Evidence map›Paper›PMID 31399784›Full record

ArticleMedical oncology (Northwood, London, England)2019

Metronomic chemotherapy with cyclophosphamide plus low dose of corticosteroids in advanced castration-resistant prostate cancer across the era of taxanes and new hormonal drugs.

Nicola Calvani, Franco Morelli, Emanuele Naglieri, Antonio Gnoni, Vincenzo Emanuele Chiuri, Laura Orlando, Palma Fedele, Saverio Cinieri

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Medical oncology (Northwood, London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. Metronomic Chemotherapy in Prostate Cancer.Journal of clinical medicine · 2022
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. 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 4 institutions in 1 country.

Nicola CalvaniMedical Oncology Division and Breast Unit, Sen. Antonio Perrino Hospital, S.S. 7, 72100, Brindisi, Italy. nicolacalvani@icloud.com.ORCID http://orcid.org/0000-0002-9761-7431
Franco MorelliDepartment of Oncology, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
Emanuele NaglieriMedical Oncology Unit, IRCCS Giovanni Paolo II, Bari, Italy.
Antonio GnoniMedical Oncology Unit, Sacro Cuore di Gesù Hospital, Gallipoli, Italy.
Vincenzo Emanuele ChiuriMedical Oncology Department, V. Fazzi Hospital, Lecce, Italy.
Laura OrlandoMedical Oncology Division and Breast Unit, Sen. Antonio Perrino Hospital, S.S. 7, 72100, Brindisi, Italy.
Palma FedeleMedical Oncology Division and Breast Unit, Sen. Antonio Perrino Hospital, S.S. 7, 72100, Brindisi, Italy.
Saverio CinieriMedical Oncology Division and Breast Unit, Sen. Antonio Perrino Hospital, S.S. 7, 72100, Brindisi, Italy.
Ospedale A. Perrino · ITCasa Sollievo della Sofferenza · ITIstituto Tumori Bari · ITOspedale Vito Fazzi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of our study is to investigate the efficacy of metronomic cyclophosphamide plus low dose of corticosteroids in advanced or metastatic castration-resistant prostate cancer (CRPC) before, between, and after standard chemotherapy, such as docetaxel and cabazitaxel, and new hormonal treatments, such as abiraterone and enzalutamide. A retrospective analysis was performed on 37 patients. Cyclophosphamide was given orally 50 mg per day together with low dose of corticosteroids, namely dexametasone orally 1 mg per day or prednisone 10 mg per day. Seventeen patients (51%) showed a PSA decline≥ 50%. Median progression-free survival (PFS) and overall survival (OS) were 11 and 28 months, respectively. Median PFS and OS in the subgroup of patients with a PSA decline ≥ 50% were 14 and 35 months, respectively. Treatment was very well tolerated. We suggest that oral metronomic cyclophosphamide plus low dose of oral dexamethasone or prednisone may be a good and safe therapeutic option not only in those CRPC patients unfit for standard treatments but also in those heavily pre-treated patients.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsAntineoplastic Agents, AlkylatingAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDrug Administration ScheduleGlucocorticoidsHumansMaleMiddle AgedProstate-Specific AntigenProstatic Neoplasms, Castration-ResistantRetrospective StudiesSurvival AnalysisTaxoidsAntineoplastic AgentsAntineoplastic Agents, AlkylatingCyclophosphamideGlucocorticoidsProstate-Specific AntigenTaxoidsCastration-resistantCyclophosphamideMetronomic chemotherapyProstate cancer

Identifiers

PMID31399784
OpenAlexW2967828526

What OpenQuestion holds

Textmetadata
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.