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Astatine-211 based radionuclide therapy: Current clinical trial landscape
Per Albertsson1,2, Tom Bäck3, Karin Bergmark1,2
1Department of Oncology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Frontiers in Medicine
|January 23, 2023
Summary
Astatine-211 (211At) shows promise for targeted alpha therapy (TAT) due to its alpha-particle emitting properties. This review summarizes completed and ongoing clinical trials, exploring future directions for this cancer treatment modality.
Area of Science:
- Nuclear medicine
- Radiopharmaceutical therapy
- Oncology
Background:
- Astatine-211 (211At) possesses advantageous physical characteristics for targeted alpha therapy (TAT).
- TAT utilizes alpha-emitting radionuclides to deliver high-energy radiation directly to cancer cells.
- 211At is a leading candidate radionuclide for clinical application in TAT.
Purpose of the Study:
- To review the clinical efficacy and safety of Astatine-211 in targeted alpha therapy.
- To provide an overview of completed and ongoing clinical trials involving 211At.
- To discuss the future potential and challenges of 211At-based TAT.
Main Methods:
- Systematic review of completed clinical trials.
- Analysis of data from ongoing clinical investigations.
- Discussion of preclinical and clinical research findings.
Main Results:
- Summary of key outcomes from completed 211At TAT clinical trials.
- Presentation of current progress and preliminary results from ongoing studies.
- Identification of therapeutic benefits and potential toxicities observed.
Conclusions:
- 211At demonstrates significant potential as a therapeutic radionuclide for targeted alpha therapy.
- Further clinical trials are essential to fully establish the role of 211At in cancer treatment.
- Ongoing research and development are crucial for optimizing 211At-based therapies.
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