Trial Outcomes & Findings for A Study to Test if Enzalutamide is Effective and Safe in Prostate Cancer Patients Who Have Never Had Hormone Therapy (NCT NCT01302041)

NCT ID: NCT01302041

Last Updated: 2018-10-02

Results Overview

A PSA response was defined as a decline from Baseline in PSA level of 80% or greater. Blood samples for PSA were collected and analyzed at a central laboratory. Participants with an unknown or missing response or who discontinued prior to week 25 for any reason were treated as non-responders.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

67 participants

Primary outcome timeframe

Baseline and Week 25

Results posted on

2018-10-02

Participant Flow

This was a multinational, phase 2, open-label, single-arm, efficacy and safety study of oral enzalutamide in participants with prostate cancer who had noncastrate levels of testosterone at study entry.

Eighty-two participants were assessed for participation in the study, 15 were excluded and 67 were enrolled. Participants who continued to receive clinical benefit as assessed by the investigator and did not meet any treatment discontinuation criteria were eligible to transition to an open-label extension study 9785-CL-0123 (NCT02960022).

Participant milestones

Participant milestones
Measure
Enzalutamide
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Overall Study
STARTED
67
Overall Study
Treatment Received
67
Overall Study
COMPLETED
27
Overall Study
NOT COMPLETED
40

Reasons for withdrawal

Reasons for withdrawal
Measure
Enzalutamide
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Overall Study
Death
5
Overall Study
Withdrawal by Subject
4
Overall Study
Other-Transitioned to 9785-CL-0123
29
Overall Study
Other-Miscellaneous Reason
2

Baseline Characteristics

A Study to Test if Enzalutamide is Effective and Safe in Prostate Cancer Patients Who Have Never Had Hormone Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Age, Continuous
73.0 Years
n=113 Participants
Sex: Female, Male
Female
0 Participants
n=113 Participants
Sex: Female, Male
Male
67 Participants
n=113 Participants
Body Mass Index (BMI)
26.17 kg/m²
n=113 Participants
Prostate Specific Antigen (PSA)
18.2 ng/mL
INTER_QUARTILE_RANGE 102.990 • n=113 Participants
Duration of Prostate Cancer
1.0 years
n=113 Participants
Total Gleason Score at Initial Diagnosis
4
1 Participants
n=113 Participants
Total Gleason Score at Initial Diagnosis
5
5 Participants
n=113 Participants
Total Gleason Score at Initial Diagnosis
6
10 Participants
n=113 Participants
Total Gleason Score at Initial Diagnosis
7
34 Participants
n=113 Participants
Total Gleason Score at Initial Diagnosis
8
7 Participants
n=113 Participants
Total Gleason Score at Initial Diagnosis
9
6 Participants
n=113 Participants
Total Gleason Score at Initial Diagnosis
10
3 Participants
n=113 Participants
Total Gleason Score at Initial Diagnosis
Unknown
1 Participants
n=113 Participants
Clinical Tumor Stage (T) at Initial Diagnosis
TX: Primary tumor cannot be assessed
1 Participants
n=113 Participants
Clinical Tumor Stage (T) at Initial Diagnosis
T0: No evidence of primary tumor
1 Participants
n=113 Participants
Clinical Tumor Stage (T) at Initial Diagnosis
T1: Tumor neither palpable or visible by imaging
9 Participants
n=113 Participants
Clinical Tumor Stage (T) at Initial Diagnosis
T2: Tumor confined within the prostate
31 Participants
n=113 Participants
Clinical Tumor Stage (T) at Initial Diagnosis
T3: Tumor extends through the prostatic capsule
18 Participants
n=113 Participants
Clinical Tumor Stage (T) at Initial Diagnosis
T4: Tumor is fixed or invades adjacent structures
1 Participants
n=113 Participants
Clinical Tumor Stage (T) at Initial Diagnosis
Unknown
6 Participants
n=113 Participants
Clinical Lymph Node Stage (N) at Initial Diagnosis
NX: Regional lymph nodes were not assessed
24 Participants
n=113 Participants
Clinical Lymph Node Stage (N) at Initial Diagnosis
N0: No regional lymph node metastasis
22 Participants
n=113 Participants
Clinical Lymph Node Stage (N) at Initial Diagnosis
N1: Metastasis in regional lymph node(s)
6 Participants
n=113 Participants
Clinical Lymph Node Stage (N) at Initial Diagnosis
Unknown
15 Participants
n=113 Participants
Distant Metastasis (M) at Initial Diagnosis
MX: Distant metastasis could not be assessed
11 Participants
n=113 Participants
Distant Metastasis (M) at Initial Diagnosis
M0: No distant metastasis
35 Participants
n=113 Participants
Distant Metastasis (M) at Initial Diagnosis
M1: Distant metastasis
10 Participants
n=113 Participants
Distant Metastasis (M) at Initial Diagnosis
Unknown
11 Participants
n=113 Participants
Participants With Metastases at Study Entry
26 Participants
n=113 Participants
Number of Metastatic Lesions by Bone Scan
1 Lesions
n=113 Participants
Previous Interventions
Radiotherapy
16 Participants
n=113 Participants
Previous Interventions
Prostatectomy
24 Participants
n=113 Participants
Previous Interventions
Transurethral Resection of the Prostate
4 Participants
n=113 Participants
Previous Interventions
Pelvic Lymph Node Dissection
6 Participants
n=113 Participants
Previous Interventions
Watchful Waiting
14 Participants
n=113 Participants
Previous Interventions
Other Surgeries/Procedures
4 Participants
n=113 Participants

