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NCT01995513: PLATO

Safety Study of Continued Enzalutamide Treatment In Prostate Cancer Patients

Completed Phase 4 Results posted Last updated 18 September 2023
What this trial tests

Phase 4 trial testing Enzalutamide in Prostate Cancer in 509 participants. Completed in 31 August 2022.

Timeline
22 October 2013
Primary endpoint
15 November 2016
31 August 2022

Quick facts

Lead sponsorPfizer
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment509
Start date22 October 2013
Primary completion15 November 2016
Estimated completion31 August 2022
Sites95 locations across Denmark, France, Finland, Italy, Slovakia, Belgium, Sweden, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, male only, with Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Progression Free Survival (PFS) Primary · From randomization until disease progression, last tumor assessment without disease progression or death due to any cause, whichever occurred first (maximum up to 20.3 months)

PFS = time from randomization to first documentation of radiographic progression (RP),unequivocal clinical progression or death due to any cause (death within 112 days of treatment discontinuation without objective evidence of RP),whichever occurred first as per investigator. Unequivocal disease progression was pain requiring chronic administration of analgesics, decline of prostate cancer of Eastern Cooperative Oncology Group (ECOG) performance status score to 3 or higher or initiation of new anticancer therapy/radiation therapy or surgical intervention due to tumor progression. ECOG score ra

GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg5.74.6 – 8.1
Placebo+Abiraterone 1000mg+ Prednisone 10mg5.64.5 – 7.3
Time to Prostate Specific Antigen (PSA) Progression Secondary · From randomization until disease progression, last tumor assessment without disease progression, whichever occurred first (maximum up to 11.1 months)

Time from date of randomization to the date of first confirmed PSA progression as per Prostate Cancer Clinical Trials Working Group 2 (PCWG2). For participant's whose PSA decreased at Week 13 after randomization, progression was defined as 25 percent (%) PSA increase relative to nadir or absolute increase of \>=2 nanogram/milliliter (ng/mL) above nadir. Progression was confirmed if another assessment measured at least 3 weeks later met the criterion as well. For participant's whose PSA did not decrease at Week 13 after randomization, progression was defined as 25% PSA increase relative to base

GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg2.82.8 – 2.9
Placebo+Abiraterone 1000mg+ Prednisone 10mg2.82.8 – 2.8
Prostate Specific Antigen (PSA) Response Rate Secondary · From randomization until disease progression, last tumor assessment without disease progression, whichever occurred first (maximum up to 11.1 months)

PSA response rate was defined as percentage of participants with \>=30% and \>=50% decrease in PSA from baseline at randomization to the maximal PSA response with a threshold of 30% and 50% respectively. PSA response was confirmed if another assessment measured at least 3 weeks later met the criterion as well.

>= 50%
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.80.0 – 4.4
Placebo+Abiraterone 1000mg+ Prednisone 10mg2.50.5 – 7.0
>= 30%
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg2.40.5 – 6.9
Placebo+Abiraterone 1000mg+ Prednisone 10mg2.50.5 – 7.0
Objective Response Rate (ORR) Secondary · From randomization until CR or PR, whichever occurred first (maximum up to 21.3 months)

Objective response rate as assessed by the investigator according to Response Evaluation Criteria in Solid Tumor version 1.1 (RECIST v1.1) was defined as 1) Percentage of participants with confirmed best overall complete response (CR) and partial response (PR); 2) Percentage of participants with CR, PR and stable disease (SD) for target lesions or non-progressive disease for non-target lesions. CR: Disappearance of all non-nodal target and non-target lesions, including target and non-target lymph nodes reduction to \<10 millimeter (mm) in short axis. No new lesions and disappearance of all non

CR + PR
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.00.00 – 9.25
Placebo+Abiraterone 1000mg+ Prednisone 10mg5.00.61 – 16.92
CR + PR + SD
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg68.451.35 – 82.50
Placebo+Abiraterone 1000mg+ Prednisone 10mg57.540.89 – 72.96
Rate of Pain Progression Secondary · Month 6

