Hormone therapyFDA-approvedSecond-line
Xtandi
Generic name: enzalutamide
How it works
Blocks the action of testosterone on cancer cells, slowing growth.
Cancer types
Prostate Cancer— All patients
Efficacy
In clinical trials, around 50% of patients achieved an objective response, with median overall survival of approximately 18 months.
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
| Study | Cancer type | Stage | Efficacy | |
|---|---|---|---|---|
| Testing ZEN003694 with Enzalutamide for Metastatic Prostate Cancer | Prostate Cancer | phase-2 | — | Source → |
| Muscle Fat May Predict Poor Outcomes in Prostate Cancer Patients | Prostate Cancer | observational | The median failure-free survival was 6 and 17 months with and without myosteatosis, respectively. | Source → |
| Testing Ruxolitinib and Enzalutamide for Metastatic Prostate Cancer | Prostate Cancer | phase-1 | — | Source → |
| Pembrolizumab for Metastatic Prostate Cancer After Enzalutamide Treatment | Prostate Cancer | phase-2 | — | Source → |
| New Study Examines Combination Therapy for High-Risk Prostate Cancer | Prostate Cancer | preclinical | — | Source → |
| Combination Therapy for Metastatic Prostate Cancer | Prostate Cancer | phase-3 | — | Source → |
| Testing Talazoparib with or without Enzalutamide in Men with Advanced Prostate Cancer | Prostate Cancer | phase-2 | — | Source → |
| Evaluating Enzalutamide and ADT in Chinese Patients with Metastatic Prostate Cancer | Prostate Cancer | phase-3 | — | Source → |
| Testing Combination Therapy for Advanced Prostate Cancer | Prostate Cancer | phase-2 | — | Source → |
| Testing Enzalutamide and PDS01ADC in Prostate Cancer | Prostate Cancer | phase-2 | — | Source → |
| New Biomarker for Prostate Cancer Resistance to Enzalutamide Identified | Prostate Cancer | lab-study | — | Source → |
| Study of Prostate Cancer Treatment with Apalutamide or Enzalutamide | Prostate Cancer | phase-3 | — | Source → |
| Study of Talazoparib and Enzalutamide in Men with Prostate Cancer | Prostate Cancer | phase-3 | — | Source → |
| Evaluating Pembrolizumab and Enzalutamide in Metastatic Prostate Cancer | Prostate Cancer | phase-3 | — | Source → |
| Researchers Identify New Target to Overcome Enzalutamide Resistance in Prostate Cancer | Prostate Cancer | lab-study | — | Source → |
| Enzalutamide Resistance in Prostate Cancer Linked to KCNN4 | Prostate Cancer | lab-study | — | Source → |
| ZNF711 Contributes to Resistance to Prostate Cancer Treatment | Prostate Cancer | lab-study | — | Source → |
| Combination Therapy Shows Delayed Survival Benefit in Prostate Cancer | Prostate Cancer | phase-3 | Significant survival benefits were observed after 60 months, with RMST differences of 4.34 months (95% CI, 0.49-8.19, p = 0.03) at 60 months and 6.25 months (95% CI, 1.56-10.95, p = 0.01) at 72 months. | Source → |
| Enzalutamide Resistance in Prostate Cancer Linked to UFL1 Deficiency | Prostate Cancer | lab-study | — | Source → |
| Enzalutamide Monotherapy for Prostate Cancer | Prostate Cancer | phase-3 | The 5-year probability rate of overall survival was 89.5% for enzalutamide monotherapy vs 87.2% for leuprolide alone. | Source → |
| Genetic Link to Abiraterone Dosage Identified in Prostate Cancer Study | Prostate Cancer | phase-3 | — | Source → |
| Early Docetaxel and Enzalutamide for Prostate Cancer: New Insights | Prostate Cancer | phase-3 | Among those assigned no enzalutamide, OS was longer with the planned use of early docetaxel (HR 0.90, 95% CI 0.82-0.98), especially in high-volume disease. | Source → |
| Abiraterone and Enzalutamide Show Similar Outcomes in Prostate Cancer | Prostate Cancer | observational | Median overall survival was 36.2 months for both abiraterone and enzalutamide. | Source → |
| Researchers Identify New Pathway in Prostate Cancer Resistance | Prostate Cancer | lab-study | — | Source → |
| Comparing Treatments for Advanced Prostate Cancer | Prostate Cancer | phase-3 | Treatment with enzalutamide + ADT significantly prolonged the primary endpoint of radiographic progression-free survival (HR [95% confidence interval, CI]: 0.54 [0.32-0.93], p = 0.03) compared with darolutamide + ADT. | Source → |
| Enzalutamide May Offer Better Survival for Prostate Cancer Patients | Prostate Cancer | observational | Enzalutamide-treated patients had longer overall survival in the first-line setting (HR: 0.84) and the second-line setting (HR: 0.88). | Source → |
| OPRK1 linked to resistance to prostate cancer treatment | Prostate Cancer | lab-study | — | Source → |
| Researchers Identify Cells That May Contribute to Prostate Cancer Resistance | Prostate Cancer | lab-study | — | Source → |
