CClinicalTrials.gg
CompletedNCT02003924PROSPERUpdated Jan 27, 2026Results posted

Safety and Efficacy Study of Enzalutamide in Patients With Nonmetastatic Castration-Resistant Prostate Cancer

A Phase 3 interventional study of Enzalutamide and Placebo in Nonmetastatic Castration-Resistant Prostate Cancer, Prostate Cancer and Cancer of the Prostate, sponsored by Pfizer. Completed at 397 sites in 32 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-27.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,401
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

The purpose of this study is to assess the safety and efficacy of enzalutamide in patients with non metastatic prostate cancer.

02

Conditions studied

  • Nonmetastatic Castration-Resistant Prostate Cancer
  • Prostate Cancer
  • Cancer of the Prostate

Browse trials for

03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's enrollment of 1,401 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Pfizer is the lead sponsor of 3,244 studies on the registry; 139 are open to participants now.

Of its 582 completed or terminated interventional studies of FDA-regulated products, 381 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation, signet cell, or small cell features;
  • Ongoing androgen deprivation therapy with a gonadotropin-releasing hormone (GnRH) agonist/antagonist or prior bilateral orchiectomy (medical or surgical castration);
  • Testosterone ≤ 50 ng/dL (≤ 1.73 nmol/L) at screening;
  • Progressive disease on androgen deprivation therapy at enrollment;
  • PSA and the screening PSA assessed by the central laboratory (central PSA) should be ≥ 2 µg/L (2 ng/mL:
  • PSA doubling time ≤ 10 months;
  • No prior or present evidence of metastatic disease;
  • Asymptomatic prostate cancer;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
  • Estimated life expectancy ≥ 12 months.

Exclusion criteria

Exclusion Criteria:

  • Prior cytotoxic chemotherapy;
  • Use of hormonal therapy or biologic therapy for prostate cancer (other than approved bone targeting agents and GnRH agonist/antagonist therapy) or use of an investigational agent within 4 weeks of randomization;
  • Known or suspected brain metastasis or active leptomeningeal disease;
  • History of another invasive cancer within 3 years of randomization;
  • Absolute neutrophil count \< 1000/μL, platelet count \< 100,000/μL, or hemoglobin \< 10 g/dL (6.2 mmol/L) at screening;
  • Total bilirubin ≥ 1.5 times the upper limit of normal;
  • Creatinine > 2 mg/dL (177 µmol/L) at screening;
  • Albumin \< 3.0 g/dL (30 g/L) at screening;
  • History of seizure or any condition that may predispose to seizure;
  • Clinically significant cardiovascular disease;
  • Gastrointestinal disorder affecting absorption;
  • Major surgery within 4 weeks of randomization;
  • Hypersensitivity reaction to the active pharmaceutical ingredient or any of the capsule components, including Labrasol, butylated hydroxyanisole, and butylated hydroxytoluene;
  • Any concurrent disease, infection, or comorbid condition that interferes with the ability of the patient to participate in the trial, which places the patient at undue risk, or complicates the interpretation of data, in the opinion of the investigator or medical monitor.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,401 participants (actual)

Study arms

  • Sham comparator
    Placebo

    Sugar pill manufactured to mimic enzalutamide 40 mg capsule

    Drug: Placebo

  • Experimental
    Enzalutamide

    160 mg by mouth once daily

    Drug: Enzalutamide

Interventions

  • DrugEnzalutamide

    160 mg by mouth once daily

    Also known as: MDV3100, Xtandi

  • DrugPlacebo

    Sugar pill to mimic enzalutamide

06

What researchers measure

Primary outcomes

  1. Metastasis Free Survival (MFS)

    MFS:time from randomization to first date of radiographic progression (RP) (by Blinded independent central radiology review \[BICR\]) at any time or death within 112 days of treatment discontinuation without evidence of RP.RP for bone disease:appearance of 1 or more metastatic lesions on bone scan.RP for soft tissue disease:per Response Evaluation Criteria in Solid Tumors,\[RECIST 1.1\])-at least a 20 percent (%) increase in the sum of diameters of target lesions,taking as reference the smallest sum on study (includes the baseline sum if smallest on study).Participants who did not have MFS event at the time of analysis data cut-off (28 June 2017) were censored at date of last assessment showing no objective evidence of RP prior to skeletal-related event or two or more consecutive missed tumor assessments. Participants who were randomized but later confirmed to have metastatic disease before randomization were censored on date of randomization. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization until radiographic progression at any time, or death within 112 days of treatment discontinuation, whichever occurred first (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

Secondary outcomes

  1. Time to Prostate-Specific Antigen (PSA) Progression

    Time to PSA progression was defined as the time from randomization to the date of first PSA value demonstrating progression, which was subsequently confirmed. For participants with PSA decline at Week 17, PSA progression was defined according to Prostate Cancer Working Group 2 (PCWG2) guidelines as the date that a 25% or greater increase and an absolute increase of 2 nanograms per milliliter (ng/mL) above the nadir (or baseline for participants with no PSA decline by Week 17) was documented, which was confirmed by a second consecutive value obtained at least 3 weeks or later. Participants without confirmed PSA progression at the time of analysis were right censored at the date of last PSA assessment before the analysis data cut-off date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  2. Time to First Use of New Antineoplastic Therapy

    Time to first use of new antineoplastic therapy was defined as the time from randomization to first use of new antineoplastic for prostate cancer. Participants not starting treatment with a new antineoplastic therapy at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization until first use of new antineoplastic therapy(until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  3. Overall Survival

    Overall survival (OS) was defined as the time (in months) from randomization to death from any cause. For participants who were alive at the time of the analysis data cutoff, OS time was censored at the last date the participant was known to be alive or analysis data cutoff date, whichever was earlier. Participants with no post baseline survival information were censored on the date of randomization. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization until death (up to a maximum of 68.8 months)

  4. Time to Pain Progression

    Pain was assessed using the score from the Brief Pain Inventory-Short Form (BPI-SF) question 3: "Please rate your pain by marking the box beside the number that best describes your pain at its worst in the last 24 hours." Time to this event was defined as the time from randomization to onset of pain progression, where pain progression was defined as a 2-point or more increase from baseline in the question 3 score. Participants without observed pain progression at the time of analysis were right censored at the date of last pain assessment for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization until onset of pain progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  5. Time to First Use of Cytotoxic Chemotherapy

    Time to first use of cytotoxic chemotherapy was defined as the time from randomization to the first use of cytotoxic chemotherapy for prostate cancer. Participants not starting treatment with a cytotoxic chemotherapy for prostate cancer at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization up to the first use of cytotoxic chemotherapy (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  6. Chemotherapy-Free Disease Specific Survival

    Chemotherapy-free disease-specific survival was defined as the time from randomization to first use of cytotoxic chemotherapy for prostate cancer or death due to prostate cancer as assessed by the investigator. Participants not starting treatment with a cytotoxic chemotherapy or not known to have died due to prostate cancer at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to prostate cancer (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  7. Chemotherapy-Free Survival

    Chemotherapy-free survival was defined as the time from randomization to first use of cytotoxic chemotherapy for prostate cancer or death due to any cause. Participants not starting treatment with a cytotoxic chemotherapy or not known to have died at the time of analysis were censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

    Time frame: From randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to any cause (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  8. Percentage of Participants With Prostate Specific Antigen (PSA) Response

    PSA response was calculated at each visit as a decline from baseline in PSA (ng/mL) to the maximal PSA response with thresholds at 50% and 90%. Additionally, PSA response was assessed as a decline to undetectable levels, where undetectable level was defined as below the limit of quantification of the centrally assessed PSA results (the lower limit of quantification was 0.02 ng/mL). PSA response was confirmed by a second consecutive value at least 3 weeks later.

    Time frame: From randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  9. Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Global Score

    The FACT-P questionnaire is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess prostate-related symptoms. Each item was rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain, as well as a global quality of life score which ranged from 0 to 156 where higher scores represented better quality of life.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  10. Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Mobility Domain Score

    EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the mobility questionnaire are reported.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  11. Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Self-Care Domain Score

    EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ VAS. EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the self-care questionnaire are reported.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  12. Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Usual Activities Domain Score

    EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the usual activities questionnaire are reported.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  13. Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Pain/Discomfort Domain Score

    EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the pain/discomfort questionnaire are reported.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  14. Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Anxiety/ Depression Domain Score

    EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the anxiety/depression questionnaire are reported.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  15. European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Overall Health Status Visual Analog Score (VAS)

    EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ VAS. EQ-5D-5L-VAS records participant's self-rated health on a vertical VAS that allows them to indicate their health state that can range from 0 (worst imaginable) to 100 (best imaginable), higher scores indicating a better health state.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  16. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 31

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 31 are reported. Question 31 was following: "Have you had to urinate frequently during the day?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  17. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 32

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 32 are reported. Question 32 was following: "Have you had to urinate frequently at night?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  18. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 33

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 33 are reported. Question 33 was following: "When you felt the urge to pass urine, did you have to hurry to get to the toilet?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  19. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 34

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 34 are reported. Question 34 was following: "Was it difficult for you to get enough sleep, because you needed to get up frequently at night to urinate?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  20. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 35

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 35 are reported. Question 35 was following: "Have you had difficulty going out of the house because you needed to be close to a toilet?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  21. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 36

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 36 are reported. Question 36 was following: "Have you had any unintentional release (leakage) of urine?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  22. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 37

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 37 are reported. Question 37 was following: "Did you have pain when you urinated?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  23. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 38

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 38 are reported. Question 38 was following: "Has wearing an incontinence aid been a problem for you?". This question was answered by only those participants who wore incontinence aid.

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  24. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 39

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 39 are reported. Question 39 was following: "Have your daily activities been limited by your urinary problems?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  25. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 40

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 40 are reported. Question 40 was following: "Have your daily activities been limited by your bowel problems?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  26. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 41

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 41 are reported. Question 41 was following: "Have you had any unintentional release (leakage) of stools?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  27. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 42

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 42 are reported. Question 42 was following: "Have you had blood in your stools?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  28. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 43

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 43 are reported. Question 43 was following: "Did you have a bloated feeling in your abdomen?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  29. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 44

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 44 are reported. Question 44 was following: "Did you have hot flushes?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  30. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 45

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 45 are reported. Question 45 was following: "Have you had sore or enlarged nipples or breasts?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  31. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 46

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 46 are reported. Question 46 was following: "Have you had swelling in your legs or ankles?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  32. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 47

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 47 are reported. Question 47 was following: "Has weight loss been a problem for you?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  33. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 48

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 48 are reported. Question 48 was following: "Has weight gain been a problem for you?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  34. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 49

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 49 are reported. Question 49 was following: "Have you felt less masculine as a result of your illness or treatment?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  35. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 50

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 50 are reported. Question 50 was following: "To what extent were you interested in sex?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  36. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 51

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 51 are reported. Question 51 was following: "To what extent were you sexually active (with or without intercourse)?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  37. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 52

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 52 are reported. Question 52 was following: "To what extent was sex enjoyable for you?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  38. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 53

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 53 are reported. Question 53 was following: "Did you have difficulty getting or maintaining an erection?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  39. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 54

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 54 are reported. Question 54 was following: "Did you have ejaculation problems (e.g, dry ejaculation)?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  40. Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 55

    The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 55 are reported. Question 55 was following: "Have you felt uncomfortable about being sexually intimate?"

    Time frame: Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177

  41. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. A treatment-emergent AE (TEAE) was defined as an AE that occurred from the date and time of the first dose of study drug through the date of last dose +30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first). AEs included both non-serious adverse events (AEs) and SAEs.

    Time frame: From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  42. Number of Participants With Treatment-Emergent Adverse Events Greater Than or Equal to Grade 3, Based on National Cancer Institute (NCI) Common Terminology Criteria (CTC) for AEs (CTCAE), Version 4.0

    An AE is any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship. As per NCI CTCAE, Grade 3 events =medically significant but not immediately life-threatening, unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment, Grade 4 events =participant to be in imminent danger of death. Grade 5 events =death. A treatment-emergent AE (TEAE) was defined as an AE that occurred from the date and time of the first dose of study drug through the date of last dose +30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first).Number of participants with AEs of any of the Grade 3 or above (Grade 4, 5) were reported.

    Time frame: From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  43. Number of Participants With Discontinuations From Study Treatment Due to Adverse Events (AEs)

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both non-serious adverse events (AEs) and SAEs.

    Time frame: From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  44. Number of Participants With Increase of 2 or More National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) (Version 4.0) Toxicity Grades Above Baseline - Hematology

    Hematology parameters: Haemoglobin (grams per liter \[g/L\]); leukocytes (log 10 raised to power 9 per liter \[10\*9/L\]); lymphocytes (log 10 raised to power 6 per liter \[10\*6/L\]); neutrophils (log 10 raised to power 6 per liter \[10\*6/L\]); platelets (log 10 raised to power 9 per litre \[10\*9/L\]).

