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NCT02116582

A Study to Evaluate Enzalutamide After Abiraterone in Metastatic Castration-Resistant Prostate Cancer

Completed Phase 4 Results posted Last updated 6 December 2024
What this trial tests

Phase 4 trial testing Enzalutamide in Metastatic Castration-Resistant Prostate Cancer in 215 participants. Completed in 29 September 2017.

Timeline
23 May 2014
Primary endpoint
8 May 2016
29 September 2017

Quick facts

Lead sponsorAstellas Pharma Europe B.V.
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment215
Start date23 May 2014
Primary completion8 May 2016
Estimated completion29 September 2017
Sites50 locations across France, Belgium, United Kingdom, Germany, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Astellas Pharma Europe B.V. — full company profile →

Who can join

18 and older, male only, with Metastatic Castration-Resistant 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.

Radiographic Progression-free Survival (rPFS) Primary · From the first dose of study drug administration up to treatment discontinuation or the data cut-off date of 08 May 2016, whichever occurred first; the median duration of treatment was 5.7 months.

Radiographic PFS, was defined as the time from first dose to the first objective evidence of radiographic disease progression or death from any cause, whichever occurred first. For patients with no documented progression event, it was censored on the date of the last disease assessment performed prior to the analysis data cut-off point. Radiographic progression (RP) for soft tissue disease was defined by Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 criteria. RP for bone disease was determined according to the consensus guidelines of a modification of the Prostate Cancer Clinical

GroupValue95% CI
Enzalutamide8.16.11 – 8.28
Overall Survival (OS) Secondary · From the first dose of study drug administration up to the data cut-off date of 08 May 2016; up to 2 years.

OS was defined as the time from first dose to death from any cause. All events of death were included. If patients discontinued study drug before the analysis data cut-off point, only OS status was assessed every 12 weeks until the data cut-off point date or until death, whichever occurred first. For patients who were alive at the time of the analysis data cut-off point, the OS time was censored on the last date the patient was known to be alive. Death from any cause was included, regardless of whether the event occurred while the patient was still taking study drug or after the patient discon

GroupValue95% CI
EnzalutamideNA18.14 – NA
Percentage of Participants With a Prostate-specific Antigen (PSA) Response Secondary · From the first dose of study drug administration up to the data cut-off date for end-of-study completion 29 Sep 2017; the median duration of treatment was 5.7 months.

PSA response was defined as at least a 50% decrease from baseline in PSA, and was a binary variable for achieving this criteria (or not) based on the lowest PSA value observed postbaseline. Participants with no postbaseline PSA value were regarded as non-responders. 95% CI for PSA response rate was computed using the Clopper-Pearson method based on the exact binomial distribution.

GroupValue95% CI
Enzalutamide22.016.61 – 28.11
Time to PSA Progression Secondary · From the first dose of study drug administration up to the data cut-off date of 08 May 2016; the median duration of treatment was 5.7 months.

The time to PSA progression was calculated as the time interval from the date of first dose to the date of first observation of PSA progression. PSA progression was defined as a ≥ 25% increase and an absolute increase of ≥ 2 μg/L (i.e., 2 ng/mL or more) above the nadir or above the baseline value for patients who did not have a decline in PSA postbaseline values, and which was confirmed by a second consecutive value obtained at least 3 or more weeks later (i.e., a confirmed rising trend) (PCWG2 criteria). The 50th percentile of KM estimates was used as the estimate of the time to PSA progressi

GroupValue95% CI
Enzalutamide5.75.55 – 5.78
Number of Participants With Adverse Events (AEs) Secondary · From the first dose of study drug administration up to data cut-off date for end-of-study completion (29 Sep 2017); the median duration of treatment was 5.7 months.

A treatment-emergent adverse event (TEAE) was defined as an adverse event occurring or worsening between the start of study treatment date and the latest date of 30 days after the last dose date or the 30-day follow-up visit date, and not later than the data cut-off date or the date of death. AEs, including abnormal clinical laboratory values, were graded using the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE) guidelines (V4.03).

