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Trial · NCT05520138

Enzalutamide vs. Abiraterone in Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer (mCRPC)

NCT05520138, Completed, Pfizer; results first posted 2024-09-27

3 sourcestrials-2026-11-12-0.4.0

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ConductScience Library. Enzalutamide vs. Abiraterone in Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer (mCRPC). Trials, record NCT05520138. Release trials-2026-11-12-0.4.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT05520138

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Trial

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

Title
Enzalutamide vs. Abiraterone in Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer (mCRPC)
NCT number
NCT05520138
Status
Completed
Enrollment
5,506 participants, actual
Lead sponsor
Pfizer
Conditions
Prostatic Neoplasms, Castration-Resistant
Interventions
Enzalutamide, Abiraterone acetate
First posted
2022-08-29
Last updated
2024-09-27
Results first posted
2024-09-27

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryOverall Survival (OS): Inverse Probability Treatment Weighting (IPTW)
From index date to date of death or censoring date, whichever occurred first (from 10-Sep-2014 to 31-Dec-2020, approximately 76 months); retrospective data extracted and evaluated from study start date and until study completion (approximately 10 months)
OS (time to death) was defined as the time from the initiation of enzalutamide or abiraterone (i.e., index date) to the date of death. Participants who did not die were censored at their last available follow-up, which was defined as the earlier of disenrollment from Medicare or end of data availability. Kaplan-Meier method was used for analysis.
SecondaryOS Among Participants Without Any Subsequent Therapy: IPTW
From index date to date of death or censoring date, whichever occurred first (from 10-Sep-2014 to 31-Dec-2020, approximately 76 months); retrospective data extracted and evaluated from study start date and until study completion (approximately 10 months)
OS (time to death) was defined as the time from the initiation of enzalutamide or abiraterone (i.e., index date) to the date of death. Participants who did not die were censored at their last available follow-up, which was defined as the earlier of disenrollment from Medicare or end of data availability. Kaplan-Meier method was used for analysis.
SecondaryTreatment Duration: IPTW
From index date to date of discontinuation event or censoring date, whichever occurred first(from 10-Sep-2014 to 31-Dec-2020, approximately 76months); retrospective data extracted and evaluated from start date and until completion(approximately 10months)
Treatment duration of the index treatment was defined as the time from the initiation of enzalutamide or abiraterone (i.e., index date) to the discontinuation date. Discontinuation was defined as the earliest of 1) death, 2) last observed administration plus day of supply associated with last administration, or 3) day before the start of next line of therapy. Death, a gap of 90 days or more after the last observed prescription date + day of supply, and initiation of next line of therapy was considered as discontinuation events. Participants who did not discontinue were censored at their last available follow-up, which was defined as the earlier of disenrollment from Medicare or end of data availability.
SecondaryTime to Subsequent Therapy: IPTW
From index date to start of next line of therapy (from 10-Sep-2014 to 31-Dec-2020, approximately 76 months); retrospective data extracted and evaluated from study start date and until study completion (approximately 10 months)
Time to subsequent therapy was defined as the time from the initiation of enzalutamide or abiraterone (i.e., index date) to the start of next line of therapy. Participants who did not start a new line of therapy were censored at their last available follow-up, which was defined as the earliest of 1) death, 2) disenrollment from Medicare, and 3) end of data availability.

