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. 2022 Jun 16;8(8):1128–1136. doi: 10.1001/jamaoncol.2022.1641

Table 2. Secondary Efficacy End Points.

End point No. (%)
Enzalutamide AS
Incidence of negative biopsy result at 1 y, No. 114 113
Biopsy result
Negative 40 (35.1) 16 (14.2)
Positive 53 (46.5) 74 (65.5)
Unknown 21 (18.4) 23 (20.4)
Missing 11 (9.6) 2 (1.8)
Discontinued 10 (8.8) 21 (18.6)
OR (95% CI)a,b 3.5 (1.76-6.92)
P valuec <.001
Incidence of negative biopsy result at 2 y, No. 100 83
Biopsy result
Negative 19 (19.0) 10 (12.0)
Positive 47 (47.0) 40 (48.2)
Unknown 34 (34.0) 33 (39.8)
Missing 11 (11.0) 5 (6.0)
Discontinued 23 (23.0) 26 (31.3)
OR (95% CI)a,b 1.6 (0.66-4.00)
P valuec .29
Percentage of cancer-positive cores at 1 y, No.d 90 81
LS change from baseline, mean (SE) [95% CI]e −12.97 (1.99) [−16.9 to −9.03] −2.90 (2.03) [−6.93 to 1.12]
Difference in LS, mean (SE) [95% CI] −10.07 (2.40) [−14.79 to −5.34]
P valuef <.001
Percentage of cancer-positive cores at 2 y, No.d 53 42
LS change from baseline, mean (SE) [95% CI]e −6.68 (2.37) [−11.36 to −2.00] −1.53 (2.57) [−6.61 to 3.55]
Difference in LS, mean (SE) [95% CI] −5.15 (3.17) [−11.40 to 1.11]
P valuef .11
Incidence of a secondary rise in serum PSA at 1 y, No. 114 113
PSA responseg 28 (24.6) 78 (69.0)
OR (95% CI)a,b 0.1 (0.08-0.26)
P valuec <.001
Incidence of a secondary rise in serum PSA levels at 2 y, No. 100 83
PSA responseg 92 (92.0) 77 (92.8)
OR (95% CI)a,b 1.1 (0.37-3.53)
P valuec 0.81

Abbreviations: AS, active surveillance; LS, least squares; OR, odds ratio; PSA, prostate-specific antigen.

a

Calculated using an exact logistic regression model with treatment group, stratification factors, age, race, and time since prostate cancer diagnosis as fixed effects and study site and patient as random effects.

b

Calculated based on exact binomial distribution.

c

Calculated based on exact binomial distribution from the logistic regression model.

d

Analyzed using a mixed-mode–repeated-measures model, with treatment group, stratification factors, visit, visit-by-treatment, and baseline score as fixed effects and study site and patient as random effects.

e

Most recent biopsy taken during the 6 months before screening.

f

A Bonferroni-Holm test was used to adjust for multiplicity.

g

PSA response was defined as a secondary rise in serum PSA levels of 25% or more of the baseline, an increase of 25% or more than the nadir, or an absolute increase of 2 or more ng/mL (to convert to μg/L, multiply by 1).