PRIMARY outcome

Timeframe: Baseline and Week 25

Population: The analysis population was safety analysis set (SAF), which consisted of participants who received at least one dose of study drug.

A PSA response was defined as a decline from Baseline in PSA level of 80% or greater. Blood samples for PSA were collected and analyzed at a central laboratory. Participants with an unknown or missing response or who discontinued prior to week 25 for any reason were treated as non-responders.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percentage of Participants With a Prostate-Specific Antigen (PSA) Response at Week 25
92.5 Percentage of Participants
Interval 83.44 to 97.53

SECONDARY outcome

Timeframe: From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)

Population: Safety Analysis Set

Each adverse event (AE) was assessed by the investigator for causal relationship to the study drug; those deemed possibly or probably related to study drug are reported as drug regimen related AEs (DRRAEs). A serious adverse event (SAE) was defined as any untoward medical occurrence that at any dose: * Resulted in death * Was life-threatening * Resulted in persistent or significant disability/incapacity * Resulted in congenital anomaly or birth defect * Required inpatient hospitalization or led to prolongation of hospitalization * Other medically important events.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Number of Participants With Adverse Events
Any Adverse Events
67 Participants
Number of Participants With Adverse Events
Deaths
5 Participants
Number of Participants With Adverse Events
Drug Regimen Related Adverse Events
65 Participants
Number of Participants With Adverse Events
Serious Adverse Events
24 Participants
Number of Participants With Adverse Events
Drug Regimen Related Serious Adverse Events
5 Participants
Number of Participants With Adverse Events
AEs Leading to Discontinuation of Study Drug
14 Participants
Number of Participants With Adverse Events
DRRAEs Leading to Discontinuation of Study Drug
7 Participants

SECONDARY outcome

Timeframe: Baseline and Weeks 25, 49, 97, 169 and Week 265 (End of Study)

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in PSA
Week 25
-97.82 Percent Change
Standard Deviation 5.744
Percent Change From Baseline in PSA
Week 49
-98.96 Percent Change
Standard Deviation 2.767
Percent Change From Baseline in PSA
Week 97
-99.44 Percent Change
Standard Deviation 1.114
Percent Change From Baseline in PSA
Week 169
-91.74 Percent Change
Standard Deviation 27.808
Percent Change From Baseline in PSA
Week 265 (End of Study)
-0.70 Percent Change
Standard Deviation 368.253

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Sex Hormone-Binding Globulin (SHBG)
Week 25
100.60 Percent Change
Standard Deviation 49.362
Percent Change From Baseline in Sex Hormone-Binding Globulin (SHBG)
Week 49
88.45 Percent Change
Standard Deviation 41.911

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Androstenedione
Week 25
51.06 Percent Change
Standard Deviation 59.367
Percent Change From Baseline in Androstenedione
Week 49
49.94 Percent Change
Standard Deviation 55.449

