Evidence map›Paper›PMID 38573205›Full record

ReviewCurrent opinion in oncology2024

Biochemically recurrent prostate cancer in the era of EMBARK and PSMA PET imaging: everything has changed, except the patients.

David J Einstein, Jeanny B Aragon-Ching, Fatima Karzai, Ravi A Madan

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in oncology, 2024. 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
3.4field-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, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. National Cancer Institute's Working Group on Biochemically Recurrent Prostate Cancer: Clinical Trial Design Considerations.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  4. Review
  5. Review
  6. Metastasis-Free Survival Versus Treatment-Free Survival in Biochemically Recurrent Prostate Cancer: The EMBARK Trial.Journal of clinical oncology : official journal of the American Society of Clinical 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

4 authors at 3 institutions in 1 country.

David J EinsteinBeth Israel Deaconess Medical Center, Boston, Massachusetts.
Jeanny B Aragon-ChingInova Schar Cancer Institute, Fairfax, Virginia.
Fatima KarzaiGenitorurinary Malignancies Branch, National Cancer Institute, Bethesda, Maryland, USA.
Ravi A MadanGenitorurinary Malignancies Branch, National Cancer Institute, Bethesda, Maryland, USA.
National Cancer Institute · USBeth Israel Deaconess Medical Center · USVirginia Cancer Institute · US

Funding

Evaluation of novel treatments in biochemically recurrent prostateZIABC011896 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MADAN, RAVI · 2019 to 2025
$3.6M
Natural History of Biochemically Recurrent Prostate CancerZIABC012118 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MADAN, RAVI · 2022 to 2025
$1.4M
Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIA BC012118
6 · The paper itself

Abstract

purpose of reviewPatients with biochemically recurrent prostate cancer (BCR) after unsuccessful curative therapies frequently have an indolent and asymptomatic disease course for years. There are no prospective data showing that treating BCR improves overall survival despite new imaging strategies and emerging therapeutic data. Managing BCR requires a unique perspective in oncology that balances toxicities and disease kinetics. RECENT

findingsProstate specific membrane antigen (PSMA) imaging is now widely available and can define subclinical disease in patients with BCR who otherwise have negative CT and bone scans, but limited data exists showing that treating PSMA-positive disease has long term impact. A phase 3 trial demonstrated that the androgen receptor pathway inhibitor enzalutamide either alone or with androgen deprivation therapy (ADT) was superior in delaying metastasis, relative to ADT alone. Survival benefits from this study remain unknown. SUMMARY: BCR is a heterogeneous population where overtreatment may present greater risk to patients than a disease course that is often indolent. Management of BCR should be individualized based on disease kinetics. Given the unique biology of BCR, future therapeutic research should emphasize an approach that alters disease trajectory without accompanying side effects and should explore options beyond ADT-based strategies.

Indexed as

Androgen AntagonistsProstatic NeoplasmsAndrogen Receptor AntagonistsDisease ProgressionHumansMalePositron-Emission TomographyAndrogen AntagonistsAndrogen Receptor Antagonists

Identifiers

PMID38573205
PMCPMC12277011
OpenAlexW4392459209

What OpenQuestion holds

Textmetadata
LicenceTDM
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.