicine · 2026

Renal Function Decline After <sup>177</sup>Lu-PSMA-617 Versus Taxane-Based Chemotherapy in Patients with Metastatic Castration-Resistant Prostate Cancer: A Propensity Score Analysis.

Sheheryar N, Nikanpour Y, Manohar S, Childs D et al.

We conducted a study to determine the effects of ¹⁷⁷Lu-PSMA-617 treatment on renal function decline in patients with metastatic castration-resistant prostate cancer (mCRPC) shortly after treatment and…

TherapeuticPeer-ReviewedPubMedJournal of nuclear medicine · 2026

Association of <i>ATM</i> Alterations with Outcomes After <sup>177</sup>Lu-PSMA-617 Treatment in Patients with Metastatic Castration-Resistant Prostate Cancer.

Mahajan V, Yu L, Kollitz L, Boytim E et al.

Treatment with ¹⁷⁷Lu-PSMA-617 improves survival in some patients with metastatic castration-resistant prostate cancer, yet marked heterogeneity in treatment response underscores the need for robust bi…

TherapeuticPeer-ReviewedPubMedCurrent topics in medicinal chemistry · 2026

Beyond Phenylbutyric Acid: Evans Blue and Ibuprofen as Albumin- Binding Motifs for PSMA-Targeted Radioligand Therapy of Prostate Cancer.

Fersing C, Vanney J, Torchio J, Renaud SC et al.

IntroductionRadioligand Therapy (RLT) targeting Prostate-Specific Membrane Antigen (PSMA) reshapes the therapeutic landscape of metastatic castration-resistant prostate cancer. However, the rapid syst…

Therapeutic📖 Free full textPeer-ReviewedPreprint · 2026

Dynamics of circulating tumor cell subsets defined by PSMA and EpCAM predict survival in metastatic castration-resistant prostate cancer patients treated with 177Lu-PSMA-617

Lee MJ, Yu L, Zorko N, Dehm S et al.

Background: 177Lu-PSMA-617 radioligand treatment represents a major advancement in the management of metastatic castration-resistant prostate cancer (mCRPC), but key questions remain about tumor-cell …

Therapeutic📖 Free full textPeer-ReviewedPubMedRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2026

Clinical outcomes among patients treated with Lu-PSMA-617 and metastasis-directed EBRT for metastatic prostate cancer.

Adib E, Lee E, Chen YH, Menon K et al.

Metastasis-directed external beam radiation therapy (EBRT) delivered for limited-volume disease, integrated with systemic radioligand therapy, may improve long-term disease control across the spectrum…

Theranostic📖 Free full textPeer-ReviewedPubMedZeitschrift fur medizinische Physik · 2026

Single-time-point renal TIA estimation, sparse SPECT/CT data, and nonlinear mixed-effects modelling in [¹⁷⁷Lu]Lu-PSMA-617 therapy.

Ananda FD, Hardiansyah D, Ritawidya R, Beer AJ et al.

This study evaluates the feasibility of Single-Time-Point (STP) renal Time-Integrated Activity (TIA) estimation using Population-Based Model Selection (PBMS) and Nonlinear Mixed-Effects Modelling (NLM…

Therapeutic📖 Free full textPeer-ReviewedPubMedThe Prostate · 2026

[¹⁷⁷Lu]Lu-PSMA-617 Plus Short-Course Priming With Enzalutamide in Metastatic Castration-Resistant Prostate Cancer: A Single-Arm Phase 2 Trial (Lu-PRIME).

Aggarwal P, Sood A, Satapathy S, Goyal S et al.

Background[177Lu]Lu-PSMA-617 has been an approved treatment modality for metastatic castration-resistant prostate cancer (mCRPC). Recent studies have shown PSMA upregulation following enzalutamide, wh…

TherapeuticTheranostic📖 Free full textPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Dosimetry-Driven Personalization of Radiopharmaceutical Therapies: Evidence and Opportunities.

Wahl RL, Dewaraja YK.

