Evidence map›Paper›PMID 41872531›Full record

Trial reportBritish journal of cancer2026

Self-help cognitive behavioural therapy for hot flushes and night sweats during androgen deprivation therapy for prostate cancer: the MANCAN2 randomized controlled trial.

Simon J Crabb, Alannah Morgan, Evgenia Stefanopoulou, Louisa Fleure, Gareth O Griffiths, Cherish Boxall, Sam Wilding, Theodora Nearchou, Sean Ewings, Jacqueline Nuttall and 14 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Review
  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

24 authors.

Simon J CrabbCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK. S.J.Crabb@southampton.ac.uk.ORCID http://orcid.org/0000-0003-3521-9064
Alannah MorganCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Evgenia StefanopoulouTurning Point, London, UK.
Louisa FleureGuys and St Thomas NHS Trust, London, UK.
Gareth O GriffithsCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-9579-8021
Cherish BoxallCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Sam WildingCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Theodora NearchouCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Sean EwingsCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0001-7214-4917
Jacqueline NuttallCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Zina EmintonCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Emma TiltCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Emma WhitbyClatterbridge Cancer Centre, Merseyside, UK.
Bernard SiuRoyal Marsden NHS Foundation Trust, London, UK.
Paul RidleyIpswich Hospital, Ipswich, UK.
Lynsey RobsonSouth Tyneside and Sunderland NHS Foundation Trust, Sunderland, UK.
Jenny NobesNorfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Joanne PreeceVelindre Cancer Centre, Cardiff, UK.
Roger BaconPCaSO Prostate Cancer Support Organisation, Worthing, UK.
Jonathan MartinCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Sarah ChamberlainCancer Research UK Southampton Clinical Trials Unit, University of Southampton, Southampton, UK.
Deborah FenlonFaculty of Medicine, Health and Life Science, Swansea University, Swansea, UK.
Myra Hunter *Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Alison Richardson *University Hospital Southampton NHS Foundation Trust, Southampton, UK.

Funding

DH | NIHR | Research for Patient Benefit Programme (NIHR Research for Patient Benefit Programme) NIHR201542
6 · The paper itself

Abstract

backgroundAndrogen deprivation therapy (ADT) causes hot flushes and night sweats (HFNS) and is associated with sleep disturbance, anxiety, low mood and cognitive impairment. We tested self-help cognitive behavioural therapy (CBT), when guided by prostate cancer nurse specialist teams, for mitigation of the long-term impact of HFNS, and associated symptoms.

methodsProstate cancer patients receiving ADT, with a HFNS Problem Rating Scale ≥2, were randomised (1:1) to treatment as usual (TAU) or CBT + TAU, stratified by centre and treatment intent. CBT was a 4-week self-help intervention with pre- and post-intervention group workshops guided by trained prostate cancer nurse specialists. PRIMARY ENDPOINT: 6-month HFNS Problem Rating Scale. Secondary endpoints included HFNS frequency, ADT compliance and rating scales for HFNS beliefs and behaviours, quality of life, anxiety, depression and sleep.

results162 patients were randomised. 6 month mean HFNS Problem Rating Scale score was not significantly different between the TAU and CBT + TAU groups (mean 4.08 vs 4.04, 95% confidence interval (CI) for difference: -0.89, 0.80; p = 0.97), although was improved at 6 weeks (mean 4.47 vs 3.79, 95% CI: -1.26, -0.09; p = 0.03), when depression, anxiety scores and ADT compliance also favoured CBT + TAU.

conclusionsThe addition of CBT in prostate cancer patients receiving ADT improved short-term HFNS severity, in addition to improved anxiety and depression scores, but these were not maintained at 6 months. CLINICAL

trial registrationISRCTN58720120.

Indexed as

Androgen AntagonistsCognitive Behavioral TherapyHot FlashesProstatic NeoplasmsSweatingAgedAnxietyHumansMaleMiddle AgedQuality of LifeSelf CareAndrogen Antagonists

Identifiers

PMID41872531
PMCPMC13133258

What OpenQuestion holds

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Registered trials

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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.