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Dehydroepiandrosterone (DHEA)
Week 25
9.59 Percent Change
Standard Deviation 58.247
Percent Change From Baseline in Dehydroepiandrosterone (DHEA)
Week 49
10.54 Percent Change
Standard Deviation 54.864

SECONDARY outcome

Timeframe: Baseline and Week 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Dihydrotestosterone (DHT)
Week 25
51.72 Percent Change
Standard Deviation 57.511
Percent Change From Baseline in Dihydrotestosterone (DHT)
Week 49
74.35 Percent Change
Standard Deviation 101.451

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Estradiol
Week 25
71.69 Percent Change
Standard Deviation 73.150
Percent Change From Baseline in Estradiol
Week 49
81.00 Percent Change
Standard Deviation 82.811

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Follicle-Stimulating Hormone (FSH)
Week 25
46.99 Percent Change
Standard Deviation 46.389
Percent Change From Baseline in Follicle-Stimulating Hormone (FSH)
Week 49
62.18 Percent Change
Standard Deviation 78.371

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Luteinizing Hormone (LH)
Week 25
184.66 Percent Change
Standard Deviation 120.683
Percent Change From Baseline in Luteinizing Hormone (LH)
Week 49
215.18 Percent Change
Standard Deviation 163.732

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Prolactin
Week 25
16.79 Percent Change
Standard Deviation 45.497
Percent Change From Baseline in Prolactin
Week 49
9.64 Percent Change
Standard Deviation 30.003

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Total Testosterone
Week 25
114.29 Percent Change
Standard Deviation 73.692
Percent Change From Baseline in Total Testosterone
Week 49
101.73 Percent Change
Standard Deviation 76.070

SECONDARY outcome

Timeframe: Baseline and Weeks 25 and 49

Population: Safety Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percent Change From Baseline in Free Testosterone
Week 49
43.74 Percent Change
Standard Deviation 55.721
Percent Change From Baseline in Free Testosterone
Week 25
46.39 Percent Change
Standard Deviation 59.551

SECONDARY outcome

Timeframe: Pre-dose at Weeks 2, 3, 4, 5, 9, 13, 21 and 25

Population: Pharmacokinetic Analysis Set (PKAS) (participants who had taken at least 1 dose of study drug and who had at least 1 pharmacokinetic concentration value) with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 2
7.225 μg/mL
Standard Deviation 1.8050
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 3
10.559 μg/mL
Standard Deviation 2.1967
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 4
11.838 μg/mL
Standard Deviation 2.4605
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 5
12.161 μg/mL
Standard Deviation 2.8496
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 9
11.606 μg/mL
Standard Deviation 3.0084
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 13
11.868 μg/mL
Standard Deviation 2.9760
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 21
11.224 μg/mL
Standard Deviation 2.8899
Plasma Concentration of Enzalutamide at Pre-dose (Ctrough)
Week 25
11.668 μg/mL
Standard Deviation 2.7624

SECONDARY outcome

Timeframe: Pre-dose at Weeks 2, 3, 4, 5, 9, 13, 21 and 25

Population: Pharmacokinetic Analysis Set with available data at each time point

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 9
12.128 μg/mL
Standard Deviation 3.1262
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 13
12.780 μg/mL
Standard Deviation 3.2564
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 21
11.717 μg/mL
Standard Deviation 2.9502
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 25
12.146 μg/mL
Standard Deviation 2.5845
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 2
2.527 μg/mL
Standard Deviation 1.0440
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 3
5.344 μg/mL
Standard Deviation 1.7079
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 4
8.182 μg/mL
Standard Deviation 2.4366
Plasma Concentration of Enzalutamide Metabolite M2 at Pre-dose (Ctrough)
Week 5
9.962 μg/mL
Standard Deviation 2.7584

SECONDARY outcome

Timeframe: Baseline and Weeks 49, 97 and 169

Population: Safety Analysis Set

A PSA response was defined as a decline from baseline in PSA level of 80% or greater. Blood samples for PSA were collected and analyzed at a central laboratory. Participants with an unknown or missing response or who discontinued prior to week 49, week 97 or week 169 for any reason were treated as non-responders.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percentage of Participants With a PSA Response at Weeks 49, 97 and 169
Week 97
67.2 Percentage of Participants
Interval 54.6 to 78.15
Percentage of Participants With a PSA Response at Weeks 49, 97 and 169
Week 169
56.7 Percentage of Participants
Interval 44.04 to 68.78
Percentage of Participants With a PSA Response at Weeks 49, 97 and 169
Week 49
80.6 Percentage of Participants
Interval 69.11 to 89.24