Radiopharmaceutical therapy (RPT) is growing in clinical importance and utilization. First-generation RPTs such as 131I-tositumomab (Bexxar) radioimmunotherapy of lymphoma used simplified whole-body d…

Theranostic📖 Free full textPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Are Urooncologists Onboard?

Hadaschik B, Sartor O.

Theranostics, particularly PSMA-targeted imaging and radiopharmaceutical therapy, is rapidly transforming the field of urooncology. This article reviews the clinical integration of PSMA PET/CT in diag…

Theranostic📖 Free full textPeer-ReviewedPubMedEuropean journal of nuclear medicine and molecular imaging · 2026

Baseline serum carcinoembryonic antigen (CEA) is an independent prognostic biomarker for metastatic castration-resistant prostate cancer (mCRPC) patients receiving 177Lu-PSMA therapy.

Giunta EF, Marini I, Grassi I, Nicolini S et al.

177Lu-PSMA is currently approved for metastatic castration-resistant prostate cancer (mCRPC). However, only a subset of eligible patients derives a meaningful clinical benefit from treatment. To date,…

Theranostic📖 Free full textPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Tumor-Intrinsic Blood and Imaging Correlatives in Advanced Prostate Cancer Treated with Combination Radiopharmaceutical Therapy and Immunotherapy.

Tolmeijer SH, Kwan EM, Gafita A, Hamid AA et al.

The PRINCE trial showed the clinical activity for 177Lu-PSMA-617 in combination with pembrolizumab for metastatic castration-resistant prostate cancer. To refine patient selection and improve response…

Theranostic📖 Free full textPeer-ReviewedOpenAlexEuropean Journal of Nuclear Medicine and Molecular Imaging · 2026

External validation of the bellmunt risk score for survival prediction in mCRPC patients undergoing [177Lu]Lu-PSMA-617 therapy

Thomas Büttner, Mike Wenzel, Philipp Mandel, Paul Schmitt et al.

PURPOSE: Lu]Lu-PSMA-617 is a standard-of-care therapy for metastatic castration-resistant prostate cancer (mCRPC). Given the heterogeneous clinical responses, accessible prognostic tools are needed. W…

Therapeutic📖 Free full textPeer-ReviewedOpenAlexBiomedicine & Pharmacotherapy · 2026

Salvage treatment strategies for recurrence after radical prostatectomy: Current status, challenges, and future directions

Wang Ye, Kunhao Liu, Leijie Wang, Linjie Wu et al.

Objective Recurrence after radical prostatectomy (RP) remains a major clinical challenge in prostate cancer and is characterized by substantial heterogeneity in recurrence patterns. This review aimed …

Therapeutic📖 Free full textPeer-ReviewedPreprint · 2026

Nanoparticle-Based Strategies to Enhance PSMA-Targeted Radioligand Therapy: A Review of the Delivery, Co-Formulation, and Combination Landscape Surrounding Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto)

Odibo A.

Lutetium Lu 177 vipivotide tetraxetan (177Lu-PSMA-617; Pluvicto, Novartis) is a small-molecule, prostate-specific membrane antigen (PSMA)-targeted radioligand that has redefined the treatment of metas…

Theranostic📖 Free full textPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Prognostic Value of Restaging [¹⁸F]FDG PET/CT in Patients with Metastatic Castration-Resistant Prostate Cancer Undergoing [¹⁷⁷Lu]Lu-PSMA-617 Therapy.

Kashyap R, Buteau JP, Papa N, Ayati N et al.

We analyzed the prognostic value of an interim [18F]FDG PET/CT performed after cycle 3 of [177Lu]Lu-PSMA-617 ([177Lu]Lu-PSMA) for patients undergoing therapy for metastatic castration-resistant prosta…

Therapeutic📖 Free full textPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Overall Survival with [¹⁷⁷Lu]Lu-PSMA-617 Versus [¹⁷⁷Lu]Lu-PSMA I&T: A Propensity Score-Matched Real-World Analysis.

Hasenauer N, Probst C, Schloetelburg W, Jedamzik T et al.

