Evidence map›Paper›PMID 28488028›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2017

Overall survival and response pattern of castration-resistant metastatic prostate cancer to multiple cycles of radioligand therapy using [

Hojjat Ahmadzadehfar, Simone Wegen, Anna Yordanova, Rolf Fimmers, Stefan Kürpig, Elisabeth Eppard, Xiao Wei, Carl Schlenkhoff, Stefan Hauser, Markus Essler

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Article in European journal of nuclear medicine and molecular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 6 pooled it
–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

80 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Joint EANM/SNMMI procedure guideline for the use ofEuropean journal of nuclear medicine and molecular imaging · 2023
    Guideline
  3. The Prostate · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Third-line treatment andEuropean journal of nuclear medicine and molecular imaging · 2018
    Pooled it
  7. Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Trial
  8. Overall Survival with [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  9. Prompt PSA changes as a prognostic marker for response to PSMA-radioligand therapy.European journal of nuclear medicine and molecular imaging · 2026
    Article
  10. Refining the clinical utility of [European journal of nuclear medicine and molecular imaging · 2026
    Article
  11. Variable cellular and radiobiological effects of [Journal of experimental & clinical cancer research : CR · 2026
    Article
  12. Review
  13. A Case Report on the Dramatic Response ofCurrent medical imaging · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Inspired by novel radiopharmaceuticals: Rush hour of nuclear medicine.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2023
    Article
  18. Review
  19. Biodistribution and dosimetry for combined [European journal of nuclear medicine and molecular imaging · 2023
    Article
  20. Article

20 more citing papers are in PubMed but not listed here.

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

10 authors.

Hojjat AhmadzadehfarDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany. Hojjat.ahmadzadehfar@ukbonn.de.
Simone WegenDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany.
Anna YordanovaDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany.
Rolf FimmersInstitute for Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn, Germany.
Stefan KürpigDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany.
Elisabeth EppardDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany.
Xiao WeiDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany.
Carl SchlenkhoffDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany.
Stefan HauserDepartment of Urology, University Hospital Bonn, Bonn, Germany.
Markus EsslerDepartment of Nuclear Medicine, University Hospital Bonn, 53127, Bonn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUp to 30% of patients with castration-resistant prostate cancer (CRPC) do not show any response to the first cycle of radioligand therapy (RLT) with [

methodsCRPC patients were treated with Lu-PSMA, with a median interval of 8 weeks between each cycle. The tumour marker prostate-specific antigen (PSA) was used as the marker for response evaluation.

resultsFifty-two patients underwent a total of 190 cycles of RLT (3-6 cycles per patient). Of these, 80.8% showed a decline in PSA 2 months after the first cycle, with 44.2% showing a PSA decline of ≥50%. When compared to baseline PSA, 73.1% showed a PSA decline after the third cycle. 50% of patients that did not show any response to the first cycle also did not respond to the second and third cycles. The median OS was 60 weeks in all patients. The median OS was significantly longer for patients that showed any PSA decline after the first cycle compared to patients without PSA decline (68 vs. 33 weeks). There was a significant difference in median OS between responders and non-responders for a change in PSA after the third cycle compared to baseline PSA.

conclusionPatients with a positive response to RLT, regardless of the rate of decline, had a significantly longer median OS. Of the patients that did not show any response to the first cycle, 50% responded to the second or third cycles.

Indexed as

AgedAged, 80 and overBiomarkers, TumorDipeptidesHeterocyclic Compounds, 1-RingHumansLigandsLutetiumMaleMiddle AgedProstate-Specific AntigenProstatic Neoplasms, Castration-ResistantRadioisotopesRetrospective StudiesSurvival AnalysisTreatment OutcomeBiomarkers, TumorDipeptidesHeterocyclic Compounds, 1-RingLigandsLutetiumLutetium-177Prostate-Specific AntigenPSMA-617Radioisotopes177LuOverall survivalProstate cancerProstate-specific membrane antigenResponse

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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.