    Time frame: From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  45. Number of Participants With Increase of 2 or More National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) (Version 4.0) Toxicity Grades Above Baseline - Chemistry

    Chemistry parameters: Alanine aminotransferase (units per liter \[U/L\]); albumin (g/L); alkaline phosphatase (U/L); bilirubin (micromoles per liter \[umol/L\]); calcium (millimoles per liter \[mmol/L\]); creatine kinase (U/L); creatinine (umol/L); glucose, magnesium, phosphate, potassium, sodium (mmol/L).

    Time frame: From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

  46. Number of Participants With Clinically Significant Vital Signs

    Vital signs included Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and heart rate.

    Time frame: From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)

07

Results

Posted Jul 12, 2018

Participant flow

The study was conducted at 254 sites in 32 countries.

Double-blind Phase
Participant flow — Double-blind Phase
MilestoneEnzalutamide 160 mgPlaceboPlacebo Participants Crossover to Enzalutamide 160 mg
Started9334680
Treated9304650
Completed478870
Not completed4553810
Withdrew: Lost to follow-up210
Withdrew: Protocol violation120
Withdrew: Withdrawal consent to continue treatment71470
Withdrew: Disease progression2292470
Withdrew: Adverse event120310
Withdrew: Randomized but not treated330
Withdrew: Other29500
Open-label Phase
Participant flow — Open-label Phase
MilestoneEnzalutamide 160 mgPlaceboPlacebo Participants Crossover to Enzalutamide 160 mg
Started478087
Treated478087
Completed378070
Not completed100017
Withdrew: Lost to follow-up001
Withdrew: Withdrawal consent to continue treatment901
Withdrew: Disease progression5905
Withdrew: Adverse event25010
Withdrew: Other700
Long-term Follow-up Phase
Participant flow — Long-term Follow-up Phase
MilestoneEnzalutamide 160 mgPlaceboPlacebo Participants Crossover to Enzalutamide 160 mg
Started93338187
Completed56614480
Not completed3672377
Withdrew: Death2881744
Withdrew: Lost to follow-up861
Withdrew: Withdrew consent to be followed66551
Withdrew: Other521

Outcome measures

PrimaryMetastasis Free Survival (MFS)

MFS:time from randomization to first date of radiographic progression (RP) (by Blinded independent central radiology review \[BICR\]) at any time or death within 112 days of treatment discontinuation without evidence of RP.RP for bone disease:appearance of 1 or more metastatic lesions on bone scan.RP for soft tissue disease:per Response Evaluation Criteria in Solid Tumors,\[RECIST 1.1\])-at least a 20 percent (%) increase in the sum of diameters of target lesions,taking as reference the smallest sum on study (includes the baseline sum if smallest on study).Participants who did not have MFS event at the time of analysis data cut-off (28 June 2017) were censored at date of last assessment showing no objective evidence of RP prior to skeletal-related event or two or more consecutive missed tumor assessments. Participants who were randomized but later confirmed to have metastatic disease before randomization were censored on date of randomization. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization until radiographic progression at any time, or death within 112 days of treatment discontinuation, whichever occurred first (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Median · months
Metastasis Free Survival (MFS)
monthsEnzalutamide 160 mgPlacebo
Metastasis Free Survival (MFS)36.6 (33.1 to NA)14.7 (14.2 to 15.0)
Statistical analysis
  • Enzalutamide 160 mg vs Placebo · Log Rank · p = <0.0001 (P-value was based on stratified log-rank test by prostate-specific antigen (PSA) doubling time (\< 6 months, \>= 6 months) and prior or concurrent use of a bone targeting agent (yes, no). Threshold for significance at 0.05 level.) · Hazard ratio (hr): 0.292 · 95% CI 0.241 to 0.352HR was based on a Cox regression model (with treatment as the only covariate) stratified by factors defined above, and was relative to placebo with \< 1 favoring Enzalutamide.
SecondaryTime to Prostate-Specific Antigen (PSA) Progression

Time to PSA progression was defined as the time from randomization to the date of first PSA value demonstrating progression, which was subsequently confirmed. For participants with PSA decline at Week 17, PSA progression was defined according to Prostate Cancer Working Group 2 (PCWG2) guidelines as the date that a 25% or greater increase and an absolute increase of 2 nanograms per milliliter (ng/mL) above the nadir (or baseline for participants with no PSA decline by Week 17) was documented, which was confirmed by a second consecutive value obtained at least 3 weeks or later. Participants without confirmed PSA progression at the time of analysis were right censored at the date of last PSA assessment before the analysis data cut-off date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Median · months
Time to Prostate-Specific Antigen (PSA) Progression
monthsEnzalutamide 160 mgPlacebo
Time to Prostate-Specific Antigen (PSA) Progression37.2 (33.1 to NA)3.9 (3.8 to 4.0)
Statistical analysis
  • Enzalutamide 160 mg vs Placebo · Log Rank · p = <0.0001 (P-value was based on a stratified log-rank test by PSA doubling time (\< 6 months, \>= 6 months) and prior or concurrent use of a bone targeting agent (yes, no) as per IXRS. Threshold for significance at 0.02 level.) · Hazard ratio (hr): 0.066 · 95% CI 0.054 to 0.081HR was based on a Cox regression model (with treatment as the only covariate) stratified by factors defined above, and was relative to placebo with \< 1 favoring Enzalutamide.
SecondaryTime to First Use of New Antineoplastic Therapy

Time to first use of new antineoplastic therapy was defined as the time from randomization to first use of new antineoplastic for prostate cancer. Participants not starting treatment with a new antineoplastic therapy at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization until first use of new antineoplastic therapy(until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Median · months
Time to First Use of New Antineoplastic Therapy
monthsEnzalutamide 160 mgPlacebo
Time to First Use of New Antineoplastic Therapy39.6 (37.7 to NA)17.7 (16.2 to 19.7)
Statistical analysis
  • Enzalutamide 160 mg vs Placebo · Log Rank · p = <0.0001 (P-value was based on a stratified log-rank test by PSA doubling time (\< 6 months, \>= 6 months) and prior or concurrent use of a bone targeting agent (yes, no) as per IXRS. Threshold for significance at 0.02 level.) · Hazard ratio (hr): 0.208 · 95% CI 0.168 to 0.258HR was based on a Cox regression model (with treatment as the only covariate) stratified by factors defined above, and was relative to placebo with \< 1 favoring Enzalutamide.
SecondaryOverall Survival

Overall survival (OS) was defined as the time (in months) from randomization to death from any cause. For participants who were alive at the time of the analysis data cutoff, OS time was censored at the last date the participant was known to be alive or analysis data cutoff date, whichever was earlier. Participants with no post baseline survival information were censored on the date of randomization. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization until death (up to a maximum of 68.8 months)
Reported as:
Median · months
Overall Survival
monthsEnzalutamide 160 mgPlacebo
Overall Survival67.0 (64.0 to NA)56.3 (54.4 to 63.0)
Statistical analysis
  • Enzalutamide 160 mg vs Placebo · Log Rank · p = 0.0011 (P-value was based on a stratified log-rank test by PSA doubling time (\< 6 months, \>= 6 months) and prior or concurrent use of a bone targeting agent (yes, no) as per interactive voice/web recognition system (IXRS).) · Hazard ratio (hr): 0.734 · 95% CI 0.608 to 0.885HR was based on a Cox regression model (with treatment as the only covariate) stratified by factors defined above, and was relative to placebo with \< 1 favoring Enzalutamide.
SecondaryTime to Pain Progression

Pain was assessed using the score from the Brief Pain Inventory-Short Form (BPI-SF) question 3: "Please rate your pain by marking the box beside the number that best describes your pain at its worst in the last 24 hours." Time to this event was defined as the time from randomization to onset of pain progression, where pain progression was defined as a 2-point or more increase from baseline in the question 3 score. Participants without observed pain progression at the time of analysis were right censored at the date of last pain assessment for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization until onset of pain progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Median · months
Time to Pain Progression
monthsEnzalutamide 160 mgPlacebo
Time to Pain Progression18.5 (17.0 to 22.1)18.4 (14.8 to 22.1)
Statistical analysis
  • Enzalutamide 160 mg vs Placebo · Log Rank · p = 0.6534 (P-value was based on a stratified log-rank test by PSA doubling time (\< 6 months, \>= 6 months) and prior or concurrent use of a bone targeting agent (yes, no) as per IXRS.) · Hazard ratio (hr): 0.959 · 95% CI 0.801 to 1.149HR was based on a Cox regression model (with treatment as the only covariate) stratified by factors defined above, and was relative to placebo with \< 1 favoring Enzalutamide.
SecondaryTime to First Use of Cytotoxic Chemotherapy

Time to first use of cytotoxic chemotherapy was defined as the time from randomization to the first use of cytotoxic chemotherapy for prostate cancer. Participants not starting treatment with a cytotoxic chemotherapy for prostate cancer at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization up to the first use of cytotoxic chemotherapy (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Median · months
Time to First Use of Cytotoxic Chemotherapy
monthsEnzalutamide 160 mgPlacebo
Time to First Use of Cytotoxic ChemotherapyNA (38.1 to NA)39.7 (38.9 to 41.3)
Statistical analysis
  • Enzalutamide 160 mg vs Placebo · Log Rank · p = <0.0001 (P-value was based on a stratified log-rank test by PSA doubling time (\< 6 months, \>= 6 months) and prior or concurrent use of a bone targeting agent (yes, no) as per IXRS.) · Hazard ratio (hr): 0.378 · 95% CI 0.282 to 0.507HR was based on a Cox regression model (with treatment as the only covariate) stratified by factors defined above, and was relative to placebo with \< 1 favoring Enzalutamide.
SecondaryChemotherapy-Free Disease Specific Survival

Chemotherapy-free disease-specific survival was defined as the time from randomization to first use of cytotoxic chemotherapy for prostate cancer or death due to prostate cancer as assessed by the investigator. Participants not starting treatment with a cytotoxic chemotherapy or not known to have died due to prostate cancer at the time of analysis were right censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to prostate cancer (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Median · months
Chemotherapy-Free Disease Specific Survival
monthsEnzalutamide 160 mgPlacebo
Chemotherapy-Free Disease Specific Survival39.6 (37.7 to NA)38.9 (30.9 to 41.3)
SecondaryChemotherapy-Free Survival

Chemotherapy-free survival was defined as the time from randomization to first use of cytotoxic chemotherapy for prostate cancer or death due to any cause. Participants not starting treatment with a cytotoxic chemotherapy or not known to have died at the time of analysis were censored at the date of last assessment before the analysis data cutoff date for the purposes of analysis. Analysis was based on Kaplan-Meier estimates.

Time frame:
From randomization up to first use of cytotoxic chemotherapy for prostate cancer or death due to any cause (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Median · months
Chemotherapy-Free Survival
monthsEnzalutamide 160 mgPlacebo
Chemotherapy-Free Survival38.1 (37.7 to NA)34.0 (30.3 to 39.7)
SecondaryPercentage of Participants With Prostate Specific Antigen (PSA) Response

PSA response was calculated at each visit as a decline from baseline in PSA (ng/mL) to the maximal PSA response with thresholds at 50% and 90%. Additionally, PSA response was assessed as a decline to undetectable levels, where undetectable level was defined as below the limit of quantification of the centrally assessed PSA results (the lower limit of quantification was 0.02 ng/mL). PSA response was confirmed by a second consecutive value at least 3 weeks later.

