Evidence map›Paper›PMID 38519581›Full record

ArticleCommunications medicine2024

A phase IIb randomized placebo-controlled trial testing the effect of MAG-EPA long-chain omega-3 fatty acid dietary supplement on prostate cancer proliferation.

Karine Robitaille, Marie-Hélène Guertin, Afshin Jamshidi, Hui Wen Xu, Hélène Hovington, Jean-François Pelletier, Lisanne Beaudoin, Nikunj Gevariya, Louis Lacombe, Rabi Tiguert and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02333435 (Étude randomisée, contrôlée, de Phase II, Effets d'un Supplement d'oméga-3), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.7field-weighted citation impact, top 7% 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.

NCT02333435 phase2active not recruitingnot on this map

Étude randomisée, contrôlée, de Phase II, Effets d'un Supplement d'oméga-3 (EPA) Sur l'Inflammation, la prolifération Cellulaire et la qualité de Vie Chez Des Patients Avec Cancer de la Prostate traités Par Prostatectomie Radicale

TypeinterventionalSponsorCHU de Quebec-Universite LavalRan2015 to 2025Enrolled130ConditionsProstate CancerArmsEPA, Placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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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

22 authors at 3 institutions in 1 country.

Karine RobitailleCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Marie-Hélène GuertinCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Afshin JamshidiCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Hui Wen XuDepartment of Mathematics and Statistics, Université Laval, Québec, QC, G1V 0A6, Canada.
Hélène HovingtonCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Jean-François PelletierCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Lisanne BeaudoinCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Nikunj GevariyaCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Louis LacombeCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.ORCID http://orcid.org/0000-0003-4811-0308
Rabi TiguertCentre de Recherche Clinique et Évaluative en Oncologie de L'Hôtel-Dieu de Québec, CHU de Québec-Université Laval, Québec, QC, G1R 3S1, Canada.
Yves CaumartinCentre de Recherche Clinique et Évaluative en Oncologie de L'Hôtel-Dieu de Québec, CHU de Québec-Université Laval, Québec, QC, G1R 3S1, Canada.
Thierry DujardinCentre de Recherche Clinique et Évaluative en Oncologie de L'Hôtel-Dieu de Québec, CHU de Québec-Université Laval, Québec, QC, G1R 3S1, Canada.
Paul TorenCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.ORCID http://orcid.org/0000-0002-5762-5787
Michele LoddeCentre de Recherche Clinique et Évaluative en Oncologie de L'Hôtel-Dieu de Québec, CHU de Québec-Université Laval, Québec, QC, G1R 3S1, Canada.
Étienne RacineDepartment of Pathology, CHU de Québec-Université Laval, Québec, QC, G1R 2J6, Canada.
Dominique TrudelCentre de recherche du Centre Hospitalier de l'Université de Montréal (CRCHUM) et Institut du cancer de Montréal, and Department of Pathology and Cellular Biology, Université de Montréal, Montréal, H3C 3J7, Canada.
Martine PerignyDepartment of Pathology, CHU de Québec-Université Laval, Québec, QC, G1R 2J6, Canada.
Thierry DuchesneDepartment of Mathematics and Statistics, Université Laval, Québec, QC, G1V 0A6, Canada.ORCID http://orcid.org/0000-0001-9893-604X
Josée SavardCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Pierre JulienCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Yves FradetCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada.
Vincent FradetCHU de Québec-Université Laval Research Center, Québec, QC, G1R 3S1, Canada. vincent.fradet@fmed.ulaval.ca.ORCID http://orcid.org/0000-0002-4714-1818
Université Laval · CAHôtel-Dieu de Québec · CACentre Hospitalier de l’Université de Montréal · CA

Funding

Canadian Cancer Society Research Institute (Société Canadienne du Cancer) 702569
6 · The paper itself

Abstract

backgroundHigh prostate eicosapentaenoic fatty acid (EPA) levels were associated with a significant reduction of upgrading to grade group (GG) ≥ 2 prostate cancer in men under active surveillance. We aimed to evaluate the effect of MAG-EPA long-chain omega-3 fatty acid dietary supplement on prostate cancer proliferation.

methodsA phase II double-blind randomized placebo-controlled trial was conducted in 130 men diagnosed with GG ≥ 2 prostate cancer and undergoing radical prostatectomy between 2015-2017 (Clinicaltrials.gov: NCT02333435). Participants were randomized to receive 3 g daily of either MAG-EPA (n = 65) or placebo (n = 65) for 7 weeks (range 4-10) prior to radical prostatectomy. The primary outcome was the cancer proliferation index quantified by automated image analysis of tumor nuclear Ki-67 expression using standardized prostatectomy tissue microarrays. Additional planned outcomes at surgery are reported including plasma levels of 27 inflammatory cytokines and fatty acid profiles in circulating red blood cells membranes and prostate tissue.

resultsCancer proliferation index measured by Ki-67 expression was not statistically different between the intervention (3.10%) and placebo (2.85%) groups (p = 0.64). In the per protocol analyses, the adjusted estimated effect of MAG-EPA was greater but remained non-significant. Secondary outcome was the changes in plasma levels of 27 cytokines, of which only IL-7 was higher in MAG-EPA group compared to placebo (p = 0.026). Men randomized to MAG-EPA prior to surgery had four-fold higher EPA levels in prostate tissue compared to those on placebo.

conclusionsThis MAG-EPA intervention did not affect the primary outcome of prostate cancer proliferation according to nuclear Ki-67 expression. More studies are needed to decipher the effects of long-chain omega-3 fatty acid dietary supplementation in men with prostate cancer.

Identifiers

PMID38519581
PMCPMC10960033
OpenAlexW4393094785

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.