Rate of pain progression was defined as percentage of participants with an increase of \>=30% from baseline in the mean Brief Pain Inventory-Short Form (BPI-SF) pain intensity item scores of 4 items assessing average, worst, least, and intermediate pain severity. BPI-SF is an 11-item self-report questionnaire that is designed to assess the severity and impact of pain on daily functions of a participant. BPI-sf includes 4 questions that assess pain intensity (worst, least, average, right now) and 7 questions that assess impact of pain on daily functions (general activity, mood, walking ability,

GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg36.224.0 – 49.9
Placebo+Abiraterone 1000mg+ Prednisone 10mg27.116.4 – 40.3
Time to First Use of New Antineoplastic Therapy for Prostate Cancer Secondary · From randomization until date of first use of any antineoplastic therapy (after last dose date of Period 2, maximum up to 22.3 months

It was defined as time from randomization to the date of first use of subsequent antineoplastic therapy for prostate cancer. For participants who had not started subsequent antineoplastic therapy as of data analysis cutoff date, the time to first use of subsequent antineoplastic therapy was censored at the date of last assessment.

GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg10.38.7 – 12.1
Placebo+Abiraterone 1000mg+ Prednisone 10mg8.67.4 – 11.7
Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Global Score Secondary · Baseline, Week 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 53, 57, 61, 65, 69, 73, 77, 81, 85, 89

The FACT-P is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess for prostate-related symptoms. Each item is rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain, as well as a global quality of life score which is the sum of all 5 domain scores and ranges from 0 to 156 where higher scores represent better quality of life.

Baseline
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg116.4± 20.10
Placebo+Abiraterone 1000mg+ Prednisone 10mg119.0± 19.08
Change at Week 9
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-3.3± 14.90
Placebo+Abiraterone 1000mg+ Prednisone 10mg-2.2± 13.90
Change at Week 13
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-4.4± 14.44
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.5± 13.02
Change at Week 17
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-3.7± 12.40
Placebo+Abiraterone 1000mg+ Prednisone 10mg-2.3± 13.90
Change at Week 21
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-2.5± 12.33
Placebo+Abiraterone 1000mg+ Prednisone 10mg-2.7± 13.57
Change at Week 25
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-3.1± 13.47
Placebo+Abiraterone 1000mg+ Prednisone 10mg-2.1± 10.87
Change at Week 29
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-6.8± 13.98
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.3± 12.10
Change at Week 33
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-5.9± 15.35
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.2± 12.90
Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Social/Family Well-Being Domain Scores Secondary · Baseline, Week 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 53, 57, 61, 65, 69, 73, 77, 81, 85, 89

The FACT-P is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess for prostate-related symptoms. Each item is rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain. Total subscale score range for social/family well-being domain is from 0 (worst response) to 32 (best response), where higher score indicate better quality of life.

Baseline
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg22.1± 5.80
Placebo+Abiraterone 1000mg+ Prednisone 10mg22.4± 4.84
Change at Week 9
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.5± 4.33
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.8± 4.13
Change at Week 13
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.4± 3.46
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.4± 3.86
Change at Week 17
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.1± 3.68
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.6± 4.64
Change at Week 21
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.5± 3.24
Placebo+Abiraterone 1000mg+ Prednisone 10mg-1.2± 5.75
Change at Week 25
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.1± 2.79
Placebo+Abiraterone 1000mg+ Prednisone 10mg-1.0± 5.25
Change at Week 29
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.1± 3.20
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.2± 5.18
Change at Week 33
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.2± 3.21
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.0± 4.95
Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Emotional Well-Being Domain Scores Secondary · Baseline, Week 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 53, 57, 61, 65, 69, 73, 77, 81, 85, 89

The FACT-P is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess for prostate-related symptoms. Each item is rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain. Total subscale score range for emotional well-being domain is from 0 (worst response) to 24 (best response), where higher score indicate better quality of life.

Baseline
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg18.1± 3.80
Placebo+Abiraterone 1000mg+ Prednisone 10mg18.5± 4.06
Change at Week 9
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.1± 2.81
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.1± 3.40
Change at Week 13
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.1± 3.55
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.2± 3.09
Change at Week 17
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.2± 3.44
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.4± 2.88
Change at Week 21
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.3± 3.48
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.1± 3.36
Change at Week 25
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.3± 2.58
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.3± 3.33
Change at Week 29
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.5± 3.56
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.3± 3.27
Change at Week 33
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.1± 3.33
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.9± 2.99
Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Functional Well-Being Domain Scores Secondary · Baseline, Week 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 53, 57, 61, 65, 69, 73, 77, 81, 85, 89

The FACT-P is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess for prostate-related symptoms. Each item is rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain. Total subscale score range for functional well-being domain is from 0 (worst response) to 28 (best response), where higher score indicate better quality of life.