In this study, we compared clinical outcomes and safety profiles of radiopharmaceutical therapy with [177Lu]Lu-PSMA-617 and [177Lu]Lu-PSMA I&T in patients with metastatic castration-resistant prostate…

Therapeutic📖 Free full textPeer-ReviewedPubMedBMC cancer · 2026

Prognostic value of circulating tumor DNA and copy-number alterations in patients receiving tandem [<sup>225</sup>Ac]Ac-/[<sup>177</sup>Lu]Lu-PSMA-617 therapy for metastatic castration-resistant prostate cancer: a prospective observational study.

Amghar M, Hielscher T, Rausch T, Özgür H et al.

BackgroundProstate-specific membrane antigen-targeted radioligand therapy (PSMA-RLT) demonstrates clinical efficacy in metastatic castration-resistant prostate cancer (mCRPC), yet robust biomarkers fo…

Theranostic📖 Free full textPeer-ReviewedPubMedUrology journal · 2026

Assessment of Neuroendocrine Features Using 99mTc-Octreotide Scintigraphy in Patients with Metastatic Castration-Resistant Prostate Cancer: Does it Predict Response to 177Lu-PSMA Radioligand Therapy?

Tavakoli M, Pirayesh E, Khoshbakht S, Javan Shayani P et al.

PurposeNeuroendocrine differentiation is a recognized phenotypic change in advanced prostate cancer. Neuroendocrine-like cells may lack androgen receptor or prostate-specific membrane antigen expressi…

TheranosticTherapeutic📖 Free full textPeer-ReviewedOpenAlexFrontiers in Nuclear Medicine · 2026

Artificial intelligence across oncologic theranostics: evidence for patient stratification, dosimetry, and adaptive radiopharmaceutical therapy

Mallareddy Banala, Shabbir Ezuddin, Mark Foley, Russ Kuker

Artificial intelligence (AI) has been studied across radiopharmaceutical therapy (RPT); however, evidence for treatment-changing use remains limited. We conducted a structured narrative review with de…

Therapeutic📖 Free full textPeer-ReviewedPubMedInternational journal of radiation oncology, biology, physics · 2026

Differential Radiobiological Effects of Αlpha- and Beta-Minus-Emitter Targeted Radionuclide Therapy: DNA Damage and Survival.

Winter RC, Bauder-Wüst U, Schäfer M, Remde Y et al.

Metastatic cancer remains a major challenge, demanding more effective and biologically informed therapeutic strategies. Targeted Radionuclide Therapy (TRT) holds significant promise, but its optimizat…

RadiopharmacyTherapeuticPeer-ReviewedPubMedApplied radiation and isotopes · 2026

[<sup>177</sup>Lu] Lu-PSMA-I&T for prostate cancer radioligand therapy: A radiopharmacy's journey from synthesis to cost-effectiveness.

Aurilio M, Maisto C, Morisco A, Esposito A et al.

Radioligand therapy (RLT) with [¹⁷⁷Lu]-Lu-radiolabeled pharmaceuticals targeting PSMA is a promising treatment option for patients with metastatic castration-resistant prostate cancer (mCRPC), with th…

Theranostic📖 Free full textPeer-ReviewedOpenAlexEJNMMI Physics · 2026

Dosimetry and immunohistochemistry study to establish radiolabelled prostate-specific membrane antigen (PSMA) as a potential theranostic target in high-grade glioma treatment

Matthew Benger, Georgios Krokos, Karan Daga, Alan J. Wright et al.

Abstract Prostate-specific membrane antigen (PSMA) is upregulated in high-grade glioma (HGG). This study aimed, firstly, to establish dosimetry for the radionuclide [68Ga]-PSMA-11 in HGG patients; sec…

Theranostic📖 Free full textPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

The Global Theranostics Access Gap: Real-World Disparities in PSMA PET/CT and ¹⁷⁷Lu-PSMA Therapy Between Centers in Brazil and Europe.

Cerci JJ, Fanti S, Herrmann K, Rodrigues DF et al.

