2020
DOI: 10.2967/jnumed.120.248062
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Combination Strategies to Improve Targeted Radionuclide Therapy

Abstract: Noteworthy  Targeted radionuclide therapy is growing in popularity for cancer treatment.  Efforts to improve targeted radionuclide therapy have led to increasing numbers of combination strategies being attempted.  Increasing our understanding of the radiobiology of targeted radionuclide therapy will help inform the successful implementation of combination strategies.

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Cited by 50 publications
(29 citation statements)
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“…(2,10,11,13,16,20,92,102,135,245,262). In studies on non-CNS tumors, PRRT has been successful both when used alone (4,11,20,21,42,73,74) and in combination with other cytotoxic therapies, including chemotherapy (284,(305)(306)(307)(308)(309). Third, the BnR ectopic expression/overexpression by these tumors can be used also for targeted delivery of cytotoxic non-radiolabeled compounds including chemotherapeutic agents, which is increasingly being studied in other malignant tumors (4,10,13,42,74,78,79).…”
Section: Discussion/conclusionmentioning
confidence: 99%
“…(2,10,11,13,16,20,92,102,135,245,262). In studies on non-CNS tumors, PRRT has been successful both when used alone (4,11,20,21,42,73,74) and in combination with other cytotoxic therapies, including chemotherapy (284,(305)(306)(307)(308)(309). Third, the BnR ectopic expression/overexpression by these tumors can be used also for targeted delivery of cytotoxic non-radiolabeled compounds including chemotherapeutic agents, which is increasingly being studied in other malignant tumors (4,10,13,42,74,78,79).…”
Section: Discussion/conclusionmentioning
confidence: 99%
“…A few other approaches were also evolved in recent times. The development of drug mimetics where a drug-like molecule can thwart the cancer-inducing effects of mutated regulator proteins [153,154], targeted radionuclide therapy (TRNT) where the radionuclides can potentially destroy tumor cells even if they do not possess specific tumor-associated antigen or receptor or biomarkers [155,156], bacterial cancer therapy where magnetically responsive bacteria are directed to tumor sites where they secrete toxins and compete for nutrients with the tumor cells thus destroying the tumor cells by modulating immune responses [157], multi-ion radiotherapy where a pure beam of heavy ions (like carbon ion) is used for radiotherapy [158], etc. are some of the other recent developments being explored for potential therapeutic uses in cancer cure.…”
Section: Other Approachesmentioning
confidence: 99%
“…Around 20% of patients treated with 225 Ac-PSMA-617 have a poor response (Table 5) or early resistance against 225 Ac-PSMA-617 [107], despite sufficient expression of PSMA and uptake of 225 Ac-PSMA-617 in their tumors [192]. Several combination treatments with PSMA-TAT have been proposed [173,192,193]. Their goal is to increase PSMA-TAT efficacy by using therapies with different action mechanisms together with TAT, keeping toxic effects to a minimum.…”
Section: Combination Treatments With Psma-tatmentioning
confidence: 99%