Time frame:
From randomization until first PSA progression (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Number · percentage of participants
Percentage of Participants With Prostate Specific Antigen (PSA) Response
percentage of participantsEnzalutamide 160 mgPlacebo
Decrease from Baseline >= 50%76.3 (73.5 to 79.0)2.4 (1.2 to 4.2)
Decrease from Baseline >= 90%55.9 (52.7 to 59.2)0.4 (0.1 to 1.5)
Decrease to Undetectable Level9.6 (7.8 to 11.7)0 (0 to 0.8)
Statistical analysis
  • Enzalutamide 160 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.0001 (P-value was based on a Cochran-Mantel-Haenszel mean score test stratified by PSA doubling time (\<6 months, \>= 6 months) and prior concurrent use of a bone targeting agent (yes, no) as per IXRS.) · Difference in response rate: 73.96 · 95% CI 70.91 to 77.02
  • Enzalutamide 160 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.0001 (P-value was based on a Cochran-Mantel-Haenszel mean score test stratified by PSA doubling time (\<6 months, \>= 6 months) and prior concurrent use of a bone targeting agent (yes, no) as per IXRS) · Difference in response rate: 55.52 · 95% CI 52.28 to 58.76
  • Enzalutamide 160 mg vs Placebo · Cochran-Mantel-Haenszel · p = <0.0001 (P-value was based on a Cochran-Mantel-Haenszel mean score test stratified by PSA doubling time (\<6 months, \>= 6 months) and prior concurrent use of a bone targeting agent (yes, no) as per IXRS.) · Difference in response rate: 9.65 · 95% CI 7.75 to 11.54
SecondaryChange From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Global Score

The FACT-P questionnaire is a multidimensional, self-reported quality of life instrument consisting of 27 core items that assess participant function in 4 domains: physical, social/family, emotional, functional well-being, and supplemented by 12 site-specific items to assess prostate-related symptoms. Each item was rated on a 0 to 4 Likert-type scale, and then combined to produce subscale scores for each domain, as well as a global quality of life score which ranged from 0 to 156 where higher scores represented better quality of life.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Mean · units on a scale
Change From Baseline in Quality of Life as Assessed by Functional Assessment of Cancer Therapy-Prostate (FACT-P) Global Score
units on a scaleEnzalutamide 160 mgPlacebo
Baseline119.5 ± 17.75120.8 ± 16.73
Change at Week 17-4.0 ± 14.03-3.0 ± 13.87
Change at Week 33-4.6 ± 14.82-3.5 ± 13.74
Change at Week 49-3.9 ± 14.70-5.0 ± 15.71
Change at Week 65-4.0 ± 15.84-5.7 ± 15.04
Change at Week 81-4.1 ± 15.01-7.5 ± 16.42
Change at Week 97-4.9 ± 15.31-5.9 ± 15.80
Change at Week 113-5.5 ± 16.07-5.8 ± 13.16
Change at Week 129-6.3 ± 17.33-8.1 ± 13.99
Change at Week 145-5.5 ± 18.75-9.8 ± 15.47
Change at Week 161-8.9 ± 19.88-7.0 ± 10.95
Change at Week 177-4.8 ± 13.19-5.0
SecondaryNumber of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Mobility Domain Score

EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the mobility questionnaire are reported.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Number · participants
Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Mobility Domain Score
participantsEnzalutamide 160 mgPlacebo
Baseline-No problem in walking578298
Baseline-slight problem in walking183100
Baseline-moderate problem in walking10033
Baseline-severe problem in walking217
Baseline-unable to walk21
Week 17-no problem in walking526274
Week 17-slight problem in walking19088
Week 17-moderate problem in walking8750
Week 17-severe problem in walking326
Week 17-unable to walk51
Week 33-no problem in walking431223
Week 33-slight problem in walking16285
Week 33-moderate problem in walking10324
Week 33-severe problem in walking3610
Week 33-unable to walk60
Week 49-no problem in walking362156
Week 49-slight problem in walking15857
Week 49-moderate problem in walking8627
Week 49-severe problem in walking258
Week 49-unable to walk42
Week 65-no problem in walking319121
Week 65-slight problem in walking10944
Week 65-moderate problem in walking7522
Week 65-severe problem in walking296
Week 65-unable to walk40
Week 81-no problem in walking23688
Week 81-slight problem in walking11139
Week 81-moderate problem in walking6115
Week 81-severe problem in walking264
Week 81-unable to walk12
Week 97-no problem in walking18959
Week 97-slight problem in walking9424
Week 97-moderate problem in walking548
Week 97-severe problem in walking224
Week 97-unable to walk60
Week 113-no problem in walking14045
Week 113-slight problem in walking7614
Week 113-moderate problem in walking4111
Week 113-severe problem in walking142
Week 113-unable to walk41
Week 129-no problem in walking9426
Week 129-slight problem in walking489
Week 129-moderate problem in walking365
Week 129-severe problem in walking151
Week 129-unable to walk00
Week 145-no problem in walking5613
Week 145-slight problem in walking355
Week 145-moderate problem in walking182
Week 145-severe problem in walking71
Week 145-unable to walk00
Week 161-no problem in walking222
Week 161-slight problem in walking75
Week 161-moderate problem in walking61
Week 161-severe problem in walking50
Week 161-unable to walk00
Week 177-no problem in walking30
Week 177-slight problem in walking21
Week 177-moderate problem in walking10
Week 177-severe problem in walking00
Week 177-unable to walk00
SecondaryNumber of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Self-Care Domain Score

EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ VAS. EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the self-care questionnaire are reported.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Number · participants
Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Self-Care Domain Score
participantsEnzalutamide 160 mgPlacebo
Baseline:no problems washing or dressing805415
Baseline:slight problems washing or dressing5123
Baseline:moderate problems washing or dressing221
Baseline:severe problems washing or dressing20
Baseline:unable to wash or dress40
Week 17:no problems washing or dressing752388
Week 17:slight problems washing or dressing6026
Week 17:moderate problems washing or dressing215
Week 17:severe problems washing or dressing60
Week 17:unable to wash or dress10
Week 33:no problems washing or dressing642310
Week 33:slight problems washing or dressing6420
Week 33:moderate problems washing or dressing2110
Week 33:severe problems washing or dressing41
Week 33:unable to wash or dress71
Week 49:no problems washing or dressing546230
Week 49:slight problems washing or dressing599
Week 49:moderate problems washing or dressing237
Week 49:severe problems washing or dressing33
Week 49:unable to wash or dress41
Week 65:no problems washing or dressing453179
Week 65:slight problems washing or dressing5711
Week 65:moderate problems washing or dressing143
Week 65:severe problems washing or dressing90
Week 65:unable to wash or dress30
Week 81:no problems washing or dressing356132
Week 81:slight problems washing or dressing5711
Week 81:moderate problems washing or dressing173
Week 81:severe problems washing or dressing31
Week 81:unable to wash or dress21
Week 97:no problems washing or dressing29285
Week 97:slight problems washing or dressing518
Week 97:moderate problems washing or dressing162
Week 97:severe problems washing or dressing10
Week 97:unable to wash or dress50
Week 113:no problems washing or dressing21460
Week 113:slight problems washing or dressing467
Week 113:moderate problems washing or dressing115
Week 113:severe problems washing or dressing00
Week 113:unable to wash or dress41
Week 129:no problems washing or dressing14735
Week 129:slight problems washing or dressing285
Week 129:moderate problems washing or dressing161
Week 129:severe problems washing or dressing20
Week 129:unable to wash or dress00
Week 145:no problems washing or dressing9215
Week 145:slight problems washing or dressing165
Week 145:moderate problems washing or dressing60
Week 145:severe problems washing or dressing20
Week 145:unable to wash or dress01
Week 161:no problems washing or dressing337
Week 161:slight problems washing or dressing30
Week 161:moderate problems washing or dressing21
Week 161:severe problems washing or dressing10
Week 161:unable to wash or dress10
Week 177:no problems washing or dressing31
Week 177:slight problems washing or dressing30
Week 177:moderate problems washing or dressing00
Week 177:severe problems washing or dressing00
Week 171:unable to wash or dress00
SecondaryNumber of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Usual Activities Domain Score

EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the usual activities questionnaire are reported.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Number · participants
Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Usual Activities Domain Score
participantsEnzalutamide 160 mgPlacebo
Baseline:no problems doing usual activities646356
Baseline:slight problems doing usual activities16764
Baseline:moderate problems5614
Baseline:severe problems105
Baseline:unable to do usual activities50
Week 17:no problems doing usual activities571305
Week 17:slight problems doing usual activities18189
Week 17:moderate problems6024
Week 17:severe problems210
Week 17:unable to do usual activities71
Week 33:no problems doing usual activities474249
Week 33:slight problems doing usual activities17068
Week 33:moderate problems6818
Week 33:severe problems217
Week 33:unable to do usual activities50
Week 49:no problems doing usual activities418185
Week 49:slight problems doing usual activities13743
Week 49:moderate problems5514
Week 49:severe problems206
Week 49:unable to do usual activities52
Week 65:no problems doing usual activities338136
Week 65:slight problems doing usual activities12342
Week 65:moderate problems6011
Week 65:severe problems54
Week 65:unable to do usual activities100
Week 81:no problems doing usual activities267106
Week 81:slight problems doing usual activities10529
Week 81:moderate problems497
Week 81:severe problems103
Week 81:unable to do usual activities43
Week 97:no problems doing usual activities22469
Week 97:slight problems doing usual activities9016
Week 97:moderate problems398
Week 97:severe problems90
Week 97:unable to do usual activities32
Week 113:no problems doing usual activities16547
Week 113:slight problems doing usual activities6916
Week 113:moderate problems336
Week 113:severe problems53
Week 113:unable to do usual activities31
Week 129: Week :no problems doing usual activities10830
Week 129 :slight problems doing usual activities568
Week 129:moderate problems263
Week 129:severe problems30
Week 129:unable to do usual activities00
Week 145:no problems doing usual activities6714
Week 145:slight problems doing usual activities354
Week 145:moderate problems112
Week 145:severe problems31
Week 145:unable to do usual activities00
Week 161:no problems doing usual activities235
Week 161:slight problems doing usual activities92
Week 161:moderate problems51
Week 161:severe problems20
Week 161:unable to do usual activities10
Week 177:no problems doing usual activities30
Week 177:slight problems doing usual activities21
Week 177:moderate problems10
Week 177:severe problems00
Week 177:unable to do usual activities00
SecondaryNumber of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Pain/Discomfort Domain Score

EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the pain/discomfort questionnaire are reported.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Pain/Discomfort Domain Score
ParticipantsEnzalutamide 160 mgPlacebo
Baseline:no pain or discomfort546292
Baseline:slight pain or discomfort240117
Baseline:moderate pain or discomfort8625
Baseline:severe pain or discomfort104
Baseline:extreme pain or discomfort21
Week 17:no pain or discomfort464248
Week 17:slight pain or discomfort269128
Week 17: moderate pain or discomfort9241
Week 17:severe pain or discomfort132
Week 17:extreme pain or discomfort20
Week 33:no pain or discomfort405204
Week 33:slight pain or discomfort237110
Week 33:moderate pain or discomfort7921
Week 33:severe pain or discomfort167
Week 33:extreme pain or discomfort10
Week 49:no pain or discomfort340134
Week 49:slight pain or discomfort20982
Week 49:moderate pain or discomfort7532
Week 49:severe pain or discomfort101
Week 49:extreme pain or discomfort11
Week 65:no pain or discomfort298102
Week 65:slight pain or discomfort16272
Week 65:moderate pain or discomfort6115
Week 65:severe pain or discomfort113
Week 65:extreme pain or discomfort41
Week 81:no pain or discomfort23186
Week 81:slight pain or discomfort13345
Week 81:moderate pain or discomfort6113
Week 81 :severe pain or discomfort102
Week 81:extreme pain or discomfort02
Week 97:no pain or discomfort20258
Week 97:slight pain or discomfort11528
Week 97:moderate pain or discomfort437
Week 97:severe pain or discomfort52
Week 97:extreme pain or discomfort00
Week 113:no pain or discomfort15247
Week 113:slight pain or discomfort8019
Week 113:moderate pain or discomfort375
Week 113:severe pain or discomfort62
Week 113:extreme pain or discomfort00
Week 129:no pain or discomfort10827
Week 129:slight pain or discomfort5511
Week 129:moderate pain or discomfort283
Week 129:severe pain or discomfort20
Week 129:extreme pain or discomfort00
Week 145:no pain or discomfort6212
Week 145:slight pain or discomfort388
Week 145:moderate pain or discomfort151
Week 145:severe pain or discomfort10
Week 145:extreme pain or discomfort00
Week 161:no pain or discomfort242
Week 161:slight pain or discomfort85
Week 161:moderate pain or discomfort51
Week 161:severe pain or discomfort30
Week 161:extreme pain or discomfort00
Week 177:no pain or discomfort30
Week 177:slight pain or discomfort11
Week 177:moderate pain or discomfort20
Week 177:severe pain or discomfort00
Week 177:extreme pain or discomfort00
SecondaryNumber of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Anxiety/ Depression Domain Score

EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ visual analogue scale (VAS). EQ-5D descriptive system comprises of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems, and 5=extreme problems. Number of participants with various responses to the anxiety/depression questionnaire are reported.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Anxiety/ Depression Domain Score
ParticipantsEnzalutamide 160 mgPlacebo
Baseline:not anxious or depressed595310
Baseline:slightly anxious or depressed231100
Baseline:moderately anxious or depressed5124
Baseline:severely anxious or depressed65
Baseline:extremely anxious or depressed10
Week 17:not anxious or depressed517265
Week 17:slightly anxious or depressed251119
Week 17:moderately anxious or depressed6231
Week 17:severely anxious or depressed74
Week 17:extremely anxious or depressed30
Week 33:not anxious or depressed458223
Week 33:slightly anxious or depressed20889
Week 33:moderately anxious or depressed6123
Week 33:severely anxious or depressed95
Week 33:extremely anxious or depressed22
Week 49:not anxious or depressed410155
Week 49:slightly anxious or depressed17272
Week 49:moderately anxious or depressed4120
Week 49:severely anxious or depressed82
Week 49:extremely anxious or depressed41
Week 65:not anxious or depressed336128
Week 65:slightly anxious or depressed14956
Week 65:moderately anxious or depressed438
Week 65:severely anxious or depressed81
Week 65:extremely anxious or depressed00
Week 81:not anxious or depressed28886
Week 81:slightly anxious or depressed10648
Week 81:moderately anxious or depressed349
Week 81:severely anxious or depressed73
Week 81:extremely anxious or depressed02
Week 97:not anxious or depressed22061
Week 97:slightly anxious or depressed11427
Week 97:moderately anxious or depressed266
Week 97:severely anxious or depressed40
Week 97:extremely anxious or depressed11
Week 113:not anxious or depressed16743
Week 113:slightly anxious or depressed8727
Week 113:moderately anxious or depressed183
Week 113:severely anxious or depressed30
Week 113:extremely anxious or depressed00
Week 129:not anxious or depressed12128
Week 129:slightly anxious or depressed5110
Week 129:moderately anxious or depressed182
Week 129:severely anxious or depressed21
Week 129:extremely anxious or depressed10
Week 145:not anxious or depressed7312
Week 145:slightly anxious or depressed308
Week 145:moderately anxious or depressed101
Week 145:severely anxious or depressed20
Week 145:extremely anxious or depressed10
Week 161:not anxious or depressed233
Week 161:slightly anxious or depressed164
Week 161:moderately anxious or depressed01
Week 161:severely anxious or depressed00
Week 161:extremely anxious or depressed10
Week 177:not anxious or depressed21
Week 177:slightly anxious or depressed20
Week 177:moderately anxious or depressed20
Week 177:severely anxious or depressed00
Week 177:extremely anxious or depressed00
SecondaryEuropean Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Overall Health Status Visual Analog Score (VAS)

