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Open Access 27-04-2024 | Review Article

Can current preclinical strategies for radiopharmaceutical development meet the needs of targeted alpha therapy?

Authors: Janke Kleynhans, Thomas Ebenhan, Frederik Cleeren, Mike Machaba Sathekge

Published in: European Journal of Nuclear Medicine and Molecular Imaging

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Abstract

Preclinical studies are essential for effectively evaluating TAT radiopharmaceuticals. Given the current suboptimal supply chain of these radionuclides, animal studies must be refined to produce the most translatable TAT agents with the greatest clinical potential. Vector design is pivotal, emphasizing harmonious physical and biological characteristics among the vector, target, and radionuclide. The scarcity of alpha-emitting radionuclides remains a significant consideration. Actinium-225 and lead-212 appear as the most readily available radionuclides at this stage. Available animal models for researchers encompass xenografts, allografts, and PDX (patient-derived xenograft) models. Emerging strategies for imaging alpha-emitters are also briefly explored. Ultimately, preclinical research must address two critical aspects: (1) offering valuable insights into balancing safety and efficacy, and (2) providing guidance on the optimal dosing of the TAT agent.
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Metadata
Title
Can current preclinical strategies for radiopharmaceutical development meet the needs of targeted alpha therapy?
Authors
Janke Kleynhans
Thomas Ebenhan
Frederik Cleeren
Mike Machaba Sathekge
Publication date
27-04-2024
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nuclear Medicine and Molecular Imaging
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-024-06719-5