SECONDARY outcome

Timeframe: Baseline and Weeks 25, 49, 97 and 169

Population: Safety Analysis Set; Week 49, 97 and 169 analyses include participants who were on study at each time point

Participants with unknown or missing PSA results at week 25 or who discontinued prior to week 25 were considered non-responders at week 25. Participants with unknown or missing PSA results at week 49, week 97 or week 169 were considered non-responders.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percentage of Participants With a 90% or Greater Reduction From Baseline in PSA Level
Week 49
98.1 Percentage of Participants
Percentage of Participants With a 90% or Greater Reduction From Baseline in PSA Level
Week 25
91.0 Percentage of Participants
Percentage of Participants With a 90% or Greater Reduction From Baseline in PSA Level
Week 97
100.0 Percentage of Participants
Percentage of Participants With a 90% or Greater Reduction From Baseline in PSA Level
Week 169
88.1 Percentage of Participants

SECONDARY outcome

Timeframe: Weeks 25, 49, 97 and 169

Population: Safety Analysis Set; Week 49, 97 and 169 analyses include participants who were on study at each time point

Participants with unknown or missing PSA results at week 25 or who discontinued prior to Week 25 were considered non-responders at Week 25. Participants with unknown or missing PSA results at week 49, 97 and 169 were considered non-responders.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percentage of Participants With PSA ≤ 4 ng/ml
Week 25
92.5 Percentage of Participants
Percentage of Participants With PSA ≤ 4 ng/ml
Week 49
94.4 Percentage of Participants
Percentage of Participants With PSA ≤ 4 ng/ml
Week 97
100.0 Percentage of Participants
Percentage of Participants With PSA ≤ 4 ng/ml
Week 169
95.2 Percentage of Participants

SECONDARY outcome

Timeframe: Weeks 25, 49, 97 and 169

Population: Safety Analysis Set; Week 49, 97 and 169 analyses include participants who were on study at each time point

Participants with unknown or missing PSA results at week 25 or who discontinued prior to week 25 were considered non-responders at week 25. Participants with unknown or missing PSA results at week 49, 97 or 169 were considered non-responders.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Percentage of Participants With PSA ≤ 0.1 ng/ml
Week 25
44.8 Percentage of Participants
Percentage of Participants With PSA ≤ 0.1 ng/ml
Week 49
63.0 Percentage of Participants
Percentage of Participants With PSA ≤ 0.1 ng/ml
Week 97
73.3 Percentage of Participants
Percentage of Participants With PSA ≤ 0.1 ng/ml
Week 169
61.9 Percentage of Participants

SECONDARY outcome

Timeframe: Baseline to Week 25 and from Baseline up to the EOS date of 27 Apr 2017; median duration of treatment of 1666.0 days (range of 52-2052)

Population: Safety Analysis Set with available data at each time point

The maximum decline from Baseline in PSA was calculated as the largest reduction from Baseline in PSA level that occurred at any point after treatment start up to week 25 and up to and including the assessment made at the safety follow-up visit, divided by the PSA Baseline value and multiplied by 100, i.e., the maximum percent change from baseline.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Maximum Decline From Baseline in PSA
Maximum Decline by Week 25
-98.32 Percent Change
Standard Deviation 2.880
Maximum Decline From Baseline in PSA
Maximum Decline by EOS
-99.10 Percent Change
Standard Deviation 2.659

SECONDARY outcome

Timeframe: From first dose until the EOS date of 27-Apr-2017; median duration of treatment of 1666.0 days (range of 52-2052)

Population: Safety Analysis Set

Time to PSA response (PSA decline ≥ 80% from Baseline) is defined as the time interval from the first study drug dose to the first date a decline from Baseline in PSA level of 80% or greater was recorded. Time to response was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Time to PSA Response
29 Days
Interval 28.0 to 31.0

