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Salivary Gland Toxicity of PSMA Radioligand Therapy: Relevance and Preventive Strategies
Ist Teil von
Journal of Nuclear Medicine, 2018-08, Vol.59 (8), p.1172-1173
Ort / Verlag
United States: Society of Nuclear Medicine
Erscheinungsjahr
2018
Quelle
EZB Electronic Journals Library
Beschreibungen/Notizen
Since the first clinical use of 131I-labeled prostate-specific membrane antigen (PSMA), xerostomia has been identified as a relevant side effect of PSMA radioligand therapies (PRLTs) for metastatic castration-resistant prostate cancer. Given the remarkable progress when using 177Lu-labeled compounds and the impressive results of 225Ac-PSMA PRLT, Langbein et al believe that effective preventive strategies for salivary gland (SG) toxicity need to be developed to preserve the extremely attractive side effect profile of PRLT as compared with standard treatments. Although the highest off-target uptake is seen in the SG, multicenter data on 177Lu-PSMA PRLT revealed only mild to moderate reversible xerostomia in 8% of patients. In a systematic analysis, the group confirmed these findings.