Enzalutamide

Generic Name
Enzalutamide
Brand Names
Xtandi, Enzalutamide Viatris
Drug Type
Small Molecule
Chemical Formula
C21H16F4N4O2S
CAS Number
915087-33-1
Unique Ingredient Identifier
93T0T9GKNU
Background

Enzalutamide is an androgen receptor (AR) inhibitor for the treatment of castration-resistant prostate cancer (CRPC), both metastatic and non-metastatic. It is a second-generation antiandrogen agent that the FDA approved on August 31, 2012. Although androgen deprivation therapy (ADT) is the first-line treatment of prostate cancer and remission can be achieved, arising resistance is inevitable, becoming castration-resistant prostate cancer. Until recently, docetaxel is the only treatment available for metastatic CRPC; however, AR inhibitors have been developed for more targeted therapy, although first-generation AR inhibitors like bicalutamide did not substantially increase the survival rate. Second-generation such as enzalutamide is more efficacious due to a higher affinity to AR and no partial agonist activity compared to bicalutamide.

Due to a favorable pharmacological profile, a phase 1 study of enzalutamide was initiated in July 2007. Compared to the average time of 10 to 15 years for a drug to go from pre-clinical to clinical studies, enzalutamide was developed relatively rapidly.

Indication

Enzalutamide is indicated for the treatment of castration-resistant prostate cancer and metastatic castration-sensitive prostate cancer (mCRPC). It is also used in combination with talazoparib for the treatment of adult patients with HRR gene-mutated mCRPC.

Associated Conditions
Castration Resistant Prostate Cancer, Metastatic Castration Sensitive Prostate Cancer (mCSPC), Metastatic Castration-Resistant Prostate Cancer (mCRPC)
Associated Therapies
-

Effect of a Reduced Dose Enzalutamide in Frail (m)CRPC Patients on Cognitive Side Effects

First Posted Date
2019-04-25
Last Posted Date
2024-06-12
Lead Sponsor
Radboud University Medical Center
Target Recruit Count
57
Registration Number
NCT03927391
Locations
🇳🇱

Franciscus Gasthuis en Vlietland hospital, Rotterdam, Netherlands

🇳🇱

CWZ, Nijmegen, Netherlands

🇳🇱

Radboudumc, Nijmegen, Netherlands

Pan Tumor Rollover Study

First Posted Date
2019-04-02
Last Posted Date
2024-11-19
Lead Sponsor
Bristol-Myers Squibb
Target Recruit Count
1500
Registration Number
NCT03899155
Locations
🇧🇷

Local Institution - 0260, Belo Horizonte, Minas Gerais, Brazil

🇨🇳

Harbin Medical University - Cancer Hospital, Harbin, Heilongjiang, China

🇨🇳

Local Institution - 0172, Changsha, Hunan, China

and more 304 locations

Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial

First Posted Date
2019-03-18
Last Posted Date
2024-03-04
Lead Sponsor
OHSU Knight Cancer Institute
Target Recruit Count
2
Registration Number
NCT03878524
Locations
🇺🇸

OHSU Knight Cancer Institute, Portland, Oregon, United States

Neoadjuvant Androgen Deprivation Therapy Combined With Enzalutamide and Abiraterone Using Multiparametric MRI and 18FDCFPyL PET/CT in Newly Diagnosed Prostate Cancer

First Posted Date
2019-03-04
Last Posted Date
2024-11-25
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
11
Registration Number
NCT03860987
Locations
🇺🇸

National Institutes of Health Clinical Center, Bethesda, Maryland, United States

HC-1119 Versus Enzalutamide in Metastatic Castration-Resistant Prostate Cancer (mCRPC)

First Posted Date
2019-02-22
Last Posted Date
2024-08-19
Lead Sponsor
Hinova Pharmaceuticals USA, Inc.
Target Recruit Count
104
Registration Number
NCT03850795
Locations
🇵🇱

NZOZ Centrum Urologiczne Sp zoo, Mysłowice, Slaskie, Poland

🇫🇷

Hopital d'Instruction des Armées de Begin, Saint-Mandé, France

🇳🇱

Antonius Ziekenhuis, Sneek, Friesland, Netherlands

and more 55 locations

Study of Pembrolizumab (MK-3475) Plus Olaparib Versus Abiraterone Acetate or Enzalutamide in Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-7339-010/KEYLYNK-010)

First Posted Date
2019-02-08
Last Posted Date
2024-02-02
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
793
Registration Number
NCT03834519
Locations
🇺🇸

UCLA Hematology/Oncology - Santa Monica ( Site 0081), Los Angeles, California, United States

🇨🇦

Princess Margaret Cancer Centre ( Site 0107), Toronto, Ontario, Canada

🇺🇸

Beth Israel Deaconess Medical Ctr. ( Site 0093), Boston, Massachusetts, United States

and more 190 locations

Study of Pembrolizumab (MK-3475) Plus Enzalutamide Versus Placebo Plus Enzalutamide in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-3475-641/KEYNOTE-641)

Phase 3
Active, not recruiting
Conditions
Interventions
First Posted Date
2019-02-08
Last Posted Date
2024-12-20
Lead Sponsor
Merck Sharp & Dohme LLC
Target Recruit Count
1244
Registration Number
NCT03834493
Locations
🇺🇸

St. Joseph Heritage Healthcare ( Site 0069), Fullerton, California, United States

🇺🇸

Georgia Cancer Center at Augusta University ( Site 0026), Augusta, Georgia, United States

🇺🇸

Gabrail Cancer Center-Research ( Site 0096), Canton, Ohio, United States

and more 255 locations

Combination of Entinostat and Enzalutamide in Advanced Prostate Cancer

Phase 1
Terminated
Conditions
Interventions
First Posted Date
2019-02-04
Last Posted Date
2021-08-02
Lead Sponsor
George Washington University
Target Recruit Count
6
Registration Number
NCT03829930
Locations
🇺🇸

George Washington University - Medical Faculty Associates, Washington, District of Columbia, United States

A Study of Salvage Radiotherapy With or Without Enzalutamide in Recurrent Prostate Cancer Following Surgery

First Posted Date
2019-01-18
Last Posted Date
2024-10-16
Lead Sponsor
RTOG Foundation, Inc.
Target Recruit Count
188
Registration Number
NCT03809000
Locations
🇺🇸

USC Medical Center - Los Angeles County, Los Angeles, California, United States

🇺🇸

University of Southern California, Los Angeles, California, United States

🇺🇸

Sutter Roseville Medical Center, Roseville, California, United States

and more 105 locations
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