Evidence map›Paper›PMID 34197212›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Prospective Evaluation of Clinical Outcomes Using a Multiplex Liquid Biopsy Targeting Diverse Resistance Mechanisms in Metastatic Prostate Cancer.

Jamie M Sperger, Hamid Emamekhoo, Rana R McKay, Charlotte N Stahlfeld, Anupama Singh, Xinyi E Chen, Lucia Kwak, Cole S Gilsdorf, Serena K Wolfe, Xiao X Wei and 15 more

2 registry-linked trialsOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article 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. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.9field-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.

NCT01942837 phase2completednot on this map

Phase II Trial of Enzalutamide for Castrate-resistant Prostate Cancer (CRPC) With Correlative Assessment of Androgen Receptor (AR) Signaling and Whole-exome and Transcriptome Sequencing

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2013 to 2022Enrolled67ConditionsMetastatic Castration-resistant Prostate CancerArmsEnzalutamide
NCT02025010 phase2completednot on this map

Phase II Clinical Trial of Abiraterone Acetate Without Exogenous Glucocorticoids in Men With Castration-resistant Prostate Cancer With Correlative Assessment of Hormone Intermediates.

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2014 to 2025Enrolled60ConditionsCastration-resistant Prostate CancerArmsabiraterone acetate
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
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  5. Variable cellular and radiobiological effects of [Journal of experimental & clinical cancer research : CR · 2026
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  12. Review
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  15. Liquid Biopsy in the Clinical Management of Cancers.International journal of molecular sciences · 2024
    Review
  16. Article
  17. Review
  18. Circulating tumor cells in pancreatic cancer: more than liquid biopsy.Therapeutic advances in medical oncology · 2024
    Review
  19. Review
  20. Targeting the Androgen Signaling Axis in Prostate Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 9 institutions in 2 countries.

Jamie M SpergerDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.ORCID 0000-0001-8578-8033
Hamid EmamekhooDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.ORCID 0000-0002-8506-8703
Rana R McKayMoores Cancer Center, University of California San Diego, La Jolla, CA.ORCID 0000-0002-0581-7963
Charlotte N StahlfeldDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.ORCID 0000-0002-6433-3117
Anupama SinghDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.
Xinyi E ChenDepartment of Urologic Sciences, Vancouver Prostate Centre, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-6125-3253
Lucia KwakDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Cole S GilsdorfDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.
Serena K WolfeDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.
Xiao X WeiDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Rebecca SilverDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Zhenwei ZhangDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Michael J MorrisMemorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.ORCID 0000-0002-9454-0096
Glenn BubleyBeth Israel Deaconess Medical Center, Boston, MA.
Felix Y FengDivision of Hematology and Oncology, Department of Medicine, Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA.
Howard I ScherMemorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.ORCID 0000-0002-6791-9324
Dana RathkopfMemorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, NY.
Scott M DehmDepartments of Laboratory Medicine and Pathology and Urology, Masonic Cancer Center, University of Minnesota, Minneapolis, MN.
Toni K ChoueiriDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.ORCID 0000-0002-9201-3217
Susan HalabiDuke Cancer Institute Center for Prostate and Urologic Cancers, Duke University, Durham, NC.ORCID 0000-0003-4135-2777
Andrew J ArmstrongDuke Cancer Institute Center for Prostate and Urologic Cancers, Duke University, Durham, NC.ORCID 0000-0001-7012-1754
Alexander W WyattDepartment of Urologic Sciences, Vancouver Prostate Centre, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-2399-0329
Mary-Ellen TaplinDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Shuang G ZhaoDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.
Joshua M LangDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.
University of Wisconsin–Madison · USHarvard University · USMemorial Sloan Kettering Cancer Center · USDuke University · USUniversity of British Columbia · CABeth Israel Deaconess Medical Center · USUniversity of California San Diego · USUniversity of California, San Francisco · USUniversity of Minnesota · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI AMY TRENTHAM-DIETZ · 1985 to 2026
$142.6M
AR Gene Rearrangements and AR Signaling in Prostate CancerR01CA174777 · NCI · UNIVERSITY OF MINNESOTA · PI Scott M. Dehm · 2013 to 2026
$4.9M
Clinical genomic predictive model of first line androgen receptor inhibitor therapy outcomes in men with mCRPCR01CA256157 · NCI · DUKE UNIVERSITY · PI ARMSTRONG, ANDREW J, DEHM, SCOTT M. · 2020 to 2025
$3.2M
VERSA: An Integrated, Multi-Endpoint Platform for Circulating Tumor Cell AnalysisR01CA181648 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BERRY, SCOTT M, LANG, JOSHUA MICHAEL · 2014 to 2018
$1.6M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014520NCI NIH HHS R01 CA174777NCI NIH HHS R01 CA181648NCI NIH HHS R01 CA256157
6 · The paper itself

Abstract

purposeNearly all men with prostate cancer treated with androgen receptor (AR) signaling inhibitors (ARSIs) develop resistance via diverse mechanisms including constitutive activation of the AR pathway, driven by AR genomic structural alterations, expression of AR splice variants (AR-Vs), or loss of AR dependence and lineage plasticity termed neuroendocrine prostate cancer. Understanding these de novo acquired ARSI resistance mechanisms is critical for optimizing therapy. MATERIALS AND

methodsA novel liquid biopsy technology was used to collect mRNA from circulating tumor cells (CTCs) to measure expression of AR-Vs, AR targets, and neuroendocrine prostate cancer markers. An institutional review board-approved prospective cohort (N = 99) was used to identify patterns of gene expression. Two prospective multicenter phase II clinical trials of ARSIs for men with castration-resistant prostate cancer (ClinicalTrials.gov: NCT01942837 [enzalutamide, N = 21] and NCT02025010 [abiraterone, N = 27]) were used to further validate these findings.

resultsHierarchical clustering of CTC transcripts identified two distinct clusters. Cluster 2 (C2) exhibited increased expression of AR-regulated genes and was associated with worse overall survival (median 8.6

conclusionWe demonstrate that a transcriptional profile detectable in CTCs obtained from liquid biopsies can serve as an independent prognostic marker beyond AR-V7 in patients with metastatic prostate cancer and can be used to identify the emergence of multiple ARSI resistance mechanisms. This is currently being investigated in additional prospective trials.

Indexed as

Gene Expression ProfilingMultiplex Polymerase Chain ReactionTranscriptomeAgedAged, 80 and overAlternative SplicingAndrogen AntagonistsAndrostenesBenzamidesBiomarkers, TumorClinical Decision-MakingClinical Trials, Phase II as TopicDrug Resistance, NeoplasmHumansLiquid BiopsyMaleabirateroneAndrogen AntagonistsAndrostenesAR protein, humanBenzamidesBiomarkers, TumorenzalutamideNitrilesPhenylthiohydantoinReceptors, Androgen

Identifiers

PMID34197212
PMCPMC8425833
OpenAlexW3173494220

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.