Review Article

Application of Primary/Secondary Circulating Tumor Cells for the Prediction of Biochemical Recurrence in Nonmetastatic Prostate Cancer Patients following Radical Prostatectomy or Radiotherapy: A Meta-Analysis

Table 1

Summary of eligible studies.

StudyDesignCountryTreatment proceduresCTC detection methodsMedian (mean) initial PSA level (range) (ng/ml)Median follow-up (range) (months)Samples were collected prior to treatmentSamples were collected after treatmentNOS score (max: 9), for non-RCT
Number of BF/CTC+ patientsNumber of BF/CTC− patientsNumber of BF/CTC+ patientsNumber of BF/CTC− patients

Zapatero et al., 2020 [34]Prospective cohort studySpainRTCSS12.6 (3.2–68.7)55 (10–40)0/81/540/111/486
Thalgott et al., 2015 [33]Prospective cohort studyGermanyRPCSS23 (40.7) (5.7–260.0)44.3 (25–52)3/64/93/44/116
Murray et al., 2016 [29]Prospective cohort studyChileRPDensity gradient centrifugation+immunocytochemistry5.896098/2245/617
Murray et al., 2016 [17]Prospective cohort studyChileRPDensity gradient centrifugation+immunocytochemistry5.76093/2114/567
Murray et al., 2018 [16]Prospective cohort studyChileRPDensity gradient centrifugation+immunocytochemistry5.52(36–60)109/12722/1947
Murray et al., 2020 [30]Prospective cohort studyChileRTDensity gradient centrifugation+immunocytochemistry6.396.36 (9.6–183.6)80/11246/1978
Meyer et al., 2016 [24]Prospective cohort studyGermanyRPCSS6.6 (0.04–87)44.3 (48/36–60)5/1743/1357
Murray et al., 2013 [31]Prospective cohort studyChileRPDensity gradient centrifugation+immunocytochemistryNRNR25/385/566
Pal et al., 2015 [32]Prospective cohort studyAmericaRPCSSNR17 (3.6–29.8)6/168/1611/1511/177
Salami et al., 2019 [25]Prospective cohort studyAmericaRP or RTRBC lysis+immunocytochemistryRP: 6.7 (1.8, 66.0)
RT: 11.9 (1.2, 74.1)
14.2 (0.5–43.7)RP: 13/19
RT: 0/14
RP: 2/7
RT: 1/5
7
Helo et al., 2009 [28]Prospective cohort studyAmericaRPRT-PCRNRNR0/66/810/64/366
Pak et al., 2020 [35]Prospective cohort studyKoreaRPBased on replication-competent adenovirusNR(0–48)44/4461/6170/73117/1308

RP: radical prostatectomy; RT: radiotherapy; CTC: circulating tumor cell; CSS: Cell Search System; RT-PCR: reverse transcription-polymerase chain reaction; RBC: red blood cell; BF: biochemical recurrence; PSA: prostate-specific antigen; NR: not reported.