Abstract

Darolutamide (Daro) and enzalutamide (Enza) are next generation androgen receptor inhibitors. Daro does not significantly penetrate the blood-brain barrier, which may reduce cognitive impairment. ODENZA is a prospective, cross-over, preference, randomized phase II trial of Daro and Enza in patients (pts) with mCRPC. Pts (n=249) were randomized 1/1 to receive Daro 1200 mg/d for 12 weeks followed by Enza 160 mg/d for 12 weeks or the reverse sequence. Numerically more pts with early mCRPC preferred Daro over Enza, although the difference did not reach significance (Colomba et al, ASCO 2021).

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