Evidence map›Paper›PMID 41450200›Full record

Trial reportCancer medicine2026

Effects of Prior Local Therapy by Radical Prostatectomy or Radiotherapy on the Efficacy and Quality of Life of Patients Treated With Darolutamide in ARAMIS.

Matthias Saar, Karim Fizazi, Neal D Shore, Matthew Smith, Jan-Erik Damber, Andrey Semenov, Maria J Ribal, Alison Birtle, Jérôme Rigaud, Christopher J D Wallis and 9 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02200614 (A Multinational, Randomised, Double-blind, Placebo-controlled, Phase III Efficacy and Safety Study of Darolutamide), 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.

NCT02200614 phase3completednot on this map

A Multinational, Randomised, Double-blind, Placebo-controlled, Phase III Efficacy and Safety Study of Darolutamide (ODM-201) in Men With High-risk Non-metastatic Castration-resistant Prostate Cancer

TypeinterventionalSponsorBayerRan2014 to 2021Enrolled1,509ConditionsProstate Cancer Non-Metastatic, Castration-ResistantArmsDarolutamide (Nubeqa, BAY1841788), Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

19 authors.

Matthias SaarDepartment of Urology and Pediatric Urology, University Medical Center RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-6351-8056
Karim FizaziInstitut Gustave Roussy, University of Paris Saclay, Villejuif, France.
Neal D ShoreCarolina Urologic Research Center, Myrtle Beach, South Carolina, USA.
Matthew SmithMassachusetts General Hospital, Boston, Massachusetts, USA.
Jan-Erik DamberUniversity of Gothenburg, Gothenburg, Sweden.
Andrey SemenovIvanovo Regional Oncology Dispensary, Ivanovo, Russia.
Maria J RibalUro-Oncology Unit, Hospital Clinic, University of Barcelona, Barcelona, Spain.
Alison BirtleRosemere Cancer Centre, Lancashire Teaching Hospitals, Preston, UK.
Jérôme RigaudNantes University Hospital Centre, Nantes, France.
Christopher J D WallisDivision of Urology, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
Marc-Oliver GrimmJena University Hospital, Jena, Germany.
Susan HalabiMount Sinai Hospital, Toronto, Ontario, Canada.
Andrew J ArmstrongDuke Cancer Institute Center for Prostate and Urologic Cancers, Duke University Department of Medicine, Division of Medical Oncology, Durham, North Carolina, USA.
Ateesha F MohamedBayer Consumer Care AG, Basel, Switzerland.
Patrick AdorjanDuke University Division of Biostatistics, Durham, North Carolina, USA.
Shankar SrinivasanBayer HealthCare Pharmaceuticals Inc., Whippany, New Jersey, USA.
Frank VerholenBayer Consumer Care AG, Basel, Switzerland.
Alicia K MorgansDana-Farber Cancer Institute, Boston, MA, USA.
D Robert SiemensQueen's University, Kingston, Ontario, Canada.

Funding

Bayer AG
6 · The paper itself

Abstract

backgroundDarolutamide plus androgen-deprivation therapy (ADT) improved metastasis-free survival (MFS) by 2 years and reduced the risk of death by 31% in nonmetastatic castration-resistant prostate cancer (nmCRPC) in ARAMIS. Prior local therapy may influence the efficacy of subsequent systemic therapy. This post hoc analysis of ARAMIS evaluated the effect of prior local therapy on the efficacy and health-related quality of life (HRQoL) of darolutamide.

methodsPatients with nmCRPC were randomized to darolutamide (n = 955) or placebo (n = 554) while continuing ADT. MFS, overall survival (OS), time to prostate-specific antigen (PSA) progression, and HRQoL deterioration-free survival (DetFS) were estimated for patients with and without local therapy and by treatment using Kaplan-Meier methods.

resultsDarolutamide increased MFS versus placebo in patients with (HR, 0.36; 95% CI, 0.26-0.48) and without (HR, 0.46; 95% CI, 0.36-0.59) local therapy. Median OS was 48.6 months for placebo without local therapy and not reached in either the darolutamide group or placebo group with local therapy. Darolutamide 3-year OS rates were 86.9% (95% CI, 83.0-90.8) and 79.0% (95% CI, 66.2-78.1) in patients with and without local therapy, respectively. Darolutamide showed evidence of improved OS versus placebo in patients with prior local therapy (HR, 0.80; 95% CI, 0.50-1.30) and a greater effect in those without local therapy (HR, 0.67; 95% CI, 0.50-0.90). Darolutamide delayed time to PSA progression and HRQoL deterioration regardless of local therapy.

conclusionsDarolutamide versus placebo improved MFS, OS, time to PSA progression, and HRQoL DetFS independent of prior local therapy, consistent with the overall ARAMIS population.

trial registrationClinicalTrials.gov registration: NCT02200614.

Indexed as

ProstatectomyProstatic Neoplasms, Castration-ResistantPyrazolesQuality of LifeAgedHumansMaleMiddle AgedProstate-Specific AntigenTreatment OutcomedarolutamideProstate-Specific AntigenPyrazolesandrogen receptor inhibitordarolutamidemetastatic‐free survivalnonmetastatic, castration‐resistant prostate canceroverall survivalprostatectomyradiotherapy

Identifiers

PMID41450200
PMCPMC12741647

What Socratic holds

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LicenceCC BY
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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 Socratic graph.