Drugs / Apalutamide
last change 10 days ago re-read 8 days ago

Apalutamide

also known as JNJ-56021927 · ARN 509 · Erleada · Apalutamida · Erleada 60

Small molecule targets AR, CYP3A4

Developed for
prostate cancer · prostate adenocarcinoma · metastatic prostate carcinoma · castration-resistant prostate carcinoma · prostate neoplasm · prostate carcinoma · cancer · hematopoietic and lymphoid cell neoplasm
+7 more · metastatic carcinoma in the bone · prostate cancer, hereditary, 10 · prostate neuroendocrine neoplasm · salivary gland carcinoma · small cell carcinoma · tumor of salivary gland · metastatic malignant neoplasm
Investigated by
Aragon Pharmaceuticals, Inc. · National Cancer Institute (NCI) · Janssen Research & Development, LLC · Janssen Scientific Affairs, LLC · M.D. Anderson Cancer Center · Dana-Farber Cancer Institute
+78 more · Janssen Pharmaceutical K.K. · Janssen Pharmaceuticals · Janssen Pharmaceutica · Janssen Pharmaceutica N.V., Belgium · Janssen, LP · Janssen-Cilag Ltd. · Memorial Sloan Kettering Cancer Center · NRG Oncology · University of Washington · AstraZeneca · European Organisation for Research and Treatment of Cancer - EORTC · Jonsson Comprehensive Cancer Center · The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School · UNICANCER · Weill Medical College of Cornell University · Zhujiang Hospital · ASST Santi Paolo e Carlo · Alliance Foundation Trials, LLC. · Andrew J. Armstrong, MD · Anhui Medical University · Bayer · Beth Israel Deaconess Medical Center · CCTU- Cancer Theme · Cambridge University Hospitals NHS Foundation Trust · Cancer Institute of the State of São Paulo · Cancer Research Antwerp · Cancer Research UK · Cancer Trials Ireland · Cancerfonden · Case Comprehensive Cancer Center · Chinese University of Hong Kong · Daniel George, MD · Dendreon · ECOG-ACRIN Cancer Research Group · Edwin Posadas, MD · European Institute of Oncology · Fondazione IRCCS Istituto Nazionale dei Tumori, Milano · Fudan University · Georgetown University · H. Lee Moffitt Cancer Center and Research Institute · Helsinki University Central Hospital · Institut Paoli-Calmettes · Kairos Pharma · Kangpu Biopharmaceuticals, Ltd. · Karolinska Institutet · Kindai University · Kom Op Tegen Kanker · Lantheus Medical Imaging · Latin American Cooperative Oncology Group · Marco Oderda · Monte Rosa Therapeutics, Inc · Nick Beije · Novartis Pharmaceuticals · OHSU Knight Cancer Institute · ORIC Pharmaceuticals · Oregon Health and Science University · Peking Union Medical College · Peking University Hospital of Stomatology · Prostate Cancer UK · Rahul Aggarwal · Rutgers, The State University of New Jersey · Singapore General Hospital · Spanish Oncology Genito-Urinary Group · Stichting Treatmeds · Sumitomo Pharma America, Inc. · Sun Yat-sen University · The Swedish Research Council · The University of Texas Health Science Center, Houston · Universitaire Ziekenhuizen KU Leuven · University College, London · University of Athens · University of California, San Francisco · University of Cambridge · University of Manchester · all 84 on the full record

Regulatory milestones approvals, filings & regulatory actions · 10 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed castration-resistant prostate carcinoma 4 milestones
Filed EU (EMA) ERLEADA castration-resistant prostate carcinoma 2019-09-27

“Janssen has submitted an application in Europe seeking approval for mCSPC.” jnj.com ↗

Filed US (FDA) ERLEADA castration-resistant prostate carcinoma 2019-04-29

“Janssen Submits Application to U.S. FDA Seeking Approval of ERLEADA® (apalutamide) for Patients with Metastatic Castration-Sensitive Prostate Cancer” jnj.com ↗

“Today’s approval follows FDA Priority Review Designation of the supplemental New Drug Application (sNDA) that wassubmittedin April 2019” jnj.com ↗

Filed EU (EMA) — castration-resistant prostate carcinoma 2018-02-08

“a marketing authorization application was submitted to the European Medicines Agency for apalutamide, an oral androgen receptor inhibitor for the treatment of patients with...” jnj.com ↗

