Effective treatment of human prostate carcinoma xenografts with Single-Dose PSMA-targeted [211At]YF2

Yutian Feng1, Truc T Huynh1, Yongxiang Zheng1

  • 1Department of Radiology, Duke University Medical Center, Durham, NC, 27710, USA.

Abstract

Insights

Astatine-211 labeled YF2 ([211At]YF2) demonstrated significant prostate cancer tumor growth inhibition and survival benefits in mice. The maximum tolerated dose was determined to be 8 MBq, showing therapeutic potential.

Area of Science:

  • Nuclear Medicine
  • Radiopharmaceutical Therapy
  • Oncology

Background:

  • Prostate-specific membrane antigen (PSMA) is a validated target for prostate cancer therapy.
  • [211At]YF2 exhibits high in vitro cytotoxicity and prolonged retention in PSMA-expressing tumors.
  • Evaluating the therapeutic efficacy of [211At]YF2 in vivo is crucial for its clinical translation.

Purpose of the Study:

  • To assess the therapeutic efficacy of [211At]YF2 in an athymic mouse model with PSMA-positive PC3 xenografts.
  • To determine the maximum tolerated dose (MTD) of [211At]YF2.
  • To evaluate the impact of iodinated YF2 carrier on the tumor-to-kidney dose ratio.

Main Methods:

  • Three experiments were conducted to evaluate the antitumor efficacy of single-dose [211At]YF2.
  • Doses ranged from 1.5 MBq to 12 MBq, with varying preparation methods (HPLC purification vs. no purification, with/without carrier).
  • Tumor growth, body weight, and survival were monitored; MTD was determined based on observed toxicities.

Main Results:

  • [211At]YF2 demonstrated significant tumor growth inhibition (TGI) and survival benefit across tested doses.
  • A single dose of 2.2 MBq increased median survival by 3.6-fold, while 8 MBq increased it by 4.5-fold.
  • Co-administration of iodinated YF2 improved the tumor-to-kidney dose ratio; the MTD was established at 8 MBq due to observed radiation toxicity at higher doses.

Conclusions:

  • Single-dose [211At]YF2 exhibits significant antitumor efficacy and provides a survival benefit in PSMA-positive xenografts.
  • Several long-term survivors were observed, indicating durable therapeutic effects.
  • A single dose of 8 MBq [211At]YF2 was well-tolerated and represents a potential therapeutic dose.

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