EQ-5D-5L is a standardized instrument that measures health-related quality of life for men with prostate cancer. EQ-5D consists of EQ-5D descriptive system and EQ VAS. EQ-5D-5L-VAS records participant's self-rated health on a vertical VAS that allows them to indicate their health state that can range from 0 (worst imaginable) to 100 (best imaginable), higher scores indicating a better health state.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Mean · units on a scale
European Quality of Life-5 Dimensions-5 Levels (EQ-5D-5L) Overall Health Status Visual Analog Score (VAS)
units on a scaleEnzalutamide 160 mgPlacebo
Baseline76.2 ± 16.9277.5 ± 15.97
Week 1774.7 ± 17.1974.9 ± 16.79
Week 3374.6 ± 16.6974.0 ± 17.51
Week 4974.7 ± 18.0273.7 ± 18.28
Week 6574.5 ± 17.7973.0 ± 17.11
Week 8175.5 ± 17.0673.3 ± 16.82
Week 9774.4 ± 17.3975.2 ± 17.88
Week 11373.6 ± 18.0574.7 ± 15.06
Week 12972.8 ± 18.2577.1 ± 12.83
Week 14575.3 ± 17.0274.2 ± 18.13
Week 16174.6 ± 21.2873.8 ± 17.60
Week 17774.5 ± 19.3169.0
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 31

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 31 are reported. Question 31 was following: "Have you had to urinate frequently during the day?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 31
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all285162
Baseline: a little348160
Baseline: quite a bit20792
Baseline: very much4425
Baseline: not answered00
Week 17: not at all275134
Week 17: a little324168
Week 17: quite a bit19490
Week 17: very much4627
Week 17: not answered00
Week 33: not at all236105
Week 33: a little285145
Week 33: quite a bit17670
Week 33: very much4021
Week 33: not answered00
Week 49: not at all20082
Week 49: a little26092
Week 49: quite a bit14867
Week 49: very much279
Week 49: not answered00
Week 65: not at all17254
Week 65: a little20979
Week 65: quite a bit12548
Week 65: very much3012
Week 65: not answered00
Week 81: not at all14146
Week 81: a little18160
Week 81: quite a bit9231
Week 81: very much2011
Week 81: not answered00
Week 97: not at all11833
Week 97: a little14640
Week 97: quite a bit8019
Week 97: very much213
Week 97: not answered00
Week 113: not at all10117
Week 113: a little11240
Week 113: quite a bit4614
Week 113: very much162
Week 113: not answered00
Week 129: not at all7011
Week 129: a little7916
Week 129: quite a bit3910
Week 129: very much44
Week 129: not answered00
Week 145: not at all422
Week 145: a little5114
Week 145: quite a bit204
Week 145: very much31
Week 145: not answered00
Week 161: not at all92
Week 161: a little204
Week 161: quite a bit71
Week 161: very much41
Week 161: not answered00
Week 177: not at all00
Week 177: a little41
Week 177: quite a bit20
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 32

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 32 are reported. Question 32 was following: "Have you had to urinate frequently at night?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 32
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all193108
Baseline: a little423195
Baseline: quite a bit200103
Baseline: very much6833
Baseline: not answered00
Week 17: not at all19488
Week 17: a little407199
Week 17: quite a bit18498
Week 17: very much5434
Week 17: not answered00
Week 33: not at all17383
Week 33: a little351161
Week 33: quite a bit16969
Week 33: very much4428
Week 33: not answered00
Week 49: not at all14859
Week 49: a little313116
Week 49: quite a bit14159
Week 49: very much3316
Week 49: not answered00
Week 65: not at all11841
Week 65: a little26689
Week 65: quite a bit11148
Week 65: very much4115
Week 65: not answered00
Week 81: not at all9138
Week 81: a little23160
Week 81: quite a bit8938
Week 81: very much2312
Week 81: not answered00
Week 97: not at all8819
Week 97: a little16953
Week 97: quite a bit8219
Week 97: very much264
Week 97: not answered00
Week 113: not at all6716
Week 113: a little13732
Week 113: quite a bit5423
Week 113: very much172
Week 113: not answered00
Week 129: not at all509
Week 129: a little9718
Week 129: quite a bit3710
Week 129: very much84
Week 129: not answered00
Week 145: not at all312
Week 145: a little5914
Week 145: quite a bit245
Week 145: very much20
Week 145: not answered00
Week 161: not at all90
Week 161: a little237
Week 161: quite a bit50
Week 161: very much31
Week 161: not answered00
Week 177: not at all20
Week 177: a little21
Week 177: quite a bit20
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 33

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 33 are reported. Question 33 was following: "When you felt the urge to pass urine, did you have to hurry to get to the toilet?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 33
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all406197
Baseline: a little266147
Baseline: quite a bit15070
Baseline: very much6225
Baseline: not answered00
Week 17: not at all350191
Week 17: a little297150
Week 17: quite a bit12755
Week 17: very much6523
Week 17: not answered00
Week 33: not at all279147
Week 33: a little278126
Week 33: quite a bit12648
Week 33: very much5420
Week 33: not answered00
Week 49: not at all272100
Week 49: a little22295
Week 49: quite a bit9638
Week 49: very much4517
Week 49: not answered00
Week 65: not at all21376
Week 65: a little21372
Week 65: quite a bit7131
Week 65: very much3914
Week 65: not answered00
Week 81: not at all18163
Week 81: a little15752
Week 81: quite a bit6927
Week 81: very much276
Week 81: not answered00
Week 97: not at all14640
Week 97: a little13140
Week 97: quite a bit5912
Week 97: very much293
Week 97: not answered00
Week 113: not at all11429
Week 113: a little10634
Week 113: quite a bit409
Week 113: very much151
Week 113: not answered00
Week 129: not at all8610
Week 129: a little7221
Week 129: quite a bit266
Week 129: very much84
Week 129: not answered00
Week 145: not at all515
Week 145: a little3912
Week 145: quite a bit214
Week 145: very much50
Week 145: not answered00
Week 161: not at all170
Week 161: a little195
Week 161: quite a bit33
Week 161: very much10
Week 161: not answered00
Week 177: not at all20
Week 177: a little11
Week 177: quite a bit30
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 34

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 34 are reported. Question 34 was following: "Was it difficult for you to get enough sleep, because you needed to get up frequently at night to urinate?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 34
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all479235
Baseline: a little273146
Baseline: quite a bit9340
Baseline: very much3918
Baseline: not answered00
Week 17: not at all437214
Week 17: a little295144
Week 17: quite a bit7545
Week 17: very much3216
Week 17: not answered00
Week 33: not at all392180
Week 33: a little246112
Week 33: quite a bit7533
Week 33: very much2416
Week 33: not answered00
Week 49: not at all340119
Week 49: a little21194
Week 49: quite a bit6528
Week 49: very much199
Week 49: not answered00
Week 65: not at all28692
Week 65: a little18367
Week 65: quite a bit4729
Week 65: very much205
Week 65: not answered00
Week 81: not at all22170
Week 81: a little16555
Week 81: quite a bit3718
Week 81: very much115
Week 81: not answered00
Week 97: not at all18547
Week 97: a little12233
Week 97: quite a bit4314
Week 97: very much151
Week 97: not answered00
Week 113: not at all13531
Week 113: a little10233
Week 113: quite a bit297
Week 113: very much92
Week 113: not answered00
Week 129: not at all10313
Week 129: a little6723
Week 129: quite a bit194
Week 129: very much31
Week 129: not answered00
Week 145: not at all599
Week 145: a little4410
Week 145: quite a bit111
Week 145: very much21
Week 145: not answered00
Week 161: not at all212
Week 161: a little165
Week 161: quite a bit30
Week 161: very much01
Week 161: not answered00
Week 177: not at all30
Week 177: a little11
Week 177: quite a bit20
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 35

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 35 are reported. Question 35 was following: "Have you had difficulty going out of the house because you needed to be close to a toilet?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 35
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all646330
Baseline: a little17784
Baseline: quite a bit4518
Baseline: very much167
Baseline: not answered00
Week 17: not at all604295
Week 17: a little174100
Week 17: quite a bit4615
Week 17: very much159
Week 17: not answered00
Week 33: not at all501242
Week 33: a little17174
Week 33: quite a bit5020
Week 33: very much155
Week 33: not answered00
Week 49: not at all436174
Week 49: a little15353
Week 49: quite a bit3820
Week 49: very much83
Week 49: not answered00
Week 65: not at all369132
Week 65: a little12550
Week 65: quite a bit289
Week 65: very much142
Week 65: not answered00
Week 81: not at all308105
Week 81: a little9435
Week 81: quite a bit238
Week 81: very much90
Week 81: not answered00
Week 97: not at all24167
Week 97: a little9121
Week 97: quite a bit266
Week 97: very much71
Week 97: not answered00
Week 113: not at all18047
Week 113: a little7021
Week 113: quite a bit185
Week 113: very much70
Week 113: not answered00
Week 129: not at all13126
Week 129: a little4813
Week 129: quite a bit81
Week 129: very much51
Week 129: not answered00
Week 145: not at all7413
Week 145: a little366
Week 145: quite a bit60
Week 145: very much02
Week 145: not answered00
Week 161: not at all244
Week 161: a little134
Week 161: quite a bit30
Week 161: very much00
Week 161: not answered00
Week 177: not at all30
Week 177: a little31
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 36

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 36 are reported. Question 36 was following: "Have you had any unintentional release (leakage) of urine?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 36
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all550283
Baseline: a little273124
Baseline: quite a bit3620
Baseline: very much2512
Baseline: not answered00
Week 17: not at all511255
Week 17: a little264126
Week 17: quite a bit3927
Week 17: very much2511
Week 17: not answered00
Week 33: not at all428208
Week 33: a little246104
Week 33: quite a bit3419
Week 33: very much2910
Week 33: not answered00
Week 49: not at all369146
Week 49: a little20978
Week 49: quite a bit4122
Week 49: very much164
Week 49: not answered00
Week 65: not at all307115
Week 65: a little17066
Week 65: quite a bit478
Week 65: very much124
Week 65: not answered00
Week 81: not at all24893
Week 81: a little15841
Week 81: quite a bit2311
Week 81: very much53
Week 81: not answered00
Week 97: not at all19555
Week 97: a little13433
Week 97: quite a bit257
Week 97: very much110
Week 97: not answered00
Week 113: not at all16042
Week 113: a little9128
Week 113: quite a bit173
Week 113: very much70
Week 113: not answered00
Week 129: not at all10922
Week 129: a little6813
Week 129: quite a bit135
Week 129: very much21
Week 129: not answered00
Week 145: not at all589
Week 145: a little4511
Week 145: quite a bit100
Week 145: very much31
Week 145: not answered00
Week 161: not at all183
Week 161: a little214
Week 161: quite a bit01
Week 161: very much10
Week 161: not answered00
Week 177: not at all10
Week 177: a little31
Week 177: quite a bit10
Week 177: very much10
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 37

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 37 are reported. Question 37 was following: "Did you have pain when you urinated?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 37
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all775380
Baseline: a little9247
Baseline: quite a bit108
Baseline: very much74
Baseline: not answered00
Week 17: not at all762351
Week 17: a little6558
Week 17: quite a bit128
Week 17: very much02
Week 17: not answered00
Week 33: not at all662291
Week 33: a little6339
Week 33: quite a bit118
Week 33: very much13
Week 33: not answered00
Week 49: not at all577209
Week 49: a little4934
Week 49: quite a bit63
Week 49: very much34
Week 49: not answered00
Week 65: not at all492161
Week 65: a little3229
Week 65: quite a bit92
Week 65: very much31
Week 65: not answered00
Week 81: not at all389119
Week 81: a little4027
Week 81: quite a bit42
Week 81: very much10
Week 81: not answered00
Week 97: not at all33284
Week 97: a little2811
Week 97: quite a bit40
Week 97: very much10
Week 97: not answered00
Week 113: not at all24757
Week 113: a little2613
Week 113: quite a bit13
Week 113: very much10
Week 113: not answered00
Week 129: not at all17334
Week 129: a little167
Week 129: quite a bit10
Week 129: very much20
Week 129: not answered00
Week 145: not at all10215
Week 145: a little146
Week 145: quite a bit00
Week 145: very much00
Week 145: not answered00
Week 161: not at all366
Week 161: a little31
Week 161: quite a bit11
Week 161: very much00
Week 161: not answered00
Week 177: not at all60
Week 177: a little01
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 38

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 38 are reported. Question 38 was following: "Has wearing an incontinence aid been a problem for you?". This question was answered by only those participants who wore incontinence aid.

