Evidence map›Paper›PMID 24932461›Full record

ArticleOncology & hematology review2014

Androgen Deprivation Therapy and the Re-emergence of Parenteral Estrogen in Prostate Cancer.

Iain Phillips, Syed I A Shah, Trinh Duong, Paul Abel, Ruth E Langley

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Oncology & hematology review, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02718378 (A Phase I, Double-blind, Randomised, Placebo-controlled, Multiple Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of Multiple Dosages of Estetrol in Healthy Men), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT02718378 phase1completednot on this mapstarted 2016, after this paper: background citation

A Phase I, Double-blind, Randomised, Placebo-controlled, Multiple Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of Multiple Dosages of Estetrol in Healthy Men

TypeinterventionalSponsorPantarhei Oncology B.V.Ran2016 to 2017Enrolled45ConditionsProstatic NeoplasmsArmsestetrol, placebo
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Estrogens and Body Weight Regulation in Men.Advances in experimental medicine and biology · 2017
    Review
  5. Review
  6. Article
  7. The resurgence of estrogens in the treatment of castration-resistant prostate cancer.Indian journal of urology : IJU : journal of the Urological Society of India
    Review
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

5 authors at 1 institution in 1 country.

Iain PhillipsClinical Fellow, Medical Research Council Clinical Trials Unit, University College, London, UK.
Syed I A ShahClinical Research Fellow, Imperial College, London, UK.
Trinh DuongSenior Statistician, Medical Research Council Clinical Trials Unit, University College, London, UK.
Paul AbelProfessor and Honorary Consultant Urologist, Imperial College, London, UK.
Ruth E LangleyMedical Oncologist, Medical Research Council Clinical Trials Unit, University College, London, UK.
Imperial College London · GB

Funding

Cancer Research UK 12443Cancer Research UK A12443Medical Research Council MC_U122861330
6 · The paper itself

Abstract

Androgen deprivation therapy (ADT) resulting in testosterone suppression is central to the management of prostate cancer (PC). As PC incidence increases, ADT is more frequently prescribed, and for longer periods of time as survival improves. Initial approaches to ADT included orchiectomy or oral estrogen (diethylstilbestrol [DES]). DES reduces PC-specific mortality, but causes substantial cardiovascular (CV) toxicity. Currently, luteinizing hormone-releasing hormone agonists (LHRHa) are mainly used; they produce low levels of both testosterone and estrogen (as estrogen in men results from the aromatization of testosterone), and many toxicities including osteoporosis, fractures, hot flashes, erectile dysfunction, muscle weakness, increased risk for diabetes, changes in body composition, and CV toxicity. An alternative approach is parenteral estrogen, it suppresses testosterone, appears to mitigate the CV complications of oral estrogen by avoiding first-pass hepatic metabolism, and avoids complications caused by estrogen deprivation. Recent research on the toxicity of ADT and the rationale for revisiting parenteral estrogen is discussed.

Indexed as

androgen deprivation therapy (ADT)estrogenLHRH agonistPATCH trialProstate cancertestosterone

Identifiers

PMID24932461
PMCPMC4052190
OpenAlexW33108810

What OpenQuestion holds

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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.