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Enzalutamide

Phase 2

Castration-Resistant Prostate Carcinoma | Small molecule | Oncology |Merck & Company, Inc.|Last Updated: May 14, 2026

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 Enrollment58
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02312557Pembrolizumab in Treating Patients With Metastatic Castration Resistant Prostate Cancer Previously Treated With EnzalutamidePHASE2 ACTIVE NOT_RECRUITING 58Nov 18, 2014Oct 31, 2026May 14, 20261 United States
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Study Endpoints
Primary Endpoints
PSA Response, Defined by a PSA Decrease of at Least 50% Confirmed by a Second Measurement at Least 3 Weeks Later
Up to 30 days after completion of study treatment, up to approximately 2.5 years total.

One-sample binomial test will be used to assess whether the proportion of PSA response (PSA decrease of at least 50%) is significantly greater than 0.05. Univariable logistic regression analysis will be conducted to assess the association between immunological parameters and PSA response responses. Scale in logit will be assessed for all continuous parameters that are identified to be significantly associated with PSA response. Descriptive statistical analysis will be conducted. The proportion estimate will be reported with 95% confidence interval.

Secondary Endpoints
Changes in T Cell Activation as Measured in Whole Blood
Baseline to up to 4 weeks
Changes in T Cell Numbers as Measured in Whole Blood
Baseline to up to 4 weeks
Changes in T Cell Phenotype as Measured in Whole Blood
Baseline to up to 4 weeks
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (pembrolizumab)EXPERIMENTALINITIAL TREATMENT PHASE: Patients who are progressing on enzalutamide will receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 3 weeks for 4 courses in the absence of disease progression or unacceptable toxicity. Patients continue to receive standard of care enzalutamide PO daily. MONITORING PHASE: After completion of the initial treatment phase, patients continue to receive standard of care enzalutamide PO daily for the duration of the trial. RETREATMENT PHASE: Patients with disease response or stability after the initial treatment phase will receive pembrolizumab IV over 30 minutes on day 1. Treatment repeats every 3 weeks for an additional 4 courses in the absence of disease progression or unacceptable toxicity. Patients continue to receive standard of care enzalutamide PO daily for the duration of the trial.
Interventions
NameTypeDescription
EnzalutamideDRUGGiven PO
Laboratory Biomarker AnalysisOTHERCorrelative studies
PembrolizumabBIOLOGICALGiven IV
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Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * ENTRY CRITERIA: Metastatic, castration resistant prostate cancer progressing on enzalutamide after initial response to enzalutamide * Histologically or cytologically confirmed adenocarcinoma of the prostate without pure small cell carcinoma; patients without histologically con...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT02312557studyFirstPostDate: changed