Evidence map›Paper›PMID 34374489›Full record

ArticleCancer medicine2021

A real-world comparison of docetaxel versus abiraterone acetate for metastatic hormone-sensitive prostate cancer.

Igor Tsaur, Isabel Heidegger, Jasmin Bektic, Mona Kafka, Roderick C N van den Bergh, Jarmo C B Hunting, Anita Thomas, Maximilian P Brandt, Thomas Höfner, Eliott Debedde and 15 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 10 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

25 authors at 12 institutions in 7 countries.

Igor TsaurDepartment of Urology and Pediatric Urology, University Medicine Mainz, Mainz, Germany.ORCID 0000-0001-5107-3523
Isabel HeideggerDepartment of Urology, Medical University Innsbruck, Innsbruck, Austria.
Jasmin BekticDepartment of Urology, Medical University Innsbruck, Innsbruck, Austria.
Mona KafkaDepartment of Urology, Medical University Innsbruck, Innsbruck, Austria.
Roderick C N van den BerghDepartment of Urology, St Antonius Hospital, Utrecht, The Netherlands.
Jarmo C B HuntingDepartment of Urology, St Antonius Hospital, Utrecht, The Netherlands.
Anita ThomasDepartment of Urology and Pediatric Urology, University Medicine Mainz, Mainz, Germany.
Maximilian P BrandtDepartment of Urology and Pediatric Urology, University Medicine Mainz, Mainz, Germany.
Thomas HöfnerDepartment of Urology and Pediatric Urology, University Medicine Mainz, Mainz, Germany.
Eliott DebeddeDepartment of Medical Oncology, European Georges Pompidou Hospital, Assistance Publique des Hôpitaux de Paris, Paris Descartes University, Paris, France.
Constance ThibaultDepartment of Medical Oncology, European Georges Pompidou Hospital, Assistance Publique des Hôpitaux de Paris, Paris Descartes University, Paris, France.
Paola ErmacoraUnit of Urology, Santa Maria della Misericordia Academic Medical Center Hospital, Udine, Italy.
Fabio ZattoniUnit of Urology, Santa Maria della Misericordia Academic Medical Center Hospital, Udine, Italy.
Silvia FotiDivision of Oncology/Unit of Oncology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Alexander KretschmerDepartment of Urology, Ludwig-Maximilians-University of Munich, Munich, Germany.
Guillaume PloussardDepartment of Urology, La Croix du Sud Hospital, Toulouse, France.ORCID 0000-0002-6004-2152
Severin RodlerDepartment of Urology, Ludwig-Maximilians-University of Munich, Munich, Germany.
Gunhild von AmsbergDepartment of Urology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Derya TilkiMartini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Christian SurcelCenter of Urologic Surgery, Dialysis and Renal Transplantation, Fundeni Clinical Institute, Bucharest, Romania.
Barak RosenzweigDepartment of Urology, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Moran GadotOncology Institute, Sheba Medical Center, Tel-Hashomer, Israel.
Giorgio GandagliaDivision of Oncology/Unit of Urology, Urological Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Robert DotzauerDepartment of Urology and Pediatric Urology, University Medicine Mainz, Mainz, Germany.
EAU-YAU Prostate Cancer Working Party
University of Applied Sciences Mainz · DEInnsbruck Medical University · ATIRCCS Ospedale San Raffaele · ITLudwig-Maximilians-Universität München · DEOspedale Santa Maria della Misericordia di Udine · ITSt. Antonius Ziekenhuis · NLUniversität Hamburg · DEUniversité Paris Cité · FRHôpital de la Croix-Rousse · FRInstitutul Clinic Fundeni · ROSheba Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDocetaxel (D) or secondary hormonal therapy (SHT) each combined with androgen deprivation therapy (ADT) represent possible treatment options in males with metastasized hormone-sensitive prostate cancer (mHSPC). Real-world data comparing different protocols are lacking yet. Thus, our objective was to compare the efficacy and safety of abiraterone acetate (AA)+ADT versus D+ADT in mHSPC.

methodsIn a retrospective multicenter analysis including males with mHSPC treated with either of the aforementioned protocols, overall survival (OS), progression-free survival 1 (PFS1), and progression-free survival 2 (PFS2) were assessed for both cohorts. Median time to event was tested by Kaplan-Meier method and log-rank test. The Cox-proportional hazards model was used for univariate and multivariate regression analyses.

resultsOverall, 196 patients were included. The AA+ADT cohort had a longer PFS1 in the log-rank testing (23 vs. 13 mos., p < 0.001), a longer PFS2 (48 vs. 33 mos., p = 0.006), and longer OS (80 vs. 61 mos., p = 0.040). In the multivariate analyses AA+ADT outperformed D+ADT in terms of PFS1 (HR = 0.34, 95% CI = 0.183-0.623; p = 0.001) and PFS2 (HR = 0.33 95% CI = 0.128-0.827; p = 0.018), respectively, while OS and toxicity rate were similar between both groups.

conclusionsAA+ADT is mainly associated with a similar efficacy and overall toxicity rate as D+ADT. Further prospective research is required for validation of the clinical value of the observed benefit of AA+ADT for progression-free end-points.

Indexed as

Abiraterone AcetateAgedAndrogen AntagonistsAntineoplastic Combined Chemotherapy ProtocolsDocetaxelHumansMaleMiddle AgedProgression-Free SurvivalProstatic Neoplasms, Castration-ResistantRetrospective StudiesAbiraterone AcetateAndrogen AntagonistsDocetaxelchemotherapyhormonal therapyhormone-sensitivemetastasisprostate cancer

Identifiers

PMID34374489
PMCPMC8446402
OpenAlexW3189148457

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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.