 
          
            Enzalutamide vs Bicalutamide in CRPC:The TERRAIN trial
          
        
        
          
            Patient population:
          
        
        
          
            Primary endpoints:
          
        
        
          
            l
          
        
        
          
            id
          
        
        
          •
        
        
          
            375 men with progressive 
          
        
        
          
            mCRPC
          
        
        
          •
        
        
          
            Asymptomatic/
          
        
        
          
            Progression‐free 
          
        
        
          
            survival:
          
        
        
          
            Enza utam e
          
        
        
          
            160 mg/day
          
        
        
          
            (capsules) 
          
        
        
          
            n 184
          
        
        
          
            R
          
        
        
          
            A
          
        
        
          
            N
          
        
        
          
            mildly symptomatic
          
        
        
          •
        
        
          
            Chemotherapy‐naïve
          
        
        
          
            N t
          
        
        
          
            i
          
        
        
          
            t f
          
        
        
          ‐
        
        
          
            Radiographic
          
        
        
          
            progression (central 
          
        
        
          
            review)
          
        
        
          
            =
          
        
        
          
            D
          
        
        
          
            O
          
        
        
          
            M
          
        
        
          
            I
          
        
        
          •
        
        
          
            o requ remen or
          
        
        
          
            steroids
          
        
        
          ‐
        
        
          
            Skeletal‐related
          
        
        
          
            events
          
        
        
          ‐
        
        
          
            Change to a new anti‐
          
        
        
          
            Bicalutamide
          
        
        
          
            Z
          
        
        
          
            E
          
        
        
          
            D
          
        
        
          
            Exluded:
          
        
        
          
            ‐Progression on anti‐
          
        
        
          
            androgen therapy
          
        
        
          
            neoplasic therapy
          
        
        
          ‐
        
        
          
            Death
          
        
        
          
            N=191
          
        
        
          
            1:1
          
        
        
          Shore ND, et al. Lancet Oncol 2016