Phase 2
Completed N=64
Enzalutamide + External Beam Rt For Prostate
Source: ClinicalTrials.gov NCT02028988 ↗Enrolled (actual)
64
Serious AEs
0.0%
Results posted
May 2023
Primary outcomePrimary: Percentage of Participants With PSA at or Below 0.2 ng/ml — 79; 21 percentage of participants
Summary
This research study is evaluating a drug called enzalutamide in combination with external beam radiation therapy as a possible treatment for prostate cancer. Presently, when participants receive hormonal therapy with radiation therapy for prostate cancer, medications are given to reduce testosterone levels in the blood stream. This leads to side effects such as loss of sex drive, erectile dysfunction (ED) and decrease in muscle strength. The purpose of this study is test another form of hormonal therapy with radiation therapy. The medication called enzalutamide will be used with radiation therapy. Instead of lowering testosterone, enzalutamide blocks testosterone in cells. This study will test if enzalutamide when used with radiation will lower the PSA without causing the side effects associated with medications that lower testosterone in the blood stream.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants With PSA at or Below 0.2 ng/ml |
79; 21 | — |
| SECONDARY Median DHEA-S |
98; 141; 135 | — |
| SECONDARY Median Androstenedione |
56.5; 77.5; 76.5 | — |
| SECONDARY Median Testosterone |
349.5; 760; 730.5 | — |
| SECONDARY Median Free Testosterone |
66; 100; 86 | — |
| SECONDARY Median Estrone |
37; 40; 39 | — |
| SECONDARY Median Estradiol |
22.5; 45; 45 | — |
| SECONDARY Median Bicep Fat Fold Measurement |
14; 18 | — |
| SECONDARY Median Tricep Fat Fold Measurement |
20; 24 | — |
| SECONDARY Median Shoulder Blade Fat Fold Measurement |
20; 22 | — |
| SECONDARY Median Waist Fat Fold Measurement |
28; 28 | — |
| SECONDARY Median Waist Circumference |
104.6; 104.6 | — |
| SECONDARY Median Weight |
87.35; 88.26 | — |
| SECONDARY Number of Participants With a Sleep Quality Score of 0 or 1 |
54; 43; 45 | — |
| SECONDARY Urinary Incontinence Median Score |
100; 100; 84.38 | — |
| SECONDARY Urinary Irritation Median Score |
87.50; 81.25; 62.5 | — |
| SECONDARY Bowel Function Median Score |
100; 97.92; 89.58 | — |
| SECONDARY Sexual Function Median Score |
62.5; 32; 19.42 | — |
| SECONDARY Hormone Function Median Score |
97.50; 90; 75 | — |
| SECONDARY Number of Participants With a Fatigue Score of 3 or 4 |
2; 13; 13 | — |
| SECONDARY Median Collagen Type 1 C-Telopeptide |
295.5; 397; 314 | — |
| SECONDARY Median Bone-Specific Alkaline Phosphatase |
11.5; 12; 12.6 | — |
| SECONDARY Median Procollagen Type II Intact N Terminal Propeptide |
12.8; 13.5; 13.4 | — |
Eligibility Criteria
Inclusion Criteria
- Study population: Participants must have histologically confirmed malignancy and are candidates for external beam radiation therapy. Patients eligible for this study must have intermediate risk disease defined as PSA values between 10-20 ng/ml and/or T2b-c and/or Gleason grade 7. If all three are present, less than 50% of the core biopsies can be positive.
- Patients previously diagnosed with low risk (Gleason score 170 mmHg or diastolic blood pressure > 105 mmHg on 2 consecutive measurements at the screening visit;
- EKG demonstrating equal to or greater than grade III toxicity according the NCI Common Terminology Criteria for Adverse Events (CTCAE) version 4.0
- History of gastrointestinal disorders (medical disorders or extensive surgery) that may interfere with the absorption of oral study drug(s) within 3 months of enrollment.
- Major surgery within 4 weeks of registration.
- Previous use, or participation in a clinical trial, of an investigational agent that blocks androgen synthesis (e.g., abiraterone acetate, TAK-700, TAK-683, TAK-448) or targets the androgen receptor (e.g., enzalutamide, BMS 641988); ketoconazole.
- Any condition or reason that, in the opinion of the Investigator, interferes with the ability of the patient to participate in the trial, places the patient at undue risk, or complicates the interpretation of safety data.
- Need for any of the medications on the list of drugs to be used with caution or to be avoided (see APPENDIX F).
- Use of herbal or alternative remedies that may affect hormonal status such as Prostasol or PC-SPES.
Data sourced from ClinicalTrials.gov (NCT02028988). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.