Evidence map›Paper›PMID 34757812›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Quality of Life in Men With Prostate Cancer Randomly Allocated to Receive Docetaxel or Abiraterone in the STAMPEDE Trial.

Hannah L Rush, Laura Murphy, Alicia K Morgans, Noel W Clarke, Adrian D Cook, Gerhardt Attard, Archie Macnair, David P Dearnaley, Christopher C Parker, J Martin Russell and 27 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 6 pooled it
7.3field-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

34 citing papers in PubMed, 6 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors at 20 institutions in 3 countries.

Hannah L RushMRC Clinical Trials Units at University College London, London, United Kingdom.ORCID 0000-0001-9550-8808
Laura MurphyMRC Clinical Trials Units at University College London, London, United Kingdom.
Alicia K MorgansNorthwestern University, Chicago, IL.ORCID 0000-0002-6563-4587
Noel W ClarkeThe Christie and Salford Royal NHS Foundation Trusts, Manchester, United Kingdom.
Adrian D CookMRC Clinical Trials Units at University College London, London, United Kingdom.
Gerhardt AttardUCL Cancer Institute, London, United Kingdom.ORCID 0000-0002-4811-7983
Archie MacnairMRC Clinical Trials Units at University College London, London, United Kingdom.
David P DearnaleyRoyal Marsden NHS Foundation Trust and the Institute of Cancer Research, London, United Kingdom.ORCID 0000-0002-3954-2806
Christopher C ParkerRoyal Marsden NHS Foundation Trust and the Institute of Cancer Research, London, United Kingdom.
J Martin RussellInstitute of Cancer Sciences, University of Glasgow, Beatson West of Scotland Cancer Centre, Glasgow, Scotland.ORCID 0000-0003-4594-4155
Silke GillessenOncology Institute of Southern Switzerland, Bellinzona, Switzerland.ORCID 0000-0001-5746-6555
David MathesonUniversity of Wolverhampton, Wolverhampton, United Kingdom.ORCID 0000-0002-3695-3167
Robin MillmanMRC Clinical Trials Units at University College London, London, United Kingdom.
Christopher D BrawleyMRC Clinical Trials Units at University College London, London, United Kingdom.
Cheryl PughMRC Clinical Trials Units at University College London, London, United Kingdom.ORCID 0000-0003-4584-9780
Jacob S TanguayVelindre Cancer Centre, Cardiff, Wales.
Robert J JonesInstitute of Cancer Sciences, University of Glasgow, Beatson West of Scotland Cancer Centre, Glasgow, Scotland.ORCID 0000-0002-2904-6980
John WagstaffVelindre Cancer Centre, Cardiff, Wales.ORCID 0000-0002-1140-5981
Sarah RudmanGuys and St Thomas' NHS Foundation Trust, London, United Kingdom.
Joe M O'SullivanPatrick G. Johnston Centre for Cancer Research, Queen's University Belfast, United Kingdom.ORCID 0000-0001-6999-2739
Joanna GalePortsmouth Hospital University Trust, Portsmouth, United Kingdom.ORCID 0000-0002-0285-5737
Alison BirtleRosemere Cancer Centre, Lancs Teaching Hospitals, Preston, United Kingdom.ORCID 0000-0002-2621-0909
Andrew ProtheroeOxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.ORCID 0000-0001-9413-0575
Emma GrayMusgrove Park Hospital, Taunton, United Kingdom.
Carla PernaRoyal Surrey Hospital Foundation Trust, Guildford, United Kingdom.
Shaun TolanThe Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, United Kingdom.
Neil McPhailRaigmore Hospital, Inverness, Scotland.
Zaf I MalikThe Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, United Kingdom.
Salil VengalilUniversity Hospital North Midlands NHS Trust, Stoke-on-Trent, United Kingdom.
David FackrellUniversity Hospital Birmingham, Birmingham, United Kingdom.
Peter HoskinUniversity of Manchester, Manchester, United Kingdom.ORCID 0000-0001-8323-9567
Matthew R SydesMRC Clinical Trials Units at University College London, London, United Kingdom.ORCID 0000-0002-9323-1371
Simon ChowdhuryGuys and St Thomas' NHS Foundation Trust, London, United Kingdom.
Duncan C GilbertMRC Clinical Trials Units at University College London, London, United Kingdom.ORCID 0000-0003-1859-7012
Mahesh K B ParmarMRC Clinical Trials Units at University College London, London, United Kingdom.ORCID 0000-0003-0166-1700
Nicholas D JamesRoyal Marsden NHS Foundation Trust and the Institute of Cancer Research, London, United Kingdom.ORCID 0000-0002-7314-8204
Ruth E LangleyMRC Clinical Trials Units at University College London, London, United Kingdom.ORCID 0000-0002-9706-016X
MRC Clinical Trials Unit at UCL · GBGuy's and St Thomas' NHS Foundation Trust · GBRoyal Marsden NHS Foundation Trust · GBBeatson West of Scotland Cancer Centre · GBClatterbridge Cancer Centre NHS Foundation Trust · GBUniversity of Manchester · GBVelindre Cancer Centre · GBCRUK Lung Cancer Centre of Excellence · GBInstitute of Oncology Research · CHMusgrove Park Hospital · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBNorthwestern University · USOxford University Hospitals NHS Trust · GBPortsmouth Hospitals NHS Trust · GBQueen's University Belfast · GBRaigmore Hospital · GBRoyal Surrey NHS Foundation Trust · GBSalford Royal NHS Foundation Trust · GBUniversity Hospitals of North Midlands NHS Trust · GBUniversity of Wolverhampton · GB

