Evidence map›Paper›PMID 34294873›Full record

ArticleProstate cancer and prostatic diseases2022

Differential impact of tumor suppressor gene (TP53, PTEN, RB1) alterations and treatment outcomes in metastatic, hormone-sensitive prostate cancer.

Miguel Gonzalez Velez, Heidi E Kosiorek, Jan B Egan, Andrea L McNatty, Irbaz B Riaz, Steven R Hwang, Glenn A Stewart, Thai H Ho, Cassandra N Moore, Parminder Singh and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Prostate cancer and prostatic diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
7.8field-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

38 citing papers in PubMed, 65 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

13 authors at 5 institutions in 1 country.

Miguel Gonzalez VelezDivision of Hematology and Medical Oncology, Phoenix, AZ, USA.
Heidi E KosiorekDepartment of Quantitative Health Sciences, Scottsdale, AZ, USA.
Jan B EganCenter for Individualized Medicine, Mayo Clinic, Phoenix, AZ, USA.
Andrea L McNattyDivision of Pharmacy, Scottsdale, AZ, USA.
Irbaz B RiazDivision of Hematology and Medical Oncology, Phoenix, AZ, USA.
Steven R HwangDepartment of Internal Medicine, Rochester, MN, USA.
Glenn A StewartDepartment of Internal Medicine, Rochester, MN, USA.
Thai H HoDivision of Hematology and Medical Oncology, Phoenix, AZ, USA.ORCID 0000-0003-0023-2939
Cassandra N MooreDivision of Hematology and Medical Oncology, Phoenix, AZ, USA.
Parminder SinghDivision of Hematology and Medical Oncology, Phoenix, AZ, USA.
Renee K SharpstenDivision of Hematology and Medical Oncology, Phoenix, AZ, USA.
Brian A CostelloDivision of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Alan H BryceDivision of Hematology and Medical Oncology, Phoenix, AZ, USA. bryce.alan@mayo.edu.ORCID 0000-0002-0206-3895
Mayo Clinic in Arizona · USUniversity of Minnesota Rochester · USMayo Clinic · USQuantitative BioSciences · USScottsdale Community College · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083
6 · The paper itself

Abstract

backgroundAltered tumor suppressor genes (TSG-alt) in prostate cancer are associated with worse outcomes. The prognostic value of TSG-alt in metastatic, hormone-sensitive prostate cancer (M1-HSPC) is unknown. We evaluated the effects of TSG-alt on outcomes in M1-HSPC and their prognostic impact by first-line treatment.

methodsWe retrospectively identified patients with M1-HSPC at our institution treated with first-line androgen deprivation therapy plus docetaxel (ADT + D) or abiraterone acetate (ADT + A). TSG-alt was defined as any alteration in one or more TSG. The main outcomes were Kaplan-Meier-estimated progression-free survival (PFS) and overall survival, analyzed with the log-rank test. Clinical characteristics were compared with the χ

resultsWe identified 97 patients with M1-HSPC: 48 (49%) with ADT + A and 49 (51%) with ADT + D. Of 96 patients with data available, 33 (34%) had 1 TSG-alt, 16 (17%) had 2 TSG-alt, and 2 (2%) had 3 TSG-alt. The most common alterations were in TP53 (36%) and PTEN (31%); 6% had RB1 alterations. Median PFS was 13.1 (95% CI, 10.3-26.0) months for patients with normal TSGs (TSG-normal) vs. 7.8 (95% CI, 5.8-10.5) months for TSG-alt (P = 0.005). Median PFS was lower for patients with TSG-alt vs TSG-normal for those with ADT + A (TSG-alt: 8.0 [95% CI, 5.8-13.8] months vs. TSG-normal: 23.2 [95% CI, 13.1-not estimated] months), but not with ADT + D (TSG-alt: 7.8 [95% CI, 5.7-12.9] months vs. TSG-normal: 9.5 [95% CI, 4.8-24.7] months). On multivariable analysis, only TSG-alt predicted worse PFS (hazard ratio, 2.37; 95% CI, 1.42-3.96; P < 0.001).

conclusionsThe presence of TSG-alt outperforms clinical criteria for predicting early progression during first-line treatment of M1-HSPC. ADT + A was less effective in patients with than without TSG-alt. Confirmation of these findings may establish the need for inclusion of molecular stratification in treatment algorithms.

Indexed as

Prostatic NeoplasmsAndrogen AntagonistsDocetaxelGenes, Tumor SuppressorHormonesHumansMalePTEN PhosphohydrolaseRetinoblastoma Binding ProteinsRetrospective StudiesTreatment OutcomeTumor Suppressor Protein p53Ubiquitin-Protein LigasesAndrogen AntagonistsDocetaxelHormonesPTEN PhosphohydrolasePTEN protein, humanRB1 protein, humanRetinoblastoma Binding ProteinsTP53 protein, humanTumor Suppressor Protein p53Ubiquitin-Protein Ligases

Identifiers

PMID34294873
PMCPMC9385473
OpenAlexW3187071112

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.