Research Article

Randomized, Open-Label Phase 2 Study of Apalutamide plus Androgen Deprivation Therapy versus Apalutamide Monotherapy versus Androgen Deprivation Monotherapy in Patients with Biochemically Recurrent Prostate Cancer

Table 5

Summary of treatment-emergent adverse events in the safety population.

Apalutamide + ADT (n = 31)Apalutamide (n = 29)ADT (n = 29)

Any treatment-related AE31 (100%)29 (100%)28 (96.6%)
Serious AE5 (16.1%)03 (10.3%)
AE leading to death001 (3.4%)
AE leading to discontinuation of study agent or termination of study participation02 (6.9%)1 (3.4%)
Grade ≥3 AEs9 (29.0%)5 (17.2%)4 (13.8%)
Drug-related grade ≥3 AEs2 (6.5%)2 (6.9%)0
Most frequently reported AEs occurring in ≥25% of patients
 Fatigue24 (77.4%)19 (65.5%)22 (75.9%)
 Hot flush26 (83.9%)9 (31.0%)25 (86.2%)
 Arthralgia7 (22.6%)8 (27.6%)5 (17.2%)
 Gynecomastia1 (3.2%)12 (41.4%)3 (10.3%)
 Nipple pain012 (41.4%)0
 Insomnia10 (32.3%)1 (3.4%)2 (6.9%)
 AEs of special interest11 (35.5%)11 (37.9%)5 (17.2%)
 Rash6 (19.4%)10 (34.5%)3 (10.3%)
 Fall4 (12.9%)1 (3.4%)2 (6.9%)
 Hypothyroidism2 (6.5%)1 (3.4%)0
 Fracture1 (3.2%)01 (3.4%)

Patient experienced a fatal event of toxic epidermal necrolysis within 30 days of the last dose of ADT; it was not considered related to the study treatment. Grouped term; includes rash, rash pruritic, rash maculo-papular, conjunctivitis, rash generalized, rash papular, stomatitis, and toxic epidermal necrolysis. Grouped term; includes fracture pain, hand fracture, rib fracture.