Evidence map›Paper›PMID 37113653›Full record

SynthesisFrontiers in endocrinology2022

Efficacy and safety of bipolar androgen therapy in castration-resistant prostate cancer following abiraterone or enzalutamide resistance: A systematic review.

Xiangyun You, Shan Huang, Xin'an Wang, Cheng Yi, Niandong Gong, Junfeng Yu, Chengdang Xu, Zhendong Xiang

Open access · goldAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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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

8 authors at 4 institutions in 1 country.

Xiangyun YouDepartment of Urology, The People's Hospital of China Three Gorges University, The First People's Hospital of Yichang, Yichang, China.
Shan HuangDepartment of Urology, The People's Hospital of China Three Gorges University, The First People's Hospital of Yichang, Yichang, China.
Xin'an WangDepartment of Urology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Cheng YiDepartment of Urology, The People's Hospital of China Three Gorges University, The First People's Hospital of Yichang, Yichang, China.
Niandong GongDepartment of Urology, The People's Hospital of China Three Gorges University, The First People's Hospital of Yichang, Yichang, China.
Junfeng YuDepartment of Urology, The People's Hospital of China Three Gorges University, The First People's Hospital of Yichang, Yichang, China.
Chengdang XuDepartment of Urology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.
Zhendong XiangDepartment of Urology, The People's Hospital of China Three Gorges University, The First People's Hospital of Yichang, Yichang, China.
Yichang Central People's Hospital · CNChina Three Gorges University · CNTongji Hospital · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bipolar androgen therapy (BAT) is a new endocrinologic treatment for castration-resistant prostate cancer (CRPC) that can restore some patients' sensitivity to drugs such as abiraterone (Abi) and enzalutamide (Enz). We performed a meta-analysis using STATA16. Sensitivity analyses were performed by examining the effects of individual studies using different effect models and detecting any publication bias using the Harbord test. In a total of 108 unique records, ten studies were included in the final meta-analysis. Participants who underwent BAT achieved a PSA50 response rate of 27% (95%CI [0.22,0.31], I2=17.98%), ORR of 34% (95%CI [0.24,0.43], I2=0), and incidence of AEs (grade≥3) of 14% (95%CI [0.09,0.19], I2=0). Patients who completed BAT proceeded to AR-targeted therapy (Abi or Enz) and achieved a PSA50 response rate of 57% (95% CI [0.36,0.78], I2=0). Patients with prior Enz resistance had a stronger impact on the PSA50 of AR-target therapy rechallenge. The results of this meta-analysis indicate that BAT is a safe and effective treatment for patients who have progressed after Abi or Enz. BAT can trigger the resensitization of patients with CRPC to subsequent endocrine therapy and improve the overall survival of patients and their quality of life.

Indexed as

Prostatic Neoplasms, Castration-ResistantAndrogensAndrostenesBenzamidesHumansMaleNitrilesPhenylthiohydantoinQuality of LifeabirateroneAndrogensAndrostenesBenzamidesenzalutamideNitrilesPhenylthiohydantoinabirateronebipolar androgen therapycastration-resistant prostate cancerenzalutamidetestosterone

Identifiers

PMID37113653
PMCPMC10127253
OpenAlexW4364365393

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.