Evidence map›Paper›PMID 37315297›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Effect of Brachytherapy With External Beam Radiation Therapy Versus Brachytherapy Alone for Intermediate-Risk Prostate Cancer: NRG Oncology RTOG 0232 Randomized Clinical Trial.

Jeff M Michalski, Kathryn A Winter, Bradley R Prestidge, Martin G Sanda, Mahul Amin, William S Bice, Hiram A Gay, Geoffrey S Ibbott, Juanita M Crook, Charles N Catton and 10 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
8.8field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Brachytherapy as a Cancer Therapy Tool.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Biochemical control in intermediate- and high-risk prostate cancer after EBRT with and without brachytherapy boost.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Palladium-103 (Theranostics · 2024
    Article
  20. Ultra-low dose rate brachytherapy (uLDR-BT) in treatment of patients with unfavorable intermediate-risk group prostate cancer - retrospective analysis.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
    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

20 authors at 16 institutions in 2 countries.

Jeff M MichalskiWashington University-Siteman Cancer Center, St. Louis, MO.ORCID 0000-0003-0563-3766
Kathryn A WinterNRG Oncology Statistics and Data Management Center/ACR, Philadelphia, PA.
Bradley R PrestidgeBon Secours DePaul Medical Center, Norfolk, VA.
Martin G SandaEmory University Hospital/Winship Cancer Institute, Atlanta, GA.
Mahul AminUniversity of Tennessee Health Science Center, Memphis, TN.
William S BiceJohn Muir Medical Center, Walnut Creek, CA.
Hiram A GayWashington University-Siteman Cancer Center, St. Louis, MO.
Geoffrey S IbbottUniversity of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-3663-2408
Juanita M CrookBCCA-Cancer Centre for the Southern Interior, Kelowna, British Columbia, Canada.ORCID 0000-0003-0711-3318
Charles N CattonUniversity Health Network-Princess Margaret Hospital, Toronto, Ontario, Canada.
Adam RabenDelaware/Christiana Care NCI Community Oncology Research Program, Newark, DE.
Walter BoschWashington University-Siteman Cancer Center, St. Louis, MO.ORCID 0000-0001-7015-7204
David C BeyerArizona Oncology Services Foundation, Tucson, AZ.
Steven J FrankUniversity of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-6517-7884
Michael A PapagikosNovant Health New Hanover Regional Medical Center-Zimmer Cancer Institute, Wilmington, NC.
Seth A RosenthalSutter Cancer Research Consortium, Roseville, CA.
H Joseph BartholdBeth Israel Deaconess Hospital-Plymouth, Plymouth, MA.
Mack RoachUCSF Medical Center-Mount Zion, San Francisco, CA.ORCID 0000-0002-3546-8565
Jennifer MoughanNRG Oncology Statistics and Data Management Center/ACR, Philadelphia, PA.
Howard M SandlerCedars-Sinai Medical Center, Los Angeles, CA.ORCID 0000-0002-8193-5769
Washington University in St. Louis · USNRG Oncology · USThe University of Texas MD Anderson Cancer Center · USArizona Oncology · USBeth Israel Deaconess Hospital · USBon Secours DePaul Medical Center · USCedars-Sinai Medical Center · USChristiana Care Health System · USEmory University Hospital · USInterior Health · CAJohn Muir Medical Center · USNovant Health · USSutter Roseville Medical Center · USUniversity Health Network · CAUniversity of California San Francisco Medical Center · USUniversity of Tennessee Health Science Center · 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
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 CA189867NCI NIH HHS UG1 CA233339
6 · The paper itself

Abstract

purposeTo determine whether addition of external beam radiation therapy (EBRT) to brachytherapy (BT) (COMBO) compared with BT alone would improve 5-year freedom from progression (FFP) in intermediate-risk prostate cancer.

methodsMen with prostate cancer stage cT1c-T2bN0M0, Gleason Score (GS) 2-6 and prostate-specific antigen (PSA) 10-20 or GS 7, and PSA < 10 were eligible. The COMBO arm was EBRT (45 Gy in 25 fractions) to prostate and seminal vesicles followed by BT prostate boost (110 Gy if 125-Iodine, 100 Gy if 103-Pd). BT arm was delivered to prostate only (145 Gy if 125-Iodine, 125 Gy if 103-Pd). The primary end point was FFP: PSA failure (American Society for Therapeutic Radiology and Oncology [ASTRO] or Phoenix definitions), local failure, distant failure, or death.

resultsFive hundred eighty-eight men were randomly assigned; 579 were eligible: 287 and 292 in COMBO and BT arms, respectively. The median age was 67 years; 89.1% had PSA < 10 ng/mL, 89.1% had GS 7, and 66.7% had T1 disease. There were no differences in FFP. The 5-year FFP-ASTRO was 85.6% (95% CI, 81.4 to 89.7) with COMBO compared with 82.7% (95% CI, 78.3 to 87.1) with BT (odds ratio [OR], 0.80; 95% CI, 0.51 to 1.26; Greenwood T

conclusionCompared with BT, COMBO did not improve FFP for prostate cancer but caused greater toxicity. BT alone can be considered as a standard treatment for men with intermediate-risk prostate cancer.

Indexed as

BrachytherapyProstatic NeoplasmsAgedAged, 80 and overHumansMaleMiddle AgedProstate-Specific AntigenRadiotherapy DosageTreatment OutcomeProstate-Specific Antigen

Identifiers

PMID37315297
PMCPMC10461953
OpenAlexW4380562973

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.