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N/A N=2,731

A Study to Learn About the Study Medicines Called Enzalutamide and Abiraterone in People With Metastatic Castration-resistant Prostate Cancer

Prostatic Neoplasms, Castration-Resistant

Enrolled (actual)
2,731
Serious AEs
Results posted
Feb 2026
Primary outcome: Primary: Overall Survival (OS): Adjusted Using Inverse Probability Treatment Weighting (IPTW) — 24.63; 25.77 Months — p==0.0088

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
Enzalutamide (Drug); Abiraterone acetate (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
Male
Sponsor
Pfizer
Primary completion
Feb 2025

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Survival (OS): Adjusted Using Inverse Probability Treatment Weighting (IPTW)
24.63; 25.77 =0.0088 sig
SECONDARY
OS Without Subsequent Therapy: Adjusted Using IPTW
14.03; 17.73 =0.0002 sig
SECONDARY
Time to Treatment Discontinuation (TTD): Adjusted Using IPTW
7.87; 9.50 =0.0000 sig
SECONDARY
Time to Subsequent Therapy (TTST): Adjusted Using IPTW
14.70; 17.90 =0.0004 sig

Summary

The purpose of this real-world study is to learn about the effects of 2 study medicines called enzalutamide and abiraterone used to treat metastatic castration-resistant prostate cancer (mCRPC). Prostate cancer is one of the most common cancers in men. The prostate is a gland in the male body that helps make semen. Most prostate cancers need male sex hormones, such as testosterone, to grow. Prostate cancer that keeps growing even when the amount of testosterone in the body is reduced to very low levels is known as "castration-resistant". Metastatic cancer is a cancer that has spread to other parts of the body. This is a real-world study, not a clinical trial. This means that researchers will look at what happens when men receive the treatments prescribed by their own doctor as part of their usual healthcare treatment. In this study, researchers will use information from the Flatiron Electronic Health Record (EHR) database. The study will include patients' information from the database for men who: * Were confirmed by medical tests to have mCRPC * Started first-line treatment with enzalutamide or abiraterone (index date) for mCRPC * Had not received chemotherapy treatment before index date * Were 18 years of age or older on index date Men who are part of this study will receive enzalutamide or abiraterone as part of their usual treatment for mCRPC. We will compare the following between men receiving enzalutamide and men receiving abiraterone: * time from treatment start until death, * treatment duration, and * time to next treatment. This study will use patient information from the database until the end of information that is available.

Eligibility Criteria

Inclusion Criteria

  • Male with metastatic prostate cancer diagnosis and abstracted castration-resistant prostate cancer diagnosis
  • Initiated enzalutamide or abiraterone within 14 days prior to or after the metastatic castration-resistant prostate cancer diagnosis. The initiation date of enzalutamide or abiraterone will be defined as the index date.
  • At least 18 years old at the index date

Exclusion Criteria

  • Received chemotherapy, novel hormonal therapy, radium-223, olaparib/rucaparib, or immunotherapy prior to the index date
  • Had a prior history of other cancers
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT05968599). 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.

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