Table 1.
Characteristics | mHSPC Total (n = 20) |
a Tandem of 177Lu-PSMA and 225Ac-PSMA (n = 2) |
b 177Lu-PSMA (n = 18) |
---|---|---|---|
Age, median (IQR) PSA doubling time >6 months, n (%) |
69 (65.5–74) 5 (25%) |
76 (72–80) 1 (50%) |
68 (64.8–73.3) 4 (22.2%) |
Previous treatments Radical Prostatectomy, n(%) PLND, n(%) External beam radiotherapy, n (%) Focal Cryotherapy, n(%) Hormonal therapy, n (%)
|
15 (75%) 15 (75%) 15 (75%) 3 (15%) 8 (40%) 3 (15%) 7 (35%) 2 (10%) |
1 (50%) 0 0 0 1 (50%) 1 (50%) 1 (50%) 1 (50%) |
14 (77.8%) 15 (83.3%) 15 (83.3%) 3 (16.7%) 7 (38.9%) 2 (11.1%) 6 (33.3%) 1 (5.6%) |
Site of disease on PSMA-PET/CT scan * Low volume disease, n (%) Hottest lesion, SUVmax, median (IQR) Lymph nodes, n (%) Bone, n (%) Visceral, n (%) |
16 (80%) 28.8 (11.5–36.3) 20 (100%) 6 (30%) 1 (5%) |
0 (0%) 49.1 (44.3–53.8) 2 (100%) 1 (50%) 1 (50%) |
16 (88.9%) 20.4 (11.1–32.4) 18 (100%) 5 (27.8%) 0 (0%) |
PSMA radioligand therapy Total number of PSMA-RLT cycles median (range) Administered activity of 177Lu (GBq), per cycle median (IQR) Administered activity of 225Ac (MBq) per cycle median (IQR) |
2 (1–6) 6.2 (5.7–7.4) 4.2 (2.0–6.0) |
6 (6–6) 7.2 (5.7–7.4) 4.2 (2.0–6.0) |
2 (1–4) 6.1 (4.5–7.4) 0 (0–0) |
Blood analysis Baseline Hemoglobin (mmol/L), median (IQR) Leukocytes (×109/L), median (IQR) Thrombocytes (×109/L), median (IQR) eGFR (mL/min), median (IQR) Creatinine (µmol/L), median (IQR) Alkaline phosphatase (U/L), median (IQR) Lactate dehydrogenase (U/L), median (IQR) PSA (µg/L), median (IQR) |
8.9 (8.4–9.4) 5.7 (4.3–7.5) 232 (175–249) 79.9 (72–90) 81 (75–89) 63 (55.3–71.5) 196 (174–218) 5.9 (1.8–16.9) |
9.5 (9.1–10) 6.1 (6–6.2) 204 (178–229) 77 (77–78) 85 (84–87) 85.0 (72–98) 204.5 (192–217) 146 (20–272) |
8.8 (8.4–9.4) 5.3 (4.1–8.8) 238 (174–250) 84 (71–90) 80 (75–90) 59.5 (54.8–70) 195.5 (172–219) 5.1 (1.8–12.8) |
a Patients were included if they received ≥ 1 cycle of tandem therapy, b patients were solely treated with 177Lu−PSMA. * Low volume disease was defined as max 5 metastases. Data for the tandem patients are given in mean (range).