Evidence map›Paper›PMID 33650292›Full record

Observational studyMolecular oncology2021

Liquid biopsy reveals KLK3 mRNA as a prognostic marker for progression free survival in patients with metastatic castration-resistant prostate cancer undergoing first-line abiraterone acetate and prednisone treatment.

Emmy Boerrigter, Guillemette E Benoist, Inge M van Oort, Gerald W Verhaegh, Onno van Hooij, Levi Groen, Frank Smit, Irma M Oving, Pieter de Mol, Tineke J Smilde and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Molecular oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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

14 authors at 6 institutions in 1 country.

Emmy BoerrigterDepartment of Pharmacy, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.ORCID 0000-0002-3041-6774
Guillemette E BenoistDepartment of Pharmacy, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
Inge M van OortDepartment of Urology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.
Gerald W VerhaeghDepartment of Urology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.
Onno van HooijDepartment of Urology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.ORCID 0000-0002-1258-2146
Levi GroenDepartment of Urology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.
Frank SmitMDxHealth, Nijmegen, the Netherlands.
Irma M OvingDepartment of Medical Oncology, Ziekenhuisgroep Twente, Almelo, the Netherlands.
Pieter de MolDepartment of Medical Oncology, Gelderse Vallei Hospital, Ede, the Netherlands.
Tineke J SmildeDepartment of Medical Oncology, Jeroen Bosch Hospital, 's Hertogenbosch, the Netherlands.
Diederik M SomfordDepartment of Urology, Canisius Wilhelmina Hospital, Nijmegen, the Netherlands.ORCID 0000-0002-5277-6586
Niven MehraDeparment of Medical Oncology, Radboud University Medical Center, Nijmegen, the Netherlands.
Jack A SchalkenDepartment of Urology, Radboud University Medical Center, Radboud Institute for Molecular Life Sciences, Nijmegen, the Netherlands.
Nielka P van ErpDepartment of Pharmacy, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLCanisius-Wilhelmina Ziekenhuis · NLJeroen Bosch Ziekenhuis · NLMDxHealth (Netherlands) · NLZiekenhuis Gelderse Vallei · NLZiekenhuis Groep Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circulating RNAs extracted from liquid biopsies represent a promising source of cancer- and therapy-related biomarkers. We screened whole blood from patients with metastatic castration-resistant prostate cancer (mCRPC) following their first-line treatment with abiraterone acetate and prednisone (AA-P) to identify circulating RNAs that may correlate with progression-free survival (PFS). In a prospective multicenter observational study, 53 patients with mCRPC were included after they started first-line AA-P treatment. Blood was drawn at baseline, 1, 3, and 6 months after treatment initiation. The levels of predefined circulating RNAs earlier identified as being upregulated in patients with mCRPC (e.g., microRNAs, long noncoding RNAs, and mRNAs), were analyzed. Uni- and multivariable Cox regression and Kaplan-Meier analyses were used to analyze the prognostic value of the various circulating RNAs for PFS along treatment. Detectable levels of kallikrein-related peptidase 3 (KLK3) mRNA at baseline were demonstrated to be an independent prognostic marker for PFS (201 vs 501 days, P = 0.00054). Three months after AA-P treatment initiation, KLK3 could not be detected in the blood of responding patients, but was still detectable in 56% of the patients with early progression. Our study confirmed that KLK3 mRNA detection in whole blood is an independent prognostic marker in mCRPC patients receiving AA-P treatment. Furthermore, the levels of circulating KLK3 mRNA in patients receiving AA-P treatment might reflect treatment response or early signs of progression.

Indexed as

Neoplasm MetastasisAbiraterone AcetateAdultAgedAntineoplastic AgentsBiomarkers, TumorCase-Control StudiesDisease-Free SurvivalHumansKallikreinsLiquid BiopsyMaleMiddle AgedPrednisonePrognosisProspective StudiesAbiraterone AcetateAntineoplastic AgentsBiomarkers, TumorKallikreinsKLK3 protein, humanPrednisoneProstate-Specific AntigenRNA, Messengerabiraterone acetatebiomarkersCastration-resistant prostate cancerKLK3liquid biopsyRNAs

Identifiers

PMID33650292
PMCPMC8410566
OpenAlexW3133796738

What OpenQuestion holds

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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.