Filed US (FDA) — castration-resistant prostate carcinoma 2017-10-11

“New Drug Applications were submitted to the FDA for apalutamide, an oral androgen receptor inhibitor for men with non-metastatic castration-resistant prostate cancer” jnj.com ↗

“Janssen Submits New Drug Application to U.S. FDA for Apalutamide (ARN-509) to Treat Men with Non-Metastatic Castration-Resistant Prostate Cancer” jnj.com ↗

Approved Indication not stated 3 milestones
Label expansions (4) US (FDA) ERLEADA — 2019-09-17 – 2023-12-19 fda.gov ↗
Approved EU (EMA) Erleada — 2019-01-14 europa.eu ↗
Approved US (FDA) ERLEADA — 2018-02-14 fda.gov ↗

Trials 101 · started per year

today
US approved 2018
EU approved 2019
1
2
5
4
8
11
10
11
15
6
4
11
7
1
4
201120122013201420152016201720182019202020212022202320242025202620272028
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT05683964 Jan 2023 → Sep 2025 overdue prostate adenocarcinoma Beth Israel Deaconess Medical Center Active not recruiting No outcome recorded
Phase 120 trials
Phase 1 NCT06095089 Nov 2023 → Jun 2027 expected prostate neoplasm Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 1 NCT05818683 Apr 2023 → Aug 2027 expected prostate carcinoma Janssen Research & Development, LLC Recruiting No outcome recorded
Phase 1 NCT05413421 Jun 2022 → Jun 2027 expected metastatic prostate carcinoma ORIC Pharmaceuticals Recruiting No outcome recorded
Phase 1 NCT04666129 Feb 2021 → May 2024 castration-resistant prostate carcinoma, metastatic prostate carcinoma Sumitomo Pharma America, Inc. Completed No outcome recorded
Phase 1 NCT03569280 Nov 2019 → Jan 2023 castration-resistant prostate carcinoma Kangpu Biopharmaceuticals, Ltd. Completed No outcome recorded
Phase 1 NCT04154774 Nov 2019 → Feb 2025 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT03802682 Jan → Apr 2019 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT03523442 Aug 2018 → Jul 2019 overdue prostate neoplasm Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 1 NCT03551782 Jun 2018 → Nov 2021 castration-resistant prostate carcinoma Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT02913196 Dec 2016 → Jun 2021 metastatic prostate carcinoma Weill Medical College of Cornell University Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT05367440 Jun 2022 → Apr 2031 expected metastatic prostate carcinoma AstraZeneca Active not recruiting No outcome recorded
Phase 1/2 NCT01171898 Jul 2010 → Aug 2012 prostate cancer Aragon Pharmaceuticals, Inc. Completed No outcome recorded
Phase 252 trials · 3 missed
Phase 2 NCT07645326 Dec 2026 → Aug 2032 expected metastatic prostate carcinoma Georgetown University Not yet recruiting No outcome recorded
Phase 2 NCT07795177 Oct 2026 → Apr 2028 expected prostate carcinoma Anhui Medical University Not yet recruiting No outcome recorded
Phase 2 NCT07745361 Aug 2026 → Oct 2027 expected castration-resistant prostate carcinoma, prostate adenocarcinoma Monte Rosa Therapeutics, Inc Recruiting No outcome recorded
Phase 2 NCT06758882 Nov 2024 → Jan 2026 overdue prostate cancer Marco Oderda Recruiting No outcome recorded
Phase 2 NCT06505278 Aug 2024 → Mar 2025 overdue prostate cancer Sun Yat-sen University Not yet recruiting No outcome recorded
Phase 2 NCT05960578 May 2024 → Jul 2025 overdue prostate adenocarcinoma University of Washington Active not recruiting No outcome recorded
