Evidence map›Paper›PMID 40146266›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2025

PSMA expression and PSMA PET/CT imaging in metastatic soft tissue sarcoma patients, results of a prospective study.

F Kleiburg, T van der Hulle, H Gelderblom, M Slingerland, F M Speetjens, L J A C Hawinkels, P Dibbets-Schneider, F H P van Velden, M Pool, S W Lam and 3 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report 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. It is linked to trial NCT05522257 (Expression of Prostate Specific Membrane Antigen), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05522257 nacompletednot on this map

Expression of Prostate Specific Membrane Antigen (PSMA) in Soft Tissue Sarcomas and Urothelial Cell Carcinomas: Implications for Tumour-specific Molecular Imaging and Treatment?

TypeinterventionalSponsorLeiden University Medical CenterRan2022 to 2024Enrolled25ConditionsSarcoma,Soft Tissue, Urothelial CarcinomaArms[18F]-JK-PSMA-7 PET/CT scan
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

13 authors.

F KleiburgBiomedical Photonic Imaging Group, University of Twente, Enschede, The Netherlands. f.kleiburg@lumc.nl.ORCID 0000-0003-4757-8777
T van der HulleDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
H GelderblomDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
M SlingerlandDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
F M SpeetjensDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
L J A C HawinkelsDepartment of Gastroenterology, Leiden University Medical Center, Leiden, The Netherlands.
P Dibbets-SchneiderDepartment of Radiology, Section of Nuclear Medicine, Leiden University Medical Center, Leiden, The Netherlands.
F H P van VeldenDepartment of Radiology, Section of Nuclear Medicine, Leiden University Medical Center, Leiden, The Netherlands.
M PoolDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, The Netherlands.
S W LamDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
J V M G BovéeDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
L HeijmenDepartment of Radiology, Section of Nuclear Medicine, Leiden University Medical Center, Leiden, The Netherlands.
L F de Geus-OeiBiomedical Photonic Imaging Group, University of Twente, Enschede, The Netherlands.

Funding

This research was funded by the Top consortium for Knowledge and Innovation (TKI) and Philips Healthcare through a PPP allowance This research was funded by the Top consortium for Knowledge and Innovation (TKI) and Philips Healthcare through a PPP allowance
6 · The paper itself

Abstract

purposeProstate-specific membrane antigen (PSMA) expression has been observed in a subset of soft tissue sarcomas, mainly in the neovascular endothelial cells. This feasibility study aimed to evaluate PSMA expression and PSMA PET/CT imaging in metastatic soft tissue sarcoma, providing important insights for potential future exploration of PSMA-targeted radioligand therapy.

methodsThis prospective single-center study included adult patients with metastatic soft tissue sarcoma, with measurable disease (lesion diameter > 1 cm), available biopsy/resection material, ECOG/WHO performance status of 0-2 and either no prior systemic treatment, progressive disease during/after treatment, or stable disease/partial response with the last dose > 8 weeks prior. Immunohistochemical PSMA staining was performed on previously obtained biopsy or resection material. In case of high PSMA expression, a [

resultsOf 25 included patients, 11 (44%) had high PSMA expression: 4/11 leiomyosarcomas, 3/4 dedifferentiated liposarcomas, 2/5 undifferentiated pleomorphic sarcomas, 1/2 myxofibrosarcomas and 1/1 malignant peripheral nerve sheath tumour. Five of 11 patients agreed to a [

conclusionPSMA expression and PSMA tracer uptake in metastatic soft tissue sarcoma were highly heterogeneous. A deeper understanding of PSMA biology and improved patient selection criteria are essential for future application of PSMA-targeted radioligand therapy in this disease.

trial registrationclinicaltrials.gov, NCT05522257. Registered 31-08-2022.

Indexed as

Antigens, SurfaceGene Expression Regulation, NeoplasticGlutamate Carboxypeptidase IIPositron Emission Tomography Computed TomographySarcomaAdultAgedFemaleHumansMaleMiddle AgedNeoplasm MetastasisProspective StudiesAntigens, SurfaceFOLH1 protein, humanGlutamate Carboxypeptidase IImolecular imagingprostate-specific membrane antigenPSMAPSMA PET/CTsoft tissue sarcomatheranostics

Identifiers

PMID40146266
PMCPMC12316757

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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.