PSMA-Guided Metastasis-Directed Therapy for Oligometastatic Renal Cell Carcinoma: The Proof-of-Concept PEDESTAL Study

Cristian Udovicich; Mathias Bressel; Jamil Manji; Muhammad Ali; Lewis Au; Arun A. Azad; James P. Buteau; Sarat Chander; David Chang; Renu Eapen; Nathan Lawrentschuk; Sidney M. Levy; Daniel Moon; Declan G. Murphy; Marlon Perera; Mark Shaw; Lavinia Spain; Ben Tran; Michael S. Hofman; Shankar Siva

doi:10.2967/jnumed.124.268639

Research ArticleClinical Investigation

PSMA-Guided Metastasis-Directed Therapy for Oligometastatic Renal Cell Carcinoma: The Proof-of-Concept PEDESTAL Study

Cristian Udovicich, Mathias Bressel, Jamil Manji, Muhammad Ali, Lewis Au, Arun A. Azad, James P. Buteau, Sarat Chander, David Chang, Renu Eapen, Nathan Lawrentschuk, Sidney M. Levy, Daniel Moon, Declan G. Murphy, Marlon Perera, Mark Shaw, Lavinia Spain, Ben Tran, Michael S. Hofman and Shankar Siva

Journal of Nuclear Medicine February 2025, jnumed.124.268639; DOI: https://doi.org/10.2967/jnumed.124.268639

Cristian Udovicich

1Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

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Mathias Bressel

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

3Centre for Biostatistics and Clinical Trials, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Jamil Manji

1Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Muhammad Ali

1Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

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Lewis Au

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

4Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Arun A. Azad

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

4Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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James P. Buteau

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

5Prostate Theranostics and Imaging Centre of Excellence, Molecular Imaging and Therapeutic Nuclear Medicine, Cancer Imaging, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Sarat Chander

1Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

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David Chang

1Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

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Renu Eapen

6Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Nathan Lawrentschuk

6Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Sidney M. Levy

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

7Molecular Imaging and Therapeutic Nuclear Medicine, Peter MacCallum Cancer Centre Parkville, Melbourne, Victoria, Australia;

8Department of Nuclear Medicine, Royal Melbourne Hospital Parkville, Melbourne, Victoria, Australia; and

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Daniel Moon

6Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

9Royal Melbourne Clinical School, University of Melbourne, Melbourne, Victoria, Australia

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Declan G. Murphy

6Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Marlon Perera

6Division of Cancer Surgery, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Mark Shaw

1Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

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Lavinia Spain

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

4Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Ben Tran

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

4Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Michael S. Hofman

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

5Prostate Theranostics and Imaging Centre of Excellence, Molecular Imaging and Therapeutic Nuclear Medicine, Cancer Imaging, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

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Shankar Siva

1Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia;

2Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Victoria, Australia;

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Journal of Nuclear Medicine

Vol. 66, Issue 5

May 1, 2025

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PSMA-Guided Metastasis-Directed Therapy for Oligometastatic Renal Cell Carcinoma: The Proof-of-Concept PEDESTAL Study

Journal of Nuclear Medicine Feb 2025, jnumed.124.268639; DOI: 10.2967/jnumed.124.268639

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PSMA-Guided Metastasis-Directed Therapy for Oligometastatic Renal Cell Carcinoma: The Proof-of-Concept PEDESTAL Study

Journal of Nuclear Medicine Feb 2025, jnumed.124.268639; DOI: 10.2967/jnumed.124.268639

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Keywords

metastasectomy
metastasis-directed therapy
PSMA
renal cell carcinoma
SABR
SBRT

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