Evidence map›Paper›PMID 25687533›Full record

Trial reportEuropean urology2015

Long-term Efficacy and Safety of Enzalutamide Monotherapy in Hormone-naïve Prostate Cancer: 1- and 2-Year Open-label Follow-up Results.

Bertrand Tombal, Michael Borre, Per Rathenborg, Patrick Werbrouck, Hendrik Van Poppel, Axel Heidenreich, Peter Iversen, Johan Braeckman, Jiri Heracek, Edwina Baskin-Bey and 6 more

3 registry-linked trialsAbstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in European urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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.

NCT01302041 phase2completednot on this map

A Phase 2, Open-label, Single-arm, Efficacy and Safety Study of Enzalutamide (MDV3100) in Patients With Hormone-naïve Prostate Cancer

TypeinterventionalSponsorAstellas Pharma IncRan2011 to 2017Enrolled67ConditionsProstate CancerArmsEnzalutamide
NCT03196388 phase2unknown statusnot on this mapstarted 2017, after this paper: background citation

Enzalutamide and External Beam Hypofractionated Radiotherapy For Intermediate Risk Localized Prostate Cancer

TypeinterventionalSponsorFundación Canaria Instituto de Investigación Sanitaria de CanariasRan2017 to 2018Enrolled70ConditionsProstate CarcinomaArmsEnzalutamide
NCT03336983 phase2completednot on this mapstarted 2017, after this paper: background citation

Bone Response After Luteinizing Hormone-releasing Hormone Analogue and Enzalutamide +/- Zoledronic Acid in Prostate Cancer Patients With Hormone Sensitive Metastatic Bone Disease: a Prospective, Phase II, Randomized, Multicenter Study

TypeinterventionalSponsorAzienda Socio Sanitaria Territoriale degli Spedali Civili di BresciaRan2017 to 2023Enrolled126ConditionsProstate Cancer, Bone MetastasesArmsZoledronic Acid, Enzalutamide
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Phase II Study of Enzalutamide for Patients With Androgen Receptor-Positive Salivary Gland Cancers (Alliance A091404).Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Trial
  5. Trial
  6. Trial
  7. Neoadjuvant Enzalutamide Prior to Prostatectomy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  8. Article
  9. Metastasis-Free Survival Versus Treatment-Free Survival in Biochemically Recurrent Prostate Cancer: The EMBARK Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Enzalutamide induced acute generalized exanthematous pustulosis.Journal of dermatological case reports · 2016
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Bertrand TombalInstitut de Recherche Clinique, Université Catholique de Louvain, Brussels, Belgium. Electronic address: bertrand.tombal@uclouvain.be.
Michael BorreAarhus University Hospital, Aarhus, Denmark.
Per RathenborgHerlev Hospital, Herlev, Denmark.
Patrick WerbrouckAZ Groeninge Kortrijk, Kortrijk, Belgium.
Hendrik Van PoppelUZ Leuven, Leuven, Belgium.
Axel HeidenreichKlinik und Poliklinik für Urologie, RWTH University Aachen, Aachen, Germany.
Peter IversenRigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Johan BraeckmanUZ Brussel, Brussels, Belgium.
Jiri HeracekUniverzita Karlova v Praze, Prague, Czech Republic.
Edwina Baskin-BeyAstellas Pharma Global Development, Leiden, The Netherlands.
Taoufik OuatasAstellas Pharma Global Development, Leiden, The Netherlands.
Frank PeraboAstellas Pharma Global Development, Northbrook, IL, USA.
De PhungAstellas Pharma Global Development, Leiden, The Netherlands.
Benoit BaronAstellas Pharma Global Development, Leiden, The Netherlands.
Mohammad HirmandMedivation Inc., San Francisco, CA, USA.
Matthew R SmithMassachusetts General Hospital Cancer Center, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnzalutamide is an androgen receptor inhibitor with a demonstrated overall survival benefit in metastatic castration-resistant prostate cancer. A phase 2 study of enzalutamide monotherapy in patients with hormone-naïve prostate cancer (HNPC) showed a high response rate for the prespecified primary endpoint (ie, prostate-specific antigen [PSA] response at week 25), regardless of metastases at baseline, and favorable tolerability.

objectiveTo determine the long-term efficacy and safety of enzalutamide monotherapy at 1 and 2 yr. DESIGN, SETTING, AND

participantsOpen-label, single-arm study in patients with HNPC and noncastrate testosterone (≥230 ng/dl).

interventionOral enzalutamide 160mg/d until disease progression or unacceptable toxicity. OUTCOME MEASUREMENTS AND ANALYSIS: PSA response (≥80% decline from baseline) assessed at 1 yr (49 wk) and 2 yr (97 wk). RESULTS AND LIMITATIONS: The median (range) age was 73 (48-86) yr and 26 patients (39%) presented with metastases at study entry. Of 67 patients enrolled, 45 (67%) remained on enzalutamide at week 97. For patients remaining on therapy, the PSA response rate at week 97 was 100% (95% confidence interval 92-100%). Of 26 patients with metastases at baseline, 13 (50%) had a complete and four (15.4%) had a partial response as best overall tumor response up to 97 wk on treatment. There was overall maintenance of total-body bone mineral density (BMD) and moderate changes in lean and fat body mass at 49 and 97 wk. The most common adverse events were gynecomastia, nipple pain, fatigue, and hot flushes. The study limitations include lack of a control group and of endocrine, glycemic, and lipid data at 97 wk.

conclusionsLong-term enzalutamide monotherapy in men with noncastrate HNPC is associated with large sustained reductions in PSA, signals indicating a favorable tumor response, and favorable safety/tolerability profile, with relatively small negative effects on total-body BMD. PATIENT SUMMARY: In this long-term follow-up of the efficacy and safety of enzalutamide monotherapy in patients with hormone-naïve prostate cancer, enzalutamide maintained long-term reductions in prostate-specific antigen, with a minimal impact on total-body bone mineral density.

trial registrationNCT01302041.

Indexed as

ProstatectomyAgedAged, 80 and overAndrogen Receptor AntagonistsAntineoplastic Agents, HormonalBenzamidesChemotherapy, AdjuvantFollow-Up StudiesHumansKallikreinsLongitudinal StudiesMaleMiddle AgedNeoplasm Recurrence, LocalNitrilesPhenylthiohydantoinAndrogen Receptor AntagonistsAntineoplastic Agents, HormonalBenzamidesenzalutamideKallikreinsKLK3 protein, humanNitrilesPhenylthiohydantoinProstate-Specific AntigenAndrogen receptorEnzalutamideHormone-naïve prostate cancerProstate-specific antigen response

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.