Evidence map›Paper›PMID 39502601›Full record

ArticleCancer diagnosis & prognosis

PSA Kinetics Affect Prognosis in Patients With Castration-resistant Prostate Cancer Treated With Enzalutamide.

Toshiki Oka, Koji Hatano, Masaru Tani, Akihiro Yoshimura, Yuki Horibe, Yutong Liu, Nesrine Sassi, Yohei Okuda, Akinaru Yamamoto, Toshihiro Uemura and 7 more

Abstract read
In one paragraph

Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

17 authors.

Toshiki OkaDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Koji HatanoDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Masaru TaniDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Akihiro YoshimuraDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yuki HoribeDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yutong LiuDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Nesrine SassiDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yohei OkudaDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Akinaru YamamotoDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Toshihiro UemuraDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Gaku YamamichiDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Y U IshizuyaDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yoshiyuki YamamotoDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Taigo KatoDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Atsunari KawashimaDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazutoshi FujitaDepartment of Urology, Kindai University Faculty of Medicine, Osaka, Japan.
Norio NonomuraDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: There is little evidence regarding the predictive value of prostate-specific antigen (PSA) kinetics in patients with castration-resistant prostate cancer treated with an androgen receptor signaling inhibitor. This study investigated the correlation between PSA kinetics and prognosis in patients with castration-resistant prostate cancer treated with enzalutamide. Patients and Methods: We analyzed data from 103 patients who received enzalutamide as primary treatment for castration-resistant prostate cancer at our hospital, focusing on the associations between overall survival and PSA kinetics variables, such as maximal PSA response, PSA nadir, and time to PSA nadir. Results: The median PSA level at the initiation of enzalutamide was 18.1 ng/ml (interquartile range=7.9-61.2 ng/ml). The median maximal PSA response rate was 88% (interquartile range 55-98), and the median PSA nadir was 1.84 (interquartile range (IQR)=0.38-14.7) ng/ml. The median time to PSA nadir was 19 (IQR=6-28.5) weeks. Maximal PSA response rate <90% [hazard ratio (HR)=2.28, 95% confidence interval (CI)=1.03-5.03, p=0.0413], PSA nadir >2 ng/ml (HR=2.30, 95%CI=1.05-5.07, p=0.0379), time to nadir <19 weeks (HR=2.48, 95%CI=1.15-5.35, p=0.0204) were all independently predictive of shortened overall survival even after adjusting for pre-treatment factors. Conclusion: Maximal PSA response, PSA nadir, and time to PSA nadir correlated with survival in patients with castration-resistant prostate cancer receiving enzalutamide as a first-line therapy.

Indexed as

Androgen receptor signaling inhibitorcastration-resistant prostate cancerenzalutamideoverall survivalprostate-specific antigen

Identifiers

PMID39502601
PMCPMC11534038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.