Evidence map›Paper›PMID 41979035›Full record

Trial reportFuture oncology (London, England)2026

Saruparib in combination with androgen receptor pathway inhibitors in metastatic hormone-sensitive prostate cancer: EvoPAR-Prostate01.

Arun A Azad, Neeraj Agarwal, Andrew J Armstrong, Eva Hellmis, Mikio Sugimoto, Yüksel Ürün, Nianzeng Xing, Mehreteab Aregay, Julianne Lima, Didier Meulendijks and 1 more

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

Trial report in Future oncology (London, England), 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. Review
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

11 authors.

Arun A AzadDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.ORCID 0000-0001-7350-5622
Neeraj AgarwalDivision of Medical Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Andrew J ArmstrongDepartment of Medicine, Duke Cancer Institute Center for Prostate and Urologic Cancer, Duke University Medical Center, Durham, NC, USA.
Eva HellmisUrologicum Duisburg, Center for Urology and Urologic Cancer, Duisburg, Germany.
Mikio SugimotoDepartment of Urology, Kagawa University, Kagawa, Japan.
Yüksel ÜrünDepartment of Medical Oncology, Ankara University School of Medicine, Ankara, Turkey.
Nianzeng XingDepartment of Urology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Mehreteab AregayGlobal Medicines Development, Oncology R&D, AstraZeneca, Gaithersburg, MD, USA.
Julianne LimaGlobal Medicines Development, Oncology R&D, AstraZeneca, Cambridge, UK.
Didier MeulendijksGlobal Medicines Development, Oncology R&D, AstraZeneca, Barcelona, Spain.
Kim N ChiDepartment of Medical Oncology, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-3782-7226

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poly(ADP-ribose) polymerase (PARP) inhibitor plus androgen receptor pathway inhibitor (ARPI) is approved for selected patients with metastatic castration-resistant prostate cancer. Saruparib (AZD5305) is a new-generation PARP inhibitor that selectively inhibits and traps PARP1. EvoPAR-Prostate01 is a Phase III, 2-cohort, randomized, double-blind, placebo-controlled, multicenter study evaluating the efficacy and safety of saruparib plus ARPIs in participants with histologically confirmed metastatic hormone-sensitive prostate cancer (mHSPC) with and without confirmed, prospectively defined, homologous recombination repair gene mutations (HRRm). Participants must receive androgen deprivation therapy throughout the study, or have undergone bilateral orchiectomy, and be suitable for ARPI. Key exclusion criteria include prior PARP inhibitor, prior chemotherapy or ARPI in the mHSPC setting (prior ARPI for localized disease is permitted), and history of/suspected myelodysplastic syndrome/acute myeloid leukemia. Approximately 1800 participants (550 HRRm; 1250 non-HRRm) are randomized 1:1 to receive either saruparib plus physician's choice of ARPI (abiraterone plus prednisone/prednisolone, darolutamide, or enzalutamide) or placebo plus ARPI. Treatment beyond disease progression and crossover between cohorts are not permitted. The primary endpoint is radiographic progression-free survival (rPFS); overall survival (OS) is a key secondary endpoint. Analyses of rPFS and OS will be conducted within each cohort by stratified log-rank test. Enrollment began in November 2023.

Indexed as

Androgen Receptor AntagonistsAntineoplastic Combined Chemotherapy ProtocolsProstatic NeoplasmsBenzamidesDouble-Blind MethodHumansMalePoly(ADP-ribose) Polymerase InhibitorsReceptors, AndrogenAndrogen Receptor AntagonistsBenzamidesPoly(ADP-ribose) Polymerase InhibitorsReceptors, AndrogenAZD5305homologous recombination repair mutationmetastatic hormone-sensitive prostate cancerPARP1 selectivePARP inhibitorSaruparib

Identifiers

PMID41979035
PMCPMC13089917

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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.