since I am in the waiting room waiting for my PET scan, I am making use of the time
”Unlike PSMA-targeted agents that are accompanied by an uptake in the lacrimal and salivary glands and in the renal tubules, which can lead to dose-limiting toxicity (20), targeting of hK2 with [111In]-DOTA-h11B6 showed no significant uptake in the salivary glands and a modest renal uptake (0.22–0.23 mGy/MBq); therefore, low radiation doses to these organs is expected”
But from what I read there is no accumulation in bones, but I do not understand if they mean healthy bones or bone metastasis. I suppose they mean healthy bones!
PYLARIFY (piflufolastat F 18) Injection is a radioactive diagnostic agent indicated for positron emission tomography (PET) of prostate-specific membrane antigen (PSMA) positive lesions in men with prostate cancer:
with suspected metastasis who are candidates for initial definitive therapy.
with suspected recurrence based on elevated serum prostate-specific antigen (PSA) level.
Don't be alarmed if the doc refers to the scan by another name (there are different brands (Pylarify and Posluma w/ F18) or even different names US vs EU (Pylarify vs Pylclari) - they all do a pretty phenomenal job. Best of luck with the results
psa from 0.05 to 0.06 and testosterone from 0.33 to 0.5, both considered like normal fluctuations (hopefully), psma pet says I had more reduction of both bone and lymph nodes metastasis in size but especially in uptake….overall I was hoping for a miracle but MO is happy! 😜
Here’s a summary by AI (check for mistakes) of the current page:
New Target for Prostate Cancer: The page discusses the need for new treatments for metastatic castration-resistant prostate cancer (mCRPC) and introduces Human kallikrein 2 (hK2) as a novel target.
Phase 0 Trial: A first-in-human phase 0 trial using an 111 In-radiolabeled anti-hK2 monoclonal antibody, [ 111 In]-DOTA-h11B6, is described, which shows selective accumulation in mCRPC metastases.
Study Results: The study demonstrates that hK2 can be targeted for imaging and therapy, with the h11B6 antibody showing mass-independent clearance kinetics and limited uptake in non-target organs.
Potential for hK2-directed Therapies: The findings support the feasibility of hK2 as a target for imaging and potential therapies in patients with mCRPC, addressing the limitations of current treatments
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