Real-world comparison of enzalutamide and apalutamide in metastatic hormone-sensitive prostate cancer: a multi-institutional propensity score-matched analysis

In this real-world Japanese cohort, Enz and Apa plus ADT showed comparable PSA responses, TTCR, and OS after PSM; however, Apa was associated with shorter TTF and more frequent AE-related treatment discontinuation. Reduced-dose initiation was more common with Apa without apparent TTCR disadvantage. Given the limited number of events, these findings should be interpreted with caution.

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Publication Details

Journal
Japanese Journal of Clinical Oncology
Published
2026-02-26
DOI
https://doi.org/10.1093/jjco/hyag042
Primary Topic
Prostate Cancer Treatment and Research
Type
article
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article

Real-world comparison of enzalutamide and apalutamide in metastatic hormone-sensitive prostate cancer: a multi-institutional propensity score-matched analysis

Hirofumi Morinaka, Kiyoshi Takahara, Kensuke Hirosuna, Yuki Yoshikawa et al.
Japanese Journal of Clinical Oncology
Prostate Cancer Treatment and Research
article

Real-world comparison of enzalutamide and apalutamide in metastatic hormone-sensitive prostate cancer: a multi-institutional propensity score-matched analysis

Hirofumi Morinaka, Kiyoshi Takahara, Kensuke Hirosuna, Yuki Yoshikawa, Kyosuke Nishio, Shutaro Yamamoto, Tsuyoshi Morita, TAKUYA TSUJINO, Kazumasa Komura, Moritoshi Sakamoto, Taizo Uchimoto, Atsushi Ichihashi, Heima Niigawa, Kazutoshi Fujita, Wataru Fukuokaya, Takafumi Yanagisawa, Kosuke Iwatani, Sho Kakumae, Kazuki Nishimura, Haruhito Azuma, Masanobu Saruta, Saizo Fujimoto, Keiichiro Mori, Atsuhiko Yoshizawa, Shunsuke Tsuduki, Takahiro Kimura, Yutaka Yamamoto, Ryoichi Maenosono, Fumihiko Urabe, Teruo Inamoto
article en

Abstract

In this real-world Japanese cohort, Enz and Apa plus ADT showed comparable PSA responses, TTCR, and OS after PSM; however, Apa was associated with shorter TTF and more frequent AE-related treatment discontinuation. Reduced-dose initiation was more common with Apa without apparent TTCR disadvantage. Given the limited number of events, these findings should be interpreted with caution.

Japanese Journal of Clinical Oncology
Jikei University School of Medicine (JP), Kawasaki Medical School (JP), Hamamatsu University School of Medicine (JP), Fujita Health University Hospital (JP), Osaka University of Pharmaceutical Sciences (JP), Kindai University (JP)
Good health and well-being
Openalex Percentile: Top 23%
Prostate Cancer Treatment and Research
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