Evidence map›Paper›PMID 31685981›Full record

SynthesisProstate cancer and prostatic diseases2020

Adverse events related to abiraterone and enzalutamide treatment: analysis of the EudraVigilance database and meta-analysis of registrational phase III studies.

Cosimo De Nunzio, Riccardo Lombardo, Giorgia Tema, Olivia Voglino, Angela Sica, Valeria Baldassarri, Antonio Nacchia, Roberto Iacovelli, Sergio Bracarda, Andrea Tubaro

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Prostate cancer and prostatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Cancer Stem Cells and Prostate Cancer: A Narrative Review.International journal of molecular sciences · 2023
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Observational
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

10 authors.

Cosimo De NunzioDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy. cosimodenunzio@virgilio.it.
Riccardo LombardoDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy.
Giorgia TemaDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy.
Olivia VoglinoDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy.
Angela SicaDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy.
Valeria BaldassarriDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy.
Antonio NacchiaDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy.
Roberto IacovelliOncologia Medica, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Sergio BracardaDepartment of Urology, Azienda Ospedaliera di Terni, Terni, Italy.
Andrea TubaroDepartment of Urology, Ospedale Sant'Andrea, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData from clinical trials do not always provide adequate information to judge the impact of new treatments when used in a real-world setting. The aim of our study was to analyze adverse events (AEs) associated with enzalutamide (ENZ) and abiraterone (ABI) using real-life data from the EudraVigilance (EV) database.

methodsThe EV database is the system for managing and analyzing information on suspected adverse reactions to medicines, which have been authorized or are being studied in clinical trials in the European Economic Area. We recorded the number of AEs for ABI and ENZ per category and severity from January 2013 to January 2019. In addition, we recorded AEs per age group. A meta-analysis of AEs reported in registrational phase III studies (AFFIRM, PREVAIL, COU-AA) was performed.

resultsThe number of individual cases identified in EV database was 13,562 for ABI and 40,599 for ENZ. Over 90% of the reported AEs were defined as serious for both drugs. Older patients (>85 years and 65-85 years) treated with ABI or ENZ are at increased risk of cardiac, infectious, metabolic, and respiratory disorders when compared with younger patients (<65). According to registrational phase III studies, the most frequent AEs in patients treated with ABI are hepatobiliary disorders, while the most frequent AEs in patients treated with ENZ are psychiatric and vascular disorders. Several AEs present in the EV database are not reported in the registrational phase III studies. It is important to note that we have no information on the number of patients under treatment in the EV database.

conclusionsThe EV database highlights several AEs that are not reported in registrational phase III studies as well as different AEs profiles according to age. Clinicians should consider these data when treating patients with castration-resistant prostate cancer with ABI or ENZ.

Indexed as

Clinical Trials, Phase III as TopicAndrostenesAntineoplastic Combined Chemotherapy ProtocolsBenzamidesDrug-Related Side Effects and Adverse ReactionsHumansMaleNitrilesPhenylthiohydantoinPrognosisProstatic NeoplasmsRetrospective StudiesabirateroneAndrostenesBenzamidesenzalutamideNitrilesPhenylthiohydantoin

Identifiers

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.