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About PSMA+ Metastatic Prostate Cancer
 

If you have metastatic prostate cancer (mPC), it means the cancer has spread beyond your prostate to other parts of the body, like bones or lymph nodes.1 This usually means that surgery is not an option and that you will be treated with medications that go throughout your body.2

There are different types of mPC:

  • Are you newly diagnosed with mPC or did you have prostate cancer that came back as metastatic while still responding to hormone therapy? Then you have metastatic androgen pathway modulation-naïve or -sensitive prostate cancer (mAPMN/S PC), also known as metastatic hormone-sensitive prostate cancer (mHSPC)2-4

  • Has your mPC stopped responding to hormone therapy that lowers testosterone? Then you have metastatic androgen pathway modulation-resistant prostate cancer (mAPMR PC), also known as metastatic castration-resistant prostate cancer (mCRPC)2,5

In addition, more than 80% of men with prostate cancer have PSMA-positive (PSMA+) status, and you could too.6-8

For full definitions of terms used on this page, visit the Glossary.

PSMA, prostate-specific membrane antigen.

Want to get informed while navigating treatment decisions with your doctor? 

By signing up, you'll receive emails over the next 3 weeks to help you learn more about mPC and PLUVICTO, whether you are a patient or care partner. You may also choose to receive additional printed materials by mail.

References: 1. Mayo Clinic. Metastatic (stage 4) prostate cancer: symptoms and causes. Updated July 18, 2025. Accessed May 15, 2026. https://www.mayoclinic.org/diseases-conditions/metastatic-prostate-cancer/symptoms-causes/syc-20377966 2. Bernal A, Bechler AJ, Mohan K, et al. The current therapeutic landscape for metastatic prostate cancer. Pharmaceuticals (Basel). 2024;17(3):351. doi:10.3390/ph17030351 3. Armstrong AJ, Morris MJ, Abida W, et al. Trial design and objectives for patients with prostate cancer: recommendations from the Prostate Cancer Working Group. J Clin Oncol. 2026;44(13):1249-1265. doi:10.1200/JCO-25-02834 4. Devasia TP, Mariotto AB, Nyame YA, Etzioni R. Estimating the number of men living with metastatic prostate cancer in the United States. Cancer Epidemiol Biomarkers Prev. 2023;32(5):659-665. doi:10.1158/1055-9965.EPI-22-1038 5. Mayo Clinic. Metastatic castration-resistant prostate cancer (mCRPC). Updated December 24, 2025. Accessed May 15, 2026. https://www.mayoclinic.org/diseases-conditions/metastatic-castration-resistant-prostate-cancer/symptoms-causes/syc-20593191 6. Pomykala KL, Czernin J, Grogan TR, et al. Total-body 68Ga-PSMA-11 PET/CT for bone metastasis detection in prostate cancer patients: potential impact on bone scan guidelines. J Nucl Med. 2020;61(3):405-411. doi:10.2967/jnumed.119.230318 7. Queisser A, Hagedorn SA, Braun M, et al. Comparison of different prostatic markers in lymph node and distant metastases of prostate cancer. Mod Pathol. 2015;28(1):138-45. doi:10.1038/modpathol.2014.77 8. Calderoni L, Maietti E, Farolfi A, et al. Prostate-specific membrane antigen expression on PET/CT in patients with metastatic castration-resistant prostate cancer: a retrospective observational study. J Nucl Med. 2023;64(6):910-917. doi:10.2967/jnumed.122.264964 9. Mayo Clinic. Metastatic (stage 4) prostate cancer: diagnosis and treatment. Updated July 18, 2025. Accessed May 15, 2026. https://www.mayoclinic.org/diseases-conditions/metastatic-prostate-cancer/diagnosis-treatment/drc-20377972 10. Verry C, Vincendeau S, Massetti M, et al. Pattern of clinical progression until metastatic castration-resistant prostate cancer: an epidemiological study from the European Prostate Cancer Registry. Target Oncol. 2022;17(4):441-451. doi:10.1007/s11523-022-00899-6 11. Desai K, McManus JM, Sharifi N. Hormonal therapy for prostate cancer. Endocr Rev. 2021;42(3):354-373. doi:10.1210/endrev/bnab002 12. Dorff TB, Fanti S, Farolfi A, et al. The evolving role of prostate-specific membrane antigen–based diagnostics and therapeutics in prostate cancer. Am Soc Clin Oncol Educ Book. 2019;39:321-330. doi:10.1200/EDBK_239187 13. Swiha M, Ayati N, Oprea-Lager DE, et al. How to report PSMA PET. Semin Nucl Med. 2024;54(1):14-29. doi:10.1053/j.semnuclmed.2023.07.007 14. American Cancer Society. Prostate cancer early detection, diagnosis, and staging. Accessed May 15, 2026. https://www.cancer.org/cancer/types/prostate-cancer/detection-diagnosis-staging.html 15. Cleveland Clinic. PSMA PET scan. Updated January 29, 2025. Accessed May 15, 2026. https://my.clevelandclinic.org/health/diagnostics/psma-pet-scan 16. Pluvicto. Prescribing information. Novartis Pharmaceuticals Corp. 17. Cleveland Clinic. Prostate. Updated November 24, 2025. Accessed May 15, 2026. https://my.clevelandclinic.org/health/body/23965-prostate 18. NCI Dictionary of Cancer Terms. Stage IV prostate cancer. Accessed May 15, 2026. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/stage-iv-prostate-cancer 19. NCI Dictionary of Cancer Terms. Prostate-specific antigen. Accessed May 15, 2026. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/prostate-specific-antigen 20. Mayo Clinic. Prostate cancer: does PSA level affect prognosis? Updated August 6, 2025. Accessed May 15, 2026. https://www.mayoclinic.org/diseases-conditions/prostate-cancer/expert-answers/prostate-cancer/faq-20058470 21. American Cancer Society. Prostate cancer risk factors. Updated November 22, 2023. Accessed May 15, 2026. https://www.cancer.org/cancer/types/prostate-cancer/causes-risks-prevention/risk-factors.html