ArticleFuture oncology (London, England)2026
Matching-adjusted indirect comparison of enzalutamide versus apalutamide with androgen-deprivation therapy in patients with metastatic hormone-sensitive prostate cancer.
Article in Future oncology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02677896 (A Multinational, Phase 3, Randomized, Double-blind, Placebo-controlled Efficacy and Safety Study of Enzalutamide Plus Androgen Deprivation Therapy), which is not on this map. Not yet cited in PubMed.
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The trial behind it
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A Multinational, Phase 3, Randomized, Double-blind, Placebo-controlled Efficacy and Safety Study of Enzalutamide Plus Androgen Deprivation Therapy (ADT) Versus Placebo Plus ADT in Patients With Metastatic Hormone Sensitive Prostate Cancer (mHSPC)
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo compare the efficacy of enzalutamide + androgen-deprivation therapy (ADT) versus apalutamide + ADT in metastatic hormone-sensitive prostate cancer (mHSPC) using a matching-adjusted indirect comparison (MAIC). PATIENTS AND
methodsIndividual patient data from patients with ≥1 confirmed bone metastasis in ARCHES (NCT02677896; enzalutamide + ADT vs placebo + ADT;
resultsThis MAIC suggested similar estimated efficacy between enzalutamide and apalutamide for OS (HR: 0.81, 95% confidence interval [CI]: 0.58-1.15) and TTPP (HR: 0.65, 95% CI: 0.41-1.03). Patients treated with enzalutamide + ADT had improved rPFS versus those treated with apalutamide + ADT (HR: 0.66, 95% CI: 0.45-0.98), but differences were not significant in sensitivity analyses aligning assessment methods.
conclusionsThis analysis suggested broadly similar efficacy between enzalutamide and apalutamide in patients with mHSPC. Findings should be interpreted in the context of inherent MAIC limitations.
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