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NCCN Flash Updates: NCCN Guidelines Updated for Prostate Cancer

NCCN has published updates to the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™), and the Drugs and Biologics Compendium (NCCN Compendium®) for Prostate Cancer. These NCCN Guidelines® are currently available as Version 4.2022.

Link directly to the Updates section of the NCCN Guidelines: Prostate Cancer

Updates in Version 4.2022 of the NCCN Guidelines for Prostate Cancer from Version 3.2022 include:

PROS-15

  • Systemic Therapy for M1 CRPC: Adenocarcinoma
    • Prior docetaxel and prior novel hormone therapy
      • Added: Useful in certain circumstances
        • Regimen added: Lutetium Lu 177 vipivotide tetraxetan (Lu-177–PSMA-617) for PSMA-positive metastases (category 1)

PROS-15A

  • Footnote sss added: Lu-177–PSMA-617 is a treatment option for patients with ≥1 PSMA-positive lesion and/or metastatic disease that is predominately PSMA-positive and with no dominant PSMA-negative metastatic lesions who have been treated previously with androgen receptor-directed therapy and a taxane-based chemotherapy. The Panel believes that both Ga-68 PSMA-11 or F-18 piflufolastat PSMA imaging can be used to determine eligibility. Sartor et al. N Engl J Med. 2021; 385:1091-1103. See Principles of Radiation Therapy (PROS-F)

PROS-D 3 of 3

  • 3rd bullet added: Synthesis of Ga-68 PSMA-11 requires that the PSMA-11 ligand is labeled with Ga-68 from a generator or cyclotron. Two commercial kits to perform this in nuclear pharmacies have been approved by the FDA.

PROS-F 5 of 6

  • New section added: Lu-177-PSMA-617

MS-1

  • The Discussion section has been updated to reflect changes in the algorithm.

 

For the complete updated versions of the NCCN Guidelines, NCCN Guidelines with NCCN Evidence Blocks™, the NCCN Drugs & Biologics Compendium (NCCN Compendium®), the NCCN Biomarkers Compendium®, the NCCN Chemotherapy Order Templates (NCCN Templates®), the NCCN Radiation Therapy Compendium™, and the NCCN Imaging Appropriate Use Criteria (NCCN Imaging AUC™), please visit NCCN.org.

To view the NCCN Guidelines for Patients®, please visit NCCN.org/patientguidelines.

Free NCCN Guidelines apps for iPhone, iPad, and Android devices are now available! Visit NCCN.org/apps.

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