Evidence map›Paper›PMID 37104748›Full record

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

Dose-Escalated Radiotherapy Alone or in Combination With Short-Term Androgen Deprivation for Intermediate-Risk Prostate Cancer: Results of a Phase III Multi-Institutional Trial.

Daniel J Krauss, Theodore Karrison, Alvaro A Martinez, Gerard Morton, Di Yan, Deborah Watkins Bruner, Benjamin Movsas, Mohamed Elshaikh, Deborah Citrin, Bruce Hershatter and 11 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article 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 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
10.6field-weighted citation impact, top 1% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  12. Radiation Promotes Acute and Chronic Damage to Adipose Tissue.International journal of molecular sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 16 institutions in 2 countries.

Daniel J KraussCorewell Health Beaumont University Hospital, Royal Oak, MI.ORCID 0000-0003-3703-2738
Theodore KarrisonNRG Oncology Statistics and Data Management Center, University of Chicago, Chicago, IL.
Alvaro A Martinez21st Century Oncology of Michigan, Pontiac, MI.
Gerard MortonToronto-Sunnybrook Regional Cancer Center, Toronto, ON, Canada.ORCID 0000-0002-4903-1233
Di YanCorewell Health Beaumont University Hospital, Royal Oak, MI.ORCID 0000-0003-1977-8448
Deborah Watkins BrunerEmory University, Atlanta, GA.ORCID 0000-0002-5770-9948
Benjamin MovsasHenry Ford Cancer Institute, Detroit, MI.ORCID 0000-0003-2703-9776
Mohamed ElshaikhHenry Ford Cancer Institute, Detroit, MI.
Deborah CitrinNational Cancer Institute, Bethesda, MD.ORCID 0000-0002-4391-2734
Bruce HershatterEmory University, Atlanta, GA.
Jeff M MichalskiWashington University School of Medicine, Saint Louis, MO.ORCID 0000-0003-0563-3766
Jason Alexander EfstathiouDana-Farber/Harvard Cancer Center, Boston, MA.ORCID 0000-0003-0996-0350
Adam CurreyFroedtert and the Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-4099-712X
Vivek S KavadiThe US Oncology Network, Fairfax, VA.ORCID 0000-0002-0460-1730
Fabio L CuryMcGill University Health Center, Montreal, QC, Canada.ORCID 0000-0003-1293-0822
Michael LockLondon Regional Cancer Program, London, ON, Canada.ORCID 0000-0002-3782-4463
Adam RabenDelaware/Christiana Care NCI Community Oncology Research Program, Newark, DE.
Samantha Andrews SeawardKaiser Permanente NCI Community Oncology Research Program, Oakland, CA.ORCID 0000-0003-4459-4923
Ali El-GayedSaskatoon Cancer Centre, Saskatoon, SK, Canada.ORCID 0000-0002-4581-2892
Joseph P RodgersNRG Oncology Statistics and Data Management Center, Philadelphia, PA.
Howard M SandlerCedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0002-8193-5769
Emory University · USHenry Ford Hospital · US21st Century Oncology (United States) · USCancer Care Ontario · CACedars-Sinai Medical Center · USChristiana Care Health System · USDana-Farber/Harvard Cancer Center · USFroedtert Hospital · USKaiser Permanente · USMcGill University Health Centre · CANational Cancer Institute · USNRG Oncology · USSunnybrook Health Science Centre · CAThe US Oncology Network · USUniversity of Chicago · USWashington University in St. Louis · US

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
NRG Oncology NCORP Research Base-BIQSFPUG1CA189867 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Deborah Watkins Bruner, Lisa A. Kachnic · 2014 to 2026
$140.5M
IROC: Enhancing local enrolling site radiological data capture capabilities for NCTN trialsU24CA180803 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI Thomas J. FitzGerald, MICHAEL V KNOPP · 2014 to 2026
$116.2M
Kaiser Permanente NCI National Community Oncology Research Program, NCORPUG1CA189821 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI Jennifer Marie Suga · 2014 to 2026
$44.4M
Targeting mechanisms of radiation resistanceZIABC011552 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI CITRIN, DEBORAH · 2014 to 2025
$12.2M
WASHINGTON UNIVERSITY / SITEMAN CANCER CENTER LEAD ACADEMIC SITEUG1CA233339 · NCI · WASHINGTON UNIVERSITY · PI NANCY L BARTLETT, Clifford Grant Robinson · 2019 to 2026
$11.3M
NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA180803NCI NIH HHS UG1 CA189821NCI NIH HHS UG1 CA189867NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

purposeIt remains unknown whether or not short-term androgen deprivation (STAD) improves survival among men with intermediate-risk prostate cancer (IRPC) treated with dose-escalated radiotherapy (RT).

methodsThe NRG Oncology/Radiation Therapy Oncology Group 0815 study randomly assigned 1,492 patients with stage T2b-T2c, Gleason score 7, or prostate-specific antigen (PSA) value >10 and ≤20 ng/mL to dose-escalated RT alone (arm 1) or with STAD (arm 2). STAD was 6 months of luteinizing hormone-releasing hormone agonist/antagonist therapy plus antiandrogen. RT modalities were external-beam RT alone to 79.2 Gy or external beam (45 Gy) with brachytherapy boost. The primary end point was overall survival (OS). Secondary end points included prostate cancer-specific mortality (PCSM), non-PCSM, distant metastases (DMs), PSA failure, and rates of salvage therapy.

resultsMedian follow-up was 6.3 years. Two hundred nineteen deaths occurred, 119 in arm 1 and 100 in arm 2. Five-year OS estimates were 90% versus 91%, respectively (hazard ratio [HR], 0.85; 95% CI, 0.65 to 1.11];

conclusionSTAD did not improve OS rates for men with IRPC treated with dose-escalated RT. Improvements in metastases rates, prostate cancer deaths, and PSA failures should be weighed against the risk of adverse events and the impact of STAD on quality of life.

Indexed as

Prostatic NeoplasmsAndrogen AntagonistsAndrogensCombined Modality TherapyDisease-Free SurvivalHumansMaleProstate-Specific AntigenQuality of LifeRadiotherapy DosageAndrogen AntagonistsAndrogensProstate-Specific Antigen

Identifiers

PMID37104748
PMCPMC10489479
OpenAlexW4367173078

What OpenQuestion holds

Textmetadata
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.