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Trial ยท NCT02003924

Safety and Efficacy Study of Enzalutamide in Patients With Nonmetastatic Castration-Resistant Prostate Cancer

NCT02003924, Phase 3, Completed, Pfizer; results first posted 2018-07-12

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy Study of Enzalutamide in Patients With Nonmetastatic Castration-Resistant Prostate Cancer. Trials, record NCT02003924. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02003924

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Safety and Efficacy Study of Enzalutamide in Patients With Nonmetastatic Castration-Resistant Prostate Cancer
NCT number
NCT02003924
Status
Completed
Phases
Phase 3
Enrollment
1,401 participants, actual
Lead sponsor
Pfizer
Conditions
Nonmetastatic Castration-Resistant Prostate Cancer, Prostate Cancer, Cancer of the Prostate
Interventions
Enzalutamide, Placebo
First posted
2013-12-06
Last updated
2026-01-27
Other registries' IDs
eudract:2012-005665-12
Results first posted
2018-07-12

Source ClinicalTrials.gov

Registered outcomes47

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryMetastasis Free Survival (MFS)
From randomization until radiographic progression at any time, or death within 112 days of treatment discontinuation, whichever occurred first (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
MFS:time from randomization to first date of radiographic progression (RP) (by Blinded independent central radiology review \[BICR\]) at any time or death within 112 days of treatment discontinuation without evidence of RP.RP for bone disease:appearance of 1 or more metastatic lesions on bone scan.RP for soft tissue disease:per Response Evaluation Criteria in Solid Tumors,\[RECIST 1.1\])-at least a 20 percent (%) increase in the sum of diameters of target lesions,taking as reference the smallest sum on study (includes the baseline sum if smallest on study).Participants who did not have MFS event at the time of analysis data cut-off (28 June 2017) were censored at date of last assessment showing no objective evidence of RP prior to skeletal-related event or two or more consecutive missed tumor assessments. Participants who were randomized but later confirmed to have metastatic disease before randomization were censored on date of randomization. Analysis was based on Kaplan-Meier estimates.
SecondaryTime to Prostate-Specific Antigen (PSA) ProgressionFrom randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Time to PSA progression was defined as the time from randomization to the date of first PSA value demonstrating progression, which was subsequently confirmed. For participants with PSA decline at Week 17, PSA progression was defined according to Prostate Cancer Working Group 2 (PCWG2) guidelines as the date that a 25% or greater increase and an absolute increase of 2 nanograms per milliliter (ng/mL) above the nadir (or baseline for participants with no PSA decline by Week 17) was documented, which was confirmed by a second consecutive value obtained at least 3 weeks or later. Participants without confirmed PSA progression at the time of analysis were right censored at the date of last PSA assessment before the analysis data cut-off date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.
SecondaryTime to First Use of New Antineoplastic TherapyFrom randomization until first use of new antineoplastic therapy(until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Time to first use of new antineoplastic therapy was defined as the time from randomization to first use of new antineoplastic for prostate cancer. Participants not starting treatment with a new antineoplastic therapy at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.
SecondaryOverall SurvivalFrom randomization until death (up to a maximum of 68.8 months)
Overall survival (OS) was defined as the time (in months) from randomization to death from any cause. For participants who were alive at the time of the analysis data cutoff, OS time was censored at the last date the participant was known to be alive or analysis data cutoff date, whichever was earlier. Participants with no post baseline survival information were censored on the date of randomization. Analysis was based on Kaplan-Meier estimates.
SecondaryTime to Pain ProgressionFrom randomization until onset of pain progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Pain was assessed using the score from the Brief Pain Inventory-Short Form (BPI-SF) question 3: "Please rate your pain by marking the box beside the number that best describes your pain at its worst in the last 24 hours." Time to this event was defined as the time from randomization to onset of pain progression, where pain progression was defined as a 2-point or more increase from baseline in the question 3 score. Participants without observed pain progression at the time of analysis were right censored at the date of last pain assessment for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.
SecondaryTime to First Use of Cytotoxic ChemotherapyFrom randomization up to the first use of cytotoxic chemotherapy (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Time to first use of cytotoxic chemotherapy was defined as the time from randomization to the first use of cytotoxic chemotherapy for prostate cancer. Participants not starting treatment with a cytotoxic chemotherapy for prostate cancer at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.
SecondaryChemotherapy-Free Disease Specific Survival
From randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to prostate cancer (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Chemotherapy-free disease-specific survival was defined as the time from randomization to first use of cytotoxic chemotherapy for prostate cancer or death due to prostate cancer as assessed by the investigator. Participants not starting treatment with a cytotoxic chemotherapy or not known to have died due to prostate cancer at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.
SecondaryChemotherapy-Free SurvivalFrom randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to any cause (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Chemotherapy-free survival was defined as the time from randomization to first use of cytotoxic chemotherapy for prostate cancer or death due to any cause. Participants not starting treatment with a cytotoxic chemotherapy or not known to have died at the time of analysis were censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.
SecondaryPercentage of Participants With Prostate Specific Antigen (PSA) ResponseFrom randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
PSA response was calculated at each visit as a decline from baseline in PSA (ng/mL) to the maximal PSA response with thresholds at 50% and 90%. Additionally, PSA response was assessed as a decline to undetectable levels, where undetectable level was defined as below the limit of quantification of the centrally assessed PSA results (the lower limit of quantification was 0.02 ng/mL). PSA response was confirmed by a second consecutive value at least 3 weeks later.
SecondaryChange From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Global ScoreBaseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
The FACT-P questionnaire is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess prostate-related symptoms. Each item was rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain, as well as a global quality of life score which ranged from 0 to 156 where higher scores represented better quality of life.

