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
-

A Study of Atezolizumab (Anti-PD-L1 Antibody) in Combination With Enzalutamide in Participants With Metastatic Castration-Resistant Prostrate Cancer (mCRPC) After Failure of an Androgen Synthesis Inhibitor And Failure of, Ineligibility For, or Refusal of a Taxane Regimen

First Posted Date
2017-01-10
Last Posted Date
2024-08-09
Lead Sponsor
Hoffmann-La Roche
Target Recruit Count
759
Registration Number
NCT03016312
Locations
🇺🇸

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

and more 155 locations

Study of Olaparib (Lynparza™) Versus Enzalutamide or Abiraterone Acetate in Men With Metastatic Castration-Resistant Prostate Cancer (PROfound Study)

First Posted Date
2016-12-09
Last Posted Date
2023-10-06
Lead Sponsor
AstraZeneca
Target Recruit Count
387
Registration Number
NCT02987543
Locations
🇬🇧

Research Site, Sutton, United Kingdom

A Study for Subjects With Prostate Cancer Who Previously Participated in an Enzalutamide Clinical Study

First Posted Date
2016-11-09
Last Posted Date
2024-12-09
Lead Sponsor
Astellas Pharma Global Development, Inc.
Target Recruit Count
900
Registration Number
NCT02960022
Locations
🇫🇷

Site FR33021, Bordeaux Cedex, France

🇺🇸

Site US10052, Anchorage, Alaska, United States

🇺🇸

Site US10011, Tucson, Arizona, United States

and more 232 locations

Preoperative Fulvestrant With or Without Enzalutamide in ER+/Her2- Breast Cancer

Phase 2
Active, not recruiting
Conditions
Interventions
First Posted Date
2016-11-04
Last Posted Date
2024-06-10
Lead Sponsor
University of Colorado, Denver
Target Recruit Count
61
Registration Number
NCT02955394
Locations
🇺🇸

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

Enzalutamide and Indomethacin in Treating Patients With Recurrent or Metastatic Hormone-Resistant Prostate Cancer

First Posted Date
2016-10-17
Last Posted Date
2023-11-29
Lead Sponsor
Mamta Parikh
Target Recruit Count
38
Registration Number
NCT02935205
Locations
🇺🇸

University of California Davis Comprehensive Cancer Center, Sacramento, California, United States

Study on Enzalutamide and Flutamide in Patients With Castration Resistant Prostate Cancer

First Posted Date
2016-09-29
Last Posted Date
2024-12-09
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
206
Registration Number
NCT02918968
Locations
🇯🇵

Site JP00051, Iizuka, Fukuoka, Japan

🇯🇵

Site JP00019, Sagamihara, Kanagawa, Japan

🇯🇵

Site JP00024, Nagoya, Aichi, Japan

and more 44 locations

Prostate Cancer Intensive, Non-Cross Reactive Therapy (PRINT) for Castration Resistant Prostate Cancer (CRPC)

First Posted Date
2016-09-16
Last Posted Date
2024-02-07
Lead Sponsor
Icahn School of Medicine at Mount Sinai
Target Recruit Count
40
Registration Number
NCT02903160
Locations
🇺🇸

Mount Sinai Beth Israel, New York, New York, United States

🇺🇸

Icahn School of Medicine at Mount Sinai, New York, New York, United States

Enzalutamide Before Surgery in Treating Patients With Kidney Cancer

First Posted Date
2016-08-31
Last Posted Date
2021-09-16
Lead Sponsor
Rutgers, The State University of New Jersey
Target Recruit Count
3
Registration Number
NCT02885649
Locations
🇺🇸

Rutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, United States

Use of an Experimental Drug, CC-115, With Enzalutamide in Men With Castration-Resistant Prostate Cancer

First Posted Date
2016-07-14
Last Posted Date
2023-01-19
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
40
Registration Number
NCT02833883
Locations
🇺🇸

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

and more 2 locations
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