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 38
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all8337
Baseline: a little4019
Baseline: quite a bit153
Baseline: very much68
Baseline: not answered00
Week 17: not at all7734
Week 17: a little4821
Week 17: quite a bit157
Week 17: very much66
Week 17: not answered693351
Week 33: not at all7630
Week 33: a little4728
Week 33: quite a bit164
Week 33: very much54
Week 33: not answered593275
Week 49: not at all7318
Week 49: a little4316
Week 49: quite a bit129
Week 49: very much42
Week 49: not answered503205
Week 65: not at all6312
Week 65: a little4017
Week 65: quite a bit95
Week 65: very much31
Week 65: not answered421158
Week 81: not at all5215
Week 81: a little339
Week 81: quite a bit101
Week 81: very much33
Week 81: not answered336120
Week 97: not at all508
Week 97: a little288
Week 97: quite a bit72
Week 97: very much30
Week 97: not answered27777
Week 113: not at all3112
Week 113: a little187
Week 113: quite a bit82
Week 113: very much20
Week 113: not answered21652
Week 129: not at all275
Week 129: a little185
Week 129: quite a bit21
Week 129: very much00
Week 129: not answered14530
Week 145: not at all162
Week 145: a little104
Week 145: quite a bit50
Week 145: very much00
Week 145: not answered8515
Week 161: not at all101
Week 161: a little32
Week 161: quite a bit11
Week 161: very much00
Week 161: not answered264
Week 177: not at all30
Week 177: a little10
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered21
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 39

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 39 are reported. Question 39 was following: "Have your daily activities been limited by your urinary problems?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 39
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all666338
Baseline: a little17380
Baseline: quite a bit3511
Baseline: very much1010
Baseline: not answered00
Week 17: not at all632305
Week 17: a little16099
Week 17: quite a bit366
Week 17: very much119
Week 17: not answered00
Week 33: not at all523242
Week 33: a little17279
Week 33: quite a bit3114
Week 33: very much116
Week 33: not answered00
Week 49: not at all444173
Week 49: a little15258
Week 49: quite a bit3118
Week 49: very much81
Week 49: not answered00
Week 65: not at all382128
Week 65: a little12451
Week 65: quite a bit2012
Week 65: very much102
Week 65: not answered00
Week 81: not at all310103
Week 81: a little9835
Week 81: quite a bit218
Week 81: very much52
Week 81: not answered00
Week 97: not at all24272
Week 97: a little10018
Week 97: quite a bit184
Week 97: very much51
Week 97: not answered00
Week 113: not at all18854
Week 113: a little7114
Week 113: quite a bit133
Week 113: very much32
Week 113: not answered00
Week 129: not at all12725
Week 129: a little5514
Week 129: quite a bit71
Week 129: very much31
Week 129: not answered00
Week 145: not at all7711
Week 145: a little349
Week 145: quite a bit41
Week 145: very much10
Week 145: not answered00
Week 161: not at all272
Week 161: a little106
Week 161: quite a bit30
Week 161: very much00
Week 161: not answered00
Week 177: not at all30
Week 177: a little31
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 40

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 40 are reported. Question 40 was following: "Have your daily activities been limited by your bowel problems?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 40
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all758393
Baseline: a little11240
Baseline: quite a bit94
Baseline: very much52
Baseline: not answered00
Week 17: not at all707352
Week 17: a little10757
Week 17: quite a bit196
Week 17: very much64
Week 17: not answered00
Week 33: not at all621292
Week 33: a little9840
Week 33: quite a bit148
Week 33: very much41
Week 33: not answered00
Week 49: not at all525211
Week 49: a little8829
Week 49: quite a bit207
Week 49: very much23
Week 49: not answered00
Week 65: not at all441165
Week 65: a little7824
Week 65: quite a bit113
Week 65: very much61
Week 65: not answered00
Week 81: not at all360121
Week 81: a little5623
Week 81: quite a bit173
Week 81: very much11
Week 81: not answered00
Week 97: not at all28984
Week 97: a little5811
Week 97: quite a bit170
Week 97: very much10
Week 97: not answered00
Week 113: not at all21962
Week 113: a little4611
Week 113: quite a bit80
Week 113: very much20
Week 113: not answered00
Week 129: not at all15336
Week 129: a little335
Week 129: quite a bit50
Week 129: very much10
Week 129: not answered00
Week 145: not at all9317
Week 145: a little194
Week 145: quite a bit40
Week 145: very much00
Week 145: not answered00
Week 161: not at all298
Week 161: a little90
Week 161: quite a bit20
Week 161: very much00
Week 161: not answered00
Week 177: not at all41
Week 177: a little20
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 41

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 41 are reported. Question 41 was following: "Have you had any unintentional release (leakage) of stools?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 41
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all794404
Baseline: a little7832
Baseline: quite a bit112
Baseline: very much11
Baseline: not answered00
Week 17: not at all751372
Week 17: a little7943
Week 17: quite a bit83
Week 17: very much11
Week 17: not answered00
Week 33: not at all638307
Week 33: a little9232
Week 33: quite a bit41
Week 33: very much31
Week 33: not answered00
Week 49: not at all554221
Week 49: a little7325
Week 49: quite a bit54
Week 49: very much30
Week 49: not answered00
Week 65: not at all467175
Week 65: a little5716
Week 65: quite a bit91
Week 65: very much31
Week 65: not answered00
Week 81: not at all380136
Week 81: a little5112
Week 81: quite a bit20
Week 81: very much10
Week 81: not answered00
Week 97: not at all31586
Week 97: a little479
Week 97: quite a bit30
Week 97: very much00
Week 97: not answered00
Week 113: not at all23366
Week 113: a little407
Week 113: quite a bit20
Week 113: very much00
Week 113: not answered00
Week 129: not at all16739
Week 129: a little252
Week 129: quite a bit00
Week 129: very much00
Week 129: not answered00
Week 145: not at all9320
Week 145: a little221
Week 145: quite a bit00
Week 145: very much10
Week 145: not answered00
Week 161: not at all308
Week 161: a little90
Week 161: quite a bit00
Week 161: very much10
Week 161: not answered00
Week 177: not at all41
Week 177: a little20
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 42

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 42 are reported. Question 42 was following: "Have you had blood in your stools?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 42
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all836422
Baseline: a little4817
Baseline: quite a bit00
Baseline: very much00
Baseline: not answered00
Week 17: not at all801399
Week 17: a little3618
Week 17: quite a bit22
Week 17: very much00
Week 17: not answered00
Week 33: not at all707330
Week 33: a little2911
Week 33: quite a bit10
Week 33: very much00
Week 33: not answered00
Week 49: not at all608245
Week 49: a little275
Week 49: quite a bit00
Week 49: very much00
Week 49: not answered00
Week 65: not at all514180
Week 65: a little1913
Week 65: quite a bit30
Week 65: very much00
Week 65: not answered00
Week 81: not at all420143
Week 81: a little144
Week 81: quite a bit01
Week 81: very much00
Week 81: not answered00
Week 97: not at all35793
Week 97: a little82
Week 97: quite a bit00
Week 97: very much00
Week 97: not answered00
Week 113: not at all26272
Week 113: a little131
Week 113: quite a bit00
Week 113: very much00
Week 113: not answered00
Week 129: not at all18641
Week 129: a little50
Week 129: quite a bit10
Week 129: very much00
Week 129: not answered00
Week 145: not at all11421
Week 145: a little20
Week 145: quite a bit00
Week 145: very much00
Week 145: not answered00
Week 161: not at all388
Week 161: a little20
Week 161: quite a bit00
Week 161: very much00
Week 161: not answered00
Week 177: not at all61
Week 177: a little00
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 43

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 43 are reported. Question 43 was following: "Did you have a bloated feeling in your abdomen?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 43
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all667320
Baseline: a little190103
Baseline: quite a bit2216
Baseline: very much50
Baseline: not answered00
Week 17: not at all601283
Week 17: a little199121
Week 17: quite a bit3113
Week 17: very much82
Week 17: not answered00
Week 33: not at all526235
Week 33: a little18395
Week 33: quite a bit228
Week 33: very much63
Week 33: not answered00
Week 49: not at all449174
Week 49: a little16363
Week 49: quite a bit2011
Week 49: very much32
Week 49: not answered00
Week 65: not at all381135
Week 65: a little13251
Week 65: quite a bit197
Week 65: very much40
Week 65: not answered00
Week 81: not at all304103
Week 81: a little11044
Week 81: quite a bit181
Week 81: very much20
Week 81: not answered00
Week 97: not at all25872
Week 97: a little8723
Week 97: quite a bit190
Week 97: very much10
Week 97: not answered00
Week 113: not at all19955
Week 113: a little6618
Week 113: quite a bit90
Week 113: very much10
Week 113: not answered00
Week 129: not at all13925
Week 129: a little4316
Week 129: quite a bit80
Week 129: very much20
Week 129: not answered00
Week 145: not at all8713
Week 145: a little248
Week 145: quite a bit40
Week 145: very much10
Week 145: not answered00
Week 161: not at all336
Week 161: a little72
Week 161: quite a bit00
Week 161: very much00
Week 161: not answered00
Week 177: not at all40
Week 177: a little21
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 44

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 44 are reported. Question 44 was following: "Did you have hot flushes?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 44
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all374177
Baseline: a little314166
Baseline: quite a bit15168
Baseline: very much4528
Baseline: not answered00
Week 17: not at all265182
Week 17: a little311153
Week 17: quite a bit18962
Week 17: very much7422
Week 17: not answered00
Week 33: not at all253144
Week 33: a little268116
Week 33: quite a bit15560
Week 33: very much6121
Week 33: not answered00
Week 49: not at all227112
Week 49: a little23594
Week 49: quite a bit13030
Week 49: very much4314
Week 49: not answered00
Week 65: not at all20379
Week 65: a little19477
Week 65: quite a bit10430
Week 65: very much357
Week 65: not answered00
Week 81: not at all17569
Week 81: a little15758
Week 81: quite a bit7516
Week 81: very much275
Week 81: not answered00
Week 97: not at all15548
Week 97: a little12634
Week 97: quite a bit5712
Week 97: very much271
Week 97: not answered00
Week 113: not at all11433
Week 113: a little10224
Week 113: quite a bit4414
Week 113: very much152
Week 113: not answered00
Week 129: not at all8422
Week 129: a little7416
Week 129: quite a bit233
Week 129: very much110
Week 129: not answered00
Week 145: not at all4510
Week 145: a little4610
Week 145: quite a bit180
Week 145: very much71
Week 145: not answered00
Week 161: not at all183
Week 161: a little143
Week 161: quite a bit52
Week 161: very much30
Week 161: not answered00
Week 177: not at all30
Week 177: a little00
Week 177: quite a bit11
Week 177: very much20
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 45

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 45 are reported. Question 45 was following: "Have you had sore or enlarged nipples or breasts?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 45
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all688333
Baseline: a little14680
Baseline: quite a bit3824
Baseline: very much122
Baseline: not answered00
Week 17: not at all626315
Week 17: a little16080
Week 17: quite a bit3918
Week 17: very much146
Week 17: not answered00
Week 33: not at all526260
Week 33: a little16462
Week 33: quite a bit3415
Week 33: very much134
Week 33: not answered00
Week 49: not at all444188
Week 49: a little13852
Week 49: quite a bit415
Week 49: very much125
Week 49: not answered00
Week 65: not at all371149
Week 65: a little11937
Week 65: quite a bit317
Week 65: very much150
Week 65: not answered00
Week 81: not at all306115
Week 81: a little8426
Week 81: quite a bit346
Week 81: very much101
Week 81: not answered00
Week 97: not at all23980
Week 97: a little9213
Week 97: quite a bit301
Week 97: very much41
Week 97: not answered00
Week 113: not at all19055
Week 113: a little6212
Week 113: quite a bit195
Week 113: very much41
Week 113: not answered00
Week 129: not at all12830
Week 129: a little518
Week 129: quite a bit93
Week 129: very much40
Week 129: not answered00
Week 145: not at all7817
Week 145: a little293
Week 145: quite a bit71
Week 145: very much20
Week 145: not answered00
Week 161: not at all264
Week 161: a little113
Week 161: quite a bit10
Week 161: very much21
Week 161: not answered00
Week 177: not at all20
Week 177: a little21
Week 177: quite a bit20
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 46

