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ARCHES: Enzalutamide in All-Comers                                                                                                                18








                                            100

                                             90
                                             80
                                             70

                                         (%)  60
                                             50
                                         rPFS  40                          ENZA + ADT       PBO + ADT

                                                                             (n = 574)       (n = 576)
                                             30     Median, month (95% CI)  NR (NR, NR)  19.0 (16.59, 22.24)
                                             20     HR (95% CI)                   0.39 (0.30, 0.50)
                                                    p value                           <0.001
                                             10     12-month event-free
                                                    rate estimate            0.84            0.63
                                              0
                                                 0        3        6        9       12       15       18       21       24       27      30       33
                                                                                               Months
                         Patients at Risk
                         ENZA + ADT            574                493              256                62                4                 0
                         PBO + ADT             576                445              191                39                0                 0

                         • Median follow-up time is 14.4 months; median duration of therapy was 12.8 (range 0.2–26.6)
                            months for enzalutamide + ADT and 11.6 (range 0.2–24.6) months for placebo + ADT.



                                                Enzalutamide with ADT significantly reduced the risk of metastatic progression or death
                                                                   over time versus placebo plus ADT in men with mCSPC


                 Armstrong, Andrew J., et al. "ARCHES: a randomized, phase III study of androgen deprivation therapy with enzalutamide or placebo in men with metastatic hormone-sensitive
                 prostate cancer." Journal of Clinical Oncology 37.32 (2019): 2974-2986.
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