Associations of ctDNA Mutational Status and PSMA PET Parameters with Outcome Measures
Outcome variable | |||||||
---|---|---|---|---|---|---|---|
PSA50-RR | PSA PFS | OS | |||||
Parameter | Prevalence (n) | Rate (%) | P | Hazard ratio | P | Hazard ratio | P |
ctDNA analysis | |||||||
HRR | 14/39 (36%) | 43 vs. 52 | 0.42 | 1.24 (0.61–2.55) | 0.55 | 1.38 (0.58–3.32) | 0.47 |
PI3K | 15/39 (39%) | 62 vs. 42 | 0.31 | 0.82 (0.39–1.70) | 0.59 | 1.29 (0.53–1.15) | 0.57 |
AVPC | 9/39 (23%) | 38 vs. 52 | 0.69 | 2.33 (1.01–5.39) | 0.04 | 1.89 (0.72–4.96) | 0.19 |
TMPRSS2-ERG | 10/39 (26%) | 67 vs. 43 | 0.27 | 1.03 (0.47–2.22) | 0.95 | 0.92 (0.36–2.39) | 0.87 |
AR | 16/39 (41%) | 47 vs. 50 | 1.00 | 1.13 (0.56–2.27) | 0.74 | 2.10 (0.89–5.02) | 0.09 |
PSMA PET analysis | |||||||
SUVmean < 10 | 45/71 (63%) | 30 vs. 56 | 0.04 | 1.75 (1.02–3.03) | 0.04 | 0.87 (0.43–1.72) | 0.68 |
Unfavorable outcome | 15/71 (21%)* | 19 vs. 46 | 0.04 | 2.00 (1.19–3.40) | 0.01 | 4.00 (1.95–8.20) | <0.001 |
32/71 (45%)† | |||||||
27/71 (38%)‡ | |||||||
PSMA-NR | 18/71 (25%) | 6 vs. 51 | 0.007 | 4.56 (2.42–8.57) | <0.001 | 2.13 (1.01–4.55) | 0.04 |
↵* Prevalence of unfavorable outcome by LuPSMA nomogram for PSA50-RR.
↵† Prevalence of unfavorable outcome by LuPSMA nomogram for PSA PFS.
↵‡ Prevalence of unfavorable outcome by LuPSMA nomogram for OS.
Rates are calculated for presence vs. absence of outcome predictor. Hazard ratios are calculated for presence vs. absence of outcome predictor; parenthetic data following hazard ratios are 95% CIs.