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. 2024 Sep 16;42(36):4271–4281. doi: 10.1200/JCO-24-01798

TABLE 3.

Treatment-Emergent Adverse Events (safety analysis set)

Adverse Event, No. of Patients (%) Darolutamide + ADT (n = 445a) Placebo + ADT (n = 221a)
Any adverse event 405 (91.0) 199 (90.0)
Serious adverse event 105 (23.6) 52 (23.5)
Grade 3 or 4 adverse event 137 (30.8) 67 (30.3)
Grade 5 adverse event 21 (4.7) 12 (5.4)
Adverse event leading to permanent discontinuation of study drug 27 (6.1) 20 (9.0)
Most common adverse events, occurring in ≥5% of patients in either group Any grade Grade 3 or 4 Any grade Grade 3 or 4
Anemia 91 (20.4) 14 (3.1) 39 (17.6) 8 (3.6)
Arthralgia 55 (12.4) 5 (1.1) 25 (11.3) 0
Urinary tract infection 52 (11.7) 8 (1.8) 17 (7.7) 1 (0.5)
Back pain 43 (9.7) 5 (1.1) 23 (10.4) 2 (0.9)
Increased aspartate aminotransferase 43 (9.7) 10 (2.2) 17 (7.7) 1 (0.5)
Constipation 42 (9.4) 0 16 (7.2) 0
Hot flush 41 (9.2) 0 16 (7.2) 0
Increased alanine aminotransferase 40 (9.0) 9 (2.0) 18 (8.1) 1 (0.5)
Pain in extremity 38 (8.5) 1 (0.2) 20 (9.0) 4 (1.8)
Hypertension 38 (8.5) 19 (4.3) 19 (8.6) 8 (3.6)
Bone pain 33 (7.4) 9 (2.0) 27 (12.2) 3 (1.4)
Increased weight 33 (7.4) 4 (0.9) 17 (7.7) 1 (0.5)
COVID-19 32 (7.2) 1 (0.2) 15 (6.8) 2 (0.9)
Increased alkaline phosphatase 30 (6.7) 0 13 (5.9) 3 (1.4)
Insomnia 28 (6.3) 0 6 (2.7) 1 (0.5)
Hyperglycemia 27 (6.1) 1 (0.2) 8 (3.6) 0
Fatigue 25 (5.6) 0 18 (8.1) 1 (0.5)
Increased creatinine 21 (4.7) 2 (0.4) 15 (6.8) 0
Headache 18 (4.0) 0 14 (6.3) 2 (0.9)

Abbreviations: ADT, androgen-deprivation therapy; COVID-19, coronavirus disease 2019.

a

Two patients who were randomly assigned to the placebo group but received darolutamide are analyzed in the darolutamide group for the safety analysis set.