• Combining Lutetium-PSMA with hormonal therapies like enzalutamide demonstrates improved PSA progression-free survival in metastatic castration-resistant prostate cancer (mCRPC).
• The ENZA-p trial showed a high PSA response rate (80%) with the combination of enzalutamide and lutetium-PSMA-617, suggesting enhanced efficacy in first-line mCRPC treatment.
• Research is exploring various combinations, including PARP inhibitors, taxanes, and immunotherapy, to overcome resistance and improve outcomes in prostate cancer theranostics.
• Adaptive dosing strategies and sequencing of therapies are being investigated to optimize treatment based on disease stage, patient needs, and the evolving understanding of tumor biology.