Efficacy and safety of enzalutamide (ENZ) vs placebo (PL) in chemotherapy- naïve patients (pts) with progressive metastatic castration-resistant prostate cancer (mCRPC): Taiwan subgroup analysis of an Asian multiregional study
Hsi-Chin Wu,1,* Shu-Pin Huang,2,* Yen-Hwa Chang,3 Yen-Chuan Ou,4 See-Tong Pang,5 Yuh- Shyan Tsai,6 Kun-Hung Shen,7 Tai-Lung Cha,8 Yeong-Shiau Pu9,†
*Co-lead author; †Corresponding author
1China Medical University Hospital, Taichung, Taiwan; 2Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; 3Taipei Veterans General Hospital, Taipei, Taiwan; 4Taichung Veterans General Hospital, Taichung, Taiwan; 5Chang-Gung Memorial Hospital, Linkou, Taiwan; 6National Cheng Kung University Hospital, Tainan, Taiwan; 7Chi Mei Medical Center, Tainan, Taiwan; 8Tri-Service General Hospital, Taipei, Taiwan; 9National Taiwan University Hospital, Taipei, Taiwan
Purpose: ENZ significantly improved time to prostate-specific antigen (PSA) progression (TTPP) vs PL in chemotherapy-naïve pts with progressive mCRPC in an Asian multiregional study (NCT02294461). This subgroup analysis assessed whether the effect of ENZ vs PL on the efficacy and safety observed in the entire pt population was consistent in Taiwanese (TW) pts.
Materials and methods: Pts with asymptomatic/mildly symptomatic progressive mCRPC were randomized 1:1 to ENZ (160 mg/day) or PL. The primary endpoint was TTPP (time from randomization to PSA progression). Secondary endpoints included overall survival (OS; time from randomization to death) and radiographic progression-free survival (rPFS; time from randomization to radiographic progression or death). Safety assessments included recording adverse events (AEs). Subgroup analyses were performed at the pre-specified interim analysis to determine whether treatment effect was consistent among regions.