Evidence map›Paper›PMID 33580296›Full record

SynthesisWorld journal of urology2021

Neoadjuvant treatment with androgen receptor signaling inhibitors prior to radical prostatectomy: a systematic review.

Gaëtan Devos, Bram Vansevenant, Gert De Meerleer, Andries Clinckaert, Wout Devlies, Frank Claessens, Markus Graefen, Thomas Steuber, Alberto Briganti, Alexandre de la Taille and 2 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2021. 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. PrebiopsyProstate cancer and prostatic diseases · 2023
    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

12 authors.

Gaëtan Devos *Department of Urology, University Hospitals Leuven, Leuven, Belgium. gaetan.devos@uzleuven.be.ORCID http://orcid.org/0000-0002-6772-915X
Bram Vansevenant *Department of Urology, University Hospitals Leuven, Leuven, Belgium.
Gert De MeerleerDepartment of Radiation Oncology, University Hospitals Leuven, Leuven, Belgium.
Andries ClinckaertDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.
Wout DevliesDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.
Frank ClaessensLaboratory of Molecular Endocrinology, Catholic University Leuven, Leuven, Belgium.
Markus GraefenMartini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Thomas SteuberMartini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Alberto BrigantiDivision of Oncology, Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Alexandre de la TailleHôpitaux Universitaires Henri Mondor, APHP, Henri Mondor Hôpital, Urology, Créteil, France.
Hendrik Van PoppelDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.
Steven JoniauDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextThere is an urgent need to develop novel treatment strategies in patients with unfavorable intermediate- and high-risk localized prostate cancer (PCa) to optimize the outcome of these patients. Androgen receptor signaling inhibitors (ARSI) have demonstrated a survival benefit in metastatic hormonesensitive and castration-resistant PCa. A similar benefit might be expected in the localized setting.

objectiveTo perform a systematic review about the role of neoadjuvant ARSI in unfavorable intermediate and high-risk localized PCa. EVIDENCE ACQUISITION: We performed a systematic review of the following databases: MEDLINE (PubMed), EMBASE, Cochrane Library and Web of Science. Publications of ASCO were consulted to identify meeting abstract with early results of ongoing trials. This systematic review was performed and reported in accordance with the PRISMA guidelines. EVIDENCE SYNTHESIS: Pathological complete response (pCR) following neoadjuvant ARSI treatment was observed in 4%-13% of the patients. Minimal residual disease response ranged from 36% to 73.9% when defined as residual cancer burden < 0.25 cm

conclusionDespite intense neoadjuvant ARSI therapy, pCR is rarely attained and high proportions of pT3 disease are still observed at final pathology. In contrast, promising results are obtained in terms of PSMs. Long-term survival outcomes are eagerly awaited.

Indexed as

Androgen Receptor AntagonistsHumansMaleNeoadjuvant TherapyPreoperative PeriodProstatectomyProstatic NeoplasmsRisk AssessmentAndrogen Receptor AntagonistsAbirateroneAndrogen receptor signaling inhibitorsApalutamideEnzalutamideHigh-risk prostate cancerLocally advanced prostate cancerNeoadjuvant therapyRadical prostatectomy

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.