Hormone therapyFDA-approvedSecond-line

Erleada

Generic name: apalutamide

How it works

Blocks the action of testosterone on cancer cells, slowing growth.

Cancer types

Prostate CancerAll patients

Efficacy

Studies show that apalutamide can slow cancer growth and reduce symptoms in around 80% of patients.

Side effects

Moderate

Side effects can be significant and may require dose adjustments or supportive medication, but the treatment is usually continued.

Evidence from research

StudyCancer typeStageEfficacy
Apalutamide and ADT Combination for Prostate Cancer TreatmentProstate Cancerphase-3Source →
Testing SX-682 and Apalutamide for Metastatic Prostate CancerProstate Cancerphase-1Source →
Abiraterone, Apalutamide, and Prednisone in Treating Hormone-Naive Metastatic Prostate CancerProstate Cancerphase-2Source →
Testing Docetaxel with Hormonal Therapy and Apalutamide for Metastatic Prostate CancerProstate Cancerphase-3Source →
Treating Prostate Cancer That Has Recurred After SurgeryProstate Cancerphase-3Source →
Study of Prostate Cancer Treatment with Apalutamide or EnzalutamideProstate Cancerphase-3Source →
Testing Apalutamide Alone for Metastatic Prostate CancerProstate Cancerphase-3Source →
Testing Low Dose Apalutamide for Prostate CancerProstate Cancerphase-2Source →
Rare Skin Reaction Found in Prostate Cancer Patient Taking ApalutamideProstate CancerobservationalSource →
Comparing Two Treatments for Advanced Prostate CancerProstate CancerobservationalThe apalutamide group showed significantly higher CRPC-free probability at 24 months (68.2% vs. 39.8%, p < 0.001) compared to the bicalutamide group.Source →
Prostate Cancer Cells May Resist Apalutamide TreatmentProstate Cancerlab-studySource →
Apalutamide and PSA Decline in Asian Men with Advanced Prostate CancerProstate Cancerphase-3Confirmed PSA response rates were higher with apalutamide than placebo: 73.9% versus 33.6% for PSA ≤0.2 ng/mL, 90.1% versus 58.2% for PSA reduction ≥50% [PSA50], and 74.8% versus 25.5% for PSA reduction ≥90% [PSA90].Source →
Comparing Prostate Cancer Treatments: Abiraterone, Enzalutamide, and ApalutamideProstate CancerobservationalAbiraterone was significantly better in 99% PSA decline achievement compared to apalutamide (72% vs. 57%, p = 0.003).Source →
Apalutamide Works Better for Some Prostate Cancer PatientsProstate Cancerphase-3The adjusted hazard ratio for metastasis-free survival was 0.22 (95% CI, 0.17-0.27) for patients with prior local therapy.Source →
Targeting Mitochondria in Prostate Cancer CellsProstate Cancerlab-studySource →
New Guidelines for Using Apalutamide in Prostate Cancer TreatmentProstate CancerreviewIncreased metastasis-free survival and overall survival following treatment with apalutamide.Source →
Skin Rash Side Effect Found in Chinese Prostate Cancer Patients on ApalutamideProstate CancerobservationalSource →
Apalutamide therapy linked to longer survival in men with advanced prostate cancerProstate Cancerphase-3Apalutamide plus ADT increased the length of time that participants remained alive compared with placebo plus ADT.Source →

This information is provided for general education only and is not medical advice. Always consult a qualified healthcare professional before making treatment decisions.