Evidence map›Paper›PMID 40847665›Full record

ArticleBJU international2026

Staging metastatic urothelial cancer with Nectin-4 imaging using Gallium-68-N188 PET/CT.

Matthias Miederer, Marc Pretze, Elena Abbate, Andreas Hartig, Joana do Mar Ferreira Machado, Katharina Böhm, Ulrich Sommer, Sebastian Hoberück, Ralph A Bundschuh, Jörg Kotzerke and 1 more

Abstract read
In one paragraph

Article in BJU international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

3 citing papers in PubMed.

  1. Review
  2. [Innovative imaging techniques for urothelial carcinoma].Urologie (Heidelberg, Germany) · 2026
    Review
  3. "Precision on Two Wheels"─Structural Refinement ofJournal of medicinal chemistry · 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

11 authors.

Matthias MiedererDepartment of Translational Imaging in Oncology, National Center for Tumor Diseases (NCT), NCT/UCC Dresden, a partnership between DKFZ, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, and Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany.ORCID 0000-0001-5075-5995
Marc PretzeDepartment of Nuclear Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Elena AbbateDepartment of Urology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Andreas HartigDepartment of Pathology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Joana do Mar Ferreira MachadoDepartment of Translational Imaging in Oncology, National Center for Tumor Diseases (NCT), NCT/UCC Dresden, a partnership between DKFZ, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, and Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany.ORCID 0000-0001-9776-1313
Katharina BöhmDepartment of Urology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Ulrich SommerDepartment of Pathology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Sebastian HoberückDepartment of Nuclear Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Ralph A BundschuhDepartment of Nuclear Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Jörg KotzerkeDepartment of Nuclear Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Christian ThomasDepartment of Urology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo quantify Nectin-4 expression in tumour lesions using the Nectin-4-binding peptide Gallium-68-N188 and positron emission tomography (PET)/computed tomography (CT) in patients with advanced or metastasised urothelial cancer eligible for therapy with the Nectin-4-directed antibody-drug conjugate enfortumab vedotin, in combination with checkpoint inhibitor pembrolizumab (Ev/P).

methodsIn 10 patients, Nectin-4 PET/CT imaging was analysed before planned systemic therapy with Ev/P based on standardised uptake value (SUV) measurements and the results were correlated to available microscopic findings on Nectin-4 immunohistochemistry and to clinical follow-up.

resultsNectin-4 PET is suitable for detecting Nectin-4 expression in tumour lesions and demonstrates heterogeneity in Nectin-4 expression - for example, between lymph node metastases and organ metastases. PET imaging of Nectin-4 expression is therefore a potentially clinically relevant method for managing the application of Nectin-4-targeted therapies.

conclusionsWe show, as a proof of principle, that Nectin-4 expression can be detected on imaging and serves as an innovative biomarker for targeted therapy in urothelial cancer. Intra-individual heterogeneous expression of Nectin-4 in metastatic sites is frequent.

Indexed as

Carcinoma, Transitional CellCell Adhesion MoleculesPositron Emission Tomography Computed TomographyUrinary Bladder NeoplasmsAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedFemaleGallium RadioisotopesHumansMaleMiddle AgedNectinsNeoplasm StagingRadiopharmaceuticalsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCell Adhesion Moleculesenfortumab vedotinGallium-68Gallium RadioisotopesNECTIN4 protein, humanNectinsRadiopharmaceuticals68Ga‐N188enfortumab vedotinNectin‐4PET/CTpositron emission tomography

Identifiers

PMID40847665
PMCPMC12690338

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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.