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Research ArticleRadionuclide Therapy

Review of Palliative 223Ra in Metastatic Castration-Resistant Prostate Cancer: Experience at West Virginia University Cancer Center

Ruta Arays, Zeeshan Ahmad, Lorinda Howard, Kenneth Veselicky, Joanna Kolodney, SijinWen and Thomas Hogan
Journal of Nuclear Medicine Technology March 2021, 49 (1) 70-74; DOI: https://doi.org/10.2967/jnmt.120.254474
Ruta Arays
1Department of Medicine, West Virginia University Health Sciences Center, Morgantown, West Virginia; School of Nursing, West Virginia University Health Sciences Center, Morgantown, West Virginia
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Zeeshan Ahmad
1Department of Medicine, West Virginia University Health Sciences Center, Morgantown, West Virginia; School of Nursing, West Virginia University Health Sciences Center, Morgantown, West Virginia
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Lorinda Howard
1Department of Medicine, West Virginia University Health Sciences Center, Morgantown, West Virginia; School of Nursing, West Virginia University Health Sciences Center, Morgantown, West Virginia
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Kenneth Veselicky
3Department of Radiology, West Virginia University Health Sciences Center, Morgantown, West Virginia; and
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Joanna Kolodney
1Department of Medicine, West Virginia University Health Sciences Center, Morgantown, West Virginia; School of Nursing, West Virginia University Health Sciences Center, Morgantown, West Virginia
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SijinWen
4Department of Biostatistics, West Virginia University Health Sciences Center, Morgantown, West Virginia
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Thomas Hogan
1Department of Medicine, West Virginia University Health Sciences Center, Morgantown, West Virginia; School of Nursing, West Virginia University Health Sciences Center, Morgantown, West Virginia
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    FIGURE 1.

    Kaplan–Meier OS of 24 prostate cancer patients at WVU hospital from time of first 223Ra isotope infusion.

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    TABLE 1

    Baseline Patient Characteristics

    CharacteristicALSYMPCAWVU
    Patients (n)61424
    Median survival (mo)14.98.3 (P = 0.01)
    Median age (y)71 (range, 49–90)68 (range, 54–89)
    >75 y old (n)171 (28%)4 (17%)
    Caucasian (n)575 (94%)24 (100%)
    Current bisphosphonates (n)
     Yes250 (41%)15 (63%)
     No364 (59%)9 (37%)
    Prior docetaxel (n)
     Yes352 (57%)17 (71%)
     No262 (43%)7 (29%)
    ECOG performance status (n)
     0165 (27%)1 (4%)
     1371 (60%)14 (58%)
     2+77 (13%)9 (38%)
    WHO ladder for cancer pain (n)
     03 (13%)
     1257 (42%)3 (13%)
     2151 (25%)7 (29%)
     3194 (32%)11 (46%)
    • ECOG = Eastern Cooperative Oncology Group; WHO = World Health Organization.

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    TABLE 2

    Baseline Laboratory Data

    ParameterALSYMPCA (614 patients)WVU (23 patients)
    Total alkaline phosphatase
     <220 U/L348 (57%)18/23 (78%)
     >220 U/L266 (43%)5/23 (22%)
    Hemoglobin (g/dL)12.2 (8.5–15.7)11.5 (8.6–15.3)
    Albumin (g/L)40 (24–53)33.5 (17–39)
    Total alkaline phosphatase (U/L)211 (32–6431)115 (68–820)
    Lactate dehydrogenase (U/L)315 (76–2171)274 (118–809)
    Prostate-specific antigen (μm/L)146 (3.8–6026)75.4 (1.5–928)
    • Data are median followed by percentage or range.

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    TABLE 3

    Baseline Bone Metastasis and Radiation Data

    ParameterALSYMPCAWVU
    Bone metastases (n)100 (16%)3/23 (13%)
     
     6–20262 (43%)5/23 (22%)
     >20195 (32%)14/23 (61%)
     Superscan54 (9%)1/23 (4%)
    Radiation < 12 wk from screening
     Yes99 (16%)3 (13%)
     No515 (84%)21 (87%)
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Journal of Nuclear Medicine Technology: 49 (1)
Journal of Nuclear Medicine Technology
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March 1, 2021
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Review of Palliative 223Ra in Metastatic Castration-Resistant Prostate Cancer: Experience at West Virginia University Cancer Center
Ruta Arays, Zeeshan Ahmad, Lorinda Howard, Kenneth Veselicky, Joanna Kolodney, SijinWen, Thomas Hogan
Journal of Nuclear Medicine Technology Mar 2021, 49 (1) 70-74; DOI: 10.2967/jnmt.120.254474

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Review of Palliative 223Ra in Metastatic Castration-Resistant Prostate Cancer: Experience at West Virginia University Cancer Center
Ruta Arays, Zeeshan Ahmad, Lorinda Howard, Kenneth Veselicky, Joanna Kolodney, SijinWen, Thomas Hogan
Journal of Nuclear Medicine Technology Mar 2021, 49 (1) 70-74; DOI: 10.2967/jnmt.120.254474
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  • Direct Correlation of Tumor Absorbed Dose with Overall Survival in Metastatic Castration-Resistant Prostate Cancer Treated with 177Lu Prostate-Specific Membrane Antigen
  • Survey of Clinical Protocols for the Use of 177Lu-PSMA-617 in the United States
  • First-Strike Rapid Predictive Dosimetry and Dose Response for 177Lu-PSMA Therapy in Metastatic Castration-Resistant Prostate Cancer
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Keywords

  • metastatic
  • castration-resistant
  • prostate cancer
  • 223Ra
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