Evidence map›Paper›PMID 35833949›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2022

Safety and Efficacy of 90Y-FAPI-46 Radioligand Therapy in Patients with Advanced Sarcoma and Other Cancer Entities.

Wolfgang P Fendler, Kim M Pabst, Lukas Kessler, Pedro Fragoso Costa, Justin Ferdinandus, Manuel Weber, Maria Lippert, Katharina Lueckerath, Lale Umutlu, Karina Kostbade and 8 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07500285 (A Novel Therapeutic Target in Non-Small Cell Lung Cancer), which is not on this map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
12.7field-weighted citation impact, top 1% of its field
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.

NCT07500285 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Novel Therapeutic Target in Non-Small Cell Lung Cancer: Evaluation of the Efficacy of Yttrium-90 (Y-90) Fibroblast Activation Protein Inhibitor (FAPI) - A Phase II Study

TypeinterventionalSponsorProf. Dr. Cemil Tascıoglu Education and Research Hospital OrganizationRan2026 to 2027Enrolled10ConditionsNon-Small Cell Lung Cancer, Metastatic Lung CarcinomaArmsYttrium-90-Labeled Fibroblast Activation Protein Inhibitor (Y-90 FAPI)
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. 177Lu-LNC1004 Radioligand Therapy in Patients with End-stage Metastatic Cancers: A Single-Center, Single-Arm, Phase II Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  3. Head-to-head comparison ofAnnals of nuclear medicine · 2025
    Trial
  4. Review
  5. Article
  6. Diagnostic value of [Scientific reports · 2026
    Observational
  7. Article
  8. Article
  9. FAP-targeted [European journal of nuclear medicine and molecular imaging · 2026
    Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. [Positron emission tomography in sarcomas].Radiologie (Heidelberg, Germany) · 2026
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Review

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

18 authors at 4 institutions in 2 countries.

Wolfgang P FendlerDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-5106-3584
Kim M PabstDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-9234-0795
Lukas KesslerDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0003-1751-8837
Pedro Fragoso CostaDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-8926-4541
Justin FerdinandusDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-3481-7997
Manuel WeberDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-8649-5977
Maria LippertDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0001-9984-3523
Katharina LueckerathDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0001-6109-2066
Lale UmutluInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University of Duisburg-Essen and German Cancer Consortium (DKTK)-University Hospital Essen, Essen, Germany.ORCID 0000-0001-5215-7171
Karina KostbadeGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, and German Cancer Research Center (DKFZ), Essen, Germany.ORCID 0000-0002-4891-6216
Ilektra A MavroeidiGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, and German Cancer Research Center (DKFZ), Essen, Germany.ORCID 0000-0003-2256-8142
Martin SchulerGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, and German Cancer Research Center (DKFZ), Essen, Germany.ORCID 0000-0002-2166-3394
Marit AhrensMedical Clinic II, University Hospital Frankfurt, Frankfurt am Main, Germany.ORCID 0000-0003-4313-0895
Christoph RischplerDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-5545-8487
Sebastian BauerGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, and German Cancer Research Center (DKFZ), Essen, Germany.ORCID 0000-0001-5949-8120
Ken HerrmannDepartment of Nuclear Medicine, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.ORCID 0000-0002-9662-7259
Jens T SivekeInstitute of Diagnostic and Interventional Radiology and Neuroradiology, University of Duisburg-Essen and German Cancer Consortium (DKTK)-University Hospital Essen, Essen, Germany.ORCID 0000-0002-8772-4778
Rainer HamacherGerman Cancer Consortium (DKTK), Partner Site University Hospital Essen, and German Cancer Research Center (DKFZ), Essen, Germany.ORCID 0000-0001-9655-1226
German Cancer Research Center · DEEssen University Hospital · DEGoethe University Frankfurt · DEWest German Heart and Vascular Center Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe report efficacy and safety of 90Y-labeled FAPI-46 (90Y-FAPI-46-RLT) in patients with advanced sarcoma, pancreatic cancer, and other cancer entities. EXPERIMENTAL

designUp to four cycles of radioligand therapy (RLT) were offered to patients with (i) progressive metastatic malignancy, (ii) exhaustion of approved therapies, and (iii) high fibroblast activation protein (FAP) expression, defined as SUVmax ≥ 10 in more than 50% of tumor. Primary endpoint was RECIST response after RLT. Secondary endpoints included PET response (PERCIST), overall survival (OS), dosimetry, and safety of FAP-RLT.

resultsAmong 119 screened patients, 21 (18%) were found eligible [n = 16/3/1/1 sarcoma/pancreatic cancer/prostate/gastric cancer; 38% Eastern Cooperative Oncology Group (ECOG) ≥ 2] and received 47 90Y-FAPI-46-RLT cycles; 16 of 21 (76%) patients underwent repeat RLT. By RECIST, disease control was confirmed in 8 of 21 patients [38%; 8/16 (50%) of evaluable patients). There was one partial response (PR) and seven stable diseases after RLT. Disease control was associated with prolonged OS (P = 0.013). PERCIST response was noted in 8 of 21 patients [38%; 8/15 (53%) of evaluable patients]. Dosimetry was acquired in 19 (90%) patients. Mean absorbed dose was 0.53 Gy/GBq in kidney, 0.04 Gy/GBq in bone marrow, and <0.14 Gy/GBq in liver and lung. Treatment-related grade 3 or 4 adverse events were observed in 8 (38%) patients with thrombocytopenia (n = 6) and anemia (n = 6) being most prevalent.

conclusions90Y-FAPI-46-RLT was safe and led to RECIST PR in one case as well as stable disease in about one third of patients with initially progressive sarcomas, pancreatic cancer, and other cancers. Discontinuation after the first cycle and a low rate of PR requires future improvement of FAP-RLT.

Indexed as

Pancreatic NeoplasmsProstatic NeoplasmsSarcomaHumansMaleQuinolinesYttrium RadioisotopesFAPI-46QuinolinesYttrium-90Yttrium Radioisotopes

Identifiers

PMID35833949
PMCPMC9527500
OpenAlexW4285388711

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.