Evidence map›Paper›PMID 34380864›Full record

ArticleAsian journal of andrology

Predictors of efficacy of corticosteroid switching from abiraterone plus prednisone to dexamethasone in patients with metastatic castration-resistant prostate cancer.

Yu-Chao Ni, Jin-Ge Zhao, Meng-Ni Zhang, Yi-Jun Zhang, Zhen-Yu Yang, Ni Chen, Jun-Ru Chen, Peng-Fei Shen, Guang-Xi Sun, Xing-Ming Zhang and 2 more

Open access · goldAbstract read
In one paragraph

Article in Asian journal of andrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Yu-Chao NiDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.
Jin-Ge ZhaoDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.
Meng-Ni ZhangDepartment of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China.
Yi-Jun ZhangDepartment of Pathology, Sun Yat-Sen University Cancer Center, Guangzhou 510060, China.
Zhen-Yu YangDepartment of Urology, Sun Yat-Sen University Cancer Center, Guangzhou 510060, China.
Ni ChenDepartment of Pathology, West China Hospital, Sichuan University, Chengdu 610041, China.
Jun-Ru ChenDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.
Peng-Fei ShenDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.
Guang-Xi SunDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.
Xing-Ming ZhangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.
Yong-Hong LiDepartment of Urology, Sun Yat-Sen University Cancer Center, Guangzhou 510060, China.
Hao ZengDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu 610041, China.
Sichuan University · CNSun Yat-sen University · CNWest China Hospital of Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Corticosteroid switching can reverse abiraterone resistance in some patients with metastatic castration-resistant prostate cancer (mCRPC). Here, we investigated the potential biomarkers for predicting the efficacy of corticosteroid switching during treatment with abiraterone acetate (AA). We retrospectively analyzed 101 mCRPC patients receiving corticosteroid switching from West China Hospital and Sun Yat-Sen University Cancer Center between January 2016 and December 2018. All cases received AA plus prednisone as first-line therapy during mCRPC. Primary end points were biochemical progression-free survival (bPFS) and overall survival (OS). The risk groups were defined based on multivariate analysis. A total of 42 (41.6%) and 25 (24.8%) patients achieved 30% and 50% decline in prostate-specific antigen (PSA), respectively, after corticosteroid switching. The median bPFS and median OS on AA plus dexamethasone were 4.9 (95% confidence interval [CI]: 3.7-6.0) months and 18.8 (95% CI: 16.2-30.2) months, respectively. Aldo-keto reductase family 1 member C3 (AKR1C3) expression (hazard ratio [HR]: 2.15, 95% Cl: 1.22-3.80, P = 0.008) and baseline serum alkaline phosphatase (ALP; HR: 4.95, 95% Cl: 2.40-10.19, P < 0.001) were independent predictors of efficacy before corticosteroid switching in the multivariate analysis of bPFS. Only baseline serum ALP >160 IU l

Indexed as

Prostatic Neoplasms, Castration-ResistantAbiraterone AcetateAdrenal Cortex HormonesAndrostenesAntineoplastic Combined Chemotherapy ProtocolsDexamethasoneDisease-Free SurvivalHumansMalePrednisoneProstate-Specific AntigenRetrospective StudiesTreatment OutcomeabirateroneAbiraterone AcetateAdrenal Cortex HormonesAndrostenesDexamethasonePrednisoneProstate-Specific Antigenabiraterone acetatealkaline phosphatasecorticosteroid switchingdexamethasonemetastatic castration-resistant prostate cancer

Identifiers

PMID34380864
PMCPMC8887097
OpenAlexW3192736942

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.