Enzalutamide

Enzalutamide (Xtandi, Astellas Pharma Europe B.V.) has 6 EU-approved indications in 1 tumour type.
Approved indications of Enzalutamide
Biomarker requirementRegimenSettingConditions
Prostate cancer6
None
Monotherapy
1L
metastatic
Castration-resistant only; Failure of androgen deprivation therapy; Asymptomatic or mildly symptomatic; chemotherapy is not yet clinically indicated
None
Monotherapy
2L
metastatic
Castration-resistant only; Progressed on or after docetaxel therapy
None
+ androgen deprivation therapy
Any line
locally adv.
Hormone-sensitive only; High-risk biochemical recurrent (BCR); unsuitable for salvage-radiotherapy
None
+ androgen deprivation therapy
Any line
metastatic
Hormone-sensitive only
None
Monotherapy
Any line
locally adv.
Hormone-sensitive only; High-risk biochemical recurrent (BCR); unsuitable for salvage-radiotherapy
None
Monotherapy
Any line
locally adv.
Castration-resistant only; High-risk
Full text of section 4.1 (therapeutic indications)

Xtandi is indicated: • as monotherapy or in combination with androgen deprivation therapy for the treatment of adult men with high-risk biochemical recurrent (BCR) non-metastatic hormone-sensitive prostate cancer (nmHSPC) who are unsuitable for salvage-radiotherapy (see section 5.1). • in combination with androgen deprivation therapy for the treatment of adult men with metastatic hormone-sensitive prostate cancer (mHSPC) (see section 5.1). • for the treatment of adult men with high-risk non-metastatic castration-resistant prostate cancer (CRPC) (see section 5.1). • for the treatment of adult men with metastatic CRPC who are asymptomatic or mildly symptomatic after failure of androgen deprivation therapy in whom chemotherapy is not yet clinically indicated (see section 5.1). • for the treatment of adult men with metastatic CRPC whose disease has progressed on or after docetaxel therapy.

Label history

34 changes to the Xtandi label since 2014, 4 of them to the indications. Newest first, in the words of EMA's record of each procedure.

Changes