SECONDARY outcome

Timeframe: From first dose until the EOS date of 27-Apr-2017; median duration of treatment of 1666.0 days (range of 52-2052)

Population: Safety Analysis Set

Time to PSA decline ≥ 90% is defined as the time interval from the first study drug dose to the first date a decline from Baseline in PSA level of 90% or greater was recorded. Time to PSA decline ≥ 90% was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Time to PSA Decline ≥ 90%
55 Days
Interval 29.0 to 57.0

SECONDARY outcome

Timeframe: From first dose until the EOS date of 27-Apr-2017; median duration of treatment of 1666.0 days (range of 52-2052)

Population: Safety Analysis Set

Time to PSA ≤ 4 ng/ml is defined as the time interval from the first study drug dose to the first date a decline in PSA to a result of 4 ng/ml or below was recorded. Time to PSA ≤ 4 ng/ml was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Time to PSA ≤ 4 ng/ml
29 Days
Interval 9.0 to 57.0

SECONDARY outcome

Timeframe: From first dose until the EOS date of 27-Apr-2017; median duration of treatment of 1666.0 days (range of 52-2052)

Population: Safety Analysis Set

Time to PSA ≤ 0.1 ng/ml is defined as the time interval from the first study drug dose to the first date a decline in PSA to a result of 0.1 ng/ml or below was recorded. Time to PSA ≤ 0.1 ng/ml was estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Time to PSA ≤ 0.1 ng/ml
168 Days
Interval 58.0 to 581.0

SECONDARY outcome

Timeframe: From first dose until the EOS date of 27-Apr-2017; median duration of treatment of 1666.0 days (range of 52-2052)

Population: Safety Analysis Set

Time to PSA progression is defined as the time interval from the first study drug dose to the first date of PSA progression. PSA progression is defined as a ≥ 25% increase in PSA with an absolute increase of ≥ 2 ng/mL above the nadir unless the PSA next measurement(s), if available, does not confirm the PSA progression.

Outcome measures

Outcome measures
Measure
Enzalutamide
n=67 Participants
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Time to PSA Progression
NA Days
Could not be estimated due to the low number of events

SECONDARY outcome

Timeframe: From Baseline to Week 25

Population: Safety Analysis Set with a positive PSA versus time slope

PSA doubling time was to be calculated from the slope estimated from a linear regression of the natural log of PSA fitted on time, if the slope was positive. Since the slope was negative for all participants, PSA doubling time could not be calculated.

Outcome measures

Outcome data not reported

Adverse Events

Enzalutamide

Serious events: 24 serious events
Other events: 66 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Enzalutamide
n=67 participants at risk
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Blood and lymphatic system disorders
Lymphadenopathy
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Acute myocardial infarction
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Angina pectoris
3.0%
2/67 • Number of events 2 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Arrhythmia
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Atrial fibrillation
6.0%
4/67 • Number of events 4 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Bradycardia
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Cardiac arrest
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Cardio-respiratory arrest
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Sick sinus syndrome
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Cardiac disorders
Supraventricular tachycardia
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Gastrointestinal disorders
Dyspepsia
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Gastrointestinal disorders
Intestinal perforation
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
General disorders
Chronic fatigue syndrome
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
General disorders
Device dislocation
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
General disorders
General physical health deterioration
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Infections and infestations
Pneumonia
3.0%
2/67 • Number of events 2 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Infections and infestations
Sepsis
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Infections and infestations
Urosepsis
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Injury, poisoning and procedural complications
Clavicle fracture
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Injury, poisoning and procedural complications
Concussion
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Injury, poisoning and procedural complications
Road traffic accident
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Metabolism and nutrition disorders
Hypercalcaemia
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Metabolism and nutrition disorders
Hypoglycaemia
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Musculoskeletal and connective tissue disorders
Osteoarthritis
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Musculoskeletal and connective tissue disorders
Spinal column stenosis
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign neoplasm
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder transitional cell carcinoma
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer metastatic
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
1.5%
1/67 • Number of events 2 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to abdominal cavity
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to bladder
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to liver
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to lung
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal carcinoma
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancer
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Schwannoma
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Skin cancer
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Cerebral haemorrhage
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Depressed level of consciousness
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Dizziness
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Normal pressure hydrocephalus
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Seizure anoxic
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Syncope
3.0%
2/67 • Number of events 2 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Renal and urinary disorders
Haematuria
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Renal and urinary disorders
Hydronephrosis
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Renal and urinary disorders
Nephrolithiasis
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Renal and urinary disorders
Urinary retention
3.0%
2/67 • Number of events 2 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Renal and urinary disorders
Urinary tract obstruction
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Reproductive system and breast disorders
Prostatic calcification
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Respiratory, thoracic and mediastinal disorders
Epistaxis
1.5%
1/67 • Number of events 1 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)

