Evidence map›Paper›PMID 42569093›Full record

ArticleAdvances in urology2026

Real-World Outcomes of Combination Therapy With Radium-223 and Enzalutamide Compared With Enzalutamide Alone in Patients With Metastatic Castration-Resistant Prostate Cancer.

Kenichi Hata, Yuma Goto, Masaki Hashimoto, Yusuke Takahashi, Yuki Takiguchi, Shun Saito, Yuya Iwamoto, Yuki Enei, Keigo Sakanaka, Akira Hisakane and 8 more

Abstract read
In one paragraph

Article in Advances in urology, 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. 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

18 authors.

Kenichi HataDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.ORCID https://orcid.org/0000-0002-6857-7354
Yuma GotoDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Masaki HashimotoDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.ORCID https://orcid.org/0000-0002-0396-8223
Yusuke TakahashiDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Yuki TakiguchiDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Shun SaitoDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Yuya IwamotoDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Yuki EneiDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.ORCID https://orcid.org/0009-0006-1124-2322
Keigo SakanakaDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Akira HisakaneDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Taisuke YamazakiDepartment of Urology, Atsugi City Hospital, 1-16-36 Mizuhiki, Atsugi, Kanagawa, 243-8588, Japan, atsugicity-hp.jp.
Fumihiko UrabeDepartment of Urology, Jikei University School of Medicine, 3-25-8 Nishishinbashi Minato, Tokyo, 105-8461, Japan, jikei.ac.jp.ORCID https://orcid.org/0000-0002-2599-8183
Takafumi YanagisawaDepartment of Urology, Jikei University School of Medicine, 3-25-8 Nishishinbashi Minato, Tokyo, 105-8461, Japan, jikei.ac.jp.ORCID https://orcid.org/0000-0002-7410-0712
Shunsuke TsuzukiDepartment of Urology, Jikei University School of Medicine, 3-25-8 Nishishinbashi Minato, Tokyo, 105-8461, Japan, jikei.ac.jp.ORCID https://orcid.org/0000-0001-6164-4684
Tatsuya ShimomuraDepartment of Urology, Jikei University School of Medicine, 3-25-8 Nishishinbashi Minato, Tokyo, 105-8461, Japan, jikei.ac.jp.ORCID https://orcid.org/0009-0008-5840-1284
Takahiro KimuraDepartment of Urology, Jikei University School of Medicine, 3-25-8 Nishishinbashi Minato, Tokyo, 105-8461, Japan, jikei.ac.jp.ORCID https://orcid.org/0000-0002-5673-1553
Takanori TojoDepartment of Urology, Tomeiatsugi Hospital, 232 Funako, Atsugi, Kanagawa, 243-8571, Japan.
Hirohito KobayashiDepartment of Urology, Ebina General Hospital, 4-16-1 Chuo, Ebina, Kanagawa, 243-0432, Japan, ebina.jinai.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radium-223 and enzalutamide have shown survival benefits in metastatic castration-resistant prostate cancer, and recent trial data suggest a potential synergy in combination. However, real-world data on their combined use, especially regarding fracture risk and prior androgen receptor signaling inhibitor exposure, are limited. In this study, we aimed to evaluate the efficacy and safety of adding radium-223 to enzalutamide compared with enzalutamide alone in patients with bone metastatic castration-resistant prostate cancer. We retrospectively included patients treated with radium-223 plus enzalutamide (the combination group) or enzalutamide alone (the enzalutamide group), and compared progression-free survival, overall survival, prostate-specific antigen kinetics, alkaline phosphatase kinetics, and treatment-emergent adverse events. A total of 17 and 18 patients were included in the combination and enzalutamide groups, and the median age and follow-up duration were 75 years and 23 months, respectively. The median progression-free survival was significantly longer in the combination group (22 months [95% confidence interval (CI): 16.7-32.4]) than that in the enzalutamide group (5 months [95% CI: 6.3-25.2],

Identifiers

PMID42569093
PMCPMC13449031

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.