Evidence map›Paper›PMID 35492221›Full record

ArticleBJUI compass2022

Real-world first-line systemic therapy patterns in metastatic castration-resistant prostate cancer.

Angelyn Anton, Sruti Pillai, Marie Christine Semira, Shirley Wong, Julia Shapiro, Andrew Weickhardt, Arun Azad, Edmond M Kwan, Lavinia Spain, Ashray Gunjur and 7 more

Open access · goldAbstract read
In one paragraph

Article in BJUI compass, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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  11. [European journal of nuclear medicine and molecular imaging · 2024
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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

17 authors at 10 institutions in 1 country.

Angelyn AntonDivision of Personalised Medicine Walter and Eliza Hall Institute Melbourne Victoria Australia.ORCID https://orcid.org/0000-0002-8459-7961
Sruti PillaiDepartment of Medical Oncology Olivia Newton-John Cancer and Wellness and Research Centre Melbourne Victoria Australia.
Marie Christine SemiraDivision of Personalised Medicine Walter and Eliza Hall Institute Melbourne Victoria Australia.
Shirley WongDepartment of Medical Oncology Western Health Melbourne Victoria Australia.
Julia ShapiroAlfred Health Melbourne Victoria Australia.
Andrew WeickhardtDepartment of Medical Oncology Olivia Newton-John Cancer and Wellness and Research Centre Melbourne Victoria Australia.
Arun AzadDepartment of Medical Oncology Peter MacCallum Cancer Centre Melbourne Victoria Australia.ORCID https://orcid.org/0000-0001-7350-5622
Edmond M KwanDepartment of Medical Oncology Monash Health Melbourne Victoria Australia.
Lavinia SpainDepartment of Medical Oncology Eastern Health Melbourne Victoria Australia.
Ashray GunjurDepartment of Medical Oncology Olivia Newton-John Cancer and Wellness and Research Centre Melbourne Victoria Australia.
Javier TorresDepartment of Medical Oncology Goulburn Valley Health Shepparton Victoria Australia.
Phillip ParenteDepartment of Medical Oncology Eastern Health Melbourne Victoria Australia.
Francis ParnisDepartment of Medical Oncology Adelaide Cancer Centre Adelaide South Australia Australia.
Jeffrey GohDepartment of Medical Oncology Royal Brisbane and Women's Hospital Brisbane Queensland Australia.
Olivia BaenzigerDivision of Personalised Medicine Walter and Eliza Hall Institute Melbourne Victoria Australia.
Peter GibbsDivision of Personalised Medicine Walter and Eliza Hall Institute Melbourne Victoria Australia.
Ben TranDivision of Personalised Medicine Walter and Eliza Hall Institute Melbourne Victoria Australia.
Walter and Eliza Hall Institute of Medical Research · AUOlivia Newton-John Cancer Wellness & Research Centre · AUEastern Health · AUAlfred Health · AUCentre for Cancer Biology · AUGoulburn Valley Health · AUMonash Medical Centre · AUPeter MacCallum Cancer Centre · AURoyal Brisbane and Women's Hospital · AUWestern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Several systemic therapies have demonstrated a survival advantage in metastatic castration resistant prostate cancer (mCRPC). Access to these medications varies significantly worldwide. In Australia until recently, patients must have received docetaxel first, unless unsuitable for chemotherapy, despite no evidence suggesting superiority over androgen receptor signalling inhibitors (ARSIs). Our study investigated real-world systemic treatment patterns in Australian patients with mCRPC. Methods: The electronic CRPC Australian Database (ePAD) was interrogated to identify mCRPC patients. Clinicopathological features, treatment and outcome data, stratified by first-line systemic therapies, were extracted. Comparisons between groups utilised Kruskal-Wallis tests and Chi-Square analyses. Time-to-event data were calculated using Kaplan-Meier methods and groups compared using log-rank tests. Factors influencing overall survival (OS) and time to treatment failure (TTF) were analysed through Cox proportional hazards regression models. Results: We identified 578 patients who received first-line systemic therapy for mCRPC. Enzalutamide (ENZ) was most commonly prescribed ( Conclusion: In our real-world population, ENZ and AA were common first-line systemic therapy choices, particularly among older patients and those with poorer performance status. Patients receiving ENZ and AA demonstrated superior TTF compared to DOC, while OS was not statistically different. Our findings highlight the important role of ARSIs, given the variability of access worldwide.

Indexed as

abirateronedocetaxelenzalutamidemetastatic castration‐resistant prostate cancerreal‐world datasystemic therapy

Identifiers

PMID35492221
PMCPMC9045563
OpenAlexW4200127974

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.