Table 1.
Recent Randomized Trials Investigating Androgen Receptor Inhibitors in Metastatic Hormone-sensitive Prostate Cancer
| Author | Study | Phase | No. Patients |
Experimental Arm | Control Arm | Primary Endpoint | Subset Analysis |
|---|---|---|---|---|---|---|---|
| Armstrong AJ et al7 | ARCHES | III | 1150 | Enzalutamide 160 mg/ day + ADT (n = 574) | Placebo + ADT (n = 576) | rPFS: NR vs. 19.4 mos (HR, 0.39; 95% CI, 0.30-0.50; P < .0001) | In docetaxel pretreated patients (18% of study population), HR favored enzalutamide arm (HR, 0.53; 95% CI, 0.31-0.92) for rPFS |
| Chi KN et al8 | TITAN | III | 1052 | Apalutamide 240 mg/day + ADT (n = 525) | Placebo + ADT (n = 527) | rPFS at 24 months: 68.2% vs. 47.5% (HR, 0.48; 95% CI, 0.51-0.89) | In docetaxel pretreated patients (10.7% of study population), HR trended towards improvement with apalutamide (HR, 0.47; 95% CI, 0.22-1.01) for 24-month rPFS |
| Davis ID et al9 | ENZAMET | III | 1125 | Enzalutamide 160 mg/day + ADT | ADT (continued nonsteroidal antiandrogen) | 3-year OS: 80% vs. 72% (HR, 0.67; 95% CI, 0.52-0.86) | In early docetaxel group (45% vs. 44%), HR favored enzalutamide arm (HR, 0.48; 95% CI, 0.36-0.62) for endpoint of PFS |
Abbreviations: ADT = Androgen deprivation therapy; CI = confidence interval; HR = hazard ratio; NR = not reached; OS = overall survival; PFS = progression-free survival; rPFS = radiographic progression-free survival.