Evidence map›Paper›PMID 39941843›Full record

ArticleCancers2025

Is Extraordinary Response and Long-Term Remission of Metastatic Castration-Resistant Prostate Cancer (mCRPC) After [¹⁷⁷Lu]Lu-PSMA Radioligand Therapy Due to an Immunomodulatory Effect (Radiovaccination)? A Dual Center Experience on Super-Responders.

Masha Maharaj, Elisabetta Perrone, Ralph M Wirtz, Lucille Heslop, Trisha Govender, Nisaar A Korowlay, Kriti Ghai, Tanay Parkar, Richard P Baum

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Variable cellular and radiobiological effects of [Journal of experimental & clinical cancer research : CR · 2026
    Article
  2. Framework to calculateMedical physics · 2025
    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

9 authors.

Masha MaharajUmhlanga Molecular Imaging & Therapy Centre of Excellence, Department of Nuclear Medicine, Netcare Umhlanga & Hibiscus Hospitals, Durban 4320, South Africa.
Elisabetta PerroneInstitute of Nuclear Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0009-0002-8404-8206
Ralph M WirtzStratifyer Molecular Pathology GmbH, 50935 Cologne, Germany.
Lucille HeslopThe Oncology Centre, Peter Mokaba Ridge, Overport, Durban 4001, South Africa.
Trisha GovenderUmhlanga Molecular Imaging & Therapy Centre of Excellence, Department of Nuclear Medicine, Netcare Umhlanga & Hibiscus Hospitals, Durban 4320, South Africa.
Nisaar A KorowlayDivision of Nuclear Medicine, Tygerberg Hospital, Stellenbosch University, Stellenbosch 7500, South Africa.
Kriti GhaiCURANOSTICUM Wiesbaden-Frankfurt, Center for Advanced Radiomolecular Precision Oncology, 65191 Wiesbaden, Germany.
Tanay ParkarCURANOSTICUM Wiesbaden-Frankfurt, Center for Advanced Radiomolecular Precision Oncology, 65191 Wiesbaden, Germany.ORCID 0009-0000-2285-7783
Richard P BaumCURANOSTICUM Wiesbaden-Frankfurt, Center for Advanced Radiomolecular Precision Oncology, 65191 Wiesbaden, Germany.ORCID 0000-0003-1723-0075

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProstate-specific membrane antigen (PSMA)-directed radioligand therapy (PRLT) with Lutetium-177 ([

methodsThis retrospective study included 36 patients from two centers achieving extreme response after [¹⁷⁷Lu]Lu-PSMA PRLT. The primary outcomes were the duration of maintained response in months (MR) and improvement post-therapy-clinically, serologically, and on molecular (PET/CT) imaging. We examined several variables, including pathology, gene sequencing, baseline PSA, Gleason score, prior therapies, number of PRLT cycles, and pattern of disease, to identify potential factors that may influence the extreme response.

resultsBetween 2018 and mid-September 2024, 36 men with mCRPC received a mean of three cycles of [

conclusionsWe propose there may be intrinsic mechanisms suggesting the immunomodulatory enhancement of ionizing radiation, primarily driving extreme responses.

Indexed as

abscopal effectantitumor immunityimmune inductionimmunomodulatoryPSMAPSMA radioligand therapy (PRLT)radiovaccination

Identifiers

PMID39941843
PMCPMC11815733

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.