OnCo
pairingsPairing

Beta radioligand → alpha radioligand

After lutetium therapy stops working, an actinium version of the same drug can still produce responses.

225Ac-PSMA-617 after 177Lu-PSMA failure: PSA responses in ~50-60% in retrospective series; phase 3 trials (AcTION, AlphaBreak) ongoing; RYZ101 ACTION-1 in post-Lutathera NETs.

Rationale
Alpha particles cause oxygen-independent clustered DNA damage that beta-resistant, hypoxic, or small-volume disease cannot repair.
Evidence
Retrospective and phase 1/2; phase 3 pending.

Connected

10top

Pages like this

not linked directly; found by shared links