Evidence map›Paper›PMID 29173976›Full record

Trial reportClinical genitourinary cancer2018

Phase 2 Study of Weekly Paclitaxel Plus Estramustine in Metastatic Hormone-Refractory Prostate Carcinoma: ECOG-ACRIN Cancer Research Group (E1898) Trial.

Yu-Ning Wong, Judith Manola, Gary R Hudes, Bruce J Roth, Judd W Moul, Andrea M Barsevick, Richard M Scher, Michael J Volk, David J Vaughn, Stephen D Williams and 4 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical genitourinary cancer, 2018. 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
–field-weighted citation impact
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.

  1. Article
  2. Programmed cell death, redox imbalance, and cancer therapeutics.Apoptosis : an international journal on programmed cell death · 2021
    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

14 authors.

Yu-Ning WongFox Chase Cancer Center, Philadelphia, PA. Electronic address: yuningwong123@gmail.com.
Judith ManolaDana-Farber Cancer Institute, ECOG-ACRIN Biostatistics Center, Boston, MA.
Gary R HudesFox Chase Cancer Center, Philadelphia, PA.
Bruce J RothIndiana University, Indianapolis, IN.
Judd W MoulWalter Reed Army Medical Center, Washington, DC.
Andrea M BarsevickFox Chase Cancer Center, Philadelphia, PA.
Richard M ScherFox Chase Cancer Center, Philadelphia, PA.
Michael J VolkSaint Vincent Hospital, Green Bay, WI.
David J VaughnUniversity of Pennsylvania, Philadelphia, PA.
Stephen D WilliamsIndiana University, Indianapolis, IN.
Michael J FischUniversity of Virginia, Charlottesville, VA.
David CellaEvanston Hospital, Evanston, IL.
Michael A CarducciJohns Hopkins University, Baltimore, MD.
George WildingUniversity of Wisconsin Carbone Cancer Center, Madison, WI.

Funding

ECOG-ACRIN NCORP Research Base - TMISTUG1CA189828 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$199.7M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO, CONSTANTINE A. GATSONIS · 2014 to 2026
$111.2M
Wisconsin NCI Community Oncology Research Program (WiNCORP)UG1CA189956 · NCI · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI ADEDAYO A ONITILO, Kurt Oettel · 2014 to 2026
$32.3M
UT MD Anderson Cancer Center Network Lead Academic Participating Site (LAP)U10CA180858 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HUNT, KELLY K, PINNIX, CHELSEA CAMILLE · 2014 to 2018
$5.6M
Johns Hopkins University NCTN Lead Academic Site ProgramU10CA180802 · NCI · JOHNS HOPKINS UNIVERSITY · PI ARMSTRONG, DEBORAH K, BRAHMER, JULIE RENEE · 2014 to 2018
$3.3M
National Clinical Trials Network Research at the University of WisconsinU10CA180799 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI ANDERSON, BETHANY M, KUSHNER, DAVID M · 2014 to 2018
$2.8M
Vanderbilt Network Lead Academic Participating Site for the NCTNU10CA180847 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERLIN, JORDAN D · 2014 to 2018
$2.6M
Building upon a tradition of excellence. The NCTN at Indiana UniversityU10CA180795 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI MILLER, KATHY D. · 2014 to 2018
$2.6M
NCI National Clinical Trials Network U10U10CA180857 · NCI · DUKE UNIVERSITY · PI BARBORIAK, DANIEL P, BRIZEL, DAVID M · 2014 to 2018
$2.0M
NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180795NCI NIH HHS U10 CA180799NCI NIH HHS U10 CA180802NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180847NCI NIH HHS U10 CA180857NCI NIH HHS U10 CA180858NCI NIH HHS UG1 CA189828NCI NIH HHS UG1 CA189956
6 · The paper itself

Abstract

introductionThis multicenter phase 2 study assessed the combination of estramustine and weekly paclitaxel with metastatic castration-resistant prostate cancer (CRPC). PATIENTS AND

methodsWe enrolled 77 patients who had received no prior chemotherapy for CRPC between 1998 and 2000; a total of 74 subjects were eligible for the study. Each 8-week cycle included paclitaxel 90 mg/m

resultsEligible patients received a median of 3 cycles (range, 1-10 cycles). The response rate among patients with measurable disease was 34% (95% confidence interval [CI], 19-52). The PSA response rate was 58% (95% CI, 47-70). Clinical benefit rate was 45% (95% CI, 33-57). The median progression-free survival was 5.9 months (95% CI, 4.4-6.7). The median overall survival was 17.6 months (95% CI, 14.6-20.8). The most common clinical grade 3/4 toxicities were fatigue (14%) and sensory neuropathy (7%). Grade 3/4 hematologic toxicities included lymphopenia (21%) and anemia (9%). There was one toxicity-related death. Quality-of-life scores improved by week 8, but the change was not statistically significant.

conclusionThe combination has activity defined by PSA declines in CRPC but did not meet the protocol-specified end point for efficacy as defined by objective response rate. Since this study was conducted, more effective, better-tolerated regimens have been developed.

Indexed as

Administration, IntravenousAdministration, OralAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsDrug Administration ScheduleEstramustineHumansMaleMiddle AgedPaclitaxelProstate-Specific AntigenProstatic Neoplasms, Castration-ResistantSurvival AnalysisTreatment OutcomeEstramustinePaclitaxelProstate-Specific AntigenCastration resistantChemotherapyClinical trialsMetastasesProstate cancer

Identifiers

PMID29173976
PMCPMC5975965

What OpenQuestion holds

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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.