Evidence map›Paper›PMID 31942459›Full record

ArticleInvestigative and clinical urology2020

Enzalutamide in chemotherapy-naive patients with metastatic castration-resistant prostate cancer: A retrospective Korean multicenter study in a real-world setting.

Seung Il Jung, Myung Soo Kim, Chang Wook Jeong, Cheol Kwak, Sung Kyu Hong, Seok Ho Kang, Jae Young Joung, Seung Hwan Lee, Seok Joong Yun, Tae-Hwan Kim and 9 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Investigative and clinical urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

19 authors at 13 institutions in 2 countries.

Seung Il JungDepartment of Urology, Chonnam National University Medical School, Gwangju, Korea.ORCID 0000-0003-4864-8175
Myung Soo KimDepartment of Urology, Chonnam National University Medical School, Gwangju, Korea.ORCID 0000-0003-1456-2154
Chang Wook JeongDepartment of Urology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-2200-5019
Cheol KwakDepartment of Urology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0002-1987-2111
Sung Kyu HongDepartment of Urology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID 0000-0002-8344-6774
Seok Ho KangDepartment of Urology, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0002-1524-5233
Jae Young JoungDepartment of Urology, Center for Prostate Cancer, Korea National Cancer Center, Goyang, Korea.ORCID 0000-0003-2954-1663
Seung Hwan LeeDepartment of Urology, Severance Hospital, Yonsei University Health System, Seoul, Korea.ORCID 0000-0002-1186-0917
Seok Joong YunDepartment of Urology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID 0000-0001-7737-4746
Tae-Hwan KimDepartment of Urology, Kyungpook National University School of Medicine, Daegu, Korea.ORCID 0000-0001-7711-9534
Sung Woo ParkDepartment of Urology, Pusan National University Yangsan Hospital, Yangsan, Korea.ORCID 0000-0002-9895-3461
Seong Soo JeonDepartment of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID 0000-0002-3265-6261
Minyong KangDepartment of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID 0000-0002-6966-8813
Ji Youl LeeDepartment of Urology, The Catholic University of Korea, Seoul St. Mary Hospital's, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID 0000-0001-6775-1157
Byung Ha ChungDepartment of Urology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-9817-3660
Jun Hyuk HongDepartment of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID 0000-0003-2705-0481
Hanjong AhnDepartment of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID 0000-0001-7608-5352
Choung-Soo KimDepartment of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.ORCID 0000-0002-7464-3207
Dong Deuk KwonDepartment of Urology, Chonnam National University Medical School, Gwangju, Korea.ORCID 0000-0002-4544-5420
Chonnam National University Hospital · KRUlsan College · KRSamsung Medical Center · KRSeoul National University Hospital · KRChungbuk National University Hospital · KRKorea University · KRKyungpook National University · KRNational Cancer Center · USPusan National University Yangsan Hospital · KRSeoul National University Bundang Hospital · KRSeverance Hospital · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to evaluate the clinical efficacy of enzalutamide in chemotherapy-naïve metastatic castration-resistant prostate cancer (mCRPC) patients using real-world data from Korean patients. Materials and Methods: We retrospectively reviewed the medical records of 199 chemotherapy-naïve patients with mCRPC at 13 tertiary centers in Korea between 2014 and 2017. All patients received enzalutamide daily and 89 patients received concurrent androgen deprivation therapy (ADT). Results: The median age of the patients was 74 years. Initial results showed that 81.5% of the patients had Gleason score ≥8 and 33.3% of the patients had European Cooperative Oncology Group Performance Status 0. The overall mortality rate was 12%. The median OS was not archieved and 76.7% of patients were alive at 30 months. Median time until PSA progression was 6 months. The overall survival rate at 2 years was significantly higher (84.6% vs. 71.7%, p=0.015) and the duration of PSA progression-free survival was significantly longer (8.0 vs. 4.6 months, p=0.008) in patients receiving concurrent ADT than in those receiving enzalutamide alone. The incidence of adverse events of grade 3 or higher was 1.7%. Multivariate Cox proportional hazard analysis indicated that ADT administered concurrently with enzalutamide significantly improved the overall survival (hazard ratio, 0.346; 95% confidence interval, 0.125-0.958). Conclusions: Enzalutamide is effective and safe for chemotherapy-naïve patients with mCRPC. Furthermore, the overall survival was significantly higher in patients receiving enzalutamide and concurrent ADT than in patients receiving enzalutamide alone.

Indexed as

Androgen AntagonistsProstatic Neoplasms, Castration-ResistantAgedAntineoplastic AgentsBenzamidesDisease ProgressionDrug MonitoringDrug SynergismHumansMaleNeoplasm GradingNeoplasm StagingNitrilesPhenylthiohydantoinProstate-Specific AntigenRepublic of KoreaAndrogen AntagonistsAntineoplastic AgentsBenzamidesenzalutamideNitrilesPhenylthiohydantoinProstate-Specific AntigenAndrogen antagonistsNeoplasm metastasisProstate neoplasmsTreatment outcome

Identifiers

PMID31942459
PMCPMC6946821
OpenAlexW2987660212

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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.