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NCT01995513 · OUTCOME

Objective Response Rate (ORR)

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 CR or PR, whichever occurred first (maximum up to 21.3 months)

What was measured

Objective response rate as assessed by the investigator according to Response Evaluation Criteria in Solid Tumor version 1.1 (RECIST v1.1) was defined as 1) Percentage of participants with confirmed best overall complete response (CR) and partial response (PR); 2) Percentage of participants with CR, PR and stable disease (SD) for target lesions or non-progressive disease for non-target lesions. CR: Disappearance of all non-nodal target and non-target lesions, including target and non-target lymph nodes reduction to \<10 millimeter (mm) in short axis. No new lesions and disappearance of all non-target lesions. PR: \>= 30% decrease in sum of diameters of target lesions, compared to the sum at baseline. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions.

Analysis population: ITT population (with measurable disease at screening) included all participants randomly assigned to study treatment. 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 10mg38
Placebo+Abiraterone 1000mg+ Prednisone 10mg40

Reported measurements

CR + PR
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg0.0Not reported0.009.25Not reported
Placebo+Abiraterone 1000mg+ Prednisone 10mg5.0Not reported0.6116.92Not reported
CR + PR + SD
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Enzalutamide 160mg+Abiraterone 1000mg+ Prednisone 10mg68.4Not reported51.3582.50Not reported
Placebo+Abiraterone 1000mg+ Prednisone 10mg57.5Not reported40.8972.96Not reported

Source statistical analyses

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

  1. ci Lower Limit
    -11.75
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.75
    estimate Comment
    Difference in objective response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with CR+PR.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.1653
    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 Objective Response Rate
    param Value
    -5.00
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    -10.37
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    32.21
    estimate Comment
    Difference in objective response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with CR+PR+SD.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.3216
    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 Objective Response Rate
    param Value
    10.92
    statistical Method
    Cochran-Mantel-Haenszel
Complete source fields
analyses
  1. ci Lower Limit
    -11.75
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.75
    estimate Comment
    Difference in objective response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with CR+PR.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.1653
    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 Objective Response Rate
    param Value
    -5.00
    statistical Method
    Cochran-Mantel-Haenszel
  2. ci Lower Limit
    -10.37
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    32.21
    estimate Comment
    Difference in objective response rate was based upon standard normal approximation.
    group Description
    This analysis is reported for participants with CR+PR+SD.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY_OR_OTHER_LEGACY
    p Value
    0.3216
    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 Objective Response Rate
    param Value
    10.92
    statistical Method
    Cochran-Mantel-Haenszel
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.00
        upper Limit
        9.25
        value
        0.0
      2. group Id
        OG001
        lower Limit
        0.61
        upper Limit
        16.92
        value
        5.0
    title
    CR + PR
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        51.35
        upper Limit
        82.50
        value
        68.4
      2. group Id
        OG001
        lower Limit
        40.89
        upper Limit
        72.96
        value
        57.5
    title
    CR + PR + SD
denoms
  1. counts
    1. group Id
      OG000
      value
      38
    2. group Id
      OG001
      value
      40
    units
    Participants
description
Objective response rate as assessed by the investigator according to Response Evaluation Criteria in Solid Tumor version 1.1 (RECIST v1.1) was defined as 1) Percentage of participants with confirmed best overall complete response (CR) and partial response (PR); 2) Percentage of participants with CR, PR and stable disease (SD) for target lesions or non-progressive disease for non-target lesions. CR: Disappearance of all non-nodal target and non-target lesions, including target and non-target lymph nodes reduction to \<10 millimeter (mm) in short axis. No new lesions and disappearance of all non-target lesions. PR: \>= 30% decrease in sum of diameters of target lesions, compared to the sum at baseline. The short axis was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions.
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
ITT population (with measurable disease at screening) included all participants randomly assigned to study treatment. Here, N signifies those participants who were evaluable for this outcome measure.
reporting Status
POSTED
time Frame
From randomization until CR or PR, whichever occurred first (maximum up to 21.3 months)
title
Objective Response Rate (ORR)
type
SECONDARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice