Overview
The overall objective of our laboratory is the development of novel radioactive compounds for improving the diagnosis and treatment of cancer. This work primarily involves radiohalo-genation of biomolecules via site-specific approaches, generally via demetallation reactions. Radionuclides utilized for imaging include I-123, I-124 and F-18, the later two being of particular interest because they can be used for the quantification of biochemical and physiological processes in the living human through positron emission tomography. For therapy, astatine-211 decays by the emission of alpha-particles, a type of radiation considerably more cytotoxic that the beta-particles used in conventional endoradiotherapy. The range of At-211 alpha particles is only a few cell diameters, offering the possibility of extremely focal irradiation of malignant cells while leaving neighboring cells intact. Highlights of recent work include: a)
development of reagents for protein and peptide radioiodination that decrease deiodination in vivo by up to 100-fold, b) demonstration that At-211 labeled monoclonal antibodies are effective in the treatment of a rat model of neoplastic meningitis, c) synthesis of a thymidine analogue labeled with At-211 and the demonstration that this molecule is taken up in cellular DNA with highly cytotoxicity even at levels of only one atom bound per cell and d) development of
radiohalobenzylguanidines which are specifically cytotoxic for human neuroblastoma cells.
development of reagents for protein and peptide radioiodination that decrease deiodination in vivo by up to 100-fold, b) demonstration that At-211 labeled monoclonal antibodies are effective in the treatment of a rat model of neoplastic meningitis, c) synthesis of a thymidine analogue labeled with At-211 and the demonstration that this molecule is taken up in cellular DNA with highly cytotoxicity even at levels of only one atom bound per cell and d) development of
radiohalobenzylguanidines which are specifically cytotoxic for human neuroblastoma cells.
Current Duke Appointments & Affiliations
Jonathan Spicehandler, M.D. Distinguished Professor of Neuro Oncology, in the School of Medicine
·
2008 - Present
Radiology,
Clinical Science Departments
Professor of Radiology
·
2018 - Present
Radiology,
Clinical Science Departments
Professor of Radiation Oncology
·
2009 - Present
Radiation Oncology,
Clinical Science Departments
Professor in Pathology
·
2017 - Present
Pathology,
Clinical Science Departments
Professor of Biomedical Engineering
·
2024 - Present
Biomedical Engineering,
Pratt School of Engineering
Member of the Duke Cancer Institute
·
1985 - Present
Duke Cancer Institute,
Institutes and Centers
Recent Scholarly Works
Synthesis and Preliminary Evaluation of the 211At-Labeled PARP Inhibitor [211At]Talazoparib as a Targeted Alpha-Particle Emitting Therapeutic.
Journal article Mol Pharm · July 6, 2026 Poly(ADP-ribose) polymerase-1 (PARP1) has become a crucial target in cancer therapy. In recent years, derivatives of olaparib and rucaparib have been radiolabeled for noninvasive imaging of PARP1 expression and targeted radionuclide therapy of PARP-express ... Full text Link to item CiteFirst-in-human evaluation of [211At]YF2 in patients with metastatic castration-resistant prostate cancer.
Journal article Eur J Nucl Med Mol Imaging · June 2026 PURPOSE: The prostate-specific membrane antigen (PSMA) inhibitor [211At]YF2 was investigated in a Phase 0 microdose study in patients with metastatic castration resistant prostate cancer (mCRPC). The x-rays from 211At decay were used to assess biodistribut ... Full text Link to item CiteEffective treatment of human prostate carcinoma xenografts with Single-Dose PSMA-targeted [211At]YF2.
Journal article Eur J Nucl Med Mol Imaging · March 2026 PURPOSE: [211At]YF2 exhibits high cytotoxicity in vitro and prolonged retention in prostate-specific membrane antigen (PSMA) expressing xenografts. Herein we evaluated its therapeutic efficacy in athymic mice with PSMA + PC3 xenografts. METHODS: The antitu ... Full text Link to item CiteRecent Grants
Bio-Inspired Nano Tools for Targeted Radiotherapy: Molecular Design and Application
ResearchPrincipal Investigator · Awarded by Ben-Gurion University of the Negev · 2026 - 2028Targeting neuroendocrine cells in prostate cancer with small molecule and targeted radionuclide therapies
ResearchCo Investigator · Awarded by Prostate Cancer Foundation · 2023 - 2026Small Molecule PSMA-Targeted Alpha Therapy
ResearchPrincipal Investigator · Awarded by University of Texas Southwestern Medical Center · 2024 - 2026View All Grants
Education
Washington University in St. Louis ·
1974
Ph.D.
Washington University in St. Louis ·
1972
M.A.