Novel Radioligand Therapy Shows Complete Response in Muscle-Invasive Bladder Cancer Patient
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First-in-human data demonstrates complete response in a late-stage muscle-invasive bladder cancer patient using Lu177-PentixaTher, a CXCR4-targeted radioligand therapy administered intravesically.
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The innovative treatment approach combines neoadjuvant chemotherapy with targeted radiopharmaceutical therapy, showing potential for bladder preservation in MIBC patients.
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Pentixapharm's expanding clinical program includes over 100 patients treated with PentixaTher, with an ongoing Phase I/II trial in leukemia patients.
In a groundbreaking development for bladder cancer treatment, researchers will present the first-in-human data for a novel radioligand therapy at the American Society of Clinical Oncology's Genitourinary Cancers Symposium (ASCO-GU 2025) in San Francisco. The case study showcases a complete response in a late-stage muscle-invasive bladder cancer (MIBC) patient treated with Pentixapharm's Lu177-PentixaTher compound.
The innovative treatment protocol combined three cycles of neoadjuvant combination chemotherapy with intravesical administration of the CXCR4-targeting radiopharmaceutical. Prior to treatment, Ga68-PentixaFor PET/CT imaging confirmed intravesical CXCR4 expression, providing a rational basis for the targeted therapy approach.
Following Lu177-PentixaTher instillation, pathological examination post-transurethral resection revealed a complete response, suggesting significant potential for bladder preservation in MIBC patients. The intravesical administration route represents a particular advantage, enabling localized treatment delivery with enhanced precision while minimizing systemic exposure and potential adverse effects.
The successful case study adds to mounting evidence supporting CXCR4 as a viable therapeutic target across multiple oncology indications. To date, Pentixapharm has accumulated clinical experience with PentixaTher in over 100 patients, laying a strong foundation for their sponsored clinical development program.
Building on these promising results, Pentixapharm has expanded its clinical program. In November 2024, the company initiated a Phase I/II trial in Nantes, France, investigating PentixaTher in patients with acute myeloid and lymphoblastic leukemia (AML/ALL).
Dr. Ralph Wirtz will present the detailed findings at ASCO-GU 2025's Poster Session B on February 14, providing the medical community with comprehensive data on this novel therapeutic approach.

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First-In-Human Data about the Treatment of Muscle-…
pharmiweb.com · Feb 13, 2025