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 46 are reported. Question 46 was following: "Have you had swelling in your legs or ankles?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 46
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all663323
Baseline: a little18989
Baseline: quite a bit2222
Baseline: very much105
Baseline: not answered00
Week 17: not at all625284
Week 17: a little179112
Week 17: quite a bit3021
Week 17: very much52
Week 17: not answered00
Week 33: not at all530243
Week 33: a little15976
Week 33: quite a bit4120
Week 33: very much72
Week 33: not answered00
Week 49: not at all453176
Week 49: a little15558
Week 49: quite a bit2315
Week 49: very much41
Week 49: not answered00
Week 65: not at all378135
Week 65: a little12748
Week 65: quite a bit2710
Week 65: very much40
Week 65: not answered00
Week 81: not at all301104
Week 81: a little10236
Week 81: quite a bit277
Week 81: very much41
Week 81: not answered00
Week 97: not at all25969
Week 97: a little7920
Week 97: quite a bit195
Week 97: very much81
Week 97: not answered00
Week 113: not at all19140
Week 113: a little6527
Week 113: quite a bit166
Week 113: very much30
Week 113: not answered00
Week 129: not at all13427
Week 129: a little4814
Week 129: quite a bit80
Week 129: very much20
Week 129: not answered00
Week 145: not at all7615
Week 145: a little345
Week 145: quite a bit51
Week 145: very much10
Week 145: not answered00
Week 161: not at all316
Week 161: a little82
Week 161: quite a bit10
Week 161: very much00
Week 161: not answered00
Week 177: not at all30
Week 177: a little30
Week 177: quite a bit01
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 47

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 47 are reported. Question 47 was following: "Has weight loss been a problem for you?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 47
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all820399
Baseline: a little4825
Baseline: quite a bit1010
Baseline: very much65
Baseline: not answered00
Week 17: not at all733375
Week 17: a little8128
Week 17: quite a bit1513
Week 17: very much103
Week 17: not answered00
Week 33: not at all643296
Week 33: a little7235
Week 33: quite a bit135
Week 33: very much95
Week 33: not answered00
Week 49: not at all553215
Week 49: a little6129
Week 49: quite a bit153
Week 49: very much63
Week 49: not answered00
Week 65: not at all479168
Week 65: a little3920
Week 65: quite a bit114
Week 65: very much71
Week 65: not answered00
Week 81: not at all371136
Week 81: a little4610
Week 81: quite a bit141
Week 81: very much31
Week 81: not answered00
Week 97: not at all31484
Week 97: a little3610
Week 97: quite a bit100
Week 97: very much51
Week 97: not answered00
Week 113: not at all23562
Week 113: a little278
Week 113: quite a bit91
Week 113: very much42
Week 113: not answered00
Week 129: not at all16937
Week 129: a little174
Week 129: quite a bit50
Week 129: very much10
Week 129: not answered00
Week 145: not at all9520
Week 145: a little171
Week 145: quite a bit40
Week 145: very much00
Week 145: not answered00
Week 161: not at all348
Week 161: a little50
Week 161: quite a bit10
Week 161: very much00
Week 161: not answered00
Week 177: not at all51
Week 177: a little00
Week 177: quite a bit10
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 48

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 48 are reported. Question 48 was following: "Has weight gain been a problem for you?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 48
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all677315
Baseline: a little15395
Baseline: quite a bit4016
Baseline: very much1413
Baseline: not answered00
Week 17: not at all674316
Week 17: a little11874
Week 17: quite a bit3019
Week 17: very much1710
Week 17: not answered00
Week 33: not at all570259
Week 33: a little13359
Week 33: quite a bit2118
Week 33: very much135
Week 33: not answered00
Week 49: not at all479193
Week 49: a little12544
Week 49: quite a bit1810
Week 49: very much133
Week 49: not answered00
Week 65: not at all410155
Week 65: a little9227
Week 65: quite a bit269
Week 65: very much82
Week 65: not answered00
Week 81: not at all327115
Week 81: a little7127
Week 81: quite a bit285
Week 81: very much81
Week 81: not answered00
Week 97: not at all26776
Week 97: a little7016
Week 97: quite a bit242
Week 97: very much41
Week 97: not answered00
Week 113: not at all20060
Week 113: a little5610
Week 113: quite a bit103
Week 113: very much90
Week 113: not answered00
Week 129: not at all15632
Week 129: a little278
Week 129: quite a bit51
Week 129: very much40
Week 129: not answered00
Week 145: not at all8916
Week 145: a little185
Week 145: quite a bit70
Week 145: very much20
Week 145: not answered00
Week 161: not at all316
Week 161: a little62
Week 161: quite a bit10
Week 161: very much20
Week 161: not answered00
Week 177: not at all20
Week 177: a little31
Week 177: quite a bit10
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 49

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 49 are reported. Question 49 was following: "Have you felt less masculine as a result of your illness or treatment?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 49
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all435214
Baseline: a little234131
Baseline: quite a bit13859
Baseline: very much7735
Baseline: not answered00
Week 17: not at all400210
Week 17: a little244115
Week 17: quite a bit10957
Week 17: very much8637
Week 17: not answered00
Week 33: not at all345167
Week 33: a little207107
Week 33: quite a bit10938
Week 33: very much7629
Week 33: not answered00
Week 49: not at all302127
Week 49: a little18768
Week 49: quite a bit8436
Week 49: very much6219
Week 49: not answered00
Week 65: not at all26390
Week 65: a little14257
Week 65: quite a bit7124
Week 65: very much6022
Week 65: not answered00
Week 81: not at all20674
Week 81: a little12438
Week 81: quite a bit5717
Week 81: very much4719
Week 81: not answered00
Week 97: not at all17546
Week 97: a little9828
Week 97: quite a bit4710
Week 97: very much4511
Week 97: not answered00
Week 113: not at all13631
Week 113: a little7827
Week 113: quite a bit308
Week 113: very much317
Week 113: not answered00
Week 129: not at all9118
Week 129: a little4916
Week 129: quite a bit275
Week 129: very much252
Week 129: not answered00
Week 145: not at all599
Week 145: a little319
Week 145: quite a bit181
Week 145: very much82
Week 145: not answered00
Week 161: not at all182
Week 161: a little153
Week 161: quite a bit31
Week 161: very much42
Week 161: not answered00
Week 177: not at all30
Week 177: a little31
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 50

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 50 are reported. Question 50 was following: "To what extent were you interested in sex?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 50
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all586291
Baseline: a little204101
Baseline: quite a bit6732
Baseline: very much2715
Baseline: not answered00
Week 17: not at all637293
Week 17: a little13692
Week 17: quite a bit4520
Week 17: very much2114
Week 17: not answered00
Week 33: not at all542251
Week 33: a little13666
Week 33: quite a bit3718
Week 33: very much226
Week 33: not answered00
Week 49: not at all483180
Week 49: a little10650
Week 49: quite a bit3312
Week 49: very much138
Week 49: not answered00
Week 65: not at all417143
Week 65: a little7837
Week 65: quite a bit279
Week 65: very much144
Week 65: not answered00
Week 81: not at all320114
Week 81: a little7624
Week 81: quite a bit269
Week 81: very much121
Week 81: not answered00
Week 97: not at all28665
Week 97: a little5219
Week 97: quite a bit208
Week 97: very much73
Week 97: not answered00
Week 113: not at all21859
Week 113: a little3611
Week 113: quite a bit141
Week 113: very much72
Week 113: not answered00
Week 129: not at all15633
Week 129: a little246
Week 129: quite a bit92
Week 129: very much30
Week 129: not answered00
Week 145: not at all9214
Week 145: a little163
Week 145: quite a bit74
Week 145: very much10
Week 145: not answered00
Week 161: not at all305
Week 161: a little52
Week 161: quite a bit41
Week 161: very much10
Week 161: not answered00
Week 177: not at all41
Week 177: a little10
Week 177: quite a bit10
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 51

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 51 are reported. Question 51 was following: "To what extent were you sexually active (with or without intercourse)?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 51
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all735374
Baseline: a little9838
Baseline: quite a bit4119
Baseline: very much108
Baseline: not answered00
Week 17: not at all734354
Week 17: a little7144
Week 17: quite a bit2413
Week 17: very much108
Week 17: not answered00
Week 33: not at all642299
Week 33: a little6828
Week 33: quite a bit209
Week 33: very much75
Week 33: not answered00
Week 49: not at all569214
Week 49: a little4626
Week 49: quite a bit156
Week 49: very much54
Week 49: not answered00
Week 65: not at all485170
Week 65: a little3714
Week 65: quite a bit127
Week 65: very much22
Week 65: not answered00
Week 81: not at all381130
Week 81: a little3213
Week 81: quite a bit155
Week 81: very much60
Week 81: not answered00
Week 97: not at all33379
Week 97: a little2012
Week 97: quite a bit94
Week 97: very much30
Week 97: not answered00
Week 113: not at all25068
Week 113: a little163
Week 113: quite a bit62
Week 113: very much30
Week 113: not answered00
Week 129: not at all17637
Week 129: a little83
Week 129: quite a bit51
Week 129: very much30
Week 129: not answered00
Week 145: not at all10617
Week 145: a little43
Week 145: quite a bit51
Week 145: very much10
Week 145: not answered00
Week 161: not at all356
Week 161: a little32
Week 161: quite a bit10
Week 161: very much10
Week 161: not answered00
Week 177: not at all51
Week 177: a little00
Week 177: quite a bit10
Week 177: very much00
Week 177: not answered00
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 52

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 52 are reported. Question 52 was following: "To what extent was sex enjoyable for you?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 52
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all56
Baseline: a little2311
Baseline: quite a bit145
Baseline: very much82
Baseline: not answered00
Week 17: not at all73
Week 17: a little139
Week 17: quite a bit1611
Week 17: very much34
Week 17: not answered800392
Week 33: not at all84
Week 33: a little178
Week 33: quite a bit115
Week 33: very much40
Week 33: not answered697324
Week 49: not at all34
Week 49: a little65
Week 49: quite a bit95
Week 49: very much34
Week 49: not answered614232
Week 65: not at all42
Week 65: a little64
Week 65: quite a bit94
Week 65: very much30
Week 65: not answered514183
Week 81: not at all52
Week 81: a little73
Week 81: quite a bit42
Week 81: very much51
Week 81: not answered413140
Week 97: not at all22
Week 97: a little50
Week 97: quite a bit33
Week 97: very much30
Week 97: not answered35290
Week 113: not at all01
Week 113: a little51
Week 113: quite a bit20
Week 113: very much20
Week 113: not answered26671
Week 129: not at all10
Week 129: a little10
Week 129: quite a bit10
Week 129: very much10
Week 129: not answered18841
Week 145: not at all10
Week 145: a little00
Week 145: quite a bit11
Week 145: very much00
Week 145: not answered11420
Week 161: not at all10
Week 161: a little10
Week 161: quite a bit00
Week 161: very much00
Week 161: not answered388
Week 177: not at all00
Week 177: a little00
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered61
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 53

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 53 are reported. Question 53 was following: "Did you have difficulty getting or maintaining an erection?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 53
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all64
Baseline: a little195
Baseline: quite a bit44
Baseline: very much2111
Baseline: not answered00
Week 17: not at all108
Week 17: a little88
Week 17: quite a bit84
Week 17: very much137
Week 17: not answered800392
Week 33: not at all62
Week 33: a little86
Week 33: quite a bit83
Week 33: very much186
Week 33: not answered697324
Week 49: not at all46
Week 49: a little65
Week 49: quite a bit01
Week 49: very much116
Week 49: not answered614232
Week 65: not at all31
Week 65: a little44
Week 65: quite a bit42
Week 65: very much113
Week 65: not answered514183
Week 81: not at all73
Week 81: a little22
Week 81: quite a bit32
Week 81: very much91
Week 81: not answered413140
Week 97: not at all21
Week 97: a little51
Week 97: quite a bit11
Week 97: very much52
Week 97: not answered35290
Week 113: not at all10
Week 113: a little31
Week 113: quite a bit10
Week 113: very much41
Week 113: not answered26671
Week 129: not at all00
Week 129: a little10
Week 129: quite a bit00
Week 129: very much30
Week 129: not answered18841
Week 145: not at all10
Week 145: a little01
Week 145: quite a bit00
Week 145: very much10
Week 145: not answered11420
Week 161: not at all10
Week 161: a little00
Week 161: quite a bit10
Week 161: very much00
Week 161: not answered388
Week 177: not at all00
Week 177: a little00
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered61
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 54

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 54 are reported. Question 54 was following: "Did you have ejaculation problems (e.g, dry ejaculation)?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 54
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all117
Baseline: a little144
Baseline: quite a bit32
Baseline: very much2211
Baseline: not answered00
Week 17: not at all1311
Week 17: a little55
Week 17: quite a bit31
Week 17: very much1810
Week 17: not answered800392
Week 33: not at all1210
Week 33: a little91
Week 33: quite a bit50
Week 33: very much146
Week 33: not answered697324
Week 49: not at all76
Week 49: a little35
Week 49: quite a bit11
Week 49: very much106
Week 49: not answered614232
Week 65: not at all83
Week 65: a little21
Week 65: quite a bit12
Week 65: very much114
Week 65: not answered514183
Week 81: not at all74
Week 81: a little00
Week 81: quite a bit30
Week 81: very much114
Week 81: not answered413140
Week 97: not at all52
Week 97: a little30
Week 97: quite a bit01
Week 97: very much52
Week 97: not answered35290
Week 113: not at all32
Week 113: a little10
Week 113: quite a bit00
Week 113: very much50
Week 113: not answered26671
Week 129: not at all10
Week 129: a little00
Week 129: quite a bit00
Week 129: very much30
Week 129: not answered18841
Week 145: not at all20
Week 145: a little01
Week 145: quite a bit00
Week 145: very much00
Week 145: not answered11420
Week 161: not at all10
Week 161: a little00
Week 161: quite a bit10
Week 161: very much00
Week 161: not answered388
Week 177: not at all00
Week 177: a little00
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered61
SecondaryNumber of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 55

The EORTC QLQ-PR25, a module of the EORTC QLQ-30 questionnaire was used to assess the quality of life. It consisted of 25 questions (Question 31 to 55) distributed on 6 domains: urinary symptoms (8 items), incontinence aid (1 item), bowel symptoms (4 items), hormonal treatment-related symptoms (HTRS) (6 items), sexual activity (2 items), and sexual functioning (4 items). Participants answered each of these questions using 4 point scale (1=not at all, 2=a little, 3=quite a bit, 4=very much). Number of participants with various responses to the question 55 are reported. Question 55 was following: "Have you felt uncomfortable about being sexually intimate?"

