Evidence map›Paper›PMID 33154984›Full record

ArticleJCO precision oncology2020

Prospective Multicenter Study of Circulating Tumor Cell AR-V7 and Taxane Versus Hormonal Treatment Outcomes in Metastatic Castration-Resistant Prostate Cancer.

Andrew J Armstrong, Jun Luo, David M Nanus, Paraskevi Giannakakou, Russell Z Szmulewitz, Daniel C Danila, Patrick Healy, Monika Anand, William R Berry, Tian Zhang and 11 more

Open access · hybridAbstract read
In one paragraph

Article in JCO precision oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
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  3. Circulating Tumor DNA Assessment for Treatment Monitoring Adds Value to PSA in Metastatic Castration-Resistant Prostate Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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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

21 authors at 5 institutions in 1 country.

Andrew J ArmstrongDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC.
Jun LuoDepartment of Urology, Johns Hopkins University, Baltimore, MD.ORCID https://orcid.org/0000-0002-1414-473X
David M NanusWeill Cornell Medical College, New York, NY.
Paraskevi GiannakakouWeill Cornell Medical College, New York, NY.
Russell Z SzmulewitzUniversity of Chicago, Chicago, IL.
Daniel C DanilaWeill Cornell Medical College, New York, NY.ORCID https://orcid.org/0000-0002-7647-0741
Patrick HealyDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC.
Monika AnandDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC.ORCID https://orcid.org/0000-0001-8634-4952
William R BerryDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC.ORCID https://orcid.org/0000-0001-9217-4902
Tian ZhangDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC.ORCID https://orcid.org/0000-0001-8914-3531
Michael R HarrisonDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC.ORCID https://orcid.org/0000-0003-3776-8892
Changxue LuDepartment of Urology, Johns Hopkins University, Baltimore, MD.ORCID https://orcid.org/0000-0001-7565-8796
Yan ChenDepartment of Urology, Johns Hopkins University, Baltimore, MD.ORCID https://orcid.org/0000-0003-0752-6323
Giuseppe GallettiWeill Cornell Medical College, New York, NY.
Joseph D SchonhoftDepartment of Oncology, Johns Hopkins University, Baltimore, MD.ORCID https://orcid.org/0000-0002-5860-5040
Howard I ScherMemorial Sloan Kettering Cancer Center, New York, NY, Parexel, Durham, NC.
Richard WenstrupDepartment of Oncology, Johns Hopkins University, Baltimore, MD.
Scott T TagawaWeill Cornell Medical College, New York, NY.ORCID https://orcid.org/0000-0003-2777-8587
Emmanuel S AntonarakisDepartment of Urology, Johns Hopkins University, Baltimore, MD.ORCID https://orcid.org/0000-0003-0031-9655
Daniel J GeorgeDuke Cancer Institute Center for Prostate and Urologic Cancers, Department of Medicine, Duke University, Durham, NC.ORCID https://orcid.org/0000-0002-0836-8542
Susan HalabiDepartment of Biostatistics and Bioinforamtics, Duke University, Durham, NC.ORCID https://orcid.org/0000-0003-4135-2777
Duke University · USJohns Hopkins University · USCornell University · USMemorial Sloan Kettering Cancer Center · USUniversity of Chicago · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
CANCER PHARMACOLOGYT32CA062948 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LORRAINE J GUDAS · 1994 to 2026
$12.1M
Targeting convergent oncogenic signaling during AR inhibition to overcome metastasis and immune evasion in prostate cancerR01CA233585 · NCI · DUKE UNIVERSITY · PI ARMSTRONG, ANDREW J · 2019 to 2023
$2.2M
Biomarkers of taxane chemotherapy response/resistance in prostate cancerR21CA216800 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI GIANNAKAKOU, PARASKEVI · 2018 to 2019
$400k
NCATS NIH HHS UL1 TR002384NCI NIH HHS P30 CA006973NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014236NCI NIH HHS R01 CA233585NCI NIH HHS R21 CA216800NCI NIH HHS T32 CA062948
6 · The paper itself

Abstract

purposeAndrogen receptor splice variant 7 (AR-V7) detection in circulating tumor cells (CTCs) is associated with a low probability of response and short progression-free (PFS) and overall survival (OS) in men with metastatic castration-resistant prostate cancer (mCRPC) treated with enzalutamide or abiraterone. However, it is unclear whether such men benefit from taxane chemotherapy. PATIENTS AND

methodsPROPHECY is a multicenter prospective blinded study of patients with poor-risk mCRPC starting abiraterone or enzalutamide and observed through subsequent progression and taxane chemotherapy. We assessed AR-V7 status using the Johns Hopkins modified AdnaTest CTC AR-V7 messenger RNA assay and the Epic Sciences CTC nuclear-localized AR-V7 protein assay before treatment. The primary objective was to validate the independent prognostic value of CTC AR-V7 status based on radiographic/clinical PFS. OS, confirmed prostate-specific antigen (PSA), and objective radiologic responses were secondary end points.

resultsWe enrolled 118 men with mCRPC treated with abiraterone or enzalutamide, 51 of whom received subsequent docetaxel or cabazitaxel. Pretreatment CTC AR-V7 status by the Johns Hopkins and Epic Sciences assays was independently associated with worse PFS (hazard ratio [HR], 1.7; 95% CI, 1.0 to 2.9 and HR, 2.1; 95% CI, 1.0 to 4.4, respectively) and OS (HR, 3.3; 95% CI, 1.7 to 6.3 and HR, 3.0; 95% CI, 1.4 to 6.3, respectively) and a low probability of confirmed PSA responses, ranging from 0% to 11%, during treatment with abiraterone or enzalutamide. At progression, subsequent CTC AR-V7 detection was not associated with an inferior PSA or radiographic response or worse PFS or OS with subsequent taxane chemotherapy after adjusting for CellSearch CTC enumeration and clinical prognostic factors.

conclusionDetection of AR-V7 in CTCs by two different blood-based assays is independently associated with shorter PFS and OS with abiraterone or enzalutamide, but such men with AR-V7-positive disease still experience clinical benefits from taxane chemotherapy.

Identifiers

PMID33154984
PMCPMC7608579
OpenAlexW3095488812

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.