## Background: Prostate-specific membrane antigen (psma) is a glutamate carboxypeptidase that cleaves terminal carboxy glutamates from both the neuronal dipeptide n-acetylaspartylglutamate (naag) and gamma-linked folate polyglutamate. the prostate enzyme has activity in both the membrane and cytoso
Anti–prostate-Specific membrane antigen-based radioimmunotherapy for prostate cancer
✍ Scribed by Scott T. Tagawa; Himisha Beltran; Shankar Vallabhajosula; Stanley J. Goldsmith; Joseph Osborne; Dan Matulich; Kristen Petrillo; Sarojben Parmar; David M. Nanus; Neil H. Bander
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 233 KB
- Volume
- 116
- Category
- Article
- ISSN
- 0008-543X
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✦ Synopsis
Abstract
Despite recent advances, advanced prostate cancer is suboptimally responsive to current chemotherapeutic agents. Radiolabeled monoclonal antibody therapy that targets prostate‐specific membrane antigen (PSMA) shows promise and is an area of active investigation. J591 is a deimmunized IgG monoclonal antibody developed to target the extracellular domain of PSMA. Preclinical and early phase clinical studies using radiolabeled J591 have demonstrated efficacy in targeting tumor cells and decreasing levels of prostate‐specific antigen. Radiolabeled J591 is well‐tolerated, nonimmunogenic, and can be administered in multiple doses. The dose‐limiting toxicity is reversible myelosuppression with little nonhematologic toxicity. Future studies will include approaches to optimize patient selection and incorporate novel strategies to improve the success of anti‐PSMA radioimmunotherapy. Cancer 2010;116(4 suppl):1075–83. © 2010 American Cancer Society.
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