Cancer treatment has progressed dramatically over the years, yet many patients still face a difficult turning point when the disease spreads or stops responding to standard therapies. A new wave of innovation in radiopharmaceuticals is starting to unlock new possibilities within this landscape. These medicines take the power of radiation and guide it directly to cancer cells with a level of accuracy that traditional radiation therapy cannot match. For many patients, this means a treatment that is more focused on the tumor and gentler on the body.
What Are Radiopharmaceuticals?
Radiopharmaceuticals work by pairing a radioactive particle with a molecule that recognizes specific markers on cancer cells. Once the drug is administered, it travels through the bloodstream, finds those markers, and delivers radiation right where it is needed most. This internal approach spares the surrounding healthy tissue and is especially useful for cancers that have spread to distant parts of the body[1].
A radiopharmaceutical contains two main components:
• A radioactive isotope that provides the energy needed to destroy cancer cells.
• A targeting molecule that attaches to cancer-specific proteins or receptors.
Together, they act like a guided treatment. The targeting molecule homes in on the tumor, and the radioactive component emits radiation that disrupts the cancer cells’ DNA, leading to tumor shrinkage over time[1].
Understanding Alpha and Beta Emitters
Radiopharmaceuticals are grouped based on the type of radiation they release. Each works differently and is chosen based on the cancer’s size, location, and behavior.
Alpha Emitters
Alpha particles are tiny yet heavy particles made of the same building blocks as the center of a helium atom, which carry a high level of energy but travel only a very short distance, often through only a small stack of cells. This makes their effect extremely powerful and highly localized, but it also means alpha emitters can only kill the cells they are delivered to. Alpha emitters like Actinium 225 and Radium 223 are especially useful for:
• Tiny clusters of cancer cells;
• Micrometastatic disease;
• Tumors that have become resistant to other treatments;
Their short travel distance helps protect nearby healthy tissues.
Beta Emitters
Beta particles are essentially weightless, fast-moving electrons that travel farther in tissues and disperse their energy over a wider area, resulting in a gentler, less concentrated effect on each individual cell. This makes beta emitters like Lutetium 177 and Yttrium 90 suitable for:
• Larger tumor deposits;
• Widespread disease in bones or lymph nodes;
• Cancers that require broader area coverage;
Although they may affect some nearby tissue, they are still significantly more precise than external radiation.
Where Radiopharmaceuticals Are Used Today
These therapies are already improving outcomes in several cancers:
Prostate cancer
Lutetium 177 PSMA and Radium 223 help men with advanced or metastatic prostate cancer by reducing pain, improving mobility, and slowing disease progression.
Thyroid cancer
Iodine 131 remains a trusted and effective treatment for differentiated thyroid cancers.
Neuroendocrine tumors
Lutetium 177 dotatate (Lutathera) has become a major advancement for patients with advanced neuroendocrine tumors, helping control disease for longer periods.
Lymphomas and blood cancers
Radio-immunotherapy using Iodine 131 or Yttrium 90 targets cancerous B cells with remarkable precision.
These treatments are often used when other therapies are no longer effective, giving patients new options when they are most needed[3].
How Doctors Select Patients
Not every tumor will respond to a radiopharmaceutical. The cancer must express the molecular target that the drug is designed to bind to. Oncologists use special imaging scans to confirm this. These scans show exactly where the radiopharmaceutical binds, helping predict how well the therapy will work.
Other factors that guide eligibility include:
• Stage and extent of the disease;
• Bone marrow and kidney health;
• Previous treatments;
• Rate of disease progression.
This careful assessment ensures that patients receive the treatment that best fits their individual cancer biology[1].
Why These Treatments Matter
Radiopharmaceuticals offer many meaningful advantages:
• They focus on cancer cells while limiting harm to healthy tissues.
• They involve fewer severe side effects than many traditional treatments.
• They can improve mobility and quality of life in advanced disease
For patients, this often translates to more time, more comfort, and more control during their treatment journey.
The next generation of radiopharmaceuticals could extend this approach to many more cancers and offer treatment options where none exist today.
At Helix BioPharma, we are exploring how these advances can be applied to some of the most difficult solid tumors. Our discovery-stage radiopharmaceutical program for pancreatic cancer uses a targeted approach that pairs a radioisotope with targeting molecules designed to guide it directly to CEACAM6-expressing cancer cells. This work builds on our long-standing expertise in CEACAM6 biology and represents an example of how we continue to innovate from strength, by combining the long-established power of nuclear medicine with advanced targeting moieties to deliver radiation precisely to hard-to-treat tumors. It’s a natural evolution of our science and a step toward more precise, adaptable therapies for malignancies that have seen little therapeutic progress for years.
References:
1. Khalaji A, Rostampour M, Riahi F, Rafieezadeh D, Dormiani Tabatabaei SA, Fesharaki S, Tooyserkani SH. The use of radiopharmaceuticals in targeted cancer therapy: a narrative review. Int J Physiol Pathophysiol Pharmacol. 2025 Apr 25;17(2):37-44. doi: 10.62347/LQYR3145. PMID: 40401116; PMCID: PMC12089840.
2. Ferreira CA, Potluri HK, Mahmoudian M, Massey CF, Grudzinski JJ, Carston AM, Clemons NB, Idrissou MB, Thickens AS, Rosenkrans ZT, Choi C, Kerr CP, Pinchuk AN, Kwon O, Jeffery JJ, Bednarz BP, Morris ZS, Weichert JP, McNeel DG, Hernandez R. Immunomodulatory effects of alpha vs beta radiopharmaceutical therapy in murine prostate cancer. Front Immunol. 2025 May 22;16:1563387. doi: 10.3389/fimmu.2025.1563387. PMID: 40475779; PMCID: PMC12137342.
3. https://www.mayoclinic.org/tests-procedures/radiopharmaceutic/about/pac-20587480