Evidence map›Paper›PMID 42206285›Full record

ReviewOncology reviews2026

Uncertain magnitude of benefit of early second-generation androgen receptor antagonist treatment in advanced prostate cancer.

Emma K van de Weerdt, Ashley J Duits, Michael J Samson, John-John B Schnog

Abstract readReview
In one paragraph

Review in Oncology reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Emma K van de WeerdtDepartment of Hematology-Medical Oncology, Curaçao Medical Center, Willemstad, Curaçao.
Ashley J DuitsCuraçao Biomedical and Health Research Institute, Willemstad, Curaçao.
Michael J SamsonCuraçao Biomedical and Health Research Institute, Willemstad, Curaçao.
John-John B SchnogDepartment of Hematology-Medical Oncology, Curaçao Medical Center, Willemstad, Curaçao.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guidelines currently recommend the early use of second-generation androgen receptor signaling inhibitors (ARSIs) in both castrate-resistant and -sensitive metastatic prostate cancer (with or without chemotherapy) and also in biochemical non-metastatic castrate-sensitive relapse. We highlight design issues in the randomized controlled trials (RCTs) that bias the results of early ARSI use, suggesting that the magnitude of benefit might be overestimated and, therefore, uncertain. Issues include sub-optimal post-protocol care, inadequate control arms, and the inclusion of highly selected patients, which are increasingly characteristic of contemporary cancer RCTs. The uncertainty regarding the true magnitude of benefit of early ARSI use complicates health technology assessment (HTA). Recognition of such trial design issues with their resultant magnitude of benefit uncertainty is important not only for individual patient care but also for cancer policy decision-making in general.

Indexed as

androgen receptor signaling inhibitorbiaschemotherapyguidelinehealth technology assessmentprostate cancerrandomized controlled trials

Identifiers

PMID42206285
PMCPMC13201429

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.