Evidence map›Paper›PMID 21606419›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2011

Persistent, biologically meaningful prostate cancer after 1 year of androgen ablation and docetaxel treatment.

Vassiliki Tzelepi, Eleni Efstathiou, Sijin Wen, Patricia Troncoso, Maria Karlou, Curtis A Pettaway, Louis L Pisters, Anh Hoang, Christopher J Logothetis, Lance C Pagliaro

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03350529 (Feasibility and Safety of Transurethral HIFU in Various Prostate Diseases; Particularly Prostate Cancer), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03350529 nacompletednot on this mapstarted 2017, after this paper: background citation

Feasibility and Safety of Transurethral HIFU in Various Prostate Diseases; Particularly Prostate Cancer

TypeinterventionalSponsorTurku University HospitalRan2017 to 2024Enrolled87ConditionsLocalised Prostate Cancer, Locally Advanced Prostate Cancer, Locally Recurrent Prostate Cancer, Benign Prostatic HyperplasiaArmsMRI guided transurethral HIFU ablation of prostatic tissue
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 87 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Vassiliki TzelepiThe University of Texas MD Anderson Cancer Center, 1155 Pressler St, Houston, TX 77030-3721, USA.
Eleni Efstathiou
Sijin Wen
Patricia Troncoso
Maria Karlou
Curtis A Pettaway
Louis L Pisters
Anh Hoang
Christopher J Logothetis
Lance C Pagliaro
Spanish Oncology Genitourinary Group · ES

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS CA016672NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

purposeClinicians are increasingly willing to treat prostate cancer within the primary site in the presence of regional lymph node or even limited distant metastases. However, no formal study on the merits of this approach has been reported. We used a preoperative clinical discovery platform to prioritize pathways for assessment as therapeutic targets and to test the hypothesis that the primary site harbors potentially lethal tumors after aggressive treatment. PATIENTS AND

methodsPatients with locally advanced or lymph node-metastatic prostate cancer underwent 1 year of androgen ablation and three cycles of docetaxel therapy, followed by prostatectomy. All specimens were characterized for stage by accepted criteria. Expression of select molecular markers implicated in disease progression and therapy resistance was determined immunohistochemically and compared with that in 30 archived specimens from untreated patients with high-grade prostate cancer. Marker expression was divided into three groups: intracellular signaling pathways, stromal-epithelial interaction pathways, and angiogenesis.

resultsForty patients were enrolled, 30 (75%) of whom underwent prostatectomy and two (5%) who underwent cystoprostatectomy. Twenty-nine specimens contained sufficient residual tumor for inclusion in a tissue microarray. Immunohistochemical analysis showed increased epithelial and stromal expression of CYP17, SRD5A1, and Hedgehog pathway components, and modulations of the insulin-like growth factor I pathway.

conclusionA network of molecular pathways reportedly linked to prostate cancer progression is activated after 1 year of therapy; biomarker expression suggests that potentially lethal cancers persist in the primary tumor and may contribute to progression.

Indexed as

AndrogensNeoadjuvant TherapyProstatectomyAdenocarcinomaAdultAgedAntineoplastic Agents, PhytogenicBiomarkers, TumorCell Adhesion MoleculesCombined Modality TherapyCystectomyDisease ProgressionDocetaxelGene Expression ProfilingHumansLymphatic MetastasisAndrogensAntineoplastic Agents, PhytogenicBiomarkers, TumorCell Adhesion MoleculesDocetaxelNeoplasm ProteinsTaxoids

Identifiers

PMID21606419
PMCPMC3138635
OpenAlexW2114853434

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.