The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Enzalutamide

Geo Regions

Enzalutamide
Share to an HCP

Overview + Rationale

  • Androgens are required for normal growth and function of the prostate
  • Androgens promote the growth of both normal and cancerous prostate cells by binding to and activating the androgen receptor (AR), a protein that is expressed in prostate cells 
  • Once activated, the AR stimulates the expression of specific genes that cause prostate cells to grow 
  • Enzalutamide is an orally bioavailable, organic, nonsteroidals small molecule inhibitor of the AR with antineoplastic activity 
  • AR over-expression in prostate cancer represents a key mechanism associated with castration-resistant prostate cancer

Mechanism of Action

  • Enzalutamide is an AR inhibitor that acts on multiple steps of the AR-signaling pathway within the tumor cell  
  • In the cytoplasm, enzalutamide has been shown to inhibit androgen binding to the AR 
  • At the nuclear membrane, enzalutamide has been shown to inhibit the AR from entering the nucleus 
  • In the nucleus, enzalutamide has been shown to inhibit the AR binding to DNA

Androgen Receptor

Stage of Development

Enzalutamide is being investigated in combination in the tumor type shown here. Safety and efficacy of enzalutamide in combination with these compounds, for the use listed below, have not been established.

small icon representing GU Cancer
Prostate Cancer
Phase 1 Combination*

Phase 1/2A Combination**

* Combination with PF-06821497 ** Combination with PF-07220060

REFERENCES:  National Cancer Institute. Hormone Therapy for Prostate Cancer. Updated February 22, 2021. Accessed May 17, 2023. https://www.cancer.gov/types/prostate/prostate-hormone-therapy-fact-sheet. National Cancer Institute. NCI Drug Dictionary: enzalutamide. Accessed May 17, 2023. https://www.cancer.gov/publications/dictionaries/cancer-drug?cdrid=560774; Astellas Pharma US, Inc. XTANDI© (enzalutamide) US Prescribing Information; ClinicalTrials.gov. https://clinicaltrials.gov/study/NCT03460977; https://clinicaltrials.gov/study/NCT04557449.  Accessed July 23, 2024.