Evidence map›Paper›PMID 32273234›Full record

Trial reportClinical genitourinary cancer2020

Androgens and Overall Survival in Patients With Metastatic Castration-resistant Prostate Cancer Treated With Docetaxel.

Charles J Ryan, Sandipan Dutta, William K Kelly, Rob Middleberg, Carly Russell, Michael J Morris, Mary-Ellen Taplin, Susan Halabi, Alliance for Clinical Trials in Oncology Genitourinary Committee

Open access · greenAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Clinical genitourinary cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  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

9 authors at 6 institutions in 1 country.

Charles J RyanDivision of Hematology, Oncology and Transplantation University of Minnesota, Masonic Cancer Center, Minneapolis, MN. Electronic address: ryanc@umn.edu.
Sandipan DuttaDuke University Medical Center, Durham, NC.
William K KellyDepartment of Medical Oncology, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA.
Rob MiddlebergNMS Labs, Willow Grove, PA.
Carly RussellDivision of Hematology, Oncology and Transplantation University of Minnesota, Masonic Cancer Center, Minneapolis, MN.
Michael J MorrisMemorial Sloan Kettering Cancer, New York, NY.
Mary-Ellen TaplinDana-Farber/Partners Cancer Care, Harvard Medical School, Boston, MA.
Susan HalabiDuke University Medical Center, Durham, NC.
Alliance for Clinical Trials in Oncology Genitourinary Committee
Duke Medical Center · USUniversity of Minnesota Medical Center · USEvaporated Coatings (United States) · USHarvard University · USMemorial Sloan Kettering Cancer Center · USThomas Jefferson University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
Statistics CoreU10CA180882 · NCI · MAYO CLINIC ROCHESTER · PI Sumithra Jay Mandrekar · 2014 to 2026
$115.0M
Network Lead Academic Participating Site: Memorial Sloan Kettering Cancer CenterUG1CA233290 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAROL AGHAJANIAN, Darren Feldman · 2019 to 2026
$10.2M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareUG1CA233180 · NCI · DANA-FARBER CANCER INST · PI Harold John Burstein · 2019 to 2026
$8.6M
Serum Androgens as Predictors of Survival in Metastatic Prostate CancerR21CA195424 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HALABI, SUSAN, RYAN, CHARLES JAMES · 2015 to 2016
$398k
NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA195424NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180882NCI NIH HHS UG1 CA233180NCI NIH HHS UG1 CA233290
6 · The paper itself

Abstract

backgroundPre-treatment androgen levels are associated with overall survival (OS) in patients with metastatic castration-resistant prostate cancer (CRPC) treated with androgen synthesis inhibitors. The current study sought to determine whether pre-treatment serum androgens predict clinical outcome among patients with metastatic CRPC treated with docetaxel chemotherapy. MATERIALS AND

methodsData were obtained from 1050 men who were chemotherapy-naive prior to treatment with docetaxel, prednisone, and either bevacizumab or placebo (CALGB 90401). Pretreatment serum assays for testosterone, androstenedione, and dehydroepiandrosterone (DHEA) were performed with tandem liquid chromatography-mass spectrometry.

resultsMedian values for testosterone, androstenedione, and DHEA were 1.00, 13.50, and 8.12 ng/dL, respectively. The median was used to define the midpoint between low and high values. In univariate analysis, median OS for low versus high levels was 21.4 and 24.2 months for testosterone, 23.8 and 21.9 months for androstenedione, and 20.2 and 25.2 months for DHEA (P = NS). In multivariable analysis of all androgens, baseline DHEA was prognostic of ≥ 50% PSA decline from baseline (P = .008). In multivariable analysis adjusting for 10 known prognostic values and prior ketoconazole use for metastatic CRPC, a 10-unit increase in baseline testosterone increased risk of death (hazard ratio, 1.11; 95% confidence interval, 1.01-1.23; P = .039), whereas a 10-unit increase in androstenedione lowered risk of death (hazard ratio, 0.92; 95% confidence interval, 0.88-0.97; P = .001).

conclusionConsistent with prior studies, higher androstenedione levels in patients with metastatic CRPC treated with docetaxel are associated with improved survival. However pretreatment levels of other androgen levels are associated with varied effects on clinical outcome in chemotherapy-treated patients.

Indexed as

AdultAgedAged, 80 and overAndrogensAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiomarkers, TumorDocetaxelFollow-Up StudiesHumansMaleMiddle AgedPrednisonePrognosisProstatic Neoplasms, Castration-ResistantSurvival RateAndrogensBevacizumabBiomarkers, TumorDocetaxelPrednisoneCastration resistant prostate cancerDHEAPrognostic biomarkerSerum androgensTestosterone

Identifiers

PMID32273234
PMCPMC7252587
OpenAlexW2980911212

What OpenQuestion holds

Textmetadata
LicenceTDM
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.