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.
Comprehensive Cancer Centers of Nevada, Las Vegas, Nevada, United States
City of Hope Medical Grp Inc., Duarte, California, United States
University of California San Diego, La Jolla, California, United States
Research Site, Sutton, United Kingdom
Site FR33021, Bordeaux Cedex, France
Site US10052, Anchorage, Alaska, United States
Site US10011, Tucson, Arizona, United States
Memorial Sloan Kettering Cancer Center, New York, New York, United States
West Cancer Center, Germantown, Tennessee, United States
University of Colorado, Aurora, Colorado, United States
University of California Davis Comprehensive Cancer Center, Sacramento, California, United States
Site JP00051, Iizuka, Fukuoka, Japan
Site JP00019, Sagamihara, Kanagawa, Japan
Site JP00024, Nagoya, Aichi, Japan
Mount Sinai Beth Israel, New York, New York, United States
Icahn School of Medicine at Mount Sinai, New York, New York, United States
Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
University of California San Francisco, San Francisco, California, United States
John Hopkins Medical Center, Baltimore, Maryland, United States
Duke University Medical Center, Durham, North Carolina, United States
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