Evidence map›Paper›PMID 40787089›Full record

ReviewOncology reviews2025

Triplet systemic therapy for hormone-sensitive prostate cancer: a critical review with a multidisciplinary approach.

Almudena Zapatero, Teresa Alonso-Gordoa, Alfredo Rodríguez Antolín, Felipe Couñago, Noelia Sanmamed, Mario Domínguez Esteban, Marta López Valcárcel, Ray Manneh, Ángel Borque-Fernando, Nuria Sala González and 1 more

Abstract readReview
In one paragraph

Review in Oncology reviews, 2025. 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

11 authors.

Almudena ZapateroRadiation Oncology Department, Health Research Institute, Hospital Universitario de La Princesa, Madrid, Spain.
Teresa Alonso-GordoaMedical Oncology Department, Ramón y Cajal University Hospital, Madrid, Spain.
Alfredo Rodríguez AntolínUrology Service, Hospital Universitario 12 de Octubre, Madrid, Spain.
Felipe CouñagoGenesisCare Radiation Oncology Department, San Francisco de Asís University Hospital and Vithas La Milagrosa University Hospital, Madrid, Spain.
Noelia SanmamedRadiation Oncology Department, Clínico San Carlos Hospital, Madrid, Spain.
Mario Domínguez EstebanUrology Service, Marqués de Valdecilla University Hospital, Santander, Spain.
Marta López ValcárcelRadiation Oncology Department, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Ray MannehSociety of Oncology and Hematology of Cesar, Valledupar, Colombia.
Ángel Borque-FernandoUrology Service, Miguel Servet University Hospital, IIS-Aragón, Zaragoza, Spain.
Nuria Sala GonzálezMedical Oncology Service, Catalan Institute of Oncology, Josep Trueta Hospital, Girona, Spain.
Pablo MarotoMedical Oncology Service, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article aims to critically evaluate the evidence for triplet therapy consisting of androgen deprivation therapy (ADT), docetaxel and a second-generation androgen receptor pathway inhibitor ([ARPI]; abiraterone, enzalutamide, darolutamide or apalutamide) in patients with metastatic hormone-sensitive prostate cancer (mHSPC), and what this evidence reveals regarding the use of these treatments in clinical practice. A search of PubMed, Medline, Embase, Cochrane, Scopus and Web of Science was conducted in April 2024 to identify relevant prospective and retrospective observational trials, randomized controlled trials (RCTs) and meta-analyses. The search identified 52 relevant articles: six full articles and 31 abstracts based on three RCTs, one observational study and 14 meta-analyses. Abiraterone- or darolutamide-containing triplet therapy was significantly better than ADT + docetaxel for improving overall survival in all study populations, particularly subgroups with high-volume and/or synchronous disease. The tolerability of ADT + docetaxel and triplet therapy were similar with most adverse events related to docetaxel. There were no data comparing triplet therapy with ADT + ARPI doublet therapy. Triplet therapy appears to be the most effective first-line regimen for men with mHSPC, good performance status and high-volume and synchronous metastases. Darolutamide-based triplet therapy may also be of benefit in other patients with high- or low-risk disease. Careful consideration of the risks and benefits are required to determine which patients can be spared from receiving docetaxel and rather be treated with alternative regimens.

Indexed as

androgen deprivation therapyandrogen receptor-targeted therapydocetaxelhormone-sensitive prostate cancermetastatic prostate cancer

Identifiers

PMID40787089
PMCPMC12331671

What Socratic 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 Socratic graph.