Baseline
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg20.2± 5.54
Placebo+Abiraterone 1000mg+ Prednisone 10mg20.3± 5.84
Change at Week 9
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.0± 4.23
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.7± 4.62
Change at Week 13
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.2± 4.07
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.4± 4.54
Change at Week 17
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.3± 4.00
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.5± 4.11
Change at Week 21
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.2± 5.03
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.7± 4.03
Change at Week 25
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.0± 3.41
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.3± 4.41
Change at Week 29
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-2.4± 4.67
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.2± 4.38
Change at Week 33
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-2.0± 5.14
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.7± 4.49
Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Prostate Cancer Domain Scores Secondary · Baseline, Week 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 53, 57, 61, 65, 69, 73, 77, 81, 85, 89

The FACT-P is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess for prostate-related symptoms. Each item is rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain. Total subscale score range for prostate cancer domain is from 0 (worst response) to 48 (best response), where higher score indicated better quality of life with fewer symptoms.

Baseline
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg33.2± 6.85
Placebo+Abiraterone 1000mg+ Prednisone 10mg34.2± 6.45
Change at Week 9
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.7± 5.97
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.9± 5.18
Change at Week 13
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.9± 5.91
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.1± 5.36
Change at Week 17
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.0± 5.36
Placebo+Abiraterone 1000mg+ Prednisone 10mg-1.4± 5.10
Change at Week 21
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.4± 5.13
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.6± 4.83
Change at Week 25
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.8± 6.93
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.8± 4.42
Change at Week 29
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.3± 5.75
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.3± 4.77
Change at Week 33
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.4± 5.16
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.6± 4.88
Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Physical Well-Being Domain Scores Secondary · Baseline, Week 9, 13, 17, 21, 25, 29, 33, 37, 41, 45, 49, 53, 57, 61, 65, 69, 73, 77, 81, 85, 89

The FACT-P is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess for prostate-related symptoms. Each item is rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain. Total subscale score range for physical well-being domain is from 0 (worst response) to 28 (best response), where higher score indicate better quality of life.

Baseline
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg22.9± 4.50
Placebo+Abiraterone 1000mg+ Prednisone 10mg23.6± 4.42
Change at Week 9
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.8± 4.04
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.1± 3.20
Change at Week 13
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.0± 4.11
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.0± 2.63
Change at Week 17
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.1± 3.26
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.3± 2.97
Change at Week 21
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-0.8± 3.11
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.8± 4.48
Change at Week 25
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-1.7± 4.23
Placebo+Abiraterone 1000mg+ Prednisone 10mg-0.4± 2.90
Change at Week 29
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-2.5± 4.89
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.3± 2.67
Change at Week 33
GroupValue95% CI
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg-2.5± 5.37
Placebo+Abiraterone 1000mg+ Prednisone 10mg0.1± 3.18

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to 30 days after the last dose of study drug or before initiation of a new antitumor treatment, whichever occurred first (maximum duration of exposure: 99.4 months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Enzalutamide 160 mg
Serious: 163/509 (32%)
Deaths: 32/509
Enzalutamide Crossing Over to Abiraterone + Prednisone
Serious: 4/13 (31%)
Deaths: 1/13
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg
Serious: 47/125 (38%)
Deaths: 14/126
Placebo + Abiraterone 1000 mg + Prednisone 10mg
Serious: 37/124 (30%)
Deaths: 10/125

Serious adverse events (229 terms)

ReactionSystemEnzalutamide 160 mgEnzalutamide Crossing Over…Enzalutamide 160mg+Abirate…Placebo + Abiraterone 1000…
HaematuriaRenal and urinary disorders
Disease progressionGeneral disorders
PneumoniaInfections and infestations
Urinary tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
SyncopeNervous system disorders
Pathological fractureMusculoskeletal and connective tissue disorders
Spinal cord compressionNervous system disorders
General physical health deteriorationGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Deep vein thrombosisVascular disorders
HypotensionVascular disorders
Acute coronary syndromeCardiac disorders
Atrial fibrillationCardiac disorders
PyrexiaGeneral disorders
NauseaGastrointestinal disorders
SepsisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cerebral haemorrhageNervous system disorders
Loss of consciousnessNervous system disorders
Calculus bladderRenal and urinary disorders
Obstructive uropathyRenal and urinary disorders
Other adverse events (735 terms — click to expand)

