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NCT02677896 · FLOW

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A Study of Enzalutamide Plus Androgen Deprivation Therapy (ADT) Versus Placebo Plus ADT in Patients With Metastatic Hormone Sensitive Prostate Cancer (mHSPC) · Source last updated 2025-10-24

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

groups
  1. description
    Participants received 160 mg of enzalutamide orally once daily during double-blind treatment period until radiographic progression was documented or until the participants started an investigational agent or new therapy for treatment of prostate cancer or until any other discontinuation criterion was met. Eligible participants who received enzalutamide during double-blind treatment period and provided informed consent to take part in open-label period continued to receive 160 mg enzalutamide orally once daily in open-label period until disease progression, unacceptable toxicity or any other discontinuation criteria were met. ADT (either bilateral orchiectomy or luteinizing hormone-releasing hormone (LHRH) agonist/antagonist) was maintained during study treatment as per standard of care and provided by the site's pharmacy stock.
    id
    FG000
    title
    Enzalutamide + Androgen Deprivation Therapy (ADT)
  2. description
    Participants received enzalutamide matching placebo orally once daily during double-blind treatment period until radiographic progression was documented or until the participants started an investigational agent or new therapy for treatment of prostate cancer or until any other discontinuation criterion was met. Eligible participants who received enzalutamide matching placebo during double-blind treatment period and provided informed consent to take part in open-label period switched to receive 160 mg enzalutamide orally once daily in open-label period until disease progression, unacceptable toxicity or any other discontinuation criteria were met. ADT (either bilateral orchiectomy or LHRH agonist/antagonist) was maintained during study treatment as per standard of care and provided by the site's pharmacy stock.
    id
    FG001
    title
    Placebo + Androgen Deprivation Therapy (ADT)
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        117
      2. group Id
        FG001
        num Subjects
        197
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        12
      2. group Id
        FG001
        num Subjects
        15
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        3
      2. group Id
        FG001
        num Subjects
        6
      type
      Progressive disease
    4. reasons
      1. group Id
        FG000
        num Subjects
        41
      2. group Id
        FG001
        num Subjects
        71
      type
      Withdrawal by Subject
    5. reasons
      1. group Id
        FG000
        num Subjects
        30
      2. group Id
        FG001
        num Subjects
        99
      type
      Miscellaneous
    6. reasons
      1. group Id
        FG000
        num Subjects
        370
      2. group Id
        FG001
        num Subjects
        182
      type
      Continued in OLE
    7. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        4
      type
      Discontinued by Sponsor
    8. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        2
      type
      Randomized, Not Treated
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        574
      2. group Id
        FG001
        num Subjects
        576
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        572
      2. group Id
        FG001
        num Subjects
        574
      type
      Treated
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        574
      2. group Id
        FG001
        num Subjects
        576
      type
      NOT COMPLETED
    title
    Double Blind Period (up to 35 Months)
  2. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        73
      2. group Id
        FG001
        num Subjects
        26
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        8
      2. group Id
        FG001
        num Subjects
        3
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        22
      2. group Id
        FG001
        num Subjects
        10
      type
      Progressive disease
    4. reasons
      1. group Id
        FG000
        num Subjects
        16
      2. group Id
        FG001
        num Subjects
        13
      type
      Withdrawal by Subject
    5. reasons
      1. group Id
        FG000
        num Subjects
        241
      2. group Id
        FG001
        num Subjects
        125
      type
      Miscellaneous
    6. reasons
      1. group Id
        FG000
        num Subjects
        10
      2. group Id
        FG001
        num Subjects
        5
      type
      Discontinued by Sponsor
    milestones
    1. achievements
      1. comment
        Eligible participants who provided consent took part in open-label period
        group Id
        FG000
        num Subjects
        370
      2. comment
        Eligible participants who provided consent took part in open-label period
        group Id
        FG001
        num Subjects
        182
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    3. achievements
      1. group Id
        FG000
        num Subjects
        370
      2. group Id
        FG001
        num Subjects
        182
      type
      NOT COMPLETED
    title
    Open-Label Extension (Approx. 66 Months)
pre Assignment Details
The randomization was stratified by volume of disease (low vs high) and prior docetaxel therapy for prostate cancer (no prior docetaxel, 1 to 5 cycles, 6 cycles).
