Evidence map›Paper›PMID 38431761›Full record

ReviewProstate cancer and prostatic diseases2025

A multidisciplinary approach to address unmet needs in the management of patients with non-metastatic castration-resistant prostate cancer.

Neal D Shore, Emmanuel S Antonarakis, Ashley E Ross, Catherine H Marshall, Kelly L Stratton, Adanma Ayanambakkam, Michael S Cookson, Rana R McKay, Alan H Bryce, Marina D Kaymakcalan

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Prostate cancer and prostatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 21% 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, 3 citations in OpenAlex.

  1. Treatment patterns in patients with castration-resistant prostate cancer who received darolutamide in the ARAMIS trial in Spain: PARASEC study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Observational
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 1 country.

Neal D ShoreGenesisCare US, Myrtle Beach, SC, USA. nshore@auclinics.com.ORCID http://orcid.org/0000-0001-5767-0548
Emmanuel S AntonarakisUniversity of Minnesota Masonic Cancer Center, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0003-0031-9655
Ashley E RossNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Catherine H MarshallJohns Hopkins Medical Institutions, Baltimore, MD, USA.
Kelly L StrattonUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Adanma AyanambakkamUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Michael S CooksonUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Rana R McKayUniversity of California, San Diego, La Jolla, CA, USA.ORCID http://orcid.org/0000-0002-0581-7963
Alan H BryceMayo Clinic, Phoenix, AZ, USA.ORCID http://orcid.org/0000-0002-0206-3895
Marina D KaymakcalanDana Farber Cancer Institute, Boston, MA, USA.
University of Oklahoma Health Sciences Center · USCarolina Urologic Research Center · USDana-Farber Cancer Institute · USJohns Hopkins University · USMayo Clinic Hospital · USNorthwestern University · USUniversity of California San Diego · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the availability of second-generation androgen receptor inhibitors (SGARIs), the treatment landscape has changed dramatically for patients with nonmetastatic castration-resistant prostate cancer (nmCRPC). In clinical trials, the SGARIs (apalutamide, enzalutamide, darolutamide) increased metastasis-free survival (MFS), overall survival (OS), and patient quality of life compared to placebo. These drugs were subsequently integrated into nmCRPC clinical practice guidelines. With advances in radiographic imaging, disease assessment, and patient monitoring, nmCRPC strategies are evolving to address limitations related to tracking disease progression using prostate-specific antigen (PSA) kinetics.

methodsA panel of 10 multidisciplinary experts in prostate cancer conducted reviews and discussions of unmet needs in the management and monitoring of patients with nmCRPC in order to develop consensus recommendations.

resultsAcross the SGARI literature, patient MFS and OS are generally comparable for all treatments, but important distinctions exist regarding short- and long-term drug safety profiles and drug-drug interactions. With respect to disease monitoring, a substantial proportion of patients using SGARIs may experience disease progression without rising PSA levels, suggesting a need for enhanced radiographic imaging in addition to PSA monitoring. Recent data also indicate that novel prostate-specific membrane antigen positron emission tomography radiotracers provide enhanced accuracy for disease detection, as compared to conventional imaging.

conclusionsClinical decision-making in nmCRPC has become more complex, with new opportunities to apply precision medicine to patient care. Multidisciplinary teams can ensure that patients with nmCRPC receive optimal and individualized disease management.

Indexed as

Androgen Receptor AntagonistsProstatic Neoplasms, Castration-ResistantDisease ManagementHumansMaleProstate-Specific AntigenQuality of LifeAndrogen Receptor AntagonistsProstate-Specific Antigen

Identifiers

PMID38431761
OpenAlexW4392348729

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.