Evidence map›Paper›PMID 42176106›Full record

ArticleAnnals of nuclear medicine2026

Baseline PSMA-ligand PET/CT as a predictive biomarker for early progression in metastatic castration-resistant prostate cancer patients undergoing [177Lu]Lu-PSMA-617 radioligand therapy.

Baptiste Mercier, Léane Dréano, Estelle Neveu, Florian Estrade, Romain Mathieu, Brigitte Laguerre, Laurence Crouzet, Antonin Broyelle, Christelle Bouvry, Florence Le Jeune and 3 more

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Article in Annals of nuclear medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Baptiste MercierDepartment of Nuclear Medicine, CLCC Eugène Marquis, Avenue de la Bataille Flandres-Dunkerque, Rennes, 35000, France.
Léane DréanoResearch Department, CLCC Eugène Marquis, Rennes, France.
Estelle NeveuResearch Department, CLCC Eugène Marquis, Rennes, France.
Florian EstradeDepartment of Medical Oncology, CLCC Eugène Marquis, Rennes, France.
Romain MathieuUrology Department, Centre Hospitalier Universitaire de Rennes, Rennes, France.
Brigitte LaguerreDepartment of Medical Oncology, CLCC Eugène Marquis, Rennes, France.
Laurence CrouzetDepartment of Medical Oncology, CLCC Eugène Marquis, Rennes, France.
Antonin BroyelleDepartment of Medical Oncology, CLCC Eugène Marquis, Rennes, France.
Christelle BouvryDepartment of Pharmacy, CLCC Eugène Marquis, Rennes, France.
Florence Le JeuneUniv Rennes, CLCC Eugène Marquis, INSERM, LTSI - UMR 1099, Rennes, France.
Julie FaudemerDepartment of Nuclear Medicine, CLCC Eugène Marquis, Avenue de la Bataille Flandres-Dunkerque, Rennes, 35000, France.
Julien FarceDepartment of Nuclear Medicine, CLCC Eugène Marquis, Avenue de la Bataille Flandres-Dunkerque, Rennes, 35000, France.
Xavier Palard-NovelloUniv Rennes, CLCC Eugène Marquis, INSERM, LTSI - UMR 1099, Rennes, France. x.palard@rennes.unicancer.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify predictive biomarkers of early progression in patients with metastatic castration-resistant prostate cancer (mCRPC) treated with [¹⁷⁷Lu]Lu-PSMA-617 radioligand therapy (RLT).

methodsThis retrospective single-center study included all consecutive mCRPC patients who initiated [¹⁷⁷Lu]Lu-PSMA-617 RLT outside of clinical trials between July 2022 and May 2025, receiving at least 2 injections, and had a minimum follow-up period of 6 months. Early progression was defined as treatment discontinuation due to progression before the third injection or biochemical progression based on Prostate Cancer Working Group 3 without treatment discontinuation. Baseline clinical data, biological data, PSMA-ligand PET/CT and [

resultsA total of 87 patients were included. Early progression was observed in 27 (31%) of patients. Among baseline data, only a prior second-line chemotherapy with cabazitaxel and PSMA-ligand SUVmean < 6.0 were significantly and independently associated with early progression (respectively adjusted OR = 3.2; 95% CI: 1.02-10.6; p = 0.049 and adjusted OR = 12.6 ; 95% CI: 3.7-50.9; p < 0.001). PSMA-ligand SUVmean < 6.0 was also significantly and independently associated with a poorer overall survival (median overall survival = 11 months (95% CI: 5-24) vs. 22 months (95% CI: 15 - not reach) for patients with PSMA-ligand SUVmean ≥ 6.0; p = 0.019).

conclusionsPSMA-ligand SUVmean is an independent predictor of early progression confirming that baseline PSMA-ligand PET/CT may serve for risk stratification in mCRPC treated with [

Indexed as

DipeptidesHeterocyclic Compounds, 1-RingLutetiumPositron Emission Tomography Computed TomographyProstatic Neoplasms, Castration-ResistantAgedAged, 80 and overBiomarkers, TumorDisease ProgressionHumansLigandsMaleMiddle AgedNeoplasm MetastasisProstate-Specific AntigenRadioisotopesBiomarkers, TumorDipeptidesHeterocyclic Compounds, 1-RingLigandsLutetiumLutetium-177lutetium (177Lu) vipivotide tetraxetanProstate-Specific AntigenPSMA-617Radioisotopes[¹⁷⁷Lu]Lu-PSMA-617BiomarkerProstate cancerPSMA-ligand PET/CT

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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.