Evidence map›Paper›PMID 34129855›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2021

Transcriptional profiling of primary prostate tumor in metastatic hormone-sensitive prostate cancer and association with clinical outcomes: correlative analysis of the E3805 CHAARTED trial.

A A Hamid, H-C Huang, V Wang, Y-H Chen, F Feng, R Den, G Attard, E M Van Allen, P T Tran, D E Spratt and 6 more

Open access · hybridAbstract readClinical Trial, Phase III
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  18. Current Evidence on Cabazitaxel for Prostate Cancer Therapy: A Narrative Review.International journal of urology : official journal of the Japanese Urological Association · 2025
    Review
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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

16 authors at 10 institutions in 3 countries.

A A HamidDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA; University of Melbourne, Melbourne, Australia.
H-C HuangDecipher Biosciences, San Diego, USA.
V WangDepartment of Data Science, Dana-Farber Cancer Institute, Boston, USA.
Y-H ChenDepartment of Data Science, Dana-Farber Cancer Institute, Boston, USA.
F FengHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, USA.
R DenDepartment of Radiation Oncology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, USA.
G AttardUniversity College London Cancer Institute, London, UK.
E M Van AllenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA.
P T TranSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, USA.
D E SprattDepartment of Radiation Oncology, University of Michigan, Ann Arbor, USA.
R DittamoreDecipher Biosciences, San Diego, USA.
E DavicioniDecipher Biosciences, San Diego, USA.
G LiuUniversity of Wisconsin Carbone Cancer Center, Madison, USA.
R DiPaolaUniversity of Kentucky Medical Center, Lexington, USA.
M A CarducciSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, USA.
C J SweeneyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA. Electronic address: Christopher_Sweeney@dfci.harvard.edu.
Dana-Farber Cancer Institute · USCoherus BioSciences (United States) · USSidney Kimmel Comprehensive Cancer Center · USLondon Cancer · GBThomas Jefferson University · USUCSF Helen Diller Family Comprehensive Cancer Center · USUniversity of Kentucky · USUniversity of Melbourne · AUUniversity of Michigan–Ann Arbor · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO · 2014 to 2026
$111.2M
ECOG-ACRIN Biospecimen Bank to Support NCTNU24CA196172 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI STANLEY R. HAMILTON, Scott D Jewell · 2015 to 2026
$41.1M
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
UM LAPs -UG1 GrantUG1CA233160 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANNE F SCHOTT · 2019 to 2026
$5.4M
National Clinical Trials Network Research at the University of WisconsinUG1CA233277 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Lisa M Barroilhet, Andrew M. Baschnagel · 2019 to 2026
$4.9M
NCTN LAPS at Johns HopkinsUG1CA233196 · NCI · JOHNS HOPKINS UNIVERSITY · PI DEBORAH K ARMSTRONG, Julie Renee Brahmer · 2019 to 2026
$4.6M
Sidney Kimmel Cancer Center LAPS Institutional CollaborationUG1CA233341 · NCI · THOMAS JEFFERSON UNIVERSITY · PI Steven Cohen, Mitchell Edelson · 2019 to 2026
$3.5M
Comprehensive genomic profiling of aggressive hormone sensitive prostate cancerR01CA238020 · NCI · UNIVERSITY OF ADELAIDE · PI SWEENEY, CHRISTOPHER J · 2020 to 2025
$2.5M
NCI NIH HHS R01 CA238020NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180820NCI NIH HHS U24 CA196172NCI NIH HHS UG1 CA233160NCI NIH HHS UG1 CA233180NCI NIH HHS UG1 CA233196NCI NIH HHS UG1 CA233277NCI NIH HHS UG1 CA233341
6 · The paper itself

Abstract

backgroundThe phase III CHAARTED trial established upfront androgen-deprivation therapy (ADT) plus docetaxel (D) as a standard for metastatic hormone-sensitive prostate cancer (mHSPC) based on meaningful improvement in overall survival (OS). Biological prognostic markers of outcomes and predictors of chemotherapy benefit are undefined. PATIENTS AND

methodsWhole transcriptomic profiling was performed on primary PC tissue obtained from patients enrolled in CHAARTED prior to systemic therapy. We adopted an a priori analytical plan to test defined RNA signatures and their associations with HSPC clinical phenotypes and outcomes. Multivariable analyses (MVAs) were adjusted for age, Eastern Cooperative Oncology Group status, de novo metastasis presentation, volume of disease, and treatment arm. The primary endpoint was OS; the secondary endpoint was time to castration-resistant PC.

resultsThe analytic cohort of 160 patients demonstrated marked differences in transcriptional profile compared with localized PC, with a predominance of luminal B (50%) and basal (48%) subtypes, lower androgen receptor activity (AR-A), and high Decipher risk disease. Luminal B subtype was associated with poorer prognosis on ADT alone but benefited significantly from ADT + D [OS: hazard ratio (HR) 0.45; P = 0.007], in contrast to basal subtype which showed no OS benefit (HR 0.85; P = 0.58), even in those with high-volume disease. Higher Decipher risk and lower AR-A were significantly associated with poorer OS in MVA. In addition, higher Decipher risk showed greater improvements in OS with ADT + D (HR 0.41; P = 0.015).

conclusionThis study demonstrates the utility of transcriptomic subtyping to guide prognostication in mHSPC and potential selection of patients for chemohormonal therapy, and provides proof of concept for the possibility of biomarker-guided selection of established combination therapies in mHSPC.

Indexed as

Androgen AntagonistsProstatic NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsDocetaxelHormonesHumansMaleAndrogen AntagonistsDocetaxelHormonesbiomarkerDecipherdocetaxelgene expression profilingmetastatic prostate cancer

Identifiers

PMID34129855
PMCPMC8463957
OpenAlexW3170331504

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.