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Phase III trial of enzalutamide versus enzalutamide, abiraterone, and prednisone for castration resistant metastatic prostate cancer
Phase III trial of enzalutamide versus enzalutamide, abiraterone, and prednisone for castration resistant metastatic prostate cancer
Metastatic Prostate Cancer, asymptomatic or mildly symptomatic
Castrate resistance (testosterone Adenocarcinoma
Progressive disease on ADT defined as follows- either:
-2 rising PSA values at least 1 week apart
-Soft tissue disease progression by RECIST criteria (1.1)
-Bone disease progression (2 or more new lesions on bone scan)
ECOG PS 0-1
No prior taxane therapy
No prior abiraterone or enzalutamide
No prior ketoconazole for prostate CA
No prior metastatic XRT
No plan for palliative procedures for bone pain
No structurally unstable bone lesions
No brain mets_
Primary- OS; Secondary- Safety, PFS, ORR, biomarkers