4.3 Review

NECTIN-4 targeted theranostics for urothelial cancer: getting ready for primetime?

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First-in-Human Study of the Radioligand 68Ga-N188 Targeting Nectin-4 for PET/CT Imaging of Advanced Urothelial Carcinoma

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Summary: This study developed a bicyclic peptide-based radiotracer Ga-68-N188 for targeting Nectin-4 and conducted preclinical and translational studies. The results demonstrated that Ga-68-N188 has high affinity and specific uptake for Nectin-4, and can quantitatively image the expression level of Nectin-4 in different organs. The findings of this study provide a companion diagnostic tool for treatments targeting Nectin-4.

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Nectin cell adhesion molecule-4 (NECTIN-4): A potential target for cancer therapy

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Summary: Nectin-4, an immunoglobulin-like protein mainly involved in cell-cell adhesion, is found to be overexpressed in various malignant tumors. Its overexpression is associated with aspects of tumor progression such as proliferation, metastasis, and poor prognosis.

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Summary: Current studies on the treatment patterns of locally advanced or metastatic urothelial carcinoma mainly come from the U.S., Japan, and the U.K., showing significant variations in the use of IO agents at different lines of therapy. A proportion of patients do not receive subsequent therapy after discontinuation of IO treatment.

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Martin W. Brechbiel

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Bladder Cancer Incidence and Mortality: A Global Overview and Recent Trends

Sebastien Antoni et al.

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