Evidence map›Paper›PMID 34197181›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Radiation and Androgen Deprivation Therapy With or Without Docetaxel in the Management of Nonmetastatic Unfavorable-Risk Prostate Cancer: A Prospective Randomized Trial.

Anthony V D'Amico, Wanling Xie, Elizabeth McMahon, Marian Loffredo, Shana Medeiros, David Joseph, Jim Denham, Parvesh Kumar, Glenn Bubley, Molly Sullivan and 7 more

Open access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  3. Trial
  4. Review
  5. Drug repurposing for cancer therapy.Signal transduction and targeted therapy · 2024
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  8. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 13 institutions in 2 countries.

Anthony V D'AmicoDepartment of Radiation Oncology, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, MA.ORCID 0000-0002-4084-9944
Wanling XieDepartment of Data Sciences, Dana Farber Cancer Institute, Boston, MA.ORCID 0000-0001-5995-8000
Elizabeth McMahonDepartment of Radiation Oncology, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, MA.
Marian LoffredoDepartment of Radiation Oncology, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, MA.
Shana MedeirosDepartment of Radiation Oncology, Brigham and Women's Hospital and Dana Farber Cancer Institute, Boston, MA.
David JosephUniversity of Western Australia, Nedlands, WA, Australia.
Jim DenhamCalvary Mater New Castle, Waratah, NSW, Australia.
Parvesh KumarUniversity of Missouri School of Medicine, Columbia, MO.ORCID 0000-0003-1383-9764
Glenn BubleyDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Molly SullivanCape Cod Hospital, Hyannis, MA.
Richard HellwigSt Anne's Hospital, Fall River, MA.
Juan Carlos VeraJamaica Plain VA Medical Center, Boston, MA.
Rolf FreterSouth Shore Hospital, Weymouth, MA.
W Jeffrey BakerHartford Hospital, Hartford, CT.
Jeffrey Y WongCity of Hope National Medical Center, Duarte, CA.
Andrew A RenshawBaptist Hospital and Miami Cancer Institute, Miami, FL.ORCID 0000-0002-1318-4238
Philip W KantoffDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Brigham and Women's Hospital · USBaptist Hospital of Miami · USBeth Israel Deaconess Medical Center · USCalvary Mater Newcastle Hospital · AUCape Cod Hospital · USCity Of Hope National Medical Center · USDana-Farber Cancer Institute · USHartford Hospital · USMemorial Sloan Kettering Cancer Center · USSaint Anne's Hospital · USSouth Shore Hospital · USThe University of Western Australia · AUUniversity of Missouri · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeAlthough docetaxel is not recommended when managing men with unfavorable-risk prostate cancer (PC) given negative or inconclusive results from previous randomized trials, unstudied benefits may exist.

methodsBetween September 21, 2005, and January 13, 2015, we randomly assigned 350 men 1:1 with T1c-4N0M0 unfavorable-risk PC to receive radiation therapy (RT) and androgen deprivation therapy (ADT) plus docetaxel (60 mg/m

resultsAfter a median follow-up of 10.2 years, 89 men died (25.43%); of these, 42 from PC (47.19%). Although OS was not significantly increased in the docetaxel arm (the restricted mean survival time over 10 years was 9.11

conclusionAdding docetaxel to ADT + RT did not prolong OS in men with unfavorable-risk PC, but decreased RT-induced cancer incidence, and may prolong OS in the subgroup of men with a PSA < 4 ng/mL by reducing PC-specific mortality.

Indexed as

ChemoradiotherapyAndrogen AntagonistsAntineoplastic Combined Chemotherapy ProtocolsAustraliaDocetaxelHumansKallikreinsMaleNeoplasms, Radiation-InducedNeoplasm StagingNew ZealandProspective StudiesProstate-Specific AntigenProstatic NeoplasmsRisk AssessmentRisk FactorsAndrogen AntagonistsDocetaxelKallikreinsKLK3 protein, humanProstate-Specific Antigen

Identifiers

PMID34197181
PMCPMC8425842
OpenAlexW3168048570

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.