ReactionSystemEnzalutamide 160 mgEnzalutamide Crossing Over…Enzalutamide 160mg+Abirate…Placebo + Abiraterone 1000…
FatigueGeneral disorders
Back painMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Hot flushVascular disorders
ConstipationGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DiarrhoeaGastrointestinal disorders
HypertensionVascular disorders
Oedema peripheralGeneral disorders
FallInjury, poisoning and procedural complications
HeadacheNervous system disorders
DizzinessNervous system disorders
InsomniaPsychiatric disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
LethargyNervous system disorders
NasopharyngitisInfections and infestations
Urinary tract infectionInfections and infestations
AnaemiaBlood and lymphatic system disorders
Upper respiratory tract infectionInfections and infestations
CoughRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
AstheniaGeneral disorders
Weight decreasedInvestigations
Neck painMusculoskeletal and connective tissue disorders
InfluenzaInfections and infestations
MyalgiaMusculoskeletal and connective tissue disorders
DysgeusiaNervous system disorders
ParaesthesiaNervous system disorders
Abdominal pain upperGastrointestinal disorders
Bone painMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Lower respiratory tract infectionInfections and infestations
HaematuriaRenal and urinary disorders
NocturiaRenal and urinary disorders
Urinary incontinenceRenal and urinary disorders
RashSkin and subcutaneous tissue disorders

Most-reported serious reactions: Haematuria, Disease progression, Pneumonia, Urinary tract infection, Fall, Syncope, Pathological fracture, Spinal cord compression.

Data from ClinicalTrials.gov NCT01995513 adverse events section.

Sponsor's own description

The purpose of this study is to determine if continued treatment with Enzalutamide is effective in patients with metastatic prostate cancer.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Second-Generation Antiandrogens: From Discovery to Standard of Care in Castration Resistant Prostate Cancer.
    Rice MA, Malhotra SV, Stoyanova T. · · 2019 · cited 219× · PMID 31555580 · DOI 10.3389/fonc.2019.00801
  2. Current treatment strategies for advanced prostate cancer.
    Komura K, Sweeney CJ, Inamoto T, Ibuki N, et al · · 2018 · cited 182× · PMID 29266472 · DOI 10.1111/iju.13512
  3. Abiraterone Alone or in Combination With Enzalutamide in Metastatic Castration-Resistant Prostate Cancer With Rising Prostate-Specific Antigen During Enzalutamide Treatment.
    Attard G, Borre M, Gurney H, Loriot Y, et al · · 2018 · cited 123× · PMID 30028657 · DOI 10.1200/jco.2018.77.9827
  4. Complexities of Prostate Cancer.
    Wasim S, Lee SY, Kim J. · · 2022 · cited 112× · PMID 36430730 · DOI 10.3390/ijms232214257
  5. An update on enzalutamide in the treatment of prostate cancer.
    Merseburger AS, Haas GP, von Klot CA. · · 2015 · cited 49× · PMID 25642291 · DOI 10.1177/1756287214555336
  6. Enzalutamide for the treatment of metastatic castration-resistant prostate cancer.
    Rodriguez-Vida A, Galazi M, Rudman S, Chowdhury S, et al · · 2015 · cited 47× · PMID 26170619 · DOI 10.2147/dddt.s69433
  7. Androgen deprivation therapy as backbone therapy in the management of prostate cancer.
    Merseburger AS, Alcaraz A, von Klot CA. · · 2016 · cited 41× · PMID 27942220 · DOI 10.2147/ott.s117176
  8. Intensification Approaches and Treatment Sequencing in Metastatic Castration-resistant Prostate Cancer: A Systematic Review.
    Francini E, Agarwal N, Castro E, Cheng HH, et al · · 2025 · cited 21× · PMID 39306478 · DOI 10.1016/j.eururo.2024.09.008

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