| Researchers Identify New Gene Linked to Prostate Cancer Treatment | Prostate Cancer | lab-study | — | Source → |
| New Combination Therapy May Improve Prostate Cancer Outcomes | Prostate Cancer | phase-3 | Talazoparib plus enzalutamide was statistically superior to olaparib plus abiraterone acetate for radiographic progression-free survival (HR: 0.727; 95% confidence interval [CI]: 0.565, 0.935) | Source → |
| Comparing Prostate Cancer Treatments: Abiraterone, Enzalutamide, and Apalutamide | Prostate Cancer | observational | Abiraterone was significantly better in 99% PSA decline achievement compared to apalutamide (72% vs. 57%, p = 0.003). | Source → |
| Enzalutamide Extends Life for Men with Advanced Prostate Cancer | Prostate Cancer | phase-3 | People who took enzalutamide also lived longer without their cancer getting worse. | Source → |
| New Treatment Approach for Prostate Cancer Resistant to Enzalutamide | Prostate Cancer | lab-study | ENZ combined with PAP can significantly inhibit 22Rv1 xenograft growth in mice without experiencing castration. | Source → |
| Understanding Resistance to Enzalutamide in Prostate Cancer Treatment | Prostate Cancer | review | — | Source → |
| Combining two compounds may slow prostate cancer growth | Prostate Cancer | lab-study | — | Source → |
| Liquid Biopsy Predicts Treatment Response in Prostate Cancer Patients | Prostate Cancer | phase-3 | LBRB-positive patients had no benefit from continuing enzalutamide with docetaxel (HR = 0.78, 95% CI = 0.41-1.48, p = 0.44; RMST: 7.9 vs 7.1 mo, p = 0.50). | Source → |
| Comparing Treatments for Advanced Prostate Cancer | Prostate Cancer | observational | Patients initiating enzalutamide had a 0.90-month longer overall survival compared to those initiating abiraterone acetate at 4 years. | Source → |
| Researchers Identify New Target for Prostate Cancer Resistance | Prostate Cancer | lab-study | The downregulation of SYT4, in combination with enzalutamide therapy, substantially enhances the antiproliferative effect on resistant prostate cancer cells beyond the capacity of enzalutamide monotherapy. | Source → |
| Researchers Identify New Cause of Resistance to Prostate Cancer Treatment | Prostate Cancer | lab-study | — | Source → |
| Enzalutamide's Effect on Prostate Cancer Treatment with Lu-PSMA Therapy | Prostate Cancer | observational | The average percent decline at the end of the treatment was 23.3% in patients who took enzalutamide and 50.4% in those who did not. | Source → |
| New Study Compares Treatments for Advanced Prostate Cancer | Prostate Cancer | meta-analysis | Talazoparib in combination with enzalutamide achieved a hazard ratio of 0.20 for radiographic progression-free survival. | Source → |
| New Compounds Show Promise Against Enzalutamide-Resistant Prostate Cancer | Prostate Cancer | lab-study | These biphenyl derivatives exhibited potent antiproliferative activity against LNCaP and 22Rv1 cells. | Source → |
| Combining two treatments may slow prostate cancer progression | Prostate Cancer | phase-2 | Median PSA progression-free survival was 13·0 months in the enzalutamide plus [Lu]Lu-PSMA-617 group and 7·8 months in the enzalutamide group. | Source → |
| New Study Identifies Potential Biomarkers for Prostate Cancer Progression | Prostate Cancer | phase-2 | — | Source → |
| Combining ORIC-101 and Enzalutamide in Prostate Cancer Treatment | Prostate Cancer | phase-1 | The disease control rate at 12 weeks was 25.8% | Source → |
| SMYD2's Role in Prostate Cancer Resistance to Enzalutamide | Prostate Cancer | lab-study | The SMYD2 inhibitor AZ505 had a synergistic therapeutic effect with enzalutamide in CRPC cells and mouse models. | Source → |
| New Study Compares Effectiveness of Two Cancer Drugs for Prostate Cancer | Prostate Cancer | phase-3 | The median PSA response rate was -65.4% with abiraterone and -78.8% with enzalutamide. | Source → |
| Genetic variant linked to poorer prostate cancer treatment outcomes | Prostate Cancer | observational | A total of 54 patients (20%) had the variant, which was associated with a significantly worse overall survival (HR = 1.71, 95% CI 1.09 - 2.68, p = 0.019) and time to progression (HR = 1.50, 95% CI 1.08 - 2.09, p = 0.016), and was related with a significantly less frequent PSA response (OR = 0.48, 95% CI 0.24 - 0.96, p = 0.038). | Source → |
| Combining Enzalutamide and CC-115 Shows Promise in Prostate Cancer | Prostate Cancer | phase-1 | 80% of patients achieved ≥50% reduction in PSA (PSA50) by 12 weeks. | Source → |
This information is provided for general education only and is not medical advice. Always consult a qualified healthcare professional before making treatment decisions.