Evidence map›Paper›PMID 38371198›Full record

ArticleBJUI compass2024

Evaluation of Proclarix in the diagnostic work-up of prostate cancer.

Basil Kaufmann, Sharon Fischer, Alcibiade Athanasiou, Noémie Lautenbach, Anja Wittig, Uwe Bieri, Florian A Schmid, Franz von Stauffenberg, Thomas Scherer, Daniel Eberli and 3 more

Open access · goldAbstract read
In one paragraph

Article in BJUI compass, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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

13 authors at 3 institutions in 3 countries.

Basil KaufmannDepartment of Urology University Hospital Zurich Zurich Switzerland.ORCID https://orcid.org/0000-0001-6965-449X
Sharon FischerDepartment of Urology University Hospital Zurich Zurich Switzerland.
Alcibiade AthanasiouProteomedix AG Zurich Switzerland.
Noémie LautenbachDepartment of Urology University Hospital Zurich Zurich Switzerland.
Anja WittigProteomedix AG Zurich Switzerland.
Uwe BieriDepartment of Urology University Hospital Zurich Zurich Switzerland.ORCID https://orcid.org/0000-0002-7339-1458
Florian A SchmidDepartment of Urology University Hospital Zurich Zurich Switzerland.ORCID https://orcid.org/0000-0002-0862-5027
Franz von StauffenbergDepartment of Urology University Hospital Zurich Zurich Switzerland.
Thomas SchererDepartment of Urology University Hospital Zurich Zurich Switzerland.ORCID https://orcid.org/0000-0001-5544-1063
Daniel EberliDepartment of Urology University Hospital Zurich Zurich Switzerland.ORCID https://orcid.org/0000-0001-8866-8010
Michael A GorinMilton and Carroll Petrie Department of Urology Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0002-8315-6603
Ralph SchiessProteomedix AG Zurich Switzerland.ORCID https://orcid.org/0000-0003-4955-1295
Cédric PoyetDepartment of Urology University Hospital Zurich Zurich Switzerland.
University Hospital of Zurich · CHProteome Sciences (United Kingdom) · GBIcahn School of Medicine at Mount Sinai · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The use of multiparametric magnetic resonance imaging (mpMRI) has been widely adopted in the diagnostic work-up for suspicious prostate cancer (PCa) and is recommended in most current guidelines. However, mpMRI lesions are often indeterminate and/or turn out to be false-positive on prostate biopsy. The aim of this work was to evaluate Proclarix, a biomarker test for the detection of relevant PCa, regarding its diagnostic value in all men before biopsy and in men with indeterminate lesions on mpMRI (PI-RADS 3) during work-up for PCa. Materials and Methods: Men undergoing mpMRI-targeted and systematic biopsy of the prostate were prospectively enrolled. The Proclarix test was evaluated for the detection accuracy of clinically significant PCa (csPCa) defined as Grade Group ≥ 2 and its association to mpMRI results. Further, Proclarix's performance was also tested when adapted to prostate volume (Proclarix density) and performance compared to PSA density (PSAD). Results: A total of 150 men with a median age of 65 years and median PSA of 5.8 ng/mL were included in this study. CsPCa was diagnosed in 65 (43%) men. Proclarix was significantly associated with csPCa and higher PI-RADS score ( Conclusion: Proclarix demonstrates high sensitivity in detecting csPCa but may still result in unnecessary biopsies. However, Proclarix density was able to outperform PSAD and Proclarix and was found to be useful in men with PI-RADS 3 findings by safely avoiding unnecessary biopsies without missing csPCa.

Indexed as

biomarkersbiopsycathepsin D, CTSDProclarixprostate cancerthrombospondin 1, THBS1

Identifiers

PMID38371198
PMCPMC10869654
OpenAlexW4387221412

What OpenQuestion holds

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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.