Evidence map›Paper›PMID 42421559›Full record

ArticleFuture oncology (London, England)2026

Enzalutamide in biochemically recurrent prostate cancer: clinical implications from EMBARK for real-world practice.

Stephen J Freedland, Neal D Shore

Registry-linked trialAbstract read
In one paragraph

Article in Future oncology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02319837 (A Phase 3, Randomized, Efficacy and Safety Study of Enzalutamide Plus Leuprolide, Enzalutamide Monotherapy, and Placebo Plus Leuprolide in Men With High-Risk Nonmetastatic Prostate Cancer Progressing After Definitive Therapy), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02319837 phase3active not recruitingnot on this map

A Phase 3, Randomized, Efficacy and Safety Study of Enzalutamide Plus Leuprolide, Enzalutamide Monotherapy, and Placebo Plus Leuprolide in Men With High-Risk Nonmetastatic Prostate Cancer Progressing After Definitive Therapy

TypeinterventionalSponsorPfizerRan2014 to 2026Enrolled1,068ConditionsHormone Sensitive Prostate Cancer, Prostate Cancer, Cancer of the ