Evidence map›Paper›PMID 40494733›Full record

Trial reportEuropean urology oncology2026

A Randomized Controlled Phase 2 Trial Comparing Salvage Radiotherapy for Prostate Cancer Delivered in 4 Versus 2 Weeks (SHORTER): Acute Genitourinary and Gastrointestinal Patient-reported Outcomes at a Single Institution.

Himanshu Nagar, Marshall A Diven, Brady Rippon, Christopher E Barbieri, Jim C Hu, Douglas S Scherr, Pragya Yadav, Lhaden Tshering, Sharanya Chandrasekhar, Sydney Wolfe and 15 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in European urology oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

25 authors.

Himanshu NagarWeill Cornell Medicine, New York, NY, USA; Memorial Sloan Kettering Cancer Center, New York, NY, USA. Electronic address: nagarh1@mskcc.org.
Marshall A DivenNewYork-Presbyterian, Brooklyn Methodist Hospital, Brooklyn, NY, USA.
Brady RipponDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Christopher E BarbieriNewYork-Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA.
Jim C HuWeill Cornell Medicine, New York, NY, USA.
Douglas S ScherrNewYork-Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA.
Pragya YadavWeill Cornell Medicine, New York, NY, USA.
Lhaden TsheringWeill Cornell Medicine, New York, NY, USA.
Sharanya ChandrasekharWeill Cornell Medicine, New York, NY, USA.
Sydney WolfeDepartment of Radiation Oncology, Weill Cornell Medicine, New York, NY, USA.
Ryan PennellSandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, NY, USA.
Madeline CoonceNewYork-Presbyterian Hospital, Weill Cornell Medical College, New York, NY, USA.
Shu Ling ChenDepartment of Radiation Oncology, Weill Cornell Medicine, New York, NY, USA.
Silvia C FormentiWeill Cornell Medicine, New York, NY, USA.
Paul StrongHyperfine, Inc., Guilford, CT, USA.
Elai DavicioniVeracyte, Inc., San Francisco, CA, USA.
Ana M MolinaWeill Cornell Medicine, New York, NY, USA.
David M NanusWeill Cornell Medicine, New York, NY, USA.
Jones T NauseefWeill Cornell Medicine, New York, NY, USA.
Cora N SternbergWeill Cornell Medicine, New York, NY, USA; Englander Institute for Precision Medicine, New York, NY, USA.
Xi K ZhouWeill Cornell Medicine, New York, NY, USA.
Wanni LeiWeill Cornell Medicine, New York, NY, USA.
Joseph R OsborneWeill Cornell Medicine, New York, NY, USA.
Ariel E MarciscanoDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA.
Scott T TagawaWeill Cornell Medicine, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Weill Cornell Medicine (WCM) SPORE in Prostate CancerP50CA211024 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LODA, MASSIMO · 2017 to 2021
$10.9M
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA211024
6 · The paper itself

Abstract

BACKGROUND AND

objectiveSome patients undergoing prostatectomy develop biochemical recurrence or have persistently detectable prostate-specific antigen level. Salvage radiotherapy (RT), delivered over ≥4 wk, is a current standard of care. Our objective was to demonstrate that salvage RT delivered in a five-fraction stereotactic body radiotherapy (SBRT) regimen does not significantly increase patient-reported genitourinary (GU) and gastrointestinal (GI) symptoms compared with a 20-fraction regimen (HYPO).

methodsIn this randomized noninferiority study, 137 patients were randomized 1:1 to salvage RT with 32.5 Gy in five fractions or 55 Gy in 20 fractions. We report acute changes in Expanded Prostate Cancer Index Composite (EPIC) scores and Common Terminology Criteria for Adverse Events at 3 and 6 mo. KEY FINDINGS AND LIMITATIONS: The difference in the changes in EPIC GU scores between SBRT and HYPO was 3.3 (95% confidence interval [CI], -8.53, 1.93), indicating a lack of a clinically meaningful difference. The difference in the changes in EPIC GI scores between SBRT and HYPO was 1.16 (95% CI, -5.15, 7.46), indicating a lack of a clinically meaningful difference. CONCLUSIONS AND CLINICAL IMPLICATIONS: Salvage RT delivered in five fractions was not associated with a significantly worse decline in patient-reported GU or GI toxicities at 3 or 6 mo. Further follow-up is necessary to monitor for potential differences in late toxicity and patient-reported outcomes.

Indexed as

Gastrointestinal DiseasesProstatic NeoplasmsRadiosurgerySalvage TherapyAgedDose Fractionation, RadiationHumansMaleMale Urogenital DiseasesMiddle AgedPatient Reported Outcome MeasuresPostprostatectomy radiation therapyProstate cancerSalvage radiotherapyStereotactic body radiotherapy

Identifiers

PMID40494733
PMCPMC12354193

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.