Evidence map›Paper›PMID 28855993›Full record

ArticleMolecular and clinical oncology2017

Treatment sequence in castration-resistant prostate cancer: A retrospective study in the new anti-androgen era.

Senji Hoshi, Kenji Numahata, Kunio Ono, Nobuhiro Yasuno, Vladimir Bilim, Kiyotsugu Hoshi, Hiroshi Amemiya, Isoji Sasagawa, Shoichiro Ohta

Open access · diamondAbstract read
In one paragraph

Article in Molecular and clinical oncology, 2017. 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
0.6field-weighted citation impact, top 28% 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, 3 citations in OpenAlex.

  1. Trial
  2. 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

9 authors at 5 institutions in 1 country.

Senji HoshiDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata 990-2214, Japan.
Kenji NumahataDepartment of Urology, Yamagata Prefectural Central Hospital, Yamagata 990-2214, Japan.
Kunio OnoDepartment of Urology, Ishinomaki Red Cross Hospital, Ishinomaki, Miyagi 986-0861, Japan.
Nobuhiro YasunoDepartment of Pharmacy, Kan-etsu Hospital, Tsurugashima, Saitama 350-2213, Japan.
Vladimir BilimDepartment of Urology, Niigata Cancer Center Hospital, Niigata 951-8133, Japan.
Kiyotsugu HoshiDepartment of Urology, Yamagata Tokushukai Hospital, Yamagata 990-0834, Japan.
Hiroshi AmemiyaDepartment of Urology, Sakado Central Hospital, Sakado, Saitama 350-0233, Japan.
Isoji SasagawaDepartment of Urology, Yamagata Tokushukai Hospital, Yamagata 990-0834, Japan.
Shoichiro OhtaDepartment of Clinical Pathology, Faculty of Pharmaceutical Science, Josai University, Sakado, Saitama 350-0295, Japan.
Yamagata Prefectural Central Hospital · JPJosai University · JPKanetsu Hospital · JPKanto Central Hospital · JPNiigata Cancer Center Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, abiraterone acetate (AA) and enzalutamide (EZL) have become available for the treatment of cancer. Prior clinical trials have demonstrated the benefits of these agents in males with castration-resistant prostate cancer (CRPC). The optimal sequencing of available therapies in the context of efficacy and known cross-resistance remains uncertain. Based on the mechanisms of action and accessible clinical data, AA and EZL may be indicated for the early stages of prostate cancer. Until clinical trials are conducted to determine the best treatment sequence, individualized therapy is required for each patient based on the clinicopathological characteristics. In the present study, 46 sequential patients (median age: 77, range 59-89; median serum PSA level: 56 ng/ml, range 1.5-3,211) with CRPC treated with EZL (160 mg/day) were retrospectively analyzed between June 2014 and July 2015 at the following institutions: Yamagata Prefectural Central Hospital (Yamagata, Japan); Yamagata Tokushukai Hospital (Yamagata, Japan); Ishinomaki Red Cross Hospital (Ishinomaki, Japan); Kan-etsu Hospital (Tsurugashima, Japan); Niigata Cancer Center Hospital (Niigata, Japan); Sakado Central Hospital (Sakado, Japan). A total of 18 patients were pre-treated with Docetaxel (DOC) and 28 patients were DOC-naïve. Once EZL therapy was initiated, increases in prostate specific antigen (PSA) levels were observed in 3/18 patients (17%) pre-treated with DOC and in 6/20 (30%) who were DOC-naïve. In total, 8/28 DOC-naïve patients were treated with AA without EZL. An increase in the PSA level was observed in only 1/8 (12%) cases following AA treatment in the DOC-naïve group. It was demonstrated that AA had a better efficacy in DOC-naïve patients. The efficacy of EZL was limited in AA-pre-treated patients following DOC administration.

Indexed as

abiraterone acetatecastration-resistant prostate cancerenzalutamide

Identifiers

PMID28855993
PMCPMC5574190
OpenAlexW2744963483

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.