Funding

Cancer Research UK 12459Cancer Research UK 12518Cancer Research UK 19727Cancer Research UK 20942Cancer Research UK 28284Cancer Research UK 3804Cancer Research UK A3804Department of HealthMedical Research Council MC_UU_00004/01Medical Research Council MC_UU_00004/02Medical Research Council MC_UU_12023/25
6 · The paper itself

Abstract

purposeDocetaxel and abiraterone acetate plus prednisone or prednisolone (AAP) both improve survival when commenced alongside standard of care (SOC) androgen deprivation therapy in locally advanced or metastatic hormone-sensitive prostate cancer. Thus, patient-reported quality of life (QOL) data may guide treatment choices.

methodsA group of patients within the STAMPEDE trial were contemporaneously enrolled with the possibility of being randomly allocated to receive either docetaxel + SOC or AAP + SOC. A mixed-model assessed QOL in those who had completed at least one QLQ-C30 + PR25 questionnaire. The primary outcome measure was difference in global-QOL (QLQ-C30 Q29&30) between patients allocated to docetaxel + SOC or AAP + SOC over the 2 years after random assignment, with a predefined criterion for clinically meaningful difference of > 4.0 points. Secondary outcome measures included longitudinal comparison of functional domains, pain, and fatigue, plus global-QOL at defined timepoints.

resultsFive hundred fifteen patients (173 docetaxel + SOC and 342 AAP + SOC) were included. Baseline characteristics, proportion of missing data, and mean baseline global-QOL scores (docetaxel + SOC 77.8 and AAP + SOC 78.0) were similar. Over the 2 years following random assignment, the mean modeled global-QOL score was +3.9 points (95% CI, +0.5 to +7.2;

conclusionPatient-reported QOL was superior for patients allocated to receive AAP + SOC, compared with docetaxel + SOC over a 2-year period, narrowly missing the predefined value for clinical significance. Patients receiving AAP + SOC reported clinically meaningful higher global-QOL scores throughout the first year following random assignment.

Indexed as

Prostatic NeoplasmsQuality of LifeAbiraterone AcetateAndrogen AntagonistsAndrostenesAntineoplastic Combined Chemotherapy ProtocolsDocetaxelHumansMaleabirateroneAbiraterone AcetateAndrogen AntagonistsAndrostenesDocetaxel

Identifiers

PMID34757812
PMCPMC7612717
OpenAlexW3212684481

What OpenQuestion holds

Textmetadata
LicenceTDM
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.