CClinicalTrials.gg
CompletedNCT06072196Updated Dec 31, 2025Results posted

A Study to Learn About Novel Hormonal Therapies in People With Metastatic Castration-Sensitive Prostate Cancer (mCSPC)

An observational study in Prostatic Neoplasms, sponsored by Pfizer. Completed at 1 site in United States. Open to male participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-12-31.

Sponsored by Pfizer · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
3,017
Ages
65 Years and older
Sex
Male
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Study summary

The purpose of this study is to learn about how long novel hormonal therapies are taken by men to treat mCSPC. Novel hormonal therapies in this study include study medicines abiraterone, apalutamide, and enzalutamide.

Prostate cancer is one of the most common cancers in men. The prostate is a gland in the male body that helps make semen. Metastatic cancer is a cancer that has spread to other parts of the body. Castration-sensitive prostate cancer means the cancer is being controlled by keeping the testosterone levels as low as would be expected if the testicles were removed by surgery.

This is a real-world study, not a clinical trial. This means that researchers will look at what happens when men receive the treatments prescribed by their own doctor as part of their usual healthcare treatment. In this study, researchers will use insurance claim information from Medicare claims data.

The study will include patients' information from the database for men who:

  • Were identified to have mCSPC.
  • Started treatment with novel hormonal therapy (index date) for mCSPC.
  • Were 65 years of age or older one year before index date.

Men in this study will be taking novel hormonal therapy for treatment of their mCSPC. We will describe how long men take novel hormonal therapy. This study will use patient information from insurance claims. It will take information one year before start of novel hormonal treatment until the end of insurance period or until information is available.

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Conditions studied

  • Prostatic Neoplasms

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Keywords

  • metastatic castration-sensitive prostate cancer
  • mCSPC
  • metastatic hormone-sensitive prostate cancer
  • mHSPC
  • enzalutamide
  • abiraterone
  • treatment duration
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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 3,017 is above the median of 200 across 1,181 observational 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.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Men with metastatic castration-sensitive prostate cancer who initiated novel hormonal therapy (abiraterone, apalutamide, or enzalutamide) and met eligibility criteria will be included in the study. Patients will be identified from the 100% Fee-For-Service Medicare claims data.

Inclusion criteria

  • Male with ≥ 1 diagnosis claim for prostate cancer
  • Have documented secondary metastasis code on or after the initial prostate cancer diagnosis
  • Have initiated novel hormonal therapy (abiraterone, apalutamide, or enzalutamide) within 30 days prior to the metastasis date or on or after the metastasis date. The initiation date of the earliest novel hormonal therapy will be defined as the index date.
  • Have a claim for androgen deprivation therapy (ADT) within 90 days prior to or within 30 days after the index date
  • ≥65 years old 12 months prior to the index date
  • Continuous enrollment in Medicare Parts A, B, and D for ≥12 months prior to the index date and ≥6 months following the index date (unless death)

Exclusion criteria

Exclusion Criteria:

  • Claims indicating ≥8 weeks of continuous ADT use between 90 and 365 days prior to the index date, which may indicate castration-resistance
  • Received chemotherapy, novel hormonal therapy, radium-223, PARP inhibitor, immunotherapy, or surgical castration prior to the index date
  • Had a prior history of other cancers
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
3,017 participants (actual)
Patient registry
No

Groups and cohorts

  • Novel hormonal therapy cohort

    Patients initiating novel hormonal therapy (abiraterone, apalutamide or enzalutamide) for mCSPC

    Drug: Novel hormonal therapy

Interventions

  • DrugNovel hormonal therapy

    As provided in real-world setting

    Also known as: Abiraterone (Yonsa, Zytiga), Apalutamide (Erleada), Enzalutamide (Xtandi)

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What researchers measure

Primary outcomes

  1. Duration of NHT Treatment

    Treatment duration was defined as the time from the initial claim date of NHT (abiraterone, apalutamide, or enzalutamide) until the end of observation for any of the following reasons: (i) end of data availability (December 31, 2022), (ii) participant's date of death, (iii) day before a treatment switch, (iv) day of treatment discontinuation (a 90-day gap in days supply was considered as discontinuation). Retrospective retrieved data collected was evaluated for approximately 1.2 years of this study. Kaplan-Meier method was used for estimation.

    Time frame: 2 years (retrospective data observation duration)

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Results

Posted Dec 31, 2025

Participant flow

Data for eligible participants with metastatic castration-sensitive prostate cancer (mCSPC), who initiated a novel hormonal therapy (NHT) \[abiraterone or apalutamide or enzalutamide\] and had its claim from 01-Jan-2020 to 31-Dec-2021 (index window) were retrieved from existing administrative data from Original Medicare.

Participant flow — Overall Study
MilestoneNovel Hormonal Therapy
Started3017
Completed3017
Not completed0

Outcome measures

PrimaryDuration of NHT Treatment

Treatment duration was defined as the time from the initial claim date of NHT (abiraterone, apalutamide, or enzalutamide) until the end of observation for any of the following reasons: (i) end of data availability (December 31, 2022), (ii) participant's date of death, (iii) day before a treatment switch, (iv) day of treatment discontinuation (a 90-day gap in days supply was considered as discontinuation). Retrospective retrieved data collected was evaluated for approximately 1.2 years of this study. Kaplan-Meier method was used for estimation.

Time frame:
2 years (retrospective data observation duration)
Reported as:
Median · Months
Duration of NHT Treatment
MonthsNovel Hormonal Therapy
Duration of NHT Treatment11.9 (11.4 to 12.7)

Adverse events

Collected over Not applicable as adverse events and all-cause mortality were not planned to be evaluated for the study. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Novel Hormonal Therapy———

Baseline characteristics

Analysis population included all eligible participants who met inclusion/exclusion criteria, whose data was retrieved and observed in the study.

Age, Continuous
Age, Continuous(Years)Novel Hormonal Therapy
Mean76.0 ± 6.5
Sex: Female, Male
Sex: Female, Male(Participants)Novel Hormonal Therapy
Female0
Male3017
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Novel Hormonal Therapy
Race/Ethnicity, Customized — Non-Hispanic White2,475
Race/Ethnicity, Customized — Black or African American246
Race/Ethnicity, Customized — Asian/Pacific Islander76
Race/Ethnicity, Customized — Hispanic96
Race/Ethnicity, Customized — Other/Unknown124
08

Study locations

1 site
  • Pfizer, Inc
    New York, New York 10001, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 4, 2024

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

Individual participant data

Plan to share: No — 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.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 31, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06072196
Lead sponsor
Pfizer
Collaborators
Astellas Pharma Inc
Responsible party
Sponsor
First posted
Oct 10, 2023
Start date
Oct 4, 2023
Primary completion
Dec 18, 2024
Completion
Dec 18, 2024
Results posted
Dec 31, 2025
Last update
Dec 31, 2025

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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