Evidence map›Paper›PMID 37668202›Full record

Observational studyInvestigative and clinical urology2023

A prospective, multicenter study on the clinical effectiveness of abiraterone in metastatic castration-resistant prostate cancer in Korea: Pre- vs. post-chemotherapy.

Seung-Hwan Jeong, Sang Eun Yeon, Su Youn Kim, Tae Gyun Kwon, Seong Soo Jeon, Young Deuk Choi, Dongdeuk Kwon, Byung Ha Chung, Sung-Hoo Hong, Byung Hoon Kim and 10 more

Open access · diamondAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Investigative and clinical urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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 17 institutions in 2 countries.

Seung-Hwan JeongDepartment of Urology, Seoul National University Hospital, Seoul, Korea.ORCID 0000-0002-8076-3643
Sang Eun YeonMedical Affairs, Janssen Korea Ltd, Seoul, Korea.ORCID 0000-0002-9682-7955
Su Youn KimMedical Affairs, Janssen Korea Ltd, Seoul, Korea.ORCID 0000-0002-4037-3835
Tae Gyun KwonDepartment of Urology, Kyungpook National University School of Medicine, Daegu, Korea.ORCID 0000-0002-4390-0952
Seong Soo JeonDepartment of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.ORCID 0000-0002-3265-6261
Young Deuk ChoiDepartment of Urology, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.ORCID 0000-0002-8545-5797
Dongdeuk KwonDepartment of Urology, Chonnam National University Hwasun Hospital, Hwasun, Korea.ORCID 0000-0002-1068-3883
Byung Ha ChungDepartment of Urology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-9817-3660
Sung-Hoo HongDepartment of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.ORCID 0000-0002-1952-4010
Byung Hoon KimDepartment of Urology, Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.ORCID 0000-0001-5272-6362
Hyo Jin LeeDepartment of Internal Medicine, Cancer Research Institute and Infection Control Convergence Research Center, Chungnam National University College of Medicine, Daejeon, Korea.ORCID 0000-0001-8378-3001
Sang Joon ShinDivision of Medical Oncology, Department of Internal Medicine, Yonsei Cancer Center, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-5350-7241
Woo Suk ChoiDepartment of Urology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0002-8352-578X
Sung Woo ParkDepartment of Urology, Pusan National University Yangsan Hospital, Yangsan, Korea.ORCID 0000-0002-9895-3461
Taek Won KangDepartment of Urology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.ORCID 0000-0002-7708-819X
Seok Joong YunDepartment of Urology, Chungbuk National University Hospital, College of Medicine, Chungbuk National University, Cheongju, Korea.ORCID 0000-0001-7737-4746
Jin Seon ChoDepartment of Urology, Hallym University College of Medicine, Anyang, Korea.ORCID 0000-0003-0429-191X
See Min ChoiDepartment of Urology, Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju, Korea.ORCID 0000-0002-6599-2640
Na-Ri LeeDepartment of Internal Medicine, Jeonbuk National University Medical School, Jeonju, Korea.ORCID 0000-0002-6236-9319
Cheol KwakDepartment of Urology, Seoul National University Hospital, Seoul, Korea. mdrafael@snu.ac.kr.ORCID 0000-0002-1987-2111
Janssen (Belgium) · BESeoul National University Hospital · KRYonsei University · KRChonnam National University Hospital · KRChonnam National University Hwasun Hospital · KRChungbuk National University Hospital · KRChungnam National University · KRGyeongsang National University Hospital · KRHallym University · KRJeonbuk National University · KRKeimyung University · KRKonkuk University Medical Center · KRKyungpook National University · KRPusan National University Yangsan Hospital · KRSamsung Medical Center · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KRYonsei University Health System · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe proper treatment sequence for administering abiraterone acetate plus prednisolone (AAP) and chemotherapeutic agents has not yet been elucidated for metastatic castration-resistant prostate cancer (mCRPC). Hence, this study evaluated the effectiveness and safety of AAP in pre- and post-chemotherapy settings using real-world data. MATERIALS AND

methodsThis prospective, multicenter, open-label, observational study included 506 patients with mCRPC. Patients were classified according to the timing of chemotherapy into pre- and post-chemotherapy groups. The effectiveness and safety of AAP were compared between the groups; the prostate-specific antigen (PSA) response, PSA progression-free survival, and radiologic progression-free survival were assessed; and adverse drug reactions were recorded.

resultsAmong the included patients, 319 and 187 belonged to the pre- and post-chemotherapy groups, respectively. Risk classification was similar between the two groups. The PSA response was 61.8% in the pre-chemotherapy group and 39.0% in the post-chemotherapy group (p<0.001). The median time to PSA progression (5.00 vs. 2.93 mo, p=0.001) and radiologic progression-free survival (11.84 vs. 9.17 mo, p=0.002) were significantly longer in the pre-chemotherapy group. Chemotherapy status was associated with PSA (hazard ratio [HR] 1.39, 95% confidence interval [CI] 1.09-1.77) and radiologic progression (HR 1.66, 95% CI 1.18-2.33) during AAP treatment. Adverse drug reactions were reported at similar frequencies in both groups.

conclusionsIn this postmarketing surveillance, AAP benefited patients with mCRPC, especially in settings before chemotherapy was administered, resulting in a high PSA response and longer PSA and radiologic progression-free survival with tolerable adverse drug reactions.

Indexed as

Drug-Related Side Effects and Adverse ReactionsProstatic Neoplasms, Castration-ResistantAndrostenesHumansMaleProspective StudiesProstate-Specific AntigenRepublic of KoreaTreatment OutcomeabirateroneAndrostenesProstate-Specific AntigenAbirateroneProstate cancerProstate-specific antigenReal-world data

Identifiers

PMID37668202
PMCPMC10482671
OpenAlexW4386085174

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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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.