Evidence map›Paper›PMID 27890446›Full record

ArticleClinical genitourinary cancer2017

Efficacy of Therapies After Galeterone in Patients With Castration-resistant Prostate Cancer.

Rana R McKay, Lillian Werner, Matthew Fiorillo, Jennifer Roberts, Elisabeth I Heath, Glenn J Bubley, Robert Bruce Montgomery, Mary-Ellen Taplin

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Clinical genitourinary cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. The role of adrenal derived androgens in castration resistant prostate cancer.The Journal of steroid biochemistry and molecular biology · 2020
    Review
  6. Article
  7. Article
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 McKayDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA. Electronic address: Rmckay5@partners.org.
Lillian WernerDepartment of Biostatistics & Computational Biology, Dana-Farber Cancer Institute, Boston, MA.
Matthew FiorilloDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Jennifer RobertsClinical Operations and Program Management, Tokai Pharmaceuticals, Cambridge, MA.
Elisabeth I HeathDepartment of Oncology, Barbara Ann Karmanos Cancer Institute, Detroit, MI.
Glenn J BubleyDivision of Hematology/Oncology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Robert Bruce MontgomeryDivision of Medical Oncology, Department of Medicine, University of Washington, Seattle, WA.
Mary-Ellen TaplinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Dana-Farber Cancer Institute · USBeth Israel Deaconess Medical Center · USThe Barbara Ann Karmanos Cancer Institute · USTokai Pharmaceuticals (United States) · USUniversity of Washington Medical Center · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI Julie Lynn Boerner · 1985 to 2026
$68.4M
NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

backgroundGaleterone is a multi-targeted agent with activity as a CYP17 inhibitor, androgen receptor antagonist, and also causes androgen receptor degradation. It has shown meaningful anti-tumor activity with a well-tolerated safety profile in patients with castration-resistant prostate cancer (CRPC) in phase I and II studies; however, the efficacy of currently approved CRPC therapies after treatment with galeterone is unknown. In this study, we evaluate prostate specific antigen (PSA) response of non-protocol therapies following galeterone in a subset of patients treated on the Androgen Receptor Modulation Optimized for Response (ARMOR) 2 study. PATIENTS AND

methodsPatients who received any subsequent treatment were included. PSA response and treatment duration were summarized by line and type of subsequent therapy.

resultsOverall, 27 of 40 patients received ≥ 1 post-galeterone treatment, of whom 18 (67%) discontinued galeterone for progression, 14 (52%) received ≥ 2 treatments, and 6 (22%) received ≥ 3 treatments. PSA changed by a median of -36%, -35%, and +60% in patients receiving first-line, second-line, and third-line therapy, respectively. Overall, 18 (67%) received subsequent enzalutamide, 12 (44%) received docetaxel, 9 (33%) received abiraterone, and 5 (19%) received cabazitaxel. PSA changed by a median of -27%, -34%, -39%, and 17% for patients receiving subsequent enzalutamide, docetaxel, abiraterone, and cabazitaxel, respectively, at any line.

conclusionWe demonstrate that CRPC therapies exhibit differential anti-tumor activity following galeterone. In this small cohort, abiraterone demonstrates the highest PSA response post-galeterone, whereas enzalutamide and chemotherapy have more modest activity. Larger clinical studies are warranted to fully evaluate the efficacy and safety of second-generation hormonal agents and chemotherapy post-galeterone. Predictive biomarkers will be critical to optimizing patient selection for sequential therapies.

Indexed as

AgedAndrostadienesAndrostenesBenzamidesBenzimidazolesDrug TherapyHumansKallikreinsMaleMiddle AgedNitrilesPhenylthiohydantoinProstate-Specific AntigenProstatic Neoplasms, Castration-ResistantSurvival AnalysisTreatment Outcome3-hydroxy-17-(1H-benzimidazole-1-yl)androsta-5,16-dieneabirateroneAndrostadienesAndrostenesBenzamidesBenzimidazolesenzalutamideKallikreinsKLK3 protein, humanNitrilesPhenylthiohydantoinProstate-Specific AntigenAbirateroneAndrogen receptor degradationChemotherapyCYP17 inhibitionEnzalutamideResistance

Identifiers

PMID27890446
PMCPMC6853188
OpenAlexW2540904753

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.