Evidence map›Paper›PMID 25903013›Full record

Trial reportCancer2015

Docetaxel, bevacizumab, and androgen deprivation therapy for biochemical disease recurrence after definitive local therapy for prostate cancer.

Rana R McKay, Kathryn P Gray, Julia H Hayes, Glenn J Bubley, Jonathan E Rosenberg, Arif Hussain, Philip W Kantoff, Mary-Ellen Taplin

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. 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

8 authors at 5 institutions in 1 country.

Rana R McKayLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Kathryn P GrayLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Julia H HayesLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Glenn J BubleyGenitourinary Medical Oncology, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Jonathan E RosenbergGenitourinary Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
Arif HussainMedical Oncology/Hematology Program, Greenebaum Cancer Center, Baltimore, Maryland.
Philip W KantoffLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Mary-Ellen TaplinLank Center for Genitourinary Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Harvard University · USDana-Farber Cancer Institute · USBeth Israel Deaconess Medical Center · USMemorial Sloan Kettering Cancer Center · USUniversity of Maryland Medical Center · US

Funding

Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
NCI NIH HHS T32 CA009172
6 · The paper itself

Abstract

backgroundPatients with biochemical disease recurrence (BCR) after definitive treatment for prostate cancer comprise a heterogeneous population for whom standard therapy options are lacking. The purpose of the current trial was to evaluate the feasibility, toxicity, and efficacy of early multimodality systemic therapy in men with BCR.

methodsEligible patients had an increasing prostate-specific antigen (PSA) level, a PSA doubling time ≤10 months, and no evidence of metastases after radical prostatectomy (RP) and/or radiotherapy (RT) for localized disease. Treatment consisted of docetaxel at a dose of 75 mg/m(2) every 3 weeks for 4 cycles, bevacizumab at a dose of 15 mg/kg every 3 weeks for 8 cycles, and androgen deprivation therapy (ADT) for 18 months. The primary endpoint was the percentage of patients who were free from PSA progression 1 year after the completion of therapy.

resultsA total of 41 patients were included in the analysis. At 1 year after the completion of ADT, 45% of patients (13 of 29 patients) and 29% of patients (5 of 17 patients) with a testosterone level ≥100 ng/dL and ≥240 ng/dL, respectively, had a PSA <0.2 ng/mL. The median follow-up was 27.5 months (interquartile range, 21.8-38.1 months). Eight patients (20%) were free from PSA progression, 19 patients (46%) did not reinitiate ADT, and 34 patients (83%) were free from metastasis. Sixteen patients (39%) experienced grade 3 and 5 patients (12%) experienced grade 4 toxicities (toxicity was assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events [version 3.0]).

conclusionsMultimodality systemic therapy with docetaxel, bevacizumab, and ADT is feasible and produces PSA responses in men with BCR. Long-term follow-up is needed to determine the percentage of patients with a durable PSA response who are able to avoid having to reinitiate prostate cancer therapy.

Indexed as

AdenocarcinomaAndrogen AntagonistsAntibodies, Monoclonal, HumanizedAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiomarkers, TumorChemotherapy, AdjuvantDocetaxelHumansMaleMiddle AgedNeoplasm Recurrence, LocalProstate-Specific AntigenProstatic NeoplasmsTaxoidsAndrogen AntagonistsAntibodies, Monoclonal, HumanizedAntineoplastic Agents, HormonalBevacizumabBiomarkers, TumorDocetaxelProstate-Specific AntigenTaxoidsandrogen deprivation therapybevacizumabbiochemical disease recurrencedocetaxelprostate cancer

Identifiers

PMID25903013
PMCPMC4566852
OpenAlexW1564032187

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.