Study on Enzalutamide and Flutamide in Patients With Castration Resistant Prostate Cancer
Prostate Cancer

About this trial
This is an interventional treatment trial for Prostate Cancer focused on measuring enzalutamide, Xtandi, Prostate Cancer
Eligibility Criteria
Inclusion Criteria:
- Subject is diagnosed with histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation or small-cell histology.
- Subject on continuous ADT with Gonadotropin Releasing Hormone (GnRH) agonist/antagonist or bilateral orchiectomy.
- Serum testosterone level below the target level at screening visit.
- Subject with asymptomatic or mildly symptomatic prostate cancer.
- Subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Subject has progression of the disease as defined by rising PSA levels or progressive soft tissue or bony disease during CAB therapy in combination of bicalutamide and ADT.
- A sexually active male subject and the subject's female partner who is of childbearing potential must use 2 acceptable birth control methods from screening to 3 months after the last dose of the study drug.
- Subject must agree not to donate sperm from screening to 3 months after the last dose of the study drug.
Exclusion Criteria:
- Subject with severe concurrent diseases, infections, or complications.
- Subject with confirmed or suspected brain metastasis or active leptomeningeal metastasis.
- Subject with a history of malignant tumor other than prostate cancer in the past 5 years.
- Subject hypersensitive to the ingredients of enzalutamide capsules or flutamide tablets.
- Subject with a history of convulsive attack, or prone to convulsive attack.
- Subject with liver disorder such as viral hepatitis and hepatic cirrhosis, or subject with Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) at screening visit higher than the upper limit of normal.
- Subject received treatment for prostate cancer with cytocidal chemotherapy that includes anti androgenic agents other than bicalutamide, abiraterone, or estramustine.
Sites / Locations
- Site JP00024
- Site JP00025
- Site JP00038
- Site JP00051
- Site JP00045
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- Site JP00008
- Site JP00041
- Site JP00029
- Site JP00031
- Site JP00032
- Site JP00042
- Site JP00037
- Site JP00052
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Enzalutamide 160 mg 1st line AAT/Flutamide 375 mg 2nd line AAT
Flutamide 375 mg 1st line AAT/Enzaltumide 160 mg 2nd line AAT
Participants received enzalutamide 160 mg capsules, orally once daily as 1st line of alternative antiandrogen therapy (AAT) until confirmed prostate-specific antigen (PSA) progression, other disease progression, or an intolerable adverse event. After confirmation of PSA progression, other disease progression, or an intolerable adverse event, participants received flutamide 125 mg tablets orally thrice daily after each meal as 2nd line of AAT. Treatment with each drug was continued until the participant met any of the discontinuation criteria or until 2 years from the enrollment of the last participant (approximately 38 months).
Participants received flutamide 125 mg tablets orally thrice daily after each meal as 1st line of AAT until confirmed PSA progression, other disease progression, or an intolerable adverse event. After confirmed PSA progression, other disease progression, or an intolerable adverse event. participants received enzalutamide 160 mg capsules orally once daily as 2nd line of AAT. Treatment with each drug was continued until the participant met any of the discontinuation criteria or until 2 years from the enrollment of the last participant (approximately 38 months).