recruitment Details
Participants with metastatic hormone sensitive prostate cancer (mHSPC) were enrolled in 204 study sites worldwide.
Complete source fields
groups
  1. description
    Participants received 160 mg of enzalutamide orally once daily during double-blind treatment period until radiographic progression was documented or until the participants started an investigational agent or new therapy for treatment of prostate cancer or until any other discontinuation criterion was met. Eligible participants who received enzalutamide during double-blind treatment period and provided informed consent to take part in open-label period continued to receive 160 mg enzalutamide orally once daily in open-label period until disease progression, unacceptable toxicity or any other discontinuation criteria were met. ADT (either bilateral orchiectomy or luteinizing hormone-releasing hormone (LHRH) agonist/antagonist) was maintained during study treatment as per standard of care and provided by the site's pharmacy stock.
    id
    FG000
    title
    Enzalutamide + Androgen Deprivation Therapy (ADT)
  2. description
    Participants received enzalutamide matching placebo orally once daily during double-blind treatment period until radiographic progression was documented or until the participants started an investigational agent or new therapy for treatment of prostate cancer or until any other discontinuation criterion was met. Eligible participants who received enzalutamide matching placebo during double-blind treatment period and provided informed consent to take part in open-label period switched to receive 160 mg enzalutamide orally once daily in open-label period until disease progression, unacceptable toxicity or any other discontinuation criteria were met. ADT (either bilateral orchiectomy or LHRH agonist/antagonist) was maintained during study treatment as per standard of care and provided by the site's pharmacy stock.
    id
    FG001
    title
    Placebo + Androgen Deprivation Therapy (ADT)
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        117
      2. group Id
        FG001
        num Subjects
        197
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        12
      2. group Id
        FG001
        num Subjects
        15
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        3
      2. group Id
        FG001
        num Subjects
        6
      type
      Progressive disease
    4. reasons
      1. group Id
        FG000
        num Subjects
        41
      2. group Id
        FG001
        num Subjects
        71
      type
      Withdrawal by Subject
    5. reasons
      1. group Id
        FG000
        num Subjects
        30
      2. group Id
        FG001
        num Subjects
        99
      type
      Miscellaneous
    6. reasons
      1. group Id
        FG000
        num Subjects
        370
      2. group Id
        FG001
        num Subjects
        182
      type
      Continued in OLE
    7. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        4
      type
      Discontinued by Sponsor
    8. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        2
      type
      Randomized, Not Treated
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        574
      2. group Id
        FG001
        num Subjects
        576
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        572
      2. group Id
        FG001
        num Subjects
        574
      type
      Treated
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        574
      2. group Id
        FG001
        num Subjects
        576
      type
      NOT COMPLETED
    title
    Double Blind Period (up to 35 Months)
  2. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        73
      2. group Id
        FG001
        num Subjects
        26
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        8
      2. group Id
        FG001
        num Subjects
        3
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        22
      2. group Id
        FG001
        num Subjects
        10
      type
      Progressive disease
    4. reasons
      1. group Id
        FG000
        num Subjects
        16
      2. group Id
        FG001
        num Subjects
        13
      type
      Withdrawal by Subject
    5. reasons
      1. group Id
        FG000
        num Subjects
        241
      2. group Id
        FG001
        num Subjects
        125
      type
      Miscellaneous
    6. reasons
      1. group Id
        FG000
        num Subjects
        10
      2. group Id
        FG001
        num Subjects
        5
      type
      Discontinued by Sponsor
    milestones
    1. achievements
      1. comment
        Eligible participants who provided consent took part in open-label period
        group Id
        FG000
        num Subjects
        370
      2. comment
        Eligible participants who provided consent took part in open-label period
        group Id
        FG001
        num Subjects
        182
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    3. achievements
      1. group Id
        FG000
        num Subjects
        370
      2. group Id
        FG001
        num Subjects
        182
      type
      NOT COMPLETED
    title
    Open-Label Extension (Approx. 66 Months)
pre Assignment Details
The randomization was stratified by volume of disease (low vs high) and prior docetaxel therapy for prostate cancer (no prior docetaxel, 1 to 5 cycles, 6 cycles).
recruitment Details
Participants with metastatic hormone sensitive prostate cancer (mHSPC) were enrolled in 204 study sites worldwide.

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Preserved source evidence · Not medical advice