Phase 2 NCT06067269 Mar 2024 → Dec 2026 expected prostate adenocarcinoma Jonsson Comprehensive Cancer Center Recruiting No outcome recorded
Phase 2 NCT05849298 Jan 2024 → Dec 2026 expected prostate neoplasm Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 2 NCT05534646 Dec 2023 → Jan 2028 expected castration-resistant prostate carcinoma Edwin Posadas, MD Recruiting No outcome recorded
Phase 2 NCT06145308 Aug 2023 → Jul 2028 expected salivary gland carcinoma Peking Union Medical College Recruiting No outcome recorded
Phase 320 trials · 6 met primary
Phase 3 NCT07751133 Aug 2026 → Aug 2029 expected castration-resistant prostate carcinoma University College, London Recruiting No outcome recorded
Phase 3 NCT05974774 May 2025 → May 2035 expected prostate cancer European Organisation for Research and Treatment of Cancer - EORTC Recruiting No outcome recorded
Phase 3 NCT06274047 Sep 2024 → Jun 2027 expected prostate cancer M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 3 NCT07260435 Feb 2024 → Nov 2027 expected prostate cancer Nick Beije Recruiting No outcome recorded
Phase 3 NCT05884398 Aug 2023 → Oct 2026 expected metastatic prostate carcinoma Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 3 NCT04513717 Jan 2021 → Dec 2033 expected prostate adenocarcinoma NRG Oncology Active not recruiting No outcome recorded
Phase 3 NCT04557059 Nov 2020 → Aug 2029 expected prostate neoplasm Janssen Pharmaceutica N.V., Belgium Active not recruiting No outcome recorded
Phase 3 NCT04423211 Oct 2020 → Dec 2032 expected metastatic prostate carcinoma, prostate adenocarcinoma ECOG-ACRIN Cancer Research Group Recruiting No outcome recorded
Phase 3 NCT04409288 Jul 2020 → Oct 2023 prostate cancer Chinese University of Hong Kong Terminated No outcome recorded
Phase 3 NCT03777982 Apr 2020 → Feb 2024 prostate cancer Dana-Farber Cancer Institute Terminated No outcome recorded Stop: Enrollment
Phase 42 trials · 1 met primary
Phase 4 NCT04601441 Nov 2020 → Mar 2025 metastatic prostate carcinoma Kindai University Unknown No outcome recorded
Phase 4 NCT04108208 Dec 2019 → Jun 2023 overdue prostate neoplasm Janssen Research & Development, LLC Active not recruiting Met primary
Phase not applicable3 trials
— NCT05649943 Mar 2023 → Jan 2027 expected metastatic prostate carcinoma Fondazione IRCCS Istituto Nazionale dei Tumori, Milano Recruiting No outcome recorded
— NCT05740488 Jan 2022 → Apr 2025 prostate cancer, hereditary, 10 Zhujiang Hospital Unknown No outcome recorded
— NCT04997252 Feb 2021 → Aug 2024 — Zhujiang Hospital Unknown No outcome recorded
Phase not stated1 trial
— NCT03523338 — prostate neoplasm Aragon Pharmaceuticals, Inc. No longer available No outcome recorded
Comparator or background therapy31 trials
Phase 0 NCT07389174 Background Feb 2026 → Jan 2027 expected prostate adenocarcinoma Shanghai Changzheng Hospital Not yet recruiting No outcome recorded
Phase 1 NCT05295927 Background Mar → Sep 2022 prostate neoplasm Janssen Research & Development, LLC Terminated No outcome recorded
Phase 1 NCT04662580 Background May 2021 → Dec 2026 expected metastatic prostate carcinoma Janssen Research & Development, LLC Active not recruiting No outcome recorded
Phase 1 NCT04421222 Background Jun 2020 → Oct 2024 prostate cancer ESSA Pharmaceuticals Terminated No outcome recorded
Phase 1 NCT02160756 Comparator Jun → Nov 2014 — Aragon Pharmaceuticals, Inc. Completed No outcome recorded