Outcomes47

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYMetastasis Free Survival (MFS)
From randomization until radiographic progression at any time, or death within 112 days of treatment discontinuation, whichever occurred first (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
The intent-to-treat (ITT) population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.
monthsMEDIAN
SECONDARYTime to Prostate-Specific Antigen (PSA) ProgressionFrom randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.monthsMEDIAN
SECONDARYTime to First Use of New Antineoplastic TherapyFrom randomization until first use of new antineoplastic therapy(until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.monthsMEDIAN
SECONDARYOverall SurvivalFrom randomization until death (up to a maximum of 68.8 months)The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.monthsMEDIAN
SECONDARYTime to Pain ProgressionFrom randomization until onset of pain progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.monthsMEDIAN
SECONDARYTime to First Use of Cytotoxic ChemotherapyFrom randomization up to the first use of cytotoxic chemotherapy (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.monthsMEDIAN
SECONDARYChemotherapy-Free Disease Specific Survival
From randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to prostate cancer (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.monthsMEDIAN
SECONDARYChemotherapy-Free SurvivalFrom randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to any cause (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.monthsMEDIAN
SECONDARYPercentage of Participants With Prostate Specific Antigen (PSA) ResponseFrom randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered. Here, 'Overall number of participants analyzed' = participants with baseline and at least one post-baseline PSA assessment.
percentage of participantsNUMBER
SECONDARYChange From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Global ScoreBaseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
The ITT population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered. Here, 'Number analyzed' = Participants evaluable for this outcome measure at specified timepoints.
units on a scaleMEAN

Results by group3,732

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Metastasis Free Survival (MFS)Enzalutamide 160 mg36.695% Confidence Interval 33.1 to NAmonths
Metastasis Free Survival (MFS)Placebo14.795% Confidence Interval 14.2 to 15.0months
Time to Prostate-Specific Antigen (PSA) ProgressionEnzalutamide 160 mg37.295% Confidence Interval 33.1 to NAmonths
Time to Prostate-Specific Antigen (PSA) ProgressionPlacebo3.995% Confidence Interval 3.8 to 4.0months
Time to First Use of New Antineoplastic TherapyEnzalutamide 160 mg39.695% Confidence Interval 37.7 to NAmonths
Time to First Use of New Antineoplastic TherapyPlacebo17.795% Confidence Interval 16.2 to 19.7months
Overall SurvivalEnzalutamide 160 mg67.095% Confidence Interval 64.0 to NAmonths
Overall SurvivalPlacebo56.395% Confidence Interval 54.4 to 63.0months
Time to Pain ProgressionEnzalutamide 160 mg18.595% Confidence Interval 17.0 to 22.1months
Time to Pain ProgressionPlacebo18.495% Confidence Interval 14.8 to 22.1months

Participant flow33

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Double-blind PhaseSTARTEDEnzalutamide 160 mg933
Double-blind PhaseSTARTEDPlacebo468
Double-blind PhaseSTARTEDPlacebo Participants Crossover to Enzalutamide 160 mg0
Double-blind PhaseTreatedEnzalutamide 160 mg930
Double-blind PhaseTreatedPlacebo465
Double-blind PhaseTreatedPlacebo Participants Crossover to Enzalutamide 160 mg0
Double-blind PhaseCOMPLETEDEnzalutamide 160 mg478
Double-blind PhaseCOMPLETEDPlacebo87
Double-blind PhaseCOMPLETEDPlacebo Participants Crossover to Enzalutamide 160 mg0
Double-blind PhaseNOT COMPLETEDEnzalutamide 160 mg455

Adverse events1,212

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAstheniaGeneral disordersEnzalutamide 160 mg94930
otherAstheniaGeneral disordersPlacebo32465
otherAstheniaGeneral disordersPlacebo Patients Crossover to Enzalutamide 160 mg1087
otherFatigueGeneral disordersEnzalutamide 160 mg348930
otherFatigueGeneral disordersPlacebo73465
otherFatigueGeneral disordersPlacebo Patients Crossover to Enzalutamide 160 mg1387
otherConstipationGastrointestinal disordersEnzalutamide 160 mg121930
otherConstipationGastrointestinal disordersPlacebo39465
otherConstipationGastrointestinal disordersPlacebo Patients Crossover to Enzalutamide 160 mg187
otherDiarrhoeaGastrointestinal disordersEnzalutamide 160 mg112930

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEnzalutamide 160 mg285930
Total, all-cause mortalityPlacebo173465
Total, all-cause mortalityPlacebo Patients Crossover to Enzalutamide 160 mg487
Total, other adverse eventsEnzalutamide 160 mg762930
Total, other adverse eventsPlacebo299465
Total, other adverse eventsPlacebo Patients Crossover to Enzalutamide 160 mg4587
Total, serious adverse eventsEnzalutamide 160 mg372930
Total, serious adverse eventsPlacebo100465
Total, serious adverse eventsPlacebo Patients Crossover to Enzalutamide 160 mg1287

Papers11

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29949494DERIVEDPubMed
30770294DERIVEDPubMed
32469184DERIVEDPubMed
33010985DERIVEDPubMed
34784577DERIVEDPubMed
35643841DERIVEDPubMed
35731340DERIVEDPubMed
36226865DERIVEDPubMed
36756959DERIVEDPubMed
40539499DERIVEDPubMed

1 to 10 of 11

See all 11 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Enzalutamide 160 mg vs Placebo: Number of Participants With Treatment-Emergent Adverse Events Greater Than or Equal to Grade 3, Based on National Cancer Institute (NCI) Common Terminology Criteria (CTC) for AEs (CTCAE), Version 4.0
Trial comparisons
Enzalutamide 160 mg vs Placebo: Number of Participants With Discontinuations From Study Treatment Due to Adverse Events (AEs)Trial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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Read this trial from software.

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