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Prostate cancer: Enzalutamide plus ADT maintains health-related QoL

Key clinical point: Enzalutamide plus androgen deprivation therapy (ADT) enables men with metastatic hormone-sensitive prostate cancer (mHSPC) to maintain their health-related quality of life (QoL).

Major finding: Enzalutamide+ADT vs. placebo+ADT significantly delayed time to first deterioration in worst pain (14.09 vs. 11.10 months; P = .032), pain severity (19.38 vs. 16.76 months; P = .021), and EuroQoL 5-Dimensions, 5-Levels visual analog scale score (11.14 vs. 8.38 months; P = .0070).

Study details: In this ARCHES phase 3 trial, 1,150 patients with mHSPC were randomly assigned to receive either enzalutamide (160 mg/day)+ADT (n = 574) or placebo+ADT (n = 576).

Disclosures: This study was funded by Astellas Pharma Inc. and Pfizer Inc. Some of the investigators reported consulting/advisory role and research funding from Astellas and consulting/advisory role for Pfizer during the conduct of the study.

Citation:

Stenzl A et al. Eur Urol. 2020 Apr 23. doi: 10.1016/j.eururo.2020.03.019.