Evidence map›Paper›PMID 38969791›Full record

Trial reportProstate cancer and prostatic diseases2025

Impact of a rash management guide in patients receiving apalutamide for high-risk localized prostate cancer in the Apa-RP study.

Neal Shore, Jason Hafron, Daniel Saltzstein, Amitabha Bhaumik, Pankaj Aggarwal, Jennifer Phillips, Tracy McGowan

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report 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. It is linked to trial NCT04523207 (A Multi-center, Open-label, Single-arm Phase 2 Study of the Adjuvant Treatment of Apalutamide and Androgen Deprivation Therapy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT04523207 phase2completednot on this map

A Multi-center, Open-label, Single-arm Phase 2 Study of the Adjuvant Treatment of Apalutamide and Androgen Deprivation Therapy (ADT) in Treatment-naïve Participants Who Have Undergone Radical Prostatectomy (RP) for Non-metastatic Prostate Cancer and Who Are at High Risk for Metastases

TypeinterventionalSponsorJanssen Research & Development, LLCRan2020 to 2023Enrolled108ConditionsProstatic NeoplasmsArmsApalutamide, ADT, Relugolix
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Severe Toxicodermia due to Apalutamide: A Case Report of DRESS in an Elderly Adult.International journal of hematology-oncology and stem cell research · 2026
    Article
  3. Review
  4. Review
  5. 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

7 authors.

Neal ShoreCarolina Urologic Research Center, Myrtle Beach, SC, USA. nshore@auclinics.com.ORCID http://orcid.org/0000-0001-5767-0548
Jason HafronMichigan Institute of Urology, West Bloomfield, MI, USA.
Daniel SaltzsteinUrology San Antonio, San Antonio, TX, USA.
Amitabha BhaumikJanssen Research and Development, Titusville, NJ, USA.
Pankaj AggarwalJanssen Medical Affairs, Horsham, PA, USA.
Jennifer PhillipsJanssen Medical Affairs, Horsham, PA, USA.
Tracy McGowanJanssen Medical Affairs, Horsham, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesBased on the SPARTAN and TITAN studies, apalutamide is approved for patients with nonmetastatic castration-resistant and metastatic castration-sensitive prostate cancer. Skin rash was a common adverse reaction across indications. We hypothesized that earlier identification and intervention could improve rash outcomes. SUBJECTS/

methodsA prespecified rash management guide outlining recommended skin care practices was provided to all patients enrolled in Apa-RP (NCT04523207). Rash-related safety data from Apa-RP were compared descriptively with data from SPARTAN and TITAN.

resultsPatients in Apa-RP experienced improved rash-related outcomes vs those in SPARTAN and TITAN.

conclusionsIncreased vigilance and proactive management may reduce the incidence, severity, and duration of rash during apalutamide treatment.

Indexed as

Androgen Receptor AntagonistsExanthemaProstatic NeoplasmsProstatic Neoplasms, Castration-ResistantThiohydantoinsAgedHumansMaleMiddle AgedAndrogen Receptor AntagonistsapalutamideThiohydantoins

Identifiers

PMID38969791
PMCPMC12399413

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Registered trials

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.