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Prostate cancer

A closer look at the initial results from the REDUCE trial

Initial results of the REDUCE trial suggest that dutasteride decreases the incidence of prostate cancer in men with persistently elevated PSA; however, questions have emerged about the drug's effect on the incidence of high-grade cancer. Adjustment for post-randomization confounders, however, brings the true benefit of this drug into clearer focus.

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Figure 1: Attempts to adjust for the effect of dutasteride on serum PSA in clinical trials can introduce important biases.

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Gann, P. A closer look at the initial results from the REDUCE trial. Nat Rev Urol 7, 535–537 (2010). https://doi.org/10.1038/nrurol.2010.144

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