Authors
Malik D, Sen IB, Thakral P, Das SS, Manda D, Cb V
For most patients with metastatic prostate cancer, early androgen deprivation therapy (ADT) is the standard first treatment — but ADT often impairs quality of life. This paper presents a case where the team used 177Lu-PSMA-617 radioligand therapy as the very first treatment in a patient with treatment-naive oligometastatic prostate cancer. The patient showed excellent response to a single dose of Lu-PSMA-617 — a meaningful proof-of-concept for upfront Lu-PSMA as an alternative or delay strategy to ADT.
★ Key findings
- A single dose of Lu-PSMA-617 produced an excellent treatment response in a treatment-naive oligometastatic prostate cancer patient
- Demonstrates the feasibility of Lu-PSMA as upfront / first-line therapy — potentially delaying or replacing androgen deprivation in selected patients
- Quality-of-life implications: patients can postpone the side effects of long-term hormone therapy while achieving disease control