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VUM02 + BAT refers to a clinical combination regimen consisting of the **PSMA-targeted radiopharmaceutical VUM02** (typically utilized as the PET tracer [18F]VUM02) and **Bipolar Androgen Therapy (BAT)**. VUM02 is a small-molecule ligand developed at Vanderbilt University that binds with high affinity to the **prostate-specific membrane antigen (PSMA)**, a cell-surface protein significantly overexpressed in prostate cancer. Bipolar Androgen Therapy is a treatment strategy for metastatic castration-resistant prostate cancer (mCRPC) that involves the rapid cycling of serum testosterone levels between supraphysiologic and castrate concentrations, typically achieved through high-dose **testosterone** (e.g., testosterone cypionate) administration. In this combination, VUM02 serves as a diagnostic imaging biomarker to monitor the biological response of the tumor to the hormonal fluctuations induced by BAT, allowing researchers to assess changes in PSMA expression and tumor burden in real-time.
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