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The Challenge of Bone-Metastatic PC

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Presentation on theme: "The Challenge of Bone-Metastatic PC"— Presentation transcript:

1 Understanding the Mechanism of Radionuclides and Survival in Bone Mets in CRPC

2 The Challenge of Bone-Metastatic PC

3 PC: Unique Pattern of Metastasis

4 Biology of Bone Mets in PC

5 Tumor Cells Compete With Stem Cells in PC

6 "Vicious Cycle" of PC Bone Mets

7 Bone Mets in PC: Predisposing Factors

8 Consequences of Bony Metastatic Disease

9 FDA-Approved Bone-Targeted Treatments

10 "The Land of No Indication"

11 Approved Uses of Bone-Targeted Therapies

12 Dosing Zoledronic Acid and Denosumab in PC

13 Do Zoledronic Acid and Denosumab Add Value in the Modern Treatment Era?

14 Docetaxel  ZA: SRE-Free Interval

15 Enzalutamide Post-Docetaxel: Time to SRE

16 Enzalutamide Increases Fracture Rates

17 Abiraterone  Prednisone Postdocetaxel: Fractures (COU-AA-301)

18 Advanced PC: Heterogeneous Group of Diseases

19 Preferential Uptake of Radium-223 in Osteoblastic Lesions

20 ALSYMPCA Trial of Radium-223: Survival

21 ALSYMPCA Trial of Radium-223: Time to SSEs

22 ALSYMPCA Trial: Effects of Radium-223 on SSEs, Stratified by Bisphosphonate Use

23 Lessons From ALSYMPCA

24 Can Radium Add Value to Abiraterone or Enzalutamide in Bone-Metastatic CRPC?

25 If Concomitant Hormonal Therapy Is Used, When Should Radium-223 Be Added?

26 Potential to Target PSMA

27 PSA Decline With PSMA-Targeted Therapy

28 Case Report: PSMA-Targeted Alpha Emitter (Actinium-225)

29 The Future of Targeted Radiation in PC

30 Summary

31 Abbreviations


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