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PEACE-3 Trial: Enzalutamide and Radium-223 Combination Shows Promise in mCRPC

  • The Phase 3 PEACE-3 study evaluated enzalutamide combined with radium-223 in androgen receptor pathway inhibitor (ARPI)-naive metastatic castration-resistant prostate cancer (mCRPC).
  • The study focused on radiographic progression-free survival (rPFS) and overall survival (OS) as key efficacy outcomes of the combination therapy.
  • Safety data from the trial highlighted the incidence of adverse events and treatment-related toxicities, with a focus on bone health and hematologic function.
  • Results from PEACE-3 could potentially influence clinical decision-making in treatment strategies for mCRPC, pending further analysis.
The Phase 3 PEACE-3 study has investigated the efficacy and safety of combining enzalutamide (ENZA) with radium-223 (Ra-223) in patients with androgen receptor pathway inhibitor (ARPI)-naive metastatic castration-resistant prostate cancer (mCRPC). The trial's design and objectives centered on evaluating the impact of this combination on radiographic progression-free survival (rPFS) and overall survival (OS).

Efficacy Data

Dr. Evan Y. Yu discussed the key efficacy findings from the PEACE-3 study, emphasizing the impact of the enzalutamide and radium-223 combination on rPFS and OS. These results are intended to inform clinical decision-making regarding treatment strategies for mCRPC, offering a potential new approach for patients who have not previously been treated with ARPIs.

Safety Profile

In addition to efficacy, the PEACE-3 study closely monitored the safety of the combination therapy. Dr. Yu also presented safety data, highlighting key outcomes such as the incidence of adverse events and treatment-related toxicities. Special attention was given to potential concerns related to bone health and hematologic function, which are critical considerations when using radium-223.
The comprehensive assessment of both efficacy and safety in the PEACE-3 trial aims to provide clinicians with a clearer understanding of the potential benefits and risks associated with combining enzalutamide and radium-223 in the treatment of mCRPC. Further analysis and long-term follow-up will be essential to fully characterize the role of this combination in the evolving treatment landscape for metastatic castration-resistant prostate cancer.
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Reference News

[2]
Phase 3 PEACE-3 Study of Enzalutamide + Ra-223: Design - Targeted Oncology
targetedonc.com · Jan 30, 2025

Evan Y. Yu, MD, outlines the PEACE 3 study's design, aiming to evaluate enzalutamide and radium-223's combined efficacy ...

[4]
Phase 3 PEACE-3 Study of Enzalutamide + Ra-223: Safety - Targeted Oncology
targetedonc.com · Feb 6, 2025

Evan Y. Yu, MD, reviews PEACE-3 study safety data on enzalutamide plus radium-223 for ARPI-naive mCRPC, focusing on adve...

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