SynthesisFrontiers in oncology2025
Comparing the safety and efficacy of systemic therapies for high-risk biochemically recurrent hormone-sensitive prostate cancer: a network meta-analysis.
Synthesis in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Redefining the standard of care for high-risk biochemical recurrence of prostate cancer after definitive therapy: insights from the EMBARK final analysis.Translational andrology and urology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Enzalutamide is the only androgen receptor pathway inhibitor approved by the United States Food and Drug Administration and the European Medicines Agency to treat high-risk biochemically recurrent non-metastatic hormone-sensitive prostate cancer. The objective of this network meta-analysis was to provide indirect evidence of the efficacy of enzalutamide relative to other therapies for biochemical recurrence after definitive therapy. Materials and Methods: We conducted a systematic literature review to identify trials that assessed the efficacy and safety of current and emerging interventions. Outcomes of interest were metastasis-free survival, overall survival, time to prostate-specific antigen progression, time to castration resistance, proportion of patients with prostate-specific antigen <0.2 ng/ml at 36 (± 4) weeks of treatment, and grade ≥3 treatment-related adverse events. Fixed- and random-effects models were run under the Bayesian framework. Results: Enzalutamide with androgen-deprivation therapy (i.e., combination therapy) demonstrated superiority over most comparators for overall survival (except androgen-deprivation therapy + docetaxel, which was similar), and over all comparators for metastasis-free survival, time to prostate-specific antigen progression, and time to castration resistance. Enzalutamide combination therapy demonstrated superiority over enzalutamide monotherapy for all efficacy outcomes, and similar performance for safety. Enzalutamide monotherapy demonstrated superiority over androgen-deprivation therapy alone and androgen-deprivation therapy + docetaxel for metastasis-free survival and time to prostate-specific antigen progression. Treatment-related adverse events were least common for androgen-deprivation therapy alone. Discussion: This network meta-analysis provides evidence that enzalutamide combination therapy provides considerable oncological benefit in high-risk biochemically recurrent non-metastatic hormone-sensitive prostate cancer, albeit with a higher risk of treatment-related adverse events.
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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.