Time frame:
Baseline, Weeks 17, 33, 49, 65, 81, 97, 113, 129, 145,161 and 177
Reported as:
Count of participants · Participants
Number of Participants With European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Prostate 25 (QLQ-PR25) Module Score for Question 55
ParticipantsEnzalutamide 160 mgPlacebo
Baseline: not at all3113
Baseline: a little138
Baseline: quite a bit40
Baseline: very much23
Baseline: not answered00
Week 17: not at all2314
Week 17: a little117
Week 17: quite a bit23
Week 17: very much33
Week 17: not answered800392
Week 33: not at all2410
Week 33: a little64
Week 33: quite a bit62
Week 33: very much41
Week 33: not answered697324
Week 49: not at all1610
Week 49: a little46
Week 49: quite a bit11
Week 49: very much01
Week 49: not answered614232
Week 65: not at all135
Week 65: a little73
Week 65: quite a bit12
Week 65: very much10
Week 65: not answered514183
Week 81: not at all135
Week 81: a little61
Week 81: quite a bit11
Week 81: very much11
Week 81: not answered413140
Week 97: not at all83
Week 97: a little32
Week 97: quite a bit10
Week 97: very much10
Week 97: not answered35290
Week 113: not at all72
Week 113: a little00
Week 113: quite a bit10
Week 113: very much10
Week 113: not answered26671
Week 129: not at all30
Week 129: a little00
Week 129: quite a bit10
Week 129: very much00
Week 129: not answered18841
Week 145: not at all21
Week 145: a little00
Week 145: quite a bit00
Week 145: very much00
Week 145: not answered11420
Week 161: not at all10
Week 161: a little00
Week 161: quite a bit10
Week 161: very much00
Week 161: not answered388
Week 177: not at all00
Week 177: a little00
Week 177: quite a bit00
Week 177: very much00
Week 177: not answered61
SecondaryNumber of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. A treatment-emergent AE (TEAE) was defined as an AE that occurred from the date and time of the first dose of study drug through the date of last dose +30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first). AEs included both non-serious adverse events (AEs) and SAEs.

Time frame:
From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
ParticipantsEnzalutamide 160 mgPlacebo
AEs808360
SAEs22685
SecondaryNumber of Participants With Treatment-Emergent Adverse Events Greater Than or Equal to Grade 3, Based on National Cancer Institute (NCI) Common Terminology Criteria (CTC) for AEs (CTCAE), Version 4.0

An AE is any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship. As per NCI CTCAE, Grade 3 events =medically significant but not immediately life-threatening, unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment, Grade 4 events =participant to be in imminent danger of death. Grade 5 events =death. A treatment-emergent AE (TEAE) was defined as an AE that occurred from the date and time of the first dose of study drug through the date of last dose +30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first).Number of participants with AEs of any of the Grade 3 or above (Grade 4, 5) were reported.

Time frame:
From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events Greater Than or Equal to Grade 3, Based on National Cancer Institute (NCI) Common Terminology Criteria (CTC) for AEs (CTCAE), Version 4.0
ParticipantsEnzalutamide 160 mgPlacebo
Number of Participants With Treatment-Emergent Adverse Events Greater Than or Equal to Grade 3, Based on National Cancer Institute (NCI) Common Terminology Criteria (CTC) for AEs (CTCAE), Version 4.0292109
SecondaryNumber of Participants With Discontinuations From Study Treatment Due to Adverse Events (AEs)

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. AEs included both non-serious adverse events (AEs) and SAEs.

Time frame:
From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Count of participants · Participants
Number of Participants With Discontinuations From Study Treatment Due to Adverse Events (AEs)
ParticipantsEnzalutamide 160 mgPlacebo
Number of Participants With Discontinuations From Study Treatment Due to Adverse Events (AEs)8728
SecondaryNumber of Participants With Increase of 2 or More National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) (Version 4.0) Toxicity Grades Above Baseline - Hematology

Hematology parameters: Haemoglobin (grams per liter \[g/L\]); leukocytes (log 10 raised to power 9 per liter \[10\*9/L\]); lymphocytes (log 10 raised to power 6 per liter \[10\*6/L\]); neutrophils (log 10 raised to power 6 per liter \[10\*6/L\]); platelets (log 10 raised to power 9 per litre \[10\*9/L\]).

Time frame:
From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Count of participants · Participants
Number of Participants With Increase of 2 or More National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) (Version 4.0) Toxicity Grades Above Baseline - Hematology
ParticipantsEnzalutamide 160 mgPlacebo
Haemoglobin (Low)127
Leukocytes (Low)77
Lymphocytes (High)42
Lymphocytes (Low)4426
Neutrophils (Low)134
Platelets (Low)32
SecondaryNumber of Participants With Increase of 2 or More National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) (Version 4.0) Toxicity Grades Above Baseline - Chemistry

Chemistry parameters: Alanine aminotransferase (units per liter \[U/L\]); albumin (g/L); alkaline phosphatase (U/L); bilirubin (micromoles per liter \[umol/L\]); calcium (millimoles per liter \[mmol/L\]); creatine kinase (U/L); creatinine (umol/L); glucose, magnesium, phosphate, potassium, sodium (mmol/L).

Time frame:
From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Count of participants · Participants
Number of Participants With Increase of 2 or More National Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) (Version 4.0) Toxicity Grades Above Baseline - Chemistry
ParticipantsEnzalutamide 160 mgPlacebo
Alanine Aminotransferase (High)41
Albumin (Low)70
Alkaline Phosphatase (High)36
Aspartate Aminotransferase (High)31
Bilirubin (High)41
Calcium (High)11
Calcium (Low)21
Creatine Kinase (High)43
Creatinine (High)17
Glucose (High)268
Glucose (Low)51
Magnesium (High)10
Magnesium (Low)10
Phosphate (Low)3013
Potassium (High)145
Potassium (Low)03
Sodium (High)21
Sodium (Low)127
SecondaryNumber of Participants With Clinically Significant Vital Signs

Vital signs included Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and heart rate.

Time frame:
From first dose of study drug to the last dose + 30 days (or the day before initiation of a new antineoplastic treatment, whichever occurred first) (until the data cut-off date of 28 June 2017, maximum duration of treatment: 42.8 months)
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Vital Signs
ParticipantsEnzalutamide 160 mgPlacebo
SBP738328
DBP563229
Heart rate74

Adverse events

Collected over Baseline up to 30 days after last dose of study drug or till death, whichever occurred first (up to a maximum duration of 69.8 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Enzalutamide 160 mg285/930 (30.6%)372/930 (40%)762/930 (81.9%)
Placebo173/465 (37.2%)100/465 (21.5%)299/465 (64.3%)
Placebo Patients Crossover to Enzalutamide 160 mg4/87 (4.6%)12/87 (13.8%)45/87 (51.7%)
Most frequent serious events
Showing 10 of 380
Most frequent serious events
EventEnzalutamide 160 mgPlaceboPlacebo Patients Crossover to Enzalutamide 160 mg
HaematuriaRenal and urinary disorders31/93015/4651/87
Urinary retentionRenal and urinary disorders13/93012/4650/87
PneumoniaInfections and infestations20/9302/4650/87
Renal failure acuteRenal and urinary disorders7/9308/4650/87
Urinary tract infectionInfections and infestations11/9306/4650/87
FallInjury, poisoning and procedural complications12/9302/4650/87
AnaemiaBlood and lymphatic system disorders10/9301/4651/87
Acute myocardial infarctionCardiac disorders10/9302/4651/87
Disease progressionGeneral disorders3/9300/4651/87
General physical health deteriorationGeneral disorders3/9300/4651/87
Most frequent other events
Showing 10 of 24
Most frequent other events
EventEnzalutamide 160 mgPlaceboPlacebo Patients Crossover to Enzalutamide 160 mg
FatigueGeneral disorders348/93073/46513/87
FallInjury, poisoning and procedural complications164/93025/4652/87
HypertensionVascular disorders161/93027/4656/87
Hot flushVascular disorders132/93038/4653/87
NauseaGastrointestinal disorders125/93042/4653/87
ConstipationGastrointestinal disorders121/93039/4651/87
Back painMusculoskeletal and connective tissue disorders120/93038/4654/87
ArthralgiaMusculoskeletal and connective tissue disorders119/93036/4653/87
DiarrhoeaGastrointestinal disorders112/93047/4653/87
DizzinessNervous system disorders112/93027/4656/87

Baseline characteristics

The intent-to-treat (ITT) population was defined as all participants randomly assigned to study treatment and was based on randomized treatment assignment regardless of whether or not treatment was administered.

Age, Continuous
Age, Continuous(years)Enzalutamide 160 mgPlaceboTotal
Mean73.8 ± 7.8372.9 ± 7.6373.5 ± 7.77
Sex: Female, Male
Sex: Female, Male(Participants)Enzalutamide 160 mgPlaceboTotal
Female000
Male9334681401
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Enzalutamide 160 mgPlaceboTotal
Asian14288230
Black or African American211031
Native Hawaiian or Other Pacific Islander325
White671320991
Multiple448
Other15520
Missing7739116
08

