Evidence map›Paper›PMID 42493213›Full record

Trial reportJournal for immunotherapy of cancer2026

Randomized phase II trial of nivolumab and ipilimumab with or without stereotactic body radiation therapy in patients with metastatic castration-resistant prostate cancer: the CheckPRO, CA209-8TY trial.

Rikke Løvendahl Eefsen, Nicklas Juel Spindler, Susann Theile, Gina Al-Farra, Helle W Hendel, Torben Lorentzen, Gitte Fredberg Persson, Claus P Behrens, Inna Markova Chen, Kasper Madsen and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05655715 (Randomised Phase 2 Trial of Stereotactic Body Radiation Therapy, SBRT in Combination with Checkpoint Inhibitors in Metastatic Castration-resistant Prostate Cancer), which is not on this 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.

NCT05655715 phase2completednot on this map

Randomised Phase 2 Trial of Stereotactic Body Radiation Therapy, SBRT in Combination with Checkpoint Inhibitors in Metastatic Castration-resistant Prostate Cancer

TypeinterventionalSponsorHerlev and Gentofte HospitalRan2019 to 2024Enrolled90ConditionsProstate Cancer Metastatic, Castrate Resistant Prostate Cancer, Metastatic Castration-resistant Prostate Cancer, Prostate Cancer Stage IVArmsStereotactic body radiotherapy, Ipilimumab Injection [Yervoy], Nivolumab Injection [Opdivo], Biopsies
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. CD4Journal for immunotherapy of cancer · 2026
    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

15 authors.

Rikke Løvendahl EefsenDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark rikke.helene.loevendahl.eefsen@regionh.dk.ORCID http://orcid.org/0000-0003-1421-1792
Nicklas Juel SpindlerDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Susann TheileDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Gina Al-FarraDepartment of Radiology, Herlev and Gentofte Hospital, Herlev, Capital Region of Denmark, Denmark.
Helle W HendelDepartment of Nuclear Medicine, Herlev and Gentofte Hospital, Herlev, Capital Region of Denmark, Denmark.
Torben LorentzenDepartment of Surgery, Herlev and Gentofte Hospital, Herlev, Capital Region of Denmark, Denmark.
Gitte Fredberg PerssonDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.ORCID http://orcid.org/0000-0002-3363-3256
Claus P BehrensDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Inna Markova ChenDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Kasper MadsenDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Lisa SengeløvDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Inge Marie SvaneDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.ORCID http://orcid.org/0000-0002-9451-6037
Henriette LindbergDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Per KongstedDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.
Dorte Lisbeth NielsenDepartment of Oncology, Herlev Hospital, Herlev, Capital Region of Denmark, Denmark.ORCID http://orcid.org/0000-0002-8766-8729

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetastatic castration-resistant prostate cancer (mCRPC) is among the leading causes of cancer-related mortality in men worldwide. Treatment options for mCRPC typically include chemotherapy and androgen receptor pathway inhibitors. Immune checkpoint inhibitors (ICIs) have demonstrated a limited effect in mCRPC. We hypothesized that the addition of stereotactic body radiation therapy (SBRT) could enhance immune responses and improve treatment outcomes.

methodsPatients with mCRPC who had received at least two prior lines of therapy were randomized 1:1 to receive SBRT with nivolumab and ipilimumab (arm A) or nivolumab and ipilimumab (arm B). The dual primary endpoints in the study were prostate-specific antigen (PSA) response rate and objective response rate (ORR). Secondary endpoints included overall survival (OS), PSA, radiologic progression-free survival, and toxicity.

resultsWe enrolled 91 patients, and 81 patients received at least one treatment with ICIs and were eligible for evaluation of the efficacy and safety endpoints. Of the evaluable patient population, the confirmed PSA response rate was 21.6% (95% CI 9.8% to 38.2%) in arm A, and 20.5% (95% CI 9.8% to 35.3%) in arm B. ORR was 16.7% (95% CI 4.7% to 37.4%) and 22.2% (95% CI 10.1% to 39.2%) in arms A and B, respectively. Median OS was 10.2 months (95% CI 7.1 to 15.2) in arm A and 9.2 months (95% CI 7.1 to 14.4) in arm B. Treatment-related adverse events grade 3-4 were observed in 27 patients (33.3%).

conclusionsThe addition of SBRT to nivolumab and ipilimumab did not improve outcomes; however, a fraction of the patients had a response to the treatment combination of nivolumab and ipilimumab. Explorative translational research is needed to identify possible biomarkers of response to immunotherapy with ICIs in mCRPC. TRIAL REGISTRATION NUMBERS: European Union Clinical Trial Registry (https://www.clinicaltrialsregister.eu) EudraCT number: 2018-003461-34 and on https://clinicaltrials.gov (NCT05655715).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsIpilimumabNivolumabProstatic Neoplasms, Castration-ResistantRadiosurgeryAgedAged, 80 and overHumansMaleMiddle AgedNeoplasm MetastasisTreatment OutcomeIpilimumabNivolumabAbscopalImmune Checkpoint InhibitorImmunotherapyProstate CancerRadiotherapy/radioimmunotherapy

Identifiers

PMID42493213
PMCPMC13404637

What OpenQuestion holds

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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.