Evidence map›Paper›PMID 40605199›Full record

ArticleRadiation research2025

Targeting CXCR4 with 212Pb/203Pb-Pentixather Significantly Increases Overall Survival in Small Cell Lung Cancer.

Keegan A Christensen, Melissa A Fath, Jordan T Ewald, Claudia Robles-Planells, Stephen A Graves, Spenser S Johnson, Zeb R Zacharias, Jon C D Houtman, M Sue O'Dorisio, Michael K Schultz and 5 more

Abstract read
In one paragraph

Article in Radiation research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Is CXCR4 Theranostics in Oncologic, Cardiovascular, and Inflammatory Diseases Really Happening?Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  3. Review
  4. EJNMMI radiopharmacy and chemistry · 2025
    Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Keegan A ChristensenFree Radical and Radiation Biology Program, Department of Radiation Oncology, and Departments of.
Melissa A FathFree Radical and Radiation Biology Program, Department of Radiation Oncology, and Departments of.
Jordan T EwaldFree Radical and Radiation Biology Program, Department of Radiation Oncology, and Departments of.
Claudia Robles-PlanellsPediatrics.
Stephen A GravesRadiology.
Spenser S JohnsonFree Radical and Radiation Biology Program, Department of Radiation Oncology, and Departments of.
Zeb R ZachariasHuman Immunology Core, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, Iowa.
Jon C D HoutmanMicrobiology and Immunology.
M Sue O'DorisioPediatrics.
Michael K SchultzFree Radical and Radiation Biology Program, Department of Radiation Oncology, and Departments of.
Bryan G AllenFree Radical and Radiation Biology Program, Department of Radiation Oncology, and Departments of.
Muhammad FurqanInternal Medicine.
Yusuf MendaRadiology.
Dijie LiuPediatrics.
Douglas R SpitzFree Radical and Radiation Biology Program, Department of Radiation Oncology, and Departments of.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Project 4: New Approaches to Improving the Effectiveness of Radionuclide Targeted Treatments in Neuroendocrine TumorsP50CA174521 · NCI · UNIVERSITY OF IOWA · PI ODORISIO, THOMAS · 2015 to 2021
$13.2M
Project 3: MRI Imaging of Redox Active Fe Predicts GBM Responses to Pharmacological AscorbateP01CA217797 · NCI · UNIVERSITY OF IOWA · PI BUETTNER, GARRY R · 2018 to 2022
$9.6M
Alpha-Particle Emitter Peptide Receptor Targeted Radionuclide Therapy for Neuroendocrine TumorsR01CA243014 · NCI · UNIVERSITY OF IOWA · PI MENDA, YUSUF · 2019 to 2024
$2.5M
Repurposing redox active agents for exploiting differences in cancer cell metabolism for improving cancer therapyR50CA243693 · NCI · UNIVERSITY OF IOWA · PI FATH, MELISSA ANN · 2019 to 2023
$776k
Redox manipulation of iron to improve glioblastoma therapy: A phase 1 trialR21CA270742 · NCI · UNIVERSITY OF IOWA · PI ALLEN, BRYAN, BUATTI, JOHN M · 2023 to 2024
$391k
NCI NIH HHS P01 CA217797NCI NIH HHS P30 CA086862NCI NIH HHS P50 CA174521NCI NIH HHS R01 CA243014NCI NIH HHS R21 CA270742NCI NIH HHS R50 CA243693NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

Small cell lung cancer (SCLC) has a 6% 5-year overall survival rate. C-X-C chemokine receptor 4 (CXCR4) is an attractive target for theranostic agents, is highly expressed in SCLCs, and can be targeted with pentixather using the theranostic pair 212Pb/203Pb. The hypothesis that 212Pb/203Pb-pentixather can be used safely and effectively for imaging and therapy in SCLC in xenograft models was tested. SPECT-CT imaging and biodistribution studies of tumor-bearing mice injected with 203Pb-pentixather demonstrated CXCR4 expression-dependent uptake and accumulation of radioligand in the kidneys and livers. Dosimetry calculations were performed to estimate 212Pb-pentixather uptake in tumor and normal tissue. 212Pb-Pentixather treatment (37-111 kBq/g) of SCLC xenografts (DMS273 and H69AR) significantly prolonged survival and delayed tumor growth. CBCs of mice at 30 days after treatment demonstrated adequate retention of bone marrow function. NSG mice allografted with human hCD34+ bone marrow were treated with 212Pb-pentixather (37-111 kBq/g) to assess damage to human hematopoietic stem cells, demonstrating cytopenias in peripheral blood CBCs at 13-18 days after treatment, resolving by days 28-31. Flow cytometry of bone marrow in these animals at days 28-31 demonstrated a significantly reduced frequency of the human hematopoietic marker CD45 and reconstitution of the bone marrow with murine CD45+ lineages. 203Pb-Pentixather can be used to image CXCR4-expressing SCLC xenografts. Treatment with high-LET alpha emitter 212Pb-pentixather significantly prolonged overall survival, and recovery of mouse bone marrow from 212Pb-pentixather was significantly greater than that of human bone marrow.

Indexed as

Lead RadioisotopesLung NeoplasmsReceptors, CXCR4Small Cell Lung CarcinomaAnimalsCell Line, TumorFemaleHumansMiceTissue DistributionXenograft Model Antitumor AssaysCXCR4 protein, humanLead-212Lead RadioisotopesReceptors, CXCR4

Identifiers

PMID40605199
PMCPMC12629504

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.