News releases announcing trial results or a regulatory action · 48

DateIssuerRelease
2026-05-31 Janssen Research & Development, LLC Results Johnson & Johnson’s Phase 3 prostate cancer study shows ERLEADA® (apalutamide) before and after surgery significantly reduces risk of metastasis or death, breaking a decades-long treatment paradigm jnj.com ↗
The combination also reduced the risk of developing metastasis or death by 20 percent and extended the time before patients required subsequent therapy to more than six years.
2026-05-31 Janssen Research & Development, LLC Results Johnson & Johnson's Phase 3 prostate cancer study shows ERLEADA® (apalutamide) before and after surgery significantly reduces risk of metastasis or death, breaking a decades-long treatment paradigm jnj.com ↗
Patients treated with apalutamide plus hormone therapy were nine times more likely to have little to no cancer remaining at the time of surgery compared with hormone therapy alone (8.9 percent vs. 1.0 percent; pathologic complete response/minimal residual disease).
2026-02-02 Janssen Research & Development, LLC Results Real-world head-to-head analysis shows 51% reduction in risk of death for patients with metastatic castration-sensitive prostate cancer treated with ERLEADA® (apalutamide) versus darolutamide without docetaxel through 24 months jnj.com ↗
These real-world data show the survival benefit of apalutamide versus darolutamide in patients with mCSPC without the concurrent use of docetaxel.
2026-02-02 Janssen Research & Development, LLC Results Real-world head-to-head analysis shows 51% reduction in risk of death for patients with metastatic castration-sensitive prostate cancer treated with ERLEADA® (apalutamide) versus darolutamide without docetaxel through 24 months jnj.com ↗
Real-world head-to-head analysis shows 51% reduction in risk of death for patients with metastatic castration-sensitive prostate cancer treated with ERLEADA® (apalutamide) versus darolutamide without docetaxel through 24 months
2025-03-18 Zydus Lifesciences Limited Regulatory Zydus receives final approval from USFDA for Apalutamide Tablets, 60 mg zyduslife.com ↗
Zydus Lifesciences Limited (including its subsidiaries/ affiliates, hereafter referred to as “Zydus”) has received final approval from the United States Food and Drug Administration (USFDA) to manufacture Apalutamide Tablets, 60 mg (Erleada® Tablets, 60 mg).
2024-10-02 Janssen Research & Development, LLC Results ERLEADA® (apalutamide) demonstrates statistically significant and clinically meaningful improvement in overall survival compared to enzalutamide in patients with metastatic castration-sensitive prostate cancer jnj.com ↗
Johnson & Johnson (NYSE: JNJ) today announced the results of a landmark real-world, head-to-head study showing that ERLEADA®(apalutamide) provided a statistically significant overall survival benefit at 24 months compared to enzalutamide in patients with metastatic castration-sensitive prostate cancer (mCSPC).
2024-10-02 Janssen Research & Development, LLC Results ERLEADA® (apalutamide) demonstrates statistically significant and clinically meaningful improvement in overall survival compared to enzalutamide in patients with metastatic castration-sensitive prostate cancer jnj.com ↗
2024-05-03 Janssen Research & Development, LLC Results Phase 2 data for ERLEADA® (apalutamide) plus androgen deprivation therapy following radical prostatectomy in patients with high-risk localized prostate cancer show 100% biochemical free recurrence rate more than two years post-surgery jnj.com ↗
Following RP, patients who received the treatment regimen showed a 100% biochemical recurrence (BCR)–free rate at 24 months.
2024-05-03 Janssen Research & Development, LLC Results Phase 2 data for ERLEADA® (apalutamide) plus androgen deprivation therapy following radical prostatectomy in patients with high-risk localized prostate cancer show 100% biochemical free recurrence rate more than two years post-surgery jnj.com ↗
Following RP, patients who received the treatment regimen showed a 100% biochemical recurrence (BCR)–free rate at 24 months.
2023-10-13 Lupin Limited Regulatory Lupin Receives Tentative Approval from U.S. FDA for Apalutamide Tablets lupin.com ↗
it has received tentative approval from the United States Food and Drug Administration (U.S. FDA) for its Abbreviated New Drug Application for Apalutamide Tablets, 60 mg
2022-10-31 ESSA Pharmaceuticals Results ESSA Provides an Update on its Clinical Collaboration with Janssen essapharma.com ↗
Initial clinical activity was observed in some patients, with two of the three patients achieving a prostate-specific antigen ("PSA") reduction of 90% ("PSA90") within 12 weeks.
2022-02-14 Janssen Research & Development, LLC Results New ERLEADA® (apalutamide) Analysis Demonstrates Rapid, Deep Prostate-Specific Antigen (PSA) Response in Patients with Metastatic Castration-Sensitive Prostate Cancer (mCSPC) jnj.com ↗
By six months, 69.3 percent of patients with mCSPC initiated on ERLEADA®attained PSA90 response and 55.6 percent for enzalutamide (HR=1.56; p=0.014).

All press releases naming this drug 55 releases

DateIssuerRelease

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 134 sources stand behind the page.

