Evidence map›Paper›PMID 39625666›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2025

Safety of PSMA radioligand therapy in mCRPC patients with preexisting moderate to severe thrombocytopenia.

Moritz B Bastian, Maike Sieben, Arne Blickle, Caroline Burgard, Tilman Speicher, Mark Bartholomä, Andrea Schaefer-Schuler, Stephan Maus, Samer Ezziddin, Florian Rosar

Abstract read
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Frailty and [Theranostics · 2026
    Review
  5. Article
  6. Article
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.

Moritz B BastianDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Maike SiebenDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Arne BlickleDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Caroline BurgardDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Tilman SpeicherDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Mark BartholomäDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Andrea Schaefer-SchulerDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Stephan MausDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Samer EzziddinDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany.
Florian RosarDepartment of Nuclear Medicine, Saarland University, Kirrberger Str., Geb. 50, 66421, Homburg, Germany. florian.rosar@uks.eu.ORCID 0000-0002-2985-4099

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAim of this study was to analyze the safety of prostate-specific membrane antigen radioligand therapy (PSMA-RLT) in patients with metastatic castration-resistant prostate cancer (mCRPC) with preexisting moderate to severe thrombocytopenia (CTCAE ≥ 2). MATERIALS AND

methodsSeventeen mCRPC patients with preexisting thrombocytopenia (platelet count < 75 × 10

resultsNo significant difference in platelet counts was observed between baseline and follow-up after each PSMA-RLT cycle: first cycle (54.18 ± 16.07 at baseline vs. 59.65 ± 39.16 at follow up [in × 10

conclusionDespite the common consideration of marked preexisting thrombocytopenia as a contraindication for RLT, this study indicates feasibility of PSMA-RLT in patients with preexisting thrombocytopenia of grade ≥ 2, as in our preliminary experience, there was no RLT-induced significant deterioration of platelet cell count. Thus, patients with thrombocytopenia should not be categorically excluded from receiving PSMA-RLT.

Indexed as

Antigens, SurfaceDipeptidesGlutamate Carboxypeptidase IIHeterocyclic Compounds, 1-RingProstatic Neoplasms, Castration-ResistantRadiopharmaceuticalsSafetyThrombocytopeniaAgedAged, 80 and overHumansMaleMiddle AgedProstate-Specific AntigenAntigens, SurfaceDipeptidesFOLH1 protein, humanGlutamate Carboxypeptidase IIHeterocyclic Compounds, 1-RingProstate-Specific AntigenPSMA-617RadiopharmaceuticalsmCRPCPSMARadioligand therapySafetyThrombocytopenia

Identifiers

PMID39625666
PMCPMC11839894

What OpenQuestion holds

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Registered trials

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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.