Evidence map›Paper›PMID 42588729›Full record

ReviewCancers2026

Predicting Therapeutic Response to Antibody-Drug Conjugates Using Targeted PET Imaging: A Systematic Review.

David Mourath, Nour Susaeg Romdhani, Viveka Bergman, Jonathan Siikanen, Thuy A Tran, Ali Alhuseinalkhudhur, Anna Kistner, Renske Altena

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

David MourathDepartment of Oncology, Linköping University Hospital, 581 85 Linköping, Sweden.ORCID 0009-0002-6399-8368
Nour Susaeg RomdhaniDepartment of Oncology-Pathology, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0009-0004-9714-5202
Viveka BergmanDepartment of Oncology, Linköping University Hospital, 581 85 Linköping, Sweden.
Jonathan SiikanenDepartment of Oncology-Pathology, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0009-0006-6568-4601
Thuy A TranDepartment of Oncology-Pathology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Ali AlhuseinalkhudhurNuclear Medicine and PET, Department of Surgical Sciences, Uppsala University, 753 10 Uppsala, Sweden.
Anna KistnerDepartment of Nuclear Medicine and Medical Physics, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Renske AltenaDepartment of Oncology-Pathology, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0001-6944-5209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibody-drug conjugates (ADCs) are gaining rapidly expanding clinical utility, with a growing number of approved indications across compounds that differ in target antigen, payload mechanism, and linker design. However, treatment response remains heterogeneous, and predictive biomarkers to identify patients most likely to benefit are limited. Given that ADC efficacy depends on sufficient target antigen expression and distribution across tumor lesions, positron emission tomography (PET) imaging offers a unique opportunity to non-invasively assess whole-body target availability. We therefore conducted a systematic literature review to evaluate the relationship between PET-measured tumor antigen expression and the therapeutic response to ADCs targeting the same antigen.

methodA systematic comprehensive search of PubMed, EMBASE and Web of Science databases was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using terms related to targeted PET, ADC treatment and response assessment. Article screening, eligibility assessment, and data extraction were performed independently using predefined criteria by two reviewers. Disagreements were resolved by consensus.

resultsA total of 5628 records were identified. After removing duplicates, 4323 records were screened by title and abstract. Fifty-eight underwent full-text review and seven were included in the final review. Four trials investigated human epidermal growth factor receptor 2 (HER2)-targeted therapy, one Nectin-4, one mesothelin and one STEAP1. In all HER2- and Nectin-4-related trials, patients with a higher uptake on targeted PET had a higher probability of responding to targeted treatment. Included trials were generally small and had a moderate risk of bias.

conclusionTargeted PET imaging showed potential to predict treatment response in trials evaluating clinically active agents. Additional clinical trials across a broader range of targets, along with standardized acquisition protocols and harmonized study designs, are needed to enable the integration of this technique into clinical practice and ultimately translate its benefits to patients.

Indexed as

antibody-drug conjugateHER2immuno-PETNectin-4predictive biomarkerresponse predictiontargeted PETtheranostics

Identifiers

PMID42588729
PMCPMC13464691

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.