FieldValueCited text
Known as apalutamide “The intervention strictly involves continuing the identical Androgen Deprivation Therapy (ADT) and Androgen Receptor Pathway Inhibitor (ARPI) regimen-such as abiraterone,...” NCT07838753 ↗
117

“This regimen consists of Androgen Deprivation Therapy (ADT) (e.g., Goserelin, Leuprorelin, Triptorelin, or Degarelix) combined with an oral Androgen Receptor (AR) inhibitor...” NCT07389174 ↗

“Darolutamide is the preferred ARPI for this study; however, patients may receive abiraterone, apalutamide, or enzalutamide at the discretion of their oncologist and based on...” NCT07645326 ↗

“Additional therapy following tumor board meeting : new generation hormonal therapy (abiraterone, enzalutamide, apalutamide or other approved) or chemotherapy (docetaxel).” NCT04115007 ↗

“ADT plus only 12 months of ARPI (apalutamide/enzalutamide) with the possibility to resume treatment with ARSI in case of a confirmed PSA rise.” NCT07260435 ↗

“ADT, abiraterone and each ARSI (Apalutamide, Darolutamide, Enzalutamide) will be administrated according to the standard of care” NCT06496581 ↗

“Standard of care Apalutamide 240 mg / Enzalutamide 160mg administered orally and daily on Days 1-28 of every 28 day cycle” NCT05534646 ↗

“Patients received ADT plus second-generation ARi (enzalutamide, apalutamide, darolutamide or rezvilutamide) for 2 years.” NCT06992232 ↗

“Phase 2 Study of the Safety and Antitumor Activity of Apalutamide (ARN-509), a Potent Androgen Receptor Antagonist” PMID 27160947 ↗ May 2016

“Evaluation of Safety and Efficacy of KPG-121 Plus Enzalutamide, Abiraterone or Apalutamide in CRPC Patients” NCT03569280 ↗

“Triplet or doublet therapy (ie. docetaxel/abiraterone, apalutamide,Rezvilutamide,darolutamide,enzalutamide)” NCT06350825 ↗

Show 107 more sources

Known as Apalutamida ChEMBL registry synonym — accepted as the source's own label CHEMBL3183409 ↗
Known as ARN 509 “A Drug-Drug Interaction, Safety and Efficacy Study With JNJ-56021927 (ARN-509) and Abiraterone Acetate in Subjects With Metastatic Castration-Resistant Prostate Cancer” NCT02123758 ↗
9

“Phase 2 Study of the Safety and Antitumor Activity of Apalutamide (ARN-509), a Potent Androgen Receptor Antagonist” PMID 27160947 ↗ May 2016

“A Study of Apalutamide (ARN-509) in Men With Non-Metastatic Castration-Resistant Prostate Cancer” NCT01946204 ↗

“neoadjuvant apalutamide (ARN-509) and radical prostatectomy” PMID 36000794 ↗ Aug 2022

NCT02772588 ↗

NCT03098836 ↗

NCT01792687 ↗

NCT03080116 ↗

NCT01822041 ↗

NCT01790126 ↗

Known as Erleada “Apalutamide [Erleada], darolutamide [Nubeqa], or enzalutamide [Xtandi]” NCT05683964 ↗
2

“Apalutamide (Erleada™) 60 mg or 240 mg tablets” NCT05413421 ↗

“Apalutamide (Erleada™) 60 mg or 240 mg tablets” NCT07333066 ↗

Known as Erleada 60 “Apalutamide is distributed in Italy under the trade name of Erleada® 60 mg.” NCT05649943 ↗
Known as JNJ-56021927 “A Study to Evaluate the Effect of Multiple Doses of JNJ-56021927 on the Pharmacokinetics of Multiple Cytochrome P450 and Transporter Substrates in Participants With...” NCT02592317 ↗
10

“Apalutamide (JNJ-56021927) in Combination With Abiraterone Acetate and Prednisone” NCT02257736 ↗

“JNJ-56021927 (Apalutamide)” NCT02531516 ↗

NCT02031666 ↗

NCT02230033 ↗

NCT02160756 ↗

NCT02123758 ↗

NCT02592317 ↗

NCT02835508 ↗

NCT02524717 ↗

NCT02162836 ↗

Action Inhibit “Apalutamide is a potent androgen receptor (AR) antagonist” PMID 27160947 ↗ May 2016
Modality Small molecule “Apalutamide is an investigational antitumor drug, taken by mouth. It is a synthetic compound rationally designed to bind the androgen receptor” NCT02811809 ↗
Route Oral “administered orally” NCT01790126 ↗
Target AR “targets the AR ligand-binding domain” PMID 27160947 ↗ May 2016