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. 2021 Nov 2;49(5):1584–1594. doi: 10.1007/s00259-021-05594-8

Table 2.

Univariate and multivariable analysis of potential predictive factors for overall survival (OS)

Variable n (%) OS (months) Univariate analysis Multivariable analysis
Median (95% CI) HR (95% CI) p HR (95% CI) p
Overall 66 (100) 18.0 (14.6–21.4) - - - -
TLP response
  PR 40 (60.6) 24.6 (15.4–33.8)
  SD/PD 26 (39.4) 10.7 (0–21.8) 2.78 (1.46–5.30) 0.001 2.76 (1.45–5.26) 0.002
PSA response
  PR 34 (51.5) 24.6 (15.5–33.7)
  SD/PD 32 (48.5) 14.5 (9.6–19.4) 2.30 (1.23–4.30) 0.008 1.39 (0.52–3.69) 0.515
ALPa
   < 220 U/L 54 (81.8) 23.4 (16.4–30.4)
   ≥ 220 U/L 12 (18.2) 7.1 (0–15.5) 4.08 (1.90–8.76)  < 0.001 3.08 (1.38–6.87) 0.006
Performance statusa
  ECOG < 2 48 (72.7) 23.4 (17.1–29.6)
  ECOG ≥ 2 18 (27.3) 8.1 (0–17.0) 2.98 (1.53–5.79)  < 0.001 2.21 (1.10–4.43) 0.026
Visceral metastasesa
  No 43 (65.2) 19.3 (8.7–29.9)
  Yes 23 (34.8) 16.2 (8.9–23.4) 1.78 (0.96–3.32) 0.064 1.61 (0.84–3.08) 0.154
PSAa
   < 145 ng/mL 33 (50.0) 23.4 (15.6–31.1)
   ≥ 145 ng/mL 33 (50.0) 16.2 (12.2–20.1) - 0.105 - -
Agea
   < 65 years 17 (25.8) 16.8 (11.1–22.6)
   ≥ 65 years 49 (74.2) 19.3 (15.1–23.5) - 0.473 - -
Prior chemotherapya
  No 19 (28.8) 23.7 (12.0–35.4)
  Yes 47 (71.2) 16.9 (11.5–22.3) - 0.570 - -
Hemoglobina
   ≥ 13 g/dL 22 (33.3) 18.0 (12.5–23.5)
   < 13 g/dL 44 (66.7) 16.9 (10.8–23.0) - 0.566 - -
TLPa
   < 5710 mL × SUV 33 (50.0) 19.4 (11.1–27.8)
   ≥ 5710 mL × SUV 33 (50.0) 16.9 (10.3–23.5) - 0.312 - -
Initial 177Lu activityb
   > 14 GBq 33 (50.0) 16.8 (14.4–19.3)
   ≤ 14 GBq 33 (50.0) 23.7 (11.5–35.9) - 0.474 - -

CI, confidence interval; HR, hazard ratio; TLP, total lesion PSMA; PSA, prostate-specific antigen; ALP, alkaline phosphatase; ECOG, Eastern Cooperative Oncology Group. aBaseline parameter. bCumulative activity of the first two [177Lu]Lu-PSMA-617 RLT cycles. p-values printed in bold type are statistically significant at p < 0.05