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CompletedNCT02346578Updated Sep 16, 2021

Comparative Study of Alternative Antiandrogen (AA) Therapy and Early Initiating of Enzalutamide for Castration-resistant Prostate Cancer (CRPC) After Combined Androgen Blockade (CAB) Therapy.

A Phase 2 interventional study of Enzalutamide and Flutamide in Castration-resistant Prostate Cancer, sponsored by Taro Iguchi, MD, PHD. Completed at 1 site in Japan. Open to male participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2021-09-16.

Sponsored by Taro Iguchi, MD, PHD · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
104
Allocation
Randomized
Ages
20 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 125 studies testing enzalutamide in Prostatic Neoplasms — 17 open to participants now, 38 under way, 9 of them phase 3. enzalutamide · Prostatic Neoplasms.

Enrollment
38th of 125
104 · median 52
Started
2014
with 22 others
Phase 2
65 of 125
8 open now
Registered
47th of 125
by date

Among the 125 studies testing enzalutamide in Prostatic Neoplasms, this one is the 38th largest by enrollment, is one of 23 that started in 2014, is one of 65 in phase 2, and was the 47th registered.

By phase

125 studies; the count open now beside each. This study's row is marked.

Phase 2this study65 · 8 open
Phase 122 · 2 open
Phase 316 · 1 open
Phase 1/211 · 5 open
Phase 47 · 0 open
No phase2 · 0 open
Phase 2/32 · 1 open

By the year they started

First in 2005; this study’s year is marked. 23 started in 2014.

Size and results

Median enrollment 52 across the 125 interventional studies. Of the 81 that completed or were terminated, 49 (60%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 125 studies testing enzalutamide in Prostatic Neoplasms, or all of them as a file.
02

Study summary

The objective of this study is to compare the efficacy and safety of enzalutamide or alternative AA therapy in CRPC participants who were previously treated with a combined androgen blockade therapy which included bicalutamide (Bic-CAB). Efficacy and safety of enzalutamide and alternative AA therapy will be evaluated, and effective therapy against CRPC after treatment with Bic-CAB will be investigated.

03

Conditions studied

  • Castration-resistant Prostate Cancer

Browse trials for

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Testosterone of less than 50 ng/dL
  • Participants who was detected of disease progression on image or relapse of PSA (All PSA values measured 3 time at least one week interval are consecutively increased and final value is 2 ng/mL or more. If third value is not higher than second one, fourth measurement will be undertaken and its value must be higher than second one.)
  • Participants who after CAB with bicalutamide
  • (ECOG) performance status is 0 or 1
  • Aged 20 years or older
  • Participants who provided written

Exclusion criteria

Exclusion Criteria:

  • Any prior treatment with enzalutamide, flutamide, abiraterone or chemotherapy, except for therapy
  • With active double cancer
  • Any prior treatment with bicalutamide within 6 weeks
  • Participants who received systemic biological therapy (except for existing approved drug for bone or treatment with luteinizing hormone-releasing hormone (LHRH) analogue) or received treatment with other antitumor agent for prostate cancer
  • With serious complication
  • History of to enzalutamide or any other of enzalutamide
  • History of hypersensitivity to flutamide-containing agent
  • With liver dysfunction
  • Participants who are considered as inadequate by the investigator
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
104 participants (actual)

Study arms

  • Experimental
    Enzalutamide

    Enzalutamide 160 mg administered orally once a day as four 40-mg soft capsules

    Drug: Enzalutamide

  • Active comparator
    Flutamide

    Flutamide 125 mg administered orally three times a day as one tablet after meal

    Drug: Flutamide

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of participants whose prostate specific antigen (PSA) decreased 50 percent or more at month 3

    Time frame: Month 3

Secondary outcomes

  1. Percentage of participants whose PSA decreased 50 percent or more at month 6

    Time frame: Month 6

  2. Percentage of participants who showed disease progression at month 3

    Time frame: Month 3

  3. Percentage of participants who showed disease progression at month 6

    Time frame: Month 6

  4. PSA progression-free survival (PFS)

    Time frame: Up to 39 months

  5. QOL measured by functional assessment of cancer therapy-prostate (FACT-P)

    Time frame: Up to 39 months

07

Study locations

1 site
  • Osaka City University Graduate School of Medicine
    Osaka, Japan
08

References and documents

Publications

  • Iguchi T, Tamada S, Kato M, Yasuda S, Yamasaki T, Nakatani T. Enzalutamide versus flutamide for castration-resistant prostate cancer after combined androgen blockade therapy with bicalutamide: study protocol for a multicenter randomized phase II trial (the OCUU-CRPC study). BMC Cancer. 2019 Apr 11;19(1):339. doi: 10.1186/s12885-019-5526-3. PubMed 30971225 ↗
  • Iguchi T, Tamada S, Kato M, Yasuda S, Machida Y, Ohmachi T, Ishii K, Iwata H, Yamamoto S, Kanamaru T, Morimoto K, Hase T, Tashiro K, Harimoto K, Deguchi T, Adachi T, Iwamoto K, Takegaki Y, Nakatani T. Enzalutamide versus flutamide for castration-resistant prostate cancer after combined androgen blockade therapy with bicalutamide: the OCUU-CRPC study. Int J Clin Oncol. 2020 Mar;25(3):486-494. doi: 10.1007/s10147-019-01554-3. Epub 2019 Sep 28. PubMed 31564004 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02346578
Lead sponsor
Taro Iguchi, MD, PHD
Collaborators
Astellas Pharma Inc
Responsible party
Taro Iguchi, MD, PHD (Osaka City University Graduate School of Medicine, Osaka City University) — Sponsor-investigator
First posted
Jan 27, 2015
Start date
Dec 2014
Primary completion
Sep 30, 2018
Completion
Jan 22, 2019
Last update
Sep 16, 2021
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Enzalutamide

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