本研究旨在评估 enzalutamide 于非转移性前列腺癌患者的安全性与疗效。
适应症：Nonmetastatic Castration-Resistant Prostate Cancer、Prostate Cancer、Cancer of the Prostate
入组条件
纳入标准
- Histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation, signet cell, or small cell features;
- Ongoing androgen deprivation therapy with a gonadotropin-releasing hormone (GnRH) agonist/antagonist or prior bilateral orchiectomy (medical or surgical castration);
- Testosterone ≤ 50 ng/dL (≤ 1.73 nmol/L) at screening;
- Progressive disease on androgen deprivation therapy at enrollment;
- PSA and the screening PSA assessed by the central laboratory (central PSA) should be ≥ 2 µg/L (2 ng/mL:
- PSA doubling time ≤ 10 months;
- No prior or present evidence of metastatic disease;
- Asymptomatic prostate cancer;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
- Estimated life expectancy ≥ 12 months.
排除标准
- Prior cytotoxic chemotherapy;
- Use of hormonal therapy or biologic therapy for prostate cancer (other than approved bone targeting agents and GnRH agonist/antagonist therapy) or use of an investigational agent within 4 weeks of randomization;
- Known or suspected brain metastasis or active leptomeningeal disease;
- History of another invasive cancer within 3 years of randomization;
- Absolute neutrophil count \< 1000/μL, platelet count \< 100,000/μL, or hemoglobin \< 10 g/dL (6.2 mmol/L) at screening;
- Total bilirubin ≥ 1.5 times the upper limit of normal;
- Creatinine \> 2 mg/dL (177 µmol/L) at screening;
- Albumin \< 3.0 g/dL (30 g/L) at screening;
- History of seizure or any condition that may predispose to seizure;
- Clinically significant cardiovascular disease;
- Gastrointestinal disorder affecting absorption;
- Major surgery within 4 weeks of randomization;
- Hypersensitivity reaction to the active pharmaceutical ingredient or any of the capsule components, including Labrasol, butylated hydroxyanisole, and butylated hydroxytoluene;
- Any concurrent disease, infection, or comorbid condition that interferes with the ability of the patient to participate in the trial, which places the patient at undue risk, or complicates the interpretation of data, in the opinion of the investigator or medical monitor.
入组条件维持 ClinicalTrials.gov 原始英文登记资料，实际入组资格以研究团队的正式评估与受试者知情同意书为准。资料来源：ClinicalTrials.gov，每两周自动更新，最后同步：2026年10月8日。