Study locations

397 sites
  • Urological Associates of Southern Arizona, PC
    Tucson, Arizona 85741, United States
  • Ronald Reagan UCLA Medical Center
    Los Angeles, California 90095, United States
  • UCLA Clark Urology Center
    Los Angeles, California 90095, United States
  • University of California, Irvine Medical Center
    Orange, California 92868, United States
  • Urology Associates of San Luis Obispo, a Medical Group, Inc
    San Luis Obispo, California 93405, United States
  • Urology Associates, P.C.
    Englewood, Colorado 80113, United States
  • c/o Lynn Buchwalder
    New Haven, Connecticut 06510, United States
  • C/O Thomas Ferencz, RPh, BCOP, Smilow Cancer Hospital at Yale-New Haven
    New Haven, Connecticut 06510, United States
  • Smilow Cancer Center at Yale New Haven-Hospital
    New Haven, Connecticut 06510, United States
  • Yale New Haven Hospital
    New Haven, Connecticut 06510, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06520, United States
  • Lakeland Regional Cancer Center
    Lakeland, Florida 33805, United States
  • Urology of Indiana, LLC
    Carmel, Indiana 46032, United States
  • First Urology, PSC
    Jeffersonville, Indiana 47130, United States
  • IU Health Arnett Cancer Care
    Lafayette, Indiana 47904, United States
  • Kansas City Urology Care, PA
    Overland Park, Kansas 66211, United States
  • GU Research Network/ Wichita Urology Group
    Wichita, Kansas 67226, United States
  • Chesapeake Urology Research Associates
    Baltimore, Maryland 21237, United States
  • University of Michigan Health System
    Ann Arbor, Michigan 48109, United States
  • Michigan Institute of Urology
    Troy, Michigan 48084, United States
  • GU Research Network
    Omaha, Nebraska 68130, United States
  • Brooklyn Urology Research Group
    Brooklyn, New York 11201, United States
  • Premier Medical Group of the Hudson Valley
    Newburgh, New York 12550, United States
  • Duke University Medical Center
    Cary, North Carolina 27518, United States
  • Carolina Urology Partners, PLLC
    Charlotte, North Carolina 28277, United States
  • Carolina Urology Partners, PLLC
    Gastonia, North Carolina 28054, United States
  • Gaston Medical Associates
    Gastonia, North Carolina 28054, United States
  • Carolina Urology Partners, PLLC
    Huntersville, North Carolina 28078, United States
  • Duke Women's Cancer Care Raleigh
    Raleigh, North Carolina 27607, United States
  • Clinical Research Solutions
    Middleburg Heights, Ohio 44130, United States
  • Oregon Urology Institute
    Springfield, Oregon 97477, United States
  • Lancaster Urology
    Lancaster, Pennsylvania 17604, United States
  • Carolina Urologic Research Center
    Myrtle Beach, South Carolina 29572, United States
  • Vanderbilt University Medical Center, Dept. of Urologic Surgery
    Nashville, Tennessee 37232, United States
  • Vanderbilt University Medical Center, The Urologic Clinic
    Nashville, Tennessee 37232, United States
  • Urology San Antonio
    San Antonio, Texas 78229, United States
  • Urology of Virginia, PLLC
    Virginia Beach, Virginia 23462, United States
  • COIBA(Centro de Oncologia e Investigacion Buenos Aires)
    Berazategui, Buenos Aires B1884BBF, Argentina
  • Centro Medico Austral(OMI)
    CABA, Buenos Aires C1019ABS, Argentina
  • Centro de Urologia
    CABA, Buenos Aires C1120AAT, Argentina
  • Hospital Italiano de Buenos Aires
    CABA, Buenos Aires C1199BB, Argentina
  • Sanatorio Parque
    Rosario, Santa Fe Province CP2000, Argentina
  • Instituto De Oncologia De Rosario
    Rosario, Santa Fe Province S200KZE, Argentina
  • Clinica Universidad Reina Fabiola
    Córdoba, X5004HFP, Argentina
  • Hospital Privado Centro Medico de Cordoba
    Córdoba, X5016KEH, Argentina
  • Centro Oncologico Riojano Integral (CORI)
    La Rioja, F5300C0E, Argentina
  • The Canberra Hospital
    Garran, Australian Capital Territory 2605, Australia
  • Border Medical Oncology Research Unit
    Albury, New South Wales 2640, Australia
  • The Border Cancer Hospital Dispensary
    Albury, New South Wales 2640, Australia
  • The Border Cancer Hospital
    Albury, New South Wales 2640, Australia
  • Sydney cancer centre
    Concord, New South Wales 2139, Australia
  • Epic pharmacy
    Lismore, New South Wales 2480, Australia
  • North Coast Cancer Institute
    Lismore, New South Wales 2480, Australia
  • Macquarie University Hospital
    North Ryde, New South Wales 2109, Australia
  • Macquarie University
    North Ryde, New South Wales 2109, Australia
  • Epic Pharmacy Port Macquarie base hospital
    Port Macquarie, New South Wales 2444, Australia
  • Mid North Coast Cancer Institute
    Port Macquarie, New South Wales 2444, Australia
  • Royal North Shore Hospital
    St Leonards, New South Wales 2065, Australia
  • The Tweed Hospital
    Tweed Heads, New South Wales 2485, Australia
  • Australian Clinical Trials
    Wahroonga, New South Wales 2076, Australia
  • Sydney Adventist Hospital
    Wahroonga, New South Wales 2076, Australia
  • Calvary Mater Newcastle
    Waratah, New South Wales 2298, Australia
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Icon Cancer Care Wesley
    Auchenflower, Queensland 4066, Australia
  • River City Pharmacy - APHS
    Auchenflower, Queensland 4066, Australia
  • Icon Cancer Care Chermside
    Chermside, Queensland 4032, Australia
  • Icon Cancer Care South Brisbane
    South Brisbane, Queensland 4101, Australia
  • Integrated Clinical Oncology Network (ICON)
    South Brisbane, Queensland 4101, Australia
  • Icon Cancer Care Southport
    Southport, Queensland 4215, Australia
  • Tasman Oncology Research Pty Ltd
    Southport, Queensland 4215, Australia
  • Princess Alexandra Hospital
    Woolloongabba, Queensland 4102, Australia
  • Adelaide Cancer Centre
    Kurralta Park, South Australia 5037, Australia
  • Ashford Cancer Centre Research
    Kurralta Park, South Australia 5037, Australia
  • Cancer Care SA Pty Ltd
    Kurralta Park, South Australia 5037, Australia
  • Tenpharm Pty Ltd trading as EPIC Pharmacy Tennyson
    Kurralta Park, South Australia 5037, Australia
  • Box Hill Hospital (Eastern health)
    Box Hill, Victoria 3128, Australia
  • Eastern Clinical Research Unit (Eastern Health)
    Box Hill, Victoria 3128, Australia
  • Cabrini Hospital Brighton
    Brighton, Victoria 3186, Australia
  • Monash Medical Centre
    Clayton, Victoria 3168, Australia
  • Austin Health, Austin Hospital
    Heidelberg, Victoria 3084, Australia
  • Cabrini Hospital Malvern
    Malvern, Victoria 3144, Australia
  • Cabrini Hospital- Education and Research Precinct
    Malvern, Victoria 3144, Australia
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria 3000, Australia
  • Sunshine Hospital
    St Albans, Victoria 3021, Australia
  • Krankenhaus Barmherzige Schwestern Linz, Abteilung Radiologie
    Linz, Upper Austria 4010, Austria
  • Krankenhaus Barmherzige Schwestern Linz, Abteilung Urologie
    Linz, Upper Austria 4010, Austria
  • St. Vincent's Hospital, PET - CT Center
    Linz, Upper Austria 4010, Austria
  • Isotopix, Ambulatorium fuer Nuklearmedizin
    Vienna, 1090, Austria
  • Medizinische Universitaet Wien, Universitaetsklinik fuer Innere Medizin I
    Vienna, 1090, Austria
  • Diagnosezentrum Meidling GesmbH
    Vienna, 1120, Austria
  • Algemeen Ziekenhuis Groeninge
    Kortrijk, West-vlaanderen 8500, Belgium
  • Clinique Universitaire de Bruxelles Hopital Erasme
    Brussels, 1070, Belgium
  • Vzw Algemeen Ziekenhuis Maria Middelares
    Ghent, 9000, Belgium
  • Universitaire Ziekenhuizen Leuven
    Leuven, 3000, Belgium
  • Centre Hospitalier Universitaire de Liege, Site du Sart-Tilman
    Liège, 4000, Belgium
  • Hospital Sao Rafael
    Salvador, Estado de Bahia 41253-190, Brazil
  • Liga Paranaense de Combate ao cancer / Hospital Erasto Gaertner
    Curitiba, Paraná 81520-060, Brazil
  • Instituto D'Or de Pesquisa e Ensino (IDOR)
    Rio de Janeiro, Rio de Janeiro 22.281-100, Brazil
  • Associacao Hospital de Caridade de Ijui
    Ijuí, Rio Grande do Sul 98700-000, Brazil
  • Hospital de Clínicas de Passo Fundo
    Passo Fundo, Rio Grande do Sul 99010-260, Brazil

Showing the first 100 of 397 sites across 32 countries.

09

References and documents

Publications

  • Armstrong AJ, Azad AA, Iguchi T, Stenzl A, Mottet N, Russell D, Rosales M, Haas GP, Saad F, Hussain M, Sternberg CN. Radiographic Progression With and Without Prostate-Specific Antigen Rise in Patients With Advanced Prostate Cancer Treated With Enzalutamide. J Clin Oncol. 2026 May 10;44(14):1309-1322. doi: 10.1200/JCO-24-02829. Epub 2026 Mar 27. PubMed 41894648 ↗
  • Huang L, He W, Guo Y. From Androgen Deprivation to Precision Therapy: A Bibliometric Review of Global Research Trends (2008-2023). Am J Mens Health. 2025 May-Jun;19(3):15579883251346819. doi: 10.1177/15579883251346819. Epub 2025 Jun 20. PubMed 40539499 ↗
  • Hussain M, Sternberg CN, Efstathiou E, Fizazi K, Shen Q, Lin X, Sugg J, Steinberg J, Noerby B, De Giorgi U, Shore ND, Saad F. Nadir Prostate-specific Antigen as an Independent Predictor of Survival Outcomes: A Post Hoc Analysis of the PROSPER Randomized Clinical Trial. J Urol. 2023 Mar;209(3):532-539. doi: 10.1097/JU.0000000000003084. Epub 2023 Feb 9. PubMed 36756959 ↗
  • De Giorgi U, Hussain M, Shore N, Fizazi K, Tombal B, Penson D, Saad F, Efstathiou E, Madziarska K, Steinberg J, Sugg J, Lin X, Shen Q, Sternberg CN. Which traits affect how long patients with advanced prostate cancer live when treated with enzalutamide? Future Oncol. 2022 Nov;18(35):3867-3874. doi: 10.2217/fon-2022-0661. Epub 2022 Oct 13. PubMed 36226865 ↗
  • Cella D, Ganguli A, Turnbull J, Rohay J, Morlock R. US Population Reference Values for Health-Related Quality of Life Questionnaires Based on Demographics of Patients with Prostate Cancer. Adv Ther. 2022 Aug;39(8):3696-3710. doi: 10.1007/s12325-022-02204-3. Epub 2022 Jun 22. PubMed 35731340 ↗
  • Joshua AM, Armstrong A, Crumbaker M, Scher HI, de Bono J, Tombal B, Hussain M, Sternberg CN, Gillessen S, Carles J, Fizazi K, Lin P, Duggan W, Sugg J, Russell D, Beer TM. Statin and metformin use and outcomes in patients with castration-resistant prostate cancer treated with enzalutamide: A meta-analysis of AFFIRM, PREVAIL and PROSPER. Eur J Cancer. 2022 Jul;170:285-295. doi: 10.1016/j.ejca.2022.04.005. Epub 2022 May 26. PubMed 35643841 ↗
  • De Giorgi U, Hussain M, Shore N, Fizazi K, Tombal B, Penson D, Saad F, Efstathiou E, Madziarska K, Steinberg J, Sugg J, Lin X, Shen Q, Sternberg CN. Consistent survival benefit of enzalutamide plus androgen deprivation therapy in men with nonmetastatic castration-resistant prostate cancer: PROSPER subgroup analysis by age and region. Eur J Cancer. 2021 Dec;159:237-246. doi: 10.1016/j.ejca.2021.10.015. Epub 2021 Nov 14. PubMed 34784577 ↗
  • Saad F, Sternberg CN, Efstathiou E, Fizazi K, Modelska K, Lin X, Sugg J, Steinberg J, Noerby B, Shore ND, Hussain M. Prostate-specific Antigen Progression in Enzalutamide-treated Men with Nonmetastatic Castration-resistant Prostate Cancer: Any Rise in Prostate-specific Antigen May Require Closer Monitoring. Eur Urol. 2020 Dec;78(6):847-853. doi: 10.1016/j.eururo.2020.08.025. Epub 2020 Oct 1. PubMed 33010985 ↗
  • Sternberg CN, Fizazi K, Saad F, Shore ND, De Giorgi U, Penson DF, Ferreira U, Efstathiou E, Madziarska K, Kolinsky MP, Cubero DIG, Noerby B, Zohren F, Lin X, Modelska K, Sugg J, Steinberg J, Hussain M; PROSPER Investigators. Enzalutamide and Survival in Nonmetastatic, Castration-Resistant Prostate Cancer. N Engl J Med. 2020 Jun 4;382(23):2197-2206. doi: 10.1056/NEJMoa2003892. Epub 2020 May 29. PubMed 32469184 ↗
  • Tombal B, Saad F, Penson D, Hussain M, Sternberg CN, Morlock R, Ramaswamy K, Ivanescu C, Attard G. Patient-reported outcomes following enzalutamide or placebo in men with non-metastatic, castration-resistant prostate cancer (PROSPER): a multicentre, randomised, double-blind, phase 3 trial. Lancet Oncol. 2019 Apr;20(4):556-569. doi: 10.1016/S1470-2045(18)30898-2. Epub 2019 Feb 12. PubMed 30770294 ↗
  • Hussain M, Fizazi K, Saad F, Rathenborg P, Shore N, Ferreira U, Ivashchenko P, Demirhan E, Modelska K, Phung D, Krivoshik A, Sternberg CN. Enzalutamide in Men with Nonmetastatic, Castration-Resistant Prostate Cancer. N Engl J Med. 2018 Jun 28;378(26):2465-2474. doi: 10.1056/NEJMoa1800536. PubMed 29949494 ↗

Study documents

  • Study protocol · Jan 26, 2018
  • Statistical analysis plan · Nov 18, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02003924
Lead sponsor
Pfizer
Collaborators
Astellas Pharma Inc, Medivation LLC, a wholly owned subsidiary of Pfizer Inc.
Responsible party
Sponsor
First posted
Dec 6, 2013
Start date
Oct 31, 2013
Primary completion
Jun 28, 2017
Completion
Nov 28, 2025
Results posted
Jul 12, 2018
Last update
Jan 27, 2026

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2026. You cannot join it, but the record below documents what was studied.

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