Evidence map›Paper›PMID 31382926›Full record

Observational studyBMC cancer2019

Efficacy and safety of abiraterone acetate plus prednisone vs. cabazitaxel as a subsequent treatment after first-line docetaxel in metastatic castration-resistant prostate cancer: results from a prospective observational study (CAPRO).

Javier Puente, Aranzazu González-Del-Alba, Núria Sala-Gonzalez, María José Méndez-Vidal, Alvaro Pinto, Ángel Rodríguez, José Miguel Cuevas Sanz, Jacobo Rodrigo Muñoz Del Toro, Eduardo Useros Rodríguez, Ángela García García-Porrero and 1 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

11 authors at 8 institutions in 1 country.

Javier PuenteMedical Oncology, Hospital Clínico San Carlos. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), CIBERONC, C/Profesor Martín Lagos, s/n 28040, Madrid, Spain. javierpuente.hcsc@gmail.com.ORCID http://orcid.org/0000-0002-6910-1331
Aranzazu González-Del-AlbaMedical Oncology, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain.
Núria Sala-GonzalezMedical Oncology, ICO Girona, Hospital Josep Trueta, Girona, Spain.
María José Méndez-VidalOncology Department, Maimonides Institute of Biomedical Research (IMIBIC). Reina Sofía Hospital. University of Córdoba, Cordoba, Spain.
Alvaro PintoMedical Oncology, University Hospital La Paz - IdiPAZ, Madrid, Spain.
Ángel RodríguezMedical Oncology, Hospital Universitario de León, León, Spain.
José Miguel Cuevas SanzMedical Oncology, Hospital Universitario de la Ribera, Alcira, Spain.
Jacobo Rodrigo Muñoz Del ToroMedical Department, Janssen-Cilag S.A., Madrid, Spain.
Eduardo Useros RodríguezMedical Department, Janssen-Cilag S.A., Madrid, Spain.
Ángela García García-PorreroMedical Department, Janssen-Cilag S.A., Madrid, Spain.
Sergio VázquezMedical Oncology, Hospital Universitario Lucus Augusti, Lugo, Spain.
Hospital Clínico San Carlos · ESHospital de La Ribera · ESHospital de León · ESHospital Universitari de Girona Doctor Josep Trueta · ESHospital Universitario La Paz · ESHospital Universitario Lucus Augusti · ESHospital Universitario Puerta de Hierro Majadahonda · ESInstituto Maimónides de Investigación Biomédica de Córdoba · ES

Funding

Janssen Cilag S.A. N/A
6 · The paper itself

Abstract

backgroundTo describe the patterns of second-line treatment of patients with metastatic castration-resistant prostate cancer (mCRPC) after docetaxel treatment in a Spanish population, to identify the factors associated with those patterns, and to compare the efficacy and safety of the treatments most frequently administered.

methodsObservational, prospective study conducted in patients with histologically or cytologically confirmed prostate adenocarcinoma; documented metastatic castration-resistant disease; progression after first-line, docetaxel-based chemotherapy with or without other agents.

resultsOf the 150 patients recruited into the study, 100 patients were prescribed abiraterone acetate plus prednisone (AAP), 44 patients received cabazitaxel plus prednisone (CP), and 6 patients received other treatments. Age (odds ratio [OR] 1.06, 95% [confidence interval] CI 1.01 to 1.11) and not elevated lactate dehydrogenase (LDH) levels (OR 0.33, 95% CI 0.14 to 0.76) were independently associated with the administration of AAP. Treatment with AAP was associated with significantly longer clinical/radiographic progression-free survival (hazard ratio [HR] 0.57, 95% CI 0.38 to 0.85) and overall survival (OS; HR 0.40, 95% CI 0.21 to 0.76) compared to CP, while no significant differences between the treatments were found regarding biochemical progression-free survival (PFS; HR 0.78 [95% CI 0.49 to 1.24]). However, in a post-hoc Cox regression analysis adjusted for potential confounders there were not differences between AAP and CP in any of the time-to-event outcomes, including overall survival. We observed no new safety signals related to either regimen.

conclusionSecond-line AAP for patients with mCRPC is the most common treatment strategy after progression with a docetaxel-based regimen. When controlling for potential confounders, patients receiving this treatment showed no differences in PFS and OS in comparison to those receiving CP, although these latter results should be confirmed in randomized controlled trials.

Indexed as

Abiraterone AcetateAdenocarcinomaAgedAged, 80 and overAge FactorsAnemiaAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsAstheniaDocetaxelHumansKaplan-Meier EstimateL-Lactate DehydrogenaseMaleMiddle AgedMultivariate AnalysisAbiraterone AcetateAntineoplastic Agents, HormonalcabazitaxelDocetaxelL-Lactate DehydrogenasePrednisoneTaxoidsAbiraterone acetateCabazitaxelChemotherapyMetastatic castration-resistant prostate cancerSequence

Identifiers

PMID31382926
PMCPMC6683519
OpenAlexW2966258225

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.