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.
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.
Franciscus Gasthuis en Vlietland hospital, Rotterdam, Netherlands
CWZ, Nijmegen, Netherlands
Radboudumc, Nijmegen, Netherlands
Local Institution - 0260, Belo Horizonte, Minas Gerais, Brazil
Harbin Medical University - Cancer Hospital, Harbin, Heilongjiang, China
Local Institution - 0172, Changsha, Hunan, China
US Flatiron prostate cancer database, Whippany, New Jersey, United States
OHSU Knight Cancer Institute, Portland, Oregon, United States
National Institutes of Health Clinical Center, Bethesda, Maryland, United States
NZOZ Centrum Urologiczne Sp zoo, Mysłowice, Slaskie, Poland
Hopital d'Instruction des Armées de Begin, Saint-Mandé, France
Antonius Ziekenhuis, Sneek, Friesland, Netherlands
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
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
George Washington University - Medical Faculty Associates, Washington, District of Columbia, United States
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
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