Evidence map›Paper›PMID 36269935›Full record

SynthesisJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Sequencing of Androgen-Deprivation Therapy of Short Duration With Radiotherapy for Nonmetastatic Prostate Cancer (SANDSTORM): A Pooled Analysis of 12 Randomized Trials.

Ting Martin Ma, Yilun Sun, Shawn Malone, Mack Roach, David Dearnaley, Thomas M Pisansky, Felix Y Feng, Howard M Sandler, Jason A Efstathiou, Isabel Syndikus and 29 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Genomic and Transcriptomic Profiling of Radiation-Resistant, Locally Recurrent Prostate Cancer.International journal of radiation oncology, biology, physics · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
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  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors at 20 institutions in 6 countries.

Ting Martin MaDepartment of Radiation Oncology, University of California, Los Angeles, CA.ORCID 0000-0002-0053-7874
Yilun SunDepartment of Population and Quantitative Health Sciences, Case Western Reserve University School of Medicine, Cleveland, OH.ORCID 0000-0002-1341-382X
Shawn MaloneThe Ottawa Hospital Cancer Centre, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0001-5497-3455
Mack RoachDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA.ORCID 0000-0002-3546-8565
David DearnaleyAcademic Urology Unit, Royal Marsden Hospital, London, United Kingdom.ORCID 0000-0002-3954-2806
Thomas M PisanskyDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN.
Felix Y FengDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA.ORCID 0000-0002-0963-7687
Howard M SandlerDepartment of Radiation Oncology, Cedars Sinai, Los Angeles, CA.ORCID 0000-0002-8193-5769
Jason A EfstathiouDepartment of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0003-0996-0350
Isabel SyndikusClatterbridge Cancer Centre, Bebington, Wirral, United Kingdom.
Emma C HallClinical Trials and Statistics Unit (ICR-CTSU), The Institute of Cancer Research, London, United Kingdom.ORCID 0000-0001-5999-5020
Alison C TreeThe Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, London, United Kingdom.ORCID 0000-0002-5033-424X
Matthew R SydesMRC Clinical Trials Unit at UCL, London, United Kingdom.ORCID 0000-0002-9323-1371
Claire CruickshankClinical Trials and Statistics Unit (ICR-CTSU), The Institute of Cancer Research, London, United Kingdom.
Soumyajit RoyDepartment of Radiation Oncology, Rush University Medical Center, Chicago, IL.ORCID 0000-0001-6617-5522
Michel BollaRadiotherapy Department Grenoble, Grenoble Alpes University, Centre Hospitalier Universitaire de Grenoble, Grenoble, France.ORCID 0000-0003-1727-8773
Philippe MaingonSorbonne University, APHP Sorbonne University, La Pitié Salpêtrière, Paris, France.ORCID 0000-0001-5364-9979
Theo De ReijkeDepartment of Urology, Amsterdam University Medical Centers, University of Amsterdam, the Netherlands.
Abdenour NabidDepartment of Radiation Oncology, Centre Hospitaler Universitaire de Sherbrooke, Sherbrooke, Canada.
Nathalie CarrierDepartment of Radiation Oncology, Centre Hospitaler Universitaire de Sherbrooke, Sherbrooke, Canada.
Luis SouhamiDivision of Radiation Oncology, McGill University Health Center, Montreal, Canada.
Almudena ZapateroDepartment of Radiation Oncology, University Hospital La Princesa, Health Research Institute, Madrid, Spain.
Araceli GuerreroHospital Son Espases, Palma de Mallorca, Spain.
Ana AlvarezDepartment of Radiation Oncology, University Hospital Gregorio Maranon, Complutense University, Madrid, Spain.ORCID 0000-0002-5388-5848
Carmen Gonzalez San-SegundoDepartment of Radiation Oncology, University Hospital Gregorio Maranon, Complutense University, Madrid, Spain.ORCID 0000-0002-5489-5327
Xavier MaldonadoHospital Universitari Vall d'Hebron, Barcelona, Spain.
Tahmineh RomeroDepartment of Medicine Statistics Core, University of California Los Angeles, Los Angeles, CA.
Michael L SteinbergDepartment of Radiation Oncology, University of California, Los Angeles, CA.ORCID 0000-0002-4292-5824
Luca F ValleDepartment of Radiation Oncology, University of California, Los Angeles, CA.ORCID 0000-0002-5781-4174
Matthew B RettigDepartment of Urology, University of California, Los Angeles, CA.
Nicholas G NickolsDepartment of Radiation Oncology, University of California, Los Angeles, CA.
Jonathan E ShoagDepartment of Urology, University Hospitals Seidman Cancer Center, Cleveland Medical Center, Cleveland, OH.ORCID 0000-0002-3119-9986
Robert E ReiterDepartment of Urology, University of California, Los Angeles, CA.
Nicholas G ZaorskyDepartment of Radiation Oncology, University Hospitals Seidman Cancer Center, Cleveland Medical Center, Cleveland, OH.ORCID 0000-0002-4932-1986
Angela Y JiaDepartment of Radiation Oncology, University Hospitals Seidman Cancer Center, Cleveland Medical Center, Cleveland, OH.
Jorge A GarciaDepartment of Hematology Oncology, University Hospital Cleveland Medical Center, Cleveland, OH.
Daniel E SprattDepartment of Radiation Oncology, University Hospitals Seidman Cancer Center, Cleveland Medical Center, Cleveland, OH.ORCID 0000-0002-5973-4741
Amar U KishanDepartment of Radiation Oncology, University of California, Los Angeles, CA.ORCID 0000-0002-7437-6591
Meta-Analysis of Randomized Trials in Cancer of the Prostate (MARCAP) Consortium Investigators
University of California, Los Angeles · USUniversity Hospitals Seidman Cancer Center · USInstitute of Cancer Research · GBCentre Hospitalier Universitaire de Sherbrooke · CAHospital General Universitario Gregorio Marañón · ESUniversity of California, San Francisco · USAmsterdam University Medical Centers · NLCase Western Reserve University · USCedars-Sinai Medical Center · USCentre Hospitalier Universitaire de Grenoble · FRClatterbridge Cancer Centre NHS Foundation Trust · GBHarvard University · USHospital Universitario de La Princesa · ESHospital Universitario Son Espases · ESMayo Clinic in Arizona · USMcGill University Health Centre · CAMRC Clinical Trials Unit at UCL · GBOttawa Hospital · CARoyal Marsden NHS Foundation Trust · GBRush University Medical Center · US

