Evidence map›Paper›PMID 35241087›Full record

Trial reportBMC medicine2022

Activity and safety of SHR3680, a novel antiandrogen, in patients with metastatic castration-resistant prostate cancer: a phase I/II trial.

Xiaojian Qin, Dongmei Ji, Weijie Gu, Weiqing Han, Hong Luo, Chuanjun Du, Qing Zou, Zhongquan Sun, Chaohong He, Shaoxing Zhu and 8 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in BMC medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02691975 (A Phase I/II, Open-Label, Dose-Escalation and -Expansion, Safety, Pharmacokinetics and Efficacy Study of SHR3680 in Patients With Metastatic Castration-Resistant Prostate Cancer), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT02691975 phase1 / phase2unknown statusnot on this map

A Phase I/II, Open-Label, Dose-Escalation and -Expansion, Safety, Pharmacokinetics and Efficacy Study of SHR3680 in Patients With Metastatic Castration-Resistant Prostate Cancer

TypeinterventionalSponsorJiangsu HengRui Medicine Co., Ltd.Ran2016 to 2021Enrolled197ConditionsHormone Refractory Prostate Cancer, Metastatic Prostate CarcinomaArmsSHR3680
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  13. Rezvilutamide for metastatic castration-sensitive prostate cancer: CHART trial.Indian journal of urology : IJU : journal of the Urological Society of India
    Article
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

18 authors at 12 institutions in 1 country.

Xiaojian Qin *Department of Urology, Fudan University Shanghai Cancer Center, 270 Dong'an Road, Shanghai, 200032, China.
Dongmei Ji *Department of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Weijie Gu *Department of Urology, Fudan University Shanghai Cancer Center, 270 Dong'an Road, Shanghai, 200032, China.
Weiqing HanDepartment of Urology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Hunan Cancer Center, Changsha, China.
Hong LuoDepartment of Urology, Chongqing University Cancer Hospital, Chongqing Cancer Hospital, Chongqing, China.
Chuanjun DuDepartment of Urology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Qing ZouDepartment of Urology, Jiangsu Cancer Hospital, Nanjing, China.
Zhongquan SunDepartment of Urology, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
Chaohong HeDepartment of Urology, Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Shaoxing ZhuDepartment of Urology, Zhejiang Cancer Hospital, Hangzhou, China.
Tie ChongDepartment of Urology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Xin YaoDepartment of Urology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, China.
Ben WanDepartmeint of Urology, Beijing Hospital, Beijing, China.
Xinfeng YangDepartment of Clinical Development, Jiangsu Hengrui Pharmaceuticals Co., Ltd., Shanghai, China.
Aobing BaiDepartment of Clinical Development, Jiangsu Hengrui Pharmaceuticals Co., Ltd., Shanghai, China.
Chunlei JinDepartment of Clinical Development, Jiangsu Hengrui Pharmaceuticals Co., Ltd., Shanghai, China.
Jianjun ZouDepartment of Clinical Development, Jiangsu Hengrui Pharmaceuticals Co., Ltd., Shanghai, China.
Dingwei YeDepartment of Urology, Fudan University Shanghai Cancer Center, 270 Dong'an Road, Shanghai, 200032, China. dwyeli@163.com.ORCID 0000-0003-4974-3780
Fudan University Shanghai Cancer Center · CNJiangsu Hengrui Medicine (China) · CNBeijing Hospital · CNCentral South University · CNChongqing University · CNFudan University · CNJiangsu Cancer Hospital · CNSecond Affiliated Hospital of Xi'an Jiaotong University · CNSecond Affiliated Hospital of Zhejiang University · CNTianjin Medical University Cancer Institute and Hospital · CNZhejiang Cancer Hospital · CNZhengzhou University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntagonizing the androgen-receptor (AR) pathway is an effective treatment strategy for patients with metastatic castration-resistant prostate cancer (CRPC). Here, we report the results of a first-in-human phase 1/2 study which assessed the safety, pharmacokinetics, and activity of SHR3680 (a novel AR antagonist) in patients with metastatic CRPC.

methodsThis phase 1/2 study enrolled patients with progressive metastatic CRPC who had not been previously treated with novel AR-targeted agents. In the phase 1 dose-escalation portion, patients received oral SHR3680 at a starting daily dose of 40 mg, which was subsequently escalated to 80 mg, 160 mg, 240 mg, 360 mg, and 480 mg per day. In phase 2 dose-expansion portion, patients were randomized to receive daily dose of 80 mg, 160 mg, or 240 mg of SHR3680. The primary endpoint in phase 1 was safety and tolerability and in phase 2 was the proportion of patients with a prostate-specific antigen (PSA) response (≥ 50% decrease of PSA level) at week 12.

resultsA total of 197 eligible patients were enrolled and received SHR3680 treatment, including 18 patients in phase 1 and 179 patients in phase 2. No dose-limiting toxicities were reported and the maximum tolerated dose was not reached. Treatment-related adverse events (TRAEs) occurred in 116 (58.9%) patients, with the most common one being proteinuria (13.7%). TRAEs of grade ≥ 3 occurred in only 23 (11.7%) patients, and no treatment-related deaths occurred. Antitumor activities were evident at all doses, including PSA response at week 12 in 134 (68.0%; 95% CI, 61.0-74.5) patients, stabilized bone disease at week 12 in 174 (88.3%; 95% CI, 87.2-95.5) patients, and responses in soft tissue lesions in 21 (34.4%, 95% CI, 22.7-47.7) of 61 patients.

conclusionSHR3680 was well tolerated and safe, with promising anti-tumor activity across all doses tested in patients with metastatic CRPC. The dose of 240 mg daily was recommended for further phase 3 study.

trial registrationClinical trials.gov NCT02691975; registered February 25, 2016.

Indexed as

Prostatic Neoplasms, Castration-ResistantAndrogen AntagonistsAndrogen Receptor AntagonistsHumansMaleMaximum Tolerated DoseProstate-Specific AntigenAndrogen AntagonistsAndrogen Receptor AntagonistsProstate-Specific AntigenAndrogen-receptor antagonistCastration-resistant prostate cancerPhase 1/2 studyProstate-specific antigen responseSHR3680

Identifiers

PMID35241087
PMCPMC8895828
OpenAlexW4214920678

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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.