Evidence map›Paper›PMID 40038098›Full record

ArticleEJNMMI research2025

RECIP 1.0 + PSA for response assessment in mCRPC patients treated with

Gabriel T Sheikh, Astrid Delker, Mathias J Zacherl, Adrien Holzgreve, Sarah L Takayama Fouladgar, Marcus Unterrainer, Johannes Rübenthaler, Jozefina Casuscelli, Andrei Gafita, Lena M Unterrainer

Abstract read
In one paragraph

Article in EJNMMI research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Beyond [BMC cancer · 2026
    Pooled it
  3. [European journal of nuclear medicine and molecular imaging · 2026
    Article
  4. Article
  5. Article
  6. Refining the clinical utility of [European journal of nuclear medicine and molecular imaging · 2026
    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.

Gabriel T SheikhDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany. gabriel.sheikh@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-7026-9203
Astrid DelkerDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Mathias J ZacherlDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Adrien HolzgreveDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Sarah L Takayama FouladgarDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Marcus UnterrainerDepartment of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.
Johannes RübenthalerDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Jozefina CasuscelliDepartment of Urology, LMU University Hospital, LMU Munich, Munich, Germany.
Andrei Gafita *Nuclear Medicine and Molecular Imaging Division, The Johns Hopkins Hospital, Johns Hopkins School of Medicine, Baltimore, USA.
Lena M Unterrainer *Department of Nuclear Medicine, LMU University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTargeted alpha therapy (TAT) with

resultsComplete response (RECIP-CR), partial response (RECIP-PR), stable disease (RECIP-SD), progressive disease (RECIP-PD) according to RECIP 1.0 was observed in 0/25 (0%), 12/25 (48%), 9/25 (36%) and 4/25 (16%) patients, respectively. Response by RECIP + PSA was observed in 14/25 (56%) patients and progression by RECIP + PSA in 8/25 (32%) patients. Interrater reliability for visual RECIP was substantial (κ = 0.757, p < 0.001), while agreement between visual and quantitative RECIP was almost fully congruent (κ = 0.879, p < 0.001). OS did not significantly vary among the four different therapy regimens (p > 0.05). When grouping patients with declining / stable PSA as responders, these patients showed no significant difference in overall survival compared to patients with progressive PSA after ALCT (p = 0.312). Similarly, there was no significant difference in median overall survival between patients without RECIP-progression (RECIP-PR + RECIP-SD) and patients with RECIP-progression (RECIP-PD) (p > 0.05), but when applying the composite classification, RECIP + PSA responders survived significantly longer compared to patients with RECIP + PSA progression (p = 0.049).

conclusionsALCT is a promising therapeutic regimen that may prolong survival in patients who progress during [

Indexed as

177Lu225AcRadioligand therapyRECIPTandem therapyTargeted alpha therapy

Identifiers

PMID40038098
PMCPMC11880445

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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.