Evidence map›Paper›PMID 34526701›Full record

ReviewNature reviews. Urology2021

Neoadjuvant hormonal therapy before radical prostatectomy in high-risk prostate cancer.

Gaëtan Devos, Wout Devlies, Gert De Meerleer, Marcella Baldewijns, Thomas Gevaert, Lisa Moris, Daimantas Milonas, Hendrik Van Poppel, Charlien Berghen, Wouter Everaerts and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
9.2field-weighted citation impact, top 1% of its field
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

61 citing papers in PubMed, 3 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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  19. Circadian regulator REV-ERBα is a master regulator of tumor lineage plasticity and an effective therapeutic target.Proceedings of the National Academy of Sciences of the United States of America · 2025
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1 more citing papers are in PubMed but not listed here.

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

12 authors at 1 institution in 1 country.

Gaëtan DevosDepartment of Urology, University Hospitals Leuven, Leuven, Belgium. Gaetan.devos@uzleuven.be.ORCID http://orcid.org/0000-0002-6772-915X
Wout DevliesDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-0725-6300
Gert De MeerleerDepartment of Radiotherapy, University Hospitals Leuven, Leuven, Belgium.
Marcella BaldewijnsDepartment of Pathology, University Hospitals Leuven, Leuven, Belgium.
Thomas GevaertDepartment of Pathology, University Hospitals Leuven, Leuven, Belgium.
Lisa MorisDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.
Daimantas MilonasDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.
Hendrik Van PoppelDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-7458-8578
Charlien BerghenDepartment of Radiotherapy, University Hospitals Leuven, Leuven, Belgium.
Wouter EveraertsDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.
Frank ClaessensLaboratory of Molecular Endocrinology, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0002-8676-7709
Steven JoniauDepartment of Urology, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3195-9890
KU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with high-risk prostate cancer treated with curative intent are at an increased risk of biochemical recurrence, metastatic progression and cancer-related death compared with patients treated for low-risk or intermediate-risk disease. Thus, these patients often need multimodal therapy to achieve complete disease control. Over the past two decades, multiple studies on the use of neoadjuvant treatment have been performed using conventional androgen deprivation therapy, which comprises luteinizing hormone-releasing hormone agonists or antagonists and/or first-line anti-androgens. However, despite results from these studies demonstrating a reduction in positive surgical margins and tumour volume, no benefit has been observed in hard oncological end points, such as cancer-related death. The introduction of potent androgen receptor signalling inhibitors (ARSIs), such as abiraterone, apalutamide, enzalutamide and darolutamide, has led to a renewed interest in using neoadjuvant hormonal treatment in high-risk prostate cancer. The addition of ARSIs to androgen deprivation therapy has demonstrated substantial survival benefits in the metastatic castration-resistant, non-metastatic castration-resistant and metastatic hormone-sensitive settings. Intuitively, a similar survival effect can be expected when applying ARSIs as a neoadjuvant strategy in high-risk prostate cancer. Most studies on neoadjuvant ARSIs use a pathological end point as a surrogate for long-term oncological outcome. However, no consensus yet exists regarding the ideal definition of pathological response following neoadjuvant hormonal therapy and pathologists might encounter difficulties in determining pathological response in hormonally treated prostate specimens. The neoadjuvant setting also provides opportunities to gain insight into resistance mechanisms against neoadjuvant hormonal therapy and, consequently, to guide personalized therapy.

Indexed as

ProstatectomyAntineoplastic Agents, HormonalChemotherapy, AdjuvantHumansMaleNeoadjuvant TherapyProstatic NeoplasmsRiskTreatment OutcomeAntineoplastic Agents, Hormonal

Identifiers

PMID34526701
OpenAlexW3200992038

What Socratic holds

Textmetadata
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 Socratic graph.