Significance Neuroendocrine prostate cancer (NEPC) is a highly aggressive variant of prostate cancer with few meaningful treatment options. As a result, patients have a poor prognosis once diagnosis is confirmed.… Click to show full abstract
Significance Neuroendocrine prostate cancer (NEPC) is a highly aggressive variant of prostate cancer with few meaningful treatment options. As a result, patients have a poor prognosis once diagnosis is confirmed. NEPC expresses a unique protein called delta-like ligand 3 (DLL3) on the cell surface that is absent on the cell surface of normal cells. Herein, we developed a molecularly targeted radiotherapeutic approach for NEPC treatment using anti-DLL3 antibody SC16 that is radiolabeled with the beta-emitting radioisotope lutetium-177 (177Lu). 177Lu-labeled SC16 demonstrated durable and complete responses in subcutaneous xenograft mouse models of NEPC, with a safe hematologic profile. These data will aid clinical translation and offer a unique avenue for treating NEPC.
               
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