Any TEAE
GroupValue95% CI
Enzalutamide199
NCI-CTCAE Grade ≥3
GroupValue95% CI
Enzalutamide95
Study Drug-Related
GroupValue95% CI
Enzalutamide127
Study Drug-Related NCI-CTCAE Grade ≥3
GroupValue95% CI
Enzalutamide18
TEAEs with Death as an Outcome
GroupValue95% CI
Enzalutamide22
Serious Adverse Event (SAE)
GroupValue95% CI
Enzalutamide82
Study Drug-related SAE
GroupValue95% CI
Enzalutamide8
TEAEs Leading to Study Drug Discontinuation
GroupValue95% CI
Enzalutamide76

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose of study drug administration up to data cut-off date for end-of-study completion (29 Sep 2017); the median duration of treatment was 5.7 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Enzalutamide Total
Serious: 82/214 (38%)
Deaths: 73/214

Serious adverse events (107 terms)

ReactionSystemEnzalutamide Total
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
General physical health deteriorationGeneral disorders
Spinal cord compressionNervous system disorders
HaematuriaRenal and urinary disorders
AnaemiaBlood and lymphatic system disorders
Renal failure acuteRenal and urinary disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
PneumoniaInfections and infestations
Bone painMusculoskeletal and connective tissue disorders
Cardiac failureCardiac disorders
AstheniaGeneral disorders
Back painMusculoskeletal and connective tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
NeutropeniaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
Lower respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
OsteoarthritisMusculoskeletal and connective tissue disorders
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal failureRenal and urinary disorders
Lung disorderRespiratory, thoracic and mediastinal disorders
Anaemia of malignant diseaseBlood and lymphatic system disorders
Disseminated intravascular coagulationBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Other adverse events (22 terms — click to expand)

ReactionSystemEnzalutamide Total
FatigueGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
AstheniaGeneral disorders
Back painMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Bone painMusculoskeletal and connective tissue disorders
Weight decreasedInvestigations
Pain in extremityMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Oedema peripheralGeneral disorders
HaematuriaRenal and urinary disorders
DizzinessNervous system disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
InsomniaPsychiatric disorders
Hot flushVascular disorders
VomitingGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Malignant neoplasm progression, General physical health deterioration, Spinal cord compression, Haematuria, Anaemia, Renal failure acute, Pulmonary embolism, Pneumonia.

Data from ClinicalTrials.gov NCT02116582 adverse events section.

Sponsor's own description

The objective of this study was to evaluate the efficacy and safety of enzalutamide treatment in patients with progressive metastatic castration-resistant prostate cancer previously treated with abiraterone acetate.

Publications & conference data

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

  1. Targeting signaling pathways in prostate cancer: mechanisms and clinical trials.
    He Y, Xu W, Xiao YT, Huang H, et al · · 2022 · cited 192× · PMID 35750683 · DOI 10.1038/s41392-022-01042-7
  2. 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
  3. 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
  4. Comparison of Radiographic Progression-Free Survival and PSA Response on Sequential Treatment Using Abiraterone and Enzalutamide for Newly Diagnosed Castration-Resistant Prostate Cancer: A Propensity Score Matched Analysis from Multicenter Cohort.
    Komura K, Fujiwara Y, Uchimoto T, Saito K, et al · · 2019 · cited 15× · PMID 31430900 · DOI 10.3390/jcm8081251
  5. A European, prospective, observational study of enzalutamide in patients with metastatic castration-resistant prostate cancer: PREMISE.
    Payne H, Robinson A, Rappe B, Hilman S, et al · · 2022 · cited 14× · PMID 34648657 · DOI 10.1002/ijc.33845
  6. Cardiovascular Complications in Patients with Prostate Cancer: Potential Molecular Connections.
    Kakkat S, Pramanik P, Singh S, Singh AP, et al · · 2023 · cited 7× · PMID 37108147 · DOI 10.3390/ijms24086984
  7. Interactions between key genes and pathways in prostate cancer progression and therapy resistance.
    Wu F, Zhang H, Hao M. · · 2025 · cited 4× · PMID 39917165 · DOI 10.3389/fonc.2025.1467540

Verify or expand the search:

Other trials of Enzalutamide

Trials testing the same drug.

Other recruiting trials for Metastatic Castration-Resistant Prostate Cancer

Currently open trials in the same condition.

Other Astellas Pharma Europe B.V. trials

Trials by the same sponsor.

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