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Enzalutamide

Phase 1

Castration Levels of Testosterone | Small molecule | Oncology |AbbVie Inc.|Last Updated: Oct 16, 2023

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment10
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03751436Enzalutamide With Venetoclax in Treating Patients With Metastatic Castration Resistant Prostate CancerPHASE1 COMPLETED 10Aug 2, 2019Aug 11, 2023Oct 16, 20231 United States
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Study Endpoints
Primary Endpoints
Maximum tolerated dose (MTD) (Phase Ib)
Up to 28 days

The MTD will be determined based on the rate of dose-limiting toxicities (DLTs). Adverse events will be categorized and graded according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

Recommended phase 2 dose (RP2D) (Phase Ib)
Up to 28 days

Will be selected based on the overall tolerability of the regimen, but will not exceed the MTD.

Progression free survival (Phase II)
Time from start of treatment combination therapy to disease progression, assessed at 12 months

Prostate Cancer Working Group (PCWG)3 will be used to evaluate PSA response and progression as well as progression on bone scans. Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 will be used to assess response and progression for nodal and visceral metastasis. The Kaplan-Meier product-limit estimator will be used.

Secondary Endpoints
PSA50 (Phase II)
Up to 3 years
Circulating tumor cell (CTC) conversion in patients who enter the trial with unfavorable CTCs (five or more cells per 7.5 mL of blood) (Phase II)
Up to 3 years
Radiographic (r)PFS (Phase II)
Time from day (D) 1 of treatment to the date when the first site of disease is found to progress (using a manifestation-specific definition off progression), or death, whichever occurs first, assessed up to 3 years
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (venetoclax, enzalutamide)EXPERIMENTALPatients receive venetoclax PO QD and enzalutamide PO QD on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Interventions
NameTypeDescription
EnzalutamideDRUGGiven PO
VenetoclaxDRUGGiven PO
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Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Histological or cytological documentation of diagnosis of prostate cancer. * Documented progressive metastatic castrate resistant prostate cancer (mCRPC) based on at least one of the following criteria: * Prostate specific antigen (PSA) progression defined as 25% increase o...

Countries:United States
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