TABLE 3.

PSMA Expression at First PET/CT by Systemic Treatment (n = 160)

VariableNo. of patients (n)Proportion of patients expressing PSMA* (n)Median SUVmax in lesion with highest valueP
Received systemic treatment before first PET/CT0.009
 No81 (50.6%)74 (91.4%)16.7 (IQR, 8.0–34.0)
 Yes79 (49.4%)78 (98.7%)29.0 (IQR, 15.0–37.7)
No. of prior therapy lines if received systemic treatment before first PET/CT0.087
 138 (23.8%)37 (97.4%)19.9 (IQR, 12.9–37.0)
 222 (13.8%)22 (100%)32.4 (IQR, 20.4–37.0)
 313 (8.1%)13 (100%)29.0 (IQR, 20.0–39.0)
 46 (3.8%)6 (100%)25.9 (IQR, 9.8–38.0)
Last systemic treatment before first PET/CT0.698
 Abiraterone or enzalutamide28 (17.5%)28 (100%)24.2 (IQR, 13.9–39.0)
 Docetaxel or cabazitaxel24 (15.0%)23 (95.8%)27.5 (IQR, 15.3–37.4)
 Palliative, [223Ra]Ra-NaCl or PSMA-RLT27 (16.9%)27 (100%)30.0 (IQR, 17.0–39.0)
Ongoing systemic treatment at time of first PET/CT0.931
 No141 (88.1%)133 (94.3%)20.4 (IQR, 12.0–37.0)
 Yes19 (11.9%)19 (100%)19.7 (IQR, 9.9–35.0)
Second PET/CT0.277
 No90 (56.3%)86 (95.6%)26 (IQR, 14–37)
 Yes70 (43.8%)66 (94.3%)18 (IQR, 9.2–37.7)
  • * SUVmax > 2.1.

  • ADT was not considered.

  • IQR = interquartile range; PET/CT = positron emission tomography/computed tomography; PSMA = prostate-specific membrane antigen; PSMA-RLT = α-/β-emitter prostate-specific membrane antigen-radioligand therapy; SUVmax = maximized standardized uptake value.