Evidence map›Paper›PMID 32424106›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2020

Transcriptional profiling identifies an androgen receptor activity-low, stemness program associated with enzalutamide resistance.

Joshi J Alumkal, Duanchen Sun, Eric Lu, Tomasz M Beer, George V Thomas, Emile Latour, Rahul Aggarwal, Jeremy Cetnar, Charles J Ryan, Shaadi Tabatabaei and 21 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
11.5field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 167 citations in OpenAlex.

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  11. Circadian regulator REV-ERBα is a master regulator of tumor lineage plasticity and an effective therapeutic target.Proceedings of the National Academy of Sciences of the United States of America · 2025
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34 more citing papers are in PubMed but not listed here.

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

31 authors at 9 institutions in 2 countries.

Joshi J AlumkalKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239; jalumkal@med.umich.edu owenwitte@mednet.ucla.edu.
Duanchen SunKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0002-2802-6347
Eric LuKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
Tomasz M BeerKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
George V ThomasKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
Emile LatourBiostatistics Shared Resource, Knight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0002-7749-7217
Rahul AggarwalHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94158.
Jeremy CetnarKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
Charles J RyanDivision of Hematology, Oncology and Transplantation, University of Minnesota Masonic Cancer Center, Minneapolis, MN 55455.
Shaadi TabatabaeiKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
Shawna BaileyKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
Claire B TurinaKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
David A QuigleyHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94158.
Xiangnan GuanKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.
Adam FoyeHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94158.
Jack F YoungrenHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94158.
Joshua UrrutiaKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0003-2171-0936
Jiaoti HuangDepartment of Pathology, Duke University, Durham, NC 27710.
Alana S WeinsteinUniversity of California Santa Cruz Genomics Institute, University of California, Santa Cruz, CA 95064.
Verena FriedlUniversity of California Santa Cruz Genomics Institute, University of California, Santa Cruz, CA 95064.ORCID 0000-0002-7247-6038
Matthew RettigUniversity of California, Los Angeles, CA 90095.
Robert E ReiterUniversity of California, Los Angeles, CA 90095.
Daniel E SprattDepartment of Radiation Oncology, Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109.
Martin GleaveDepartment of Urologic Sciences, University of British Columbia, Vancouver, Canada BC V6T 1Z3.
Christopher P EvansDepartment of Urologic Surgery, University of California, Davis, CA 95817.
Joshua M StuartUniversity of California Santa Cruz Genomics Institute, University of California, Santa Cruz, CA 95064.
Yiyi ChenDepartment of Medicine, University of California, San Francisco, CA 94143.
Felix Y FengHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94158.
Eric J SmallHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA 94158.
Owen N WitteDepartment of Microbiology, Immunology, and Molecular Genetics at the David Geffen School of Medicine, University of California, Los Angeles, CA 90095 jalumkal@med.umich.edu owenwitte@mednet.ucla.edu.ORCID 0000-0003-4461-4533
Zheng XiaKnight Cancer Institute, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0003-3364-8324
Oregon Health & Science University · USUniversity of California, San Francisco · USUniversity of California, Los Angeles · USUniversity of California, Santa Cruz · USDuke University · USUniversity of British Columbia · CAUniversity of California, Davis · USUniversity of Michigan · USUniversity of Minnesota Medical Center · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Grace B Gill · 1997 to 2026
$60.5M
TRANSCRIPTOME AND PROTEOME STRATIFICATION OF PROSTATE ADENOCARCINOMA PHENOTYPESP50CA097186 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI PETER S NELSON · 2002 to 2026
$58.1M
Tissue/InformaticsP50CA186786 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Ganesh S Palapattu · 2014 to 2026
$27.6M
The Role of LSD1 in the Evolution of Castration Resistant Prostate CancerR01CA178610 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ALUMKAL, JOSHI JAMES · 2014 to 2018
$1.6M
NCI NIH HHS P30 CA014236NCI NIH HHS P30 CA046592NCI NIH HHS P30 CA051008NCI NIH HHS P30 CA069533NCI NIH HHS P50 CA097186NCI NIH HHS P50 CA186786NCI NIH HHS R01 CA178610
6 · The paper itself

Abstract

The androgen receptor (AR) antagonist enzalutamide is one of the principal treatments for men with castration-resistant prostate cancer (CRPC). However, not all patients respond, and resistance mechanisms are largely unknown. We hypothesized that genomic and transcriptional features from metastatic CRPC biopsies prior to treatment would be predictive of de novo treatment resistance. To this end, we conducted a phase II trial of enzalutamide treatment (160 mg/d) in 36 men with metastatic CRPC. Thirty-four patients were evaluable for the primary end point of a prostate-specific antigen (PSA)50 response (PSA decline ≥50% at 12 wk vs. baseline). Nine patients were classified as nonresponders (PSA decline <50%), and 25 patients were classified as responders (PSA decline ≥50%). Failure to achieve a PSA50 was associated with shorter progression-free survival, time on treatment, and overall survival, demonstrating PSA50's utility. Targeted DNA-sequencing was performed on 26 of 36 biopsies, and RNA-sequencing was performed on 25 of 36 biopsies that contained sufficient material. Using computational methods, we measured AR transcriptional function and performed gene set enrichment analysis (GSEA) to identify pathways whose activity state correlated with de novo resistance.

Indexed as

Antineoplastic AgentsDrug Resistance, NeoplasmPhenylthiohydantoinProstatic Neoplasms, Castration-ResistantReceptors, AndrogenAgedAged, 80 and overBenzamidesGene Expression ProfilingHumansMaleMiddle AgedNitrilesProstate-Specific AntigenAntineoplastic AgentsBenzamidesenzalutamideNitrilesPhenylthiohydantoinProstate-Specific AntigenReceptors, Androgenandrogen receptorenzalutamideresistancestemness

Identifiers

PMID32424106
PMCPMC7275746
OpenAlexW3024601170

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.