Evidence map›Paper›PMID 41555147›Full record

ReviewOncology and therapy2026

Treatment Strategies in Metastatic Castration-Resistant Prostate Cancer: A Narrative Review of Considerations in the Post-ARTA, Post-Docetaxel Setting.

Kenrick Ng, Birth-Lynn Tyers, Aruni Ghose, Abbas Kassamali, Reem El Debri, Jonathan Shamash

Abstract readReview
In one paragraph

Review in Oncology and therapy, 2026. 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. Review
  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

6 authors.

Kenrick NgDepartment of Medical Oncology, Barts Cancer Centre, St Bartholomew's Hospital, London, EC1A 7BE, UK. kenrickng@doctors.org.uk.ORCID http://orcid.org/0000-0001-9132-4075
Birth-Lynn TyersDepartment of Medical Oncology, Barts Cancer Centre, St Bartholomew's Hospital, London, EC1A 7BE, UK.
Aruni GhoseDepartment of Medical Oncology, Barts Cancer Centre, St Bartholomew's Hospital, London, EC1A 7BE, UK.
Abbas KassamaliDepartment of Medical Oncology, Barts Cancer Centre, St Bartholomew's Hospital, London, EC1A 7BE, UK.
Reem El DebriDepartment of Medical Oncology, Barts Cancer Centre, St Bartholomew's Hospital, London, EC1A 7BE, UK.
Jonathan ShamashDepartment of Medical Oncology, Barts Cancer Centre, St Bartholomew's Hospital, London, EC1A 7BE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of advanced prostate cancer has evolved significantly with the advent of androgen receptor-targeted agents (ARTAs) and docetaxel, which now form the cornerstone of first-line systemic therapy in advanced disease. However, as increasing numbers of patients progress after exposure to both an ARTA and docetaxel, optimal treatment sequencing in the post-ARTA, post-docetaxel metastatic castration-resistant prostate cancer (mCRPC) setting remains an area of clinical uncertainty, with limited comparative data to guide decisions. This narrative review synthesises the current evidence surrounding treatment strategies for mCRPC in this later-line setting. Available therapeutic options include radioligand therapy (e.g. lutetium-177-PSMA-617), cabazitaxel, PARP inhibitors (particularly for patients with DNA repair gene alterations), second-line ARTAs, further chemotherapy and immunotherapeutic approaches. However, direct head-to-head trials comparing these modalities are sparse, and much of the available data comes from retrospective or subgroup analyses, necessitating a nuanced interpretation of outcomes and limitations. Beyond efficacy, this article emphasises the critical role of practical and individualised considerations in therapy selection. These include toxicity profiles, patient comorbidities and preferences, biomarker-driven stratification (e.g. BRCA status, PSMA expression, sites of metastases), and health system factors such as drug availability and reimbursement policies, which may significantly influence access to optimal care. Finally, the review provides an overview of promising emerging therapies poised to expand the treatment landscape for mCRPC. These include bispecific T cell engagers, androgen receptor degraders, and antibody-drug conjugates, which are currently under investigation in clinical trials and may soon offer new avenues for treatment beyond traditional mechanisms.

Indexed as

Androgen receptor targeted agentsChemotherapyMetastatic castration-resistant prostate cancerProstate cancerRadioligand therapy

Identifiers

PMID41555147
PMCPMC12992898

What OpenQuestion holds

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LicenceCC BY-NC
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.