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NCT01995513 · OUTCOME

Prostate Specific Antigen (PSA) Response Rate

Safety Study of Continued Enzalutamide Treatment In Prostate Cancer Patients · Source last updated 2023-09-18

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
From randomization until disease progression, last tumor assessment without disease progression, whichever occurred first (maximum up to 11.1 months)

What was measured

PSA response rate was defined as percentage of participants with \>=30% and \>=50% decrease in PSA from baseline at randomization to the maximal PSA response with a threshold of 30% and 50% respectively. PSA response was confirmed if another assessment measured at least 3 weeks later met the criterion as well.

Analysis population: Evaluable ITT population included all participants with a PSA value at baseline of Period 2 and at least 1 post baseline assessment. Here, N signifies those participants who were evaluable for this outcome measure.

Groups in this outcome

Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg

Participants with confirmed PSA progression at Week 21 in open label period, received enzalutamide 160 mg as four 40 mg capsules, orally once daily along with abiraterone 1000 mg as four 250-mg tablets, orally once daily and prednisone 5 mg tablet, orally twice daily in double blind treatment period, up to disease progression (as defined by radiographic imaging or unequivocal clinical progression or death on study), intolerable toxicity, or participant withdrawal, whichever occurred first. Participants were followed up for 16 weeks at 4-week interval after discontinuation of study drug for survival and subsequent antineoplastic therapy for prostate cancer.

Placebo+Abiraterone 1000mg+ Prednisone 10mg

Participants with confirmed PSA progression at Week 21 in open label period, received placebo matched to enzalutamide as four 40 mg capsules, orally once daily along with abiraterone 1000 mg as four 250-mg tablets, orally once daily and prednisone 5 mg tablet, orally twice daily in double blind treatment period, up to disease progression (as defined by radiographic imaging or unequivocal clinical progression or death on study), intolerable toxicity, or participant withdrawal, whichever occurred first. Participants were followed up for 16 weeks at 4-week interval after discontinuation of study drug for survival and subsequent antineoplastic therapy for prostate cancer.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg124
Placebo+Abiraterone 1000mg+ Prednisone 10mg122

Reported measurements

>= 50%
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.8Not reported0.04.4Not reported
Placebo+Abiraterone 1000mg+ Prednisone 10mg2.5Not reported0.57.0Not reported
>= 30%
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg2.4Not reported0.56.9Not reported
Placebo+Abiraterone 1000mg+ Prednisone 10mg2.5Not reported0.57.0Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    -4.82
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.51
    estimate Comment
    Difference in response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with \>=50% decrease from baseline in PSA response.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.3101
    p Value Comment
    P-value was based on Cochran-Mantel-Haenszel mean score test stratified by PSA response (\>=0% to \<30% vs \>=30%) at Week 13 in the open-label period.
    param Type
    Difference in Response Rate
    param Value
    -1.65
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    -3.90
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.82
    estimate Comment
    Difference in response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with \>=30% decrease from baseline in PSA response.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.9917
    p Value Comment
    P-value was based on Cochran-Mantel-Haenszel mean score test stratified by PSA response (\>=0% to \<30% vs \>=30%) at Week 13 in the open-label period.
    param Type
    Difference in Response Rate
    param Value
    -0.04
    statistical Method
    Cochran-Mantel-Haenszel
Complete source fields
analyses
  1. ci Lower Limit
    -4.82
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.51
    estimate Comment
    Difference in response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with \>=50% decrease from baseline in PSA response.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.3101
    p Value Comment
    P-value was based on Cochran-Mantel-Haenszel mean score test stratified by PSA response (\>=0% to \<30% vs \>=30%) at Week 13 in the open-label period.
    param Type
    Difference in Response Rate
    param Value
    -1.65
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    -3.90
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    3.82
    estimate Comment
    Difference in response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with \>=30% decrease from baseline in PSA response.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.9917
    p Value Comment
    P-value was based on Cochran-Mantel-Haenszel mean score test stratified by PSA response (\>=0% to \<30% vs \>=30%) at Week 13 in the open-label period.
    param Type
    Difference in Response Rate
    param Value
    -0.04
    statistical Method
    Cochran-Mantel-Haenszel
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.0
        upper Limit
        4.4
        value
        0.8
      2. group Id
        OG001
        lower Limit
        0.5
        upper Limit
        7.0
        value
        2.5
    title
    >= 50%
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.5
        upper Limit
        6.9
        value
        2.4
      2. group Id
        OG001
        lower Limit
        0.5
        upper Limit
        7.0
        value
        2.5
    title
    >= 30%
denoms
  1. counts
    1. group Id
      OG000
      value
      124
    2. group Id
      OG001
      value
      122
    units
    Participants
description
PSA response rate was defined as percentage of participants with \>=30% and \>=50% decrease in PSA from baseline at randomization to the maximal PSA response with a threshold of 30% and 50% respectively. PSA response was confirmed if another assessment measured at least 3 weeks later met the criterion as well.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants with confirmed PSA progression at Week 21 in open label period, received enzalutamide 160 mg as four 40 mg capsules, orally once daily along with abiraterone 1000 mg as four 250-mg tablets, orally once daily and prednisone 5 mg tablet, orally twice daily in double blind treatment period, up to disease progression (as defined by radiographic imaging or unequivocal clinical progression or death on study), intolerable toxicity, or participant withdrawal, whichever occurred first. Participants were followed up for 16 weeks at 4-week interval after discontinuation of study drug for survival and subsequent antineoplastic therapy for prostate cancer.
    id
    OG000
    title
    Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg
  2. description
    Participants with confirmed PSA progression at Week 21 in open label period, received placebo matched to enzalutamide as four 40 mg capsules, orally once daily along with abiraterone 1000 mg as four 250-mg tablets, orally once daily and prednisone 5 mg tablet, orally twice daily in double blind treatment period, up to disease progression (as defined by radiographic imaging or unequivocal clinical progression or death on study), intolerable toxicity, or participant withdrawal, whichever occurred first. Participants were followed up for 16 weeks at 4-week interval after discontinuation of study drug for survival and subsequent antineoplastic therapy for prostate cancer.
    id
    OG001
    title
    Placebo+Abiraterone 1000mg+ Prednisone 10mg
param Type
NUMBER
population Description
Evaluable ITT population included all participants with a PSA value at baseline of Period 2 and at least 1 post baseline assessment. Here, N signifies those participants who were evaluable for this outcome measure.
reporting Status
POSTED
time Frame
From randomization until disease progression, last tumor assessment without disease progression, whichever occurred first (maximum up to 11.1 months)
title
Prostate Specific Antigen (PSA) Response Rate
type
SECONDARY
unit Of Measure
percentage of participants

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Not medical advice