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

TABLE 4.

Treatment-Emergent Adverse Events of Special Interest (safety analysis set)

Adverse Events Commonly Associated with Androgen Receptor Pathway Inhibitors Darolutamide + ADT (n = 445a) Placebo + ADT (n = 221a)
No. of Patients (%) EAIRb/100 PY No. of Patients (%) EAIRb/100 PY
Hypertensionc 42 (9.4) 5.5 21 (9.5) 6.7
Vasodilatation and flushing 41 (9.2) 5.6 16 (7.2) 5.0
Diabetes mellitus and hyperglycemia 40 (9.0) 5.3 21 (9.5) 6.7
Cardiac arrhythmiasc 39 (8.8) 5.1 15 (6.8) 4.7
Fatigue 25 (5.6) 3.2 18 (8.1) 5.7
Rashd 19 (4.3) 2.4 8 (3.6) 2.4
Bone fracturee 18 (4.0) 2.3 5 (2.3) 1.5
Coronary artery disordersc 16 (3.6) 2.0 3 (1.4) 0.9
Decreased weight 14 (3.1) 1.8 6 (2.7) 1.8
Mental-impairment disorderc 7 (1.6) 0.9 1 (0.5) 0.3
Falls, including accident 6 (1.3) 0.8 2 (0.9) 0.6
Heart failurec 4 (0.9) 0.5 2 (0.9) 0.6
Depressed-mood disorderc 2 (0.4) 0.2 2 (0.9) 0.6
Cerebral ischemia 1 (0.2) 0.1 3 (1.4) 0.9

Abbreviations: ADT, androgen-deprivation therapy; EAIR, exposure-adjusted incidence rate; MedDRA, Medical Dictionary for Regulatory Activities; PY, patient years.

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.

b

EAIR of treatment-emergent adverse events is defined as the number of patients with a given event divided by the total darolutamide/placebo treatment duration of all patients in years. The rate is expressed in 100 PY.

c

This category is a MedDRA High-Level Group Term.

d

This category combines the following MedDRA terms: rash, maculopapular rash, papular rash, pustular rash, and dermatitis.

e

Excluding pathologic fractures. This category combines the following MedDRA terms: any fractures and dislocations, limb fractures and dislocations, pelvic fractures and dislocations, spinal fractures and dislocations, and thoracic cage fractures and dislocations.