Real-world disparities in access to PSMA-targeted theranostics are poorly characterized. We compared waiting times for PSMA PET/CT and 177Lu-PSMA therapy between centers in Brazil and Europe. Methods:…

Theranostic📖 Free full textPeer-ReviewedOpenAlexEJNMMI Research · 2026

Evaluation of the biodistribution of [99mTc]Tc-PSMA-GCK01 SPECT/CT in a prospective, intraindividual comparison with [68Ga]PSMA-11 PET/CT for phenotyping in mCRPC prior to PSMA-targeted radioligand therapy

E Novruzov, Eduards Mamlins, Joseph Kabunda, Jens Cardinale et al.

Abstract Background PSMA-PET/CT became an important means for prostate cancer management. The high-resolution and signal-to-noise ratio of PET is mandatory in primary staging or biochemical relapse th…

Theranostic📖 Free full textPeer-ReviewedOpenAlexAnnals of Nuclear Medicine · 2026

Recent advances in PSMA therapy - from beta to alpha

Adrien Holzgreve, Sophie C. Siegmund, Liam Widjaja, Rudolf A. Werner

management of patients with advanced prostate cancer, firmly anchored in clinical guidelines [8].This article provides an update on established PSMA theranostics using beta-emitting ligands, based on …

TherapeuticPeer-ReviewedPubMedEuropean journal of nuclear medicine and molecular imaging · 2026

Tolerability of [¹⁶¹Tb]Tb-SibuDAB in comparison to other PSMA-targeting radioligands in the preclinical setting.

Krieger K, Mapanao AK, Bolcaen J, Kegler K et al.

PurposeThe successful preclinical efficacy studies prompted a Phase I clinical trial to investigate [161Tb]Tb-SibuDAB. Deeper insight into potential undesired effects on normal tissues and organs rema…

TheranosticPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Prognostic Value of [¹⁸F]FDG PET Combined with [⁶⁸Ga]Ga-PSMA PET as Pretreatment Imaging in Patients with Metastatic Castration-Resistant Prostate Cancer Treated with [¹⁷⁷Lu]Lu-PSMA-617.

Bekkhoucha A, Zaragori T, Olivier P, Claudin M et al.

Prostate-specific membrane antigen (PSMA)-targeted radiopharmaceutical therapy with [177Lu]Lu-PSMA-617 has reshaped the management of metastatic castration-resistant prostate cancer (mCRPC). This stud…

TheranosticPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Clinical Trial Protocol for LPS-Boost: Intensified [¹⁷⁷Lu]Lu-PSMA-617 Treatment for Patients with Metastatic Castration-Resistant Prostate Cancer with Low PSMA-Expressing Disease.

Iravani A, Gulati R, Miyaoka R, Reiger AC et al.

[177Lu]Lu-PSMA-617 is an approved therapy for metastatic castration-resistant prostate cancer (mCRPC); however, response rates vary significantly, particularly among patients with low prostate-specifi…

TheranosticPeer-ReviewedPubMedJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026

Association of Early Same-Day Posttherapy Whole-Body SPECT/CT Using Visual RECIP 1.0 with Overall Survival During [¹⁷⁷Lu]Lu-PSMA-617 Therapy for Metastatic Castration-Resistant Prostate Cancer.

Park HL, Kersting D, Bergstrom CP, Khaki AR et al.

This article evaluates whether early same-day posttherapy whole-body SPECT/CT assessed using visual RECIP 1.0 is associated with overall survival (OS) in patients with metastatic castration-resistant …

TherapeuticPeer-ReviewedPubMedInternational urology and nephrology · 2026

Efficacy, safety, and quality of life outcomes of [¹⁷⁷Lu] Lu-PSMA radioligand therapy in metastatic castration-resistant prostate cancer: a GRADE-assessed systematic review, meta-analysis and trial sequential analysis.

Mubarika M, Maaz M, Muhammad A, Emmama S et al.

Background and objectiveLutetium-177-PSMA radioligand therapy ([177Lu] Lu-PSMA) is an emerging targeted treatment for metastatic castration-resistant prostate cancer (mCRPC). We evaluated the comparat…

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