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
Cancer Research UK 12518Cancer Research UK 7253Medical Research Council MC_UU_00004/02NCI NIH HHS L30 CA231572NCI NIH HHS P30 CA016042
6 · The paper itself

Abstract

purposeThe sequencing of androgen-deprivation therapy (ADT) with radiotherapy (RT) may affect outcomes for prostate cancer in an RT-field size-dependent manner. Herein, we investigate the impact of ADT sequencing for men receiving ADT with prostate-only RT (PORT) or whole-pelvis RT (WPRT). MATERIALS AND

methodsIndividual patient data from 12 randomized trials that included patients receiving neoadjuvant/concurrent or concurrent/adjuvant short-term ADT (4-6 months) with RT for localized disease were obtained from the Meta-Analysis of Randomized trials in Cancer of the Prostate consortium. Inverse probability of treatment weighting (IPTW) was performed with propensity scores derived from age, initial prostate-specific antigen, Gleason score, T stage, RT dose, and mid-trial enrollment year. Metastasis-free survival (primary end point) and overall survival (OS) were assessed by IPTW-adjusted Cox regression models, analyzed independently for men receiving PORT versus WPRT. IPTW-adjusted Fine and Gray competing risk models were built to evaluate distant metastasis (DM) and prostate cancer-specific mortality.

resultsOverall, 7,409 patients were included (6,325 neoadjuvant/concurrent and 1,084 concurrent/adjuvant) with a median follow-up of 10.2 years (interquartile range, 7.2-14.9 years). A significant interaction between ADT sequencing and RT field size was observed for all end points (

conclusionADT sequencing exhibits a significant impact on clinical outcomes with a significant interaction with field size. Concurrent/adjuvant ADT should be the standard of care where short-term ADT is indicated in combination with PORT.

Indexed as

Prostatic NeoplasmsAndrogen AntagonistsAndrogensHumansMaleProstate-Specific AntigenRandomized Controlled Trials as TopicAndrogen AntagonistsAndrogensProstate-Specific Antigen

Identifiers

PMID36269935
PMCPMC9902004
OpenAlexW4307027551

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.