FDA Approves Expanded Xtandi Use
FDA has approved Astellas Pharma’s Xtandi (enzalutamide) for an expanded use — treating non-metastatic castration-sensitive prostate cancer (nmCSPC) with biochemical recurrence at high risk for metastasis (high-risk BCR).
Approval was based on data from EMBARK (NCT02319837), a randomized, controlled clinical trial involving almost 1,100 patients with nmCSPC with high-risk BCR, according to an FDA release. “A statistically significant improvement in MFS [metastasis-free survival ] was demonstrated for enzalutamide plus leuprolide compared with placebo plus leuprolide with a median that was not reached for either arm,” it says.
The most common adverse reactions were hot flush, musculoskeletal pain, fatigue, fall, and hemorrhage, the agency says.