Other adverse events

Other adverse events
Measure
Enzalutamide
n=67 participants at risk
Participants received oral enzalutamide at 160 mg once daily for 24 weeks. Participants who had clinical benefit at week 25 could continue to receive enzalutamide until disease progression, objective or clinical, or occurrence of an unacceptable toxicity, at the discretion of the investigator.
Gastrointestinal disorders
Abdominal discomfort
6.0%
4/67 • Number of events 5 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Gastrointestinal disorders
Constipation
13.4%
9/67 • Number of events 11 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Gastrointestinal disorders
Diarrhoea
16.4%
11/67 • Number of events 14 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Gastrointestinal disorders
Dry mouth
7.5%
5/67 • Number of events 5 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Gastrointestinal disorders
Nausea
16.4%
11/67 • Number of events 14 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
General disorders
Fatigue
41.8%
28/67 • Number of events 40 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
General disorders
Oedema peripheral
11.9%
8/67 • Number of events 10 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Infections and infestations
Cystitis
6.0%
4/67 • Number of events 4 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Infections and infestations
Nasopharyngitis
9.0%
6/67 • Number of events 9 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Infections and infestations
Pneumonia
7.5%
5/67 • Number of events 6 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Injury, poisoning and procedural complications
Fall
6.0%
4/67 • Number of events 5 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Metabolism and nutrition disorders
Decreased appetite
6.0%
4/67 • Number of events 4 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Musculoskeletal and connective tissue disorders
Back pain
14.9%
10/67 • Number of events 12 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
6.0%
4/67 • Number of events 4 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Musculoskeletal and connective tissue disorders
Myalgia
6.0%
4/67 • Number of events 5 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Musculoskeletal and connective tissue disorders
Osteoporosis
10.4%
7/67 • Number of events 9 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Musculoskeletal and connective tissue disorders
Pain in extremity
11.9%
8/67 • Number of events 9 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Dizziness
7.5%
5/67 • Number of events 5 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Headache
6.0%
4/67 • Number of events 8 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Nervous system disorders
Memory impairment
9.0%
6/67 • Number of events 7 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Psychiatric disorders
Depression
7.5%
5/67 • Number of events 5 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Reproductive system and breast disorders
Breast pain
9.0%
6/67 • Number of events 7 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Reproductive system and breast disorders
Gynaecomastia
53.7%
36/67 • Number of events 43 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Reproductive system and breast disorders
Nipple pain
19.4%
13/67 • Number of events 13 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Respiratory, thoracic and mediastinal disorders
Cough
7.5%
5/67 • Number of events 5 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Respiratory, thoracic and mediastinal disorders
Dysphonia
6.0%
4/67 • Number of events 4 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Respiratory, thoracic and mediastinal disorders
Dyspnoea
9.0%
6/67 • Number of events 6 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Skin and subcutaneous tissue disorders
Dry skin
10.4%
7/67 • Number of events 7 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Skin and subcutaneous tissue disorders
Rash
6.0%
4/67 • Number of events 4 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Vascular disorders
Hot flush
22.4%
15/67 • Number of events 18 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)
Vascular disorders
Hypertension
25.4%
17/67 • Number of events 18 • From first dose of study drug up to 30 days after last dose of study drug; median duration of treatment of 1666.0 days (range of 52-2052)

Additional Information

Clinical Trial Disclosure

Astellas Pharma Global Devlopment, Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee Institute and/or Principal Investigator may publish trial data generated at their specific study site after Sponsor publication of the multi-center data.Sponsor must receive a site's manuscript prior to publication for review and comment as specified in the Investigator Agreement.
  • Publication restrictions are in place

Restriction type: OTHER