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apalutamide + strontium-89 + luteinizing hormone-releasing hormone analog
- Development stage
- Unknown
- Lead developer
- Southern Medical University Zhujiang Hospital
- Modality
- Small Molecules, Antibody-Radionuclide Conjugates → Antibody Conjugates → Antibody-Based Therapeutics, Peptides
- Administration
- Oral, Intravenous, Subcutaneous
01
Overview
This combination therapy is a neoadjuvant regimen developed for patients with prostate cancer and limited bone metastases (≤10) who are candidates for radical prostatectomy. It combines **apalutamide**, a potent second-generation androgen receptor inhibitor, with **strontium-89 (89Sr)**, a bone-seeking radiopharmaceutical that mimics calcium and localizes to areas of active bone turnover to deliver localized beta radiation. The regimen also includes a **luteinizing hormone-releasing hormone (LHRH) analog** to achieve androgen deprivation. This intensive systemic and bone-targeted approach is being investigated by Zhujiang Hospital to improve pathological complete response rates and progression-free survival by targeting both the primary tumor and micrometastatic osseous disease prior to surgical intervention.
- Brand names
- ErleadaMetastron
- Other names
- 89Sr-Zhujiang Hospital-prostate cancerApalutamide + 89Sr + ADTApalutamide + Strontium-89 + LHRH Analog
02
Targets
GnRHR (Gonadotropin-releasing hormone receptor)AR (Adrenergic receptors)
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