Evidence map›Paper›PMID 41111925›Full record

ArticleJournal of the National Cancer Center2025

Transcriptomic predictors of prostate cancer recurrence following focal cryotherapy: a pooled analysis of phase II trial and prospective cohort data.

Kae Jack Tay, Boon Hao Hong, Enya Hui Wen Ong, Kah Min Tan, Gianella Cabuhat Pacho, Samantha Jingxuan Wong, Yu Guang Tan, Yan Mee Law, Nye Thane Ngo, Puay Hoon Tan and 16 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of the National Cancer Center, 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT04138914 naactive not recruitingnot on this map

Phase II Trial of Focal Cryotherapy for Prostate Cancer

TypeinterventionalSponsorSingapore General HospitalRan2019 to 2041Enrolled30ConditionsProstate CancerArmsFocal Cryotherapy
NCT07282808 narecruitingnot on this mapstarted 2026, after this paper: background citation

Focal or Radical Therapy: a Lesion-based Molecular Evaluation in Prostate Cancer

TypeinterventionalSponsorSingapore General HospitalRan2026 to 2048Enrolled130ConditionsProstate CancerArmsMolecular Evaluation for Risk of Recurrence after FT
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

26 authors.

Kae Jack TayDepartment of Urology, Singapore General Hospital, Singapore.
Boon Hao HongDivision of Medical Sciences, National Cancer Centre Singapore, Singapore.
Enya Hui Wen OngDivision of Medical Sciences, National Cancer Centre Singapore, Singapore.
Kah Min TanDivision of Medical Sciences, National Cancer Centre Singapore, Singapore.
Gianella Cabuhat PachoDivision of Medical Sciences, National Cancer Centre Singapore, Singapore.
Samantha Jingxuan WongDivision of Medical Sciences, National Cancer Centre Singapore, Singapore.
Yu Guang TanDepartment of Urology, Singapore General Hospital, Singapore.
Yan Mee LawDepartment of Diagnostic Radiology, Singapore General Hospital, Singapore.
Nye Thane NgoDuke-NUS Medical School, Singapore.
Puay Hoon TanLuma Medical Clinic, Singapore.
John S P YuenDepartment of Urology, Singapore General Hospital, Singapore.
Henry S S HoDepartment of Urology, Singapore General Hospital, Singapore.
Kenneth ChenDepartment of Urology, Singapore General Hospital, Singapore.
Jiping PengDepartment of Urology, Singapore General Hospital, Singapore.
Clare Wei Tian FooDepartment of Urology, Singapore General Hospital, Singapore.
Xin Xiu SamDepartment of Anatomical Pathology, Singapore General Hospital, Singapore.
Jeffrey K L TuanDuke-NUS Medical School, Singapore.
Ravindran KanesvaranDuke-NUS Medical School, Singapore.
Rajan T GuptaDepartment of Radiology, Duke Cancer Centre, Durham, USA.
Steven RozenDepartment of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, USA.
Thomas J PolascikDepartment of Urology, Duke Cancer Centre, Durham, USA.
Yang LiuVeracyte. Inc, San Diego, USA.
James ProudfootVeracyte. Inc, San Diego, USA.
Elai DavicioniVeracyte. Inc, San Diego, USA.
Li Yan KhorDuke-NUS Medical School, Singapore.
Melvin Lee Kiang ChuaDuke-NUS Medical School, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Focal therapy (FT) is a potential treatment option for limited-volume clinically-significant prostate cancer (csPCa). However, despite rigorous selection, approximately 20% of patients experience early failure. We investigated the association of transcriptomic profiles and csPCa recurrence post-FT. Methods: 52 men from a phase II trial (NCT04138914) and a prospective observational cohort underwent focal cryotherapy for csPCa. Patients underwent multiparametric magnetic resonance imaging, and targeted and systematic-saturation biopsy before- and 1-year post-FT. Recurrence was defined as grade-group (GG) ≥2 cancer in the 1-year post-FT biopsy. Pre-treatment lesions were profiled using the Decipher genomic classifier (GC). GC scores, luminal-basal status, tumor microenvironment and cancer hallmark pathways were correlated with csPCa recurrence. Results: Median PSA was 7.0 ng/dl; 37/52 (71.1%) men had GG2, 12/52 (23.1%) GG3, and 3/52 (5.8%) GG4 cancer. Recurrence was observed in 9/52 (17.3%) men. Median GC score was higher in patients with recurrence (0.60 Conclusions: Higher GC score is associated with risk of csPCa recurrence post-FT. Patients with GC low-risk and PSC-LD csPCa may represent the ideal subgroup for FT. Prospective validation in a large cohort is warranted.

Indexed as

CryotherapyDecipher genomic classifierFocal therapyProstate cancer

Identifiers

PMID41111925
PMCPMC12529604

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.