Radionuclide therapy for bone metastases by drugs based on Re-188
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Keywords

radionuclide therapy
Re-188-HEDP
Re-188-zoledronic acid
clinical dosimetry
bone metastases
prostate cancer
breast cancer

How to Cite

, , & . (2016). Radionuclide therapy for bone metastases by drugs based on Re-188. Voprosy Onkologii, 62(4), 401–409. https://doi.org/10.37469/0507-3758-2016-62-4-401-409

Abstract

The systemic radionuclide therapy with bone affinity substances is an effective therapy in bone palliative treatment. Studies with radiolabeled Bisphosphonate or strontium-89 show reduction of pain in 70-80% and about 20% of treated patients are pain-free. The generator product rhenium-188 represents an interesting radionuclide for bone pain palliation. It is readily available and with appropriate patient numbers is very cost-effective. Radiopharmaceuticals with Re-188 show a comparable effectiveness in bone pain palliation and bone marrow toxicity as the other known radioactive Bisphosphonate. Repeat courses of treatment with rhenium-188 HEDP even a slightly increased survival could be observed. Using therapy with alpha emitters Radium-223 in prostate cancer patients with bone metastases there was observed a prolongation of survival by 3,6 months compared with placebo. Two drugs are created in Russia on the basis of Re-188. Phosphoren is an analog of Re-188-HEDP. It showed properties similar to them in clinical studies. Complex Re-188-zoledronic acid (Zoleren) is a unique development that combines the therapeutic effect of zoledronic acid and Re-188.
https://doi.org/10.37469/0507-3758-2016-62-4-401-409
##article.numberofdownloads## 258
##article.numberofviews## 336
PDF (Русский)

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