Evidence map›Paper›PMID 39877569›Full record

ArticleBJUI compass2025

PARP inhibitor-based treatment in metastatic, castration-resistant prostate cancer (mCRPC): A systematic review and meta-analysis.

Michela Roberto, Mattia Alberto Di Civita, Daniele Marinelli, Andrea Torchia, Nertila Cara, Giulia Maltese, Iolanda Speranza, Daniele Santini

2 registry-linked trialsAbstract read
In one paragraph

Article in BJUI compass, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are 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.

NCT01576172 phase2completednot on this map

A Randomized Gene Fusion Stratified Phase 2 Trial of Abiraterone With or Without ABT-888 for Patients With Metastatic Castration-Resistant Prostate Cancer

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2012 to 2020Enrolled159ConditionsCastration-Resistant Prostate Carcinoma, Recurrent Prostate Carcinoma, Stage IV Prostate Cancer AJCC v7ArmsAbiraterone Acetate, Laboratory Biomarker Analysis, Prednisone, Veliparib
NCT01972217 phase2completednot on this map

A Randomised, Double-Blind, Placebo-Controlled, Multicentre Phase II Study to Compare the Efficacy, Safety and Tolerability of Olaparib Versus Placebo When Given in Addition to Abiraterone Treatment in Patients With Metastatic Castrate-Resistant Prostate Cancer Who Have Received Prior Chemotherapy Containing Docetaxel

TypeinterventionalSponsorAstraZenecaRan2014 to 2023Enrolled158ConditionsMetastatic Castration-resistant Prostate CancerArmsOlaparib, Placebo, Abiraterone, Prednisone or prednisolone
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. 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

8 authors.

Michela RobertoDivision of Medical Oncology A Policlinico Umberto I Rome Italy.ORCID https://orcid.org/0000-0001-5339-8348
Mattia Alberto Di CivitaDivision of Medical Oncology A Policlinico Umberto I Rome Italy.
Daniele MarinelliDepartment of Experimental Medicine Sapienza University Rome Italy.
Andrea TorchiaDivision of Medical Oncology A Policlinico Umberto I Rome Italy.
Nertila CaraDivision of Medical Oncology A Policlinico Umberto I Rome Italy.
Giulia MalteseDivision of Medical Oncology A Policlinico Umberto I Rome Italy.
Iolanda SperanzaDivision of Medical Oncology A Policlinico Umberto I Rome Italy.
Daniele SantiniDivision of Medical Oncology A Policlinico Umberto I Rome Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We present a systematic review and meta-analysis of randomized clinical trials (RCTs) with PARPi either as monotherapy or in combination with an androgen receptor-targeted agent (ARTA) in first- and second-line settings. Methods: Primary endpoints are radiographic progression free survival (rPFS) and overall survival (OS) in patients with mCRPC and either unselected, homologous recombination repair wild-type (HRR-), homologous recombination repair mutated (HRR+) or with BRCA1, BRCA2, or ATM mutation. The effect of PARPi + ARTA in the second-line setting is also explored. Safety is a secondary end-point. Results: A total of five phase III (first line: MAGNITUDE, PROpel, TALAPRO-2; second line: PROfound, TRITON3) and two phase II RCTs (second line: NCT01972217, NCT01576172) were selected. In the first-line setting, rPFS was significantly improved in PARPi + ARTA arm in all comers (HR 0.70, Conclusions: PARPi-based therapy represents a compelling treatment option for HRR+ mCRPC, mainly BRCA1/2-mutated patients. However, further biomarker analysis are needed in order to identify other responsive patients across the different disease settings.

Indexed as

androgen receptor signalling inhibitor (ARSI)androgen receptor‐targeted agents (ARTA)BRCADNA damage repair defects (DDR)homologous recombination repair (HRR)poly‐ADP ribose polymerase (PARP) inhibitorsprostate cancer (PCa)

Identifiers

PMID39877569
PMCPMC11771493

What OpenQuestion holds

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LicenceCC BY
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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.