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Survival (OS): Inverse Probability Treatment Weighting (IPTW)
From index date to date of death or censoring date, whichever occurred first (from 10-Sep-2014 to 31-Dec-2020, approximately 76 months); retrospective data extracted and evaluated from study start date and until study completion (approximately 10 months)
Analysis population included all eligible participants whose medical records were retrieved and observed in this study. Here, ''Number of Participants Analyzed'' signifies number of participants evaluable for this outcome measure after adjusting for baseline confounders (demographics, clinical characteristics, prior treatments, comorbidities, medical resource use) using IPTW. Hence, numbers are different here from those presented in participant and baseline section.
MonthsMEDIAN
SECONDARYOS Among Participants Without Any Subsequent Therapy: IPTW
From index date to date of death or censoring date, whichever occurred first (from 10-Sep-2014 to 31-Dec-2020, approximately 76 months); retrospective data extracted and evaluated from study start date and until study completion (approximately 10 months)
Analysis population included all eligible participants whose medical records were retrieved and observed in this study. Here, ''Number of Participants Analyzed'' signifies number of participants evaluable for this outcome measure after adjusting for baseline confounders (demographics, clinical characteristics, prior treatments, comorbidities, medical resource use) using IPTW. Hence, numbers are different here from those presented in participant and baseline section.
MonthsMEDIAN
SECONDARYTreatment Duration: IPTW
From index date to date of discontinuation event or censoring date, whichever occurred first(from 10-Sep-2014 to 31-Dec-2020, approximately 76months); retrospective data extracted and evaluated from start date and until completion(approximately 10months)
Analysis population included all eligible participants whose medical records were retrieved and observed in this study. Here ''Number of Participants Analyzed'' signifies number of participants evaluable for this outcome measure after adjusting for baseline confounders (demographics, clinical characteristics, prior treatments, comorbidities, medical resource use) using IPTW. Hence, numbers are different here from those presented in participant and baseline section.
MonthsMEDIAN
SECONDARYTime to Subsequent Therapy: IPTW
From index date to start of next line of therapy (from 10-Sep-2014 to 31-Dec-2020, approximately 76 months); retrospective data extracted and evaluated from study start date and until study completion (approximately 10 months)
Analysis population included all eligible participants whose medical records were retrieved and observed in this study. Here ''Number of Participants Analyzed'' signifies number of participants evaluable for this outcome measure after adjusting for baseline confounders (demographics, clinical characteristics, prior treatments, comorbidities, medical resource use) using IPTW. Hence, numbers are different here from those presented in participant and baseline section.
MonthsMEDIAN

Results by group8

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

OutcomeGroupCategoryValueSpreadUnits
Overall Survival (OS): Inverse Probability Treatment Weighting (IPTW)Abiraterone20.695% Confidence Interval 19.7 to 21.4Months
Overall Survival (OS): Inverse Probability Treatment Weighting (IPTW)Enzalutamide22.595% Confidence Interval 21.2 to 23.8Months
OS Among Participants Without Any Subsequent Therapy: IPTWAbiraterone10.695% Confidence Interval 9.6 to 11.7Months
OS Among Participants Without Any Subsequent Therapy: IPTWEnzalutamide13.695% Confidence Interval 12.4 to 15.1Months
Treatment Duration: IPTWAbiraterone6.795% Confidence Interval 6.3 to 7.0Months
Treatment Duration: IPTWEnzalutamide7.495% Confidence Interval 7.0 to 7.9Months
Time to Subsequent Therapy: IPTWAbiraterone14.595% Confidence Interval 13.4 to 15.4Months
Time to Subsequent Therapy: IPTWEnzalutamide16.795% Confidence Interval 15.9 to 17.8Months

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAbiraterone2,911
Overall StudySTARTEDEnzalutamide2,595
Overall StudyCOMPLETEDAbiraterone2,911
Overall StudyCOMPLETEDEnzalutamide2,595
Overall StudyNOT COMPLETEDAbiraterone0
Overall StudyNOT COMPLETEDEnzalutamide0

Adverse events0

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

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAbiraterone2,5232,911
Total, all-cause mortalityEnzalutamide2,1762,595
Total, other adverse eventsAbiraterone00
Total, other adverse eventsEnzalutamide00
Total, serious adverse eventsAbiraterone00
Total, serious adverse eventsEnzalutamide00

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons1

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

Comparison
Abiraterone vs Enzalutamide: deaths from any cause

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.

Source

Release
trials-2026-11-12-0.4.0
Release manifest SHA-256
0f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4
Registry capture
2026-11-12
Results copy, AACT
2026-03-23
NIH clinical studies file
2026-11-13

Source ClinicalTrials.gov

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNone 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.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT05520138

GET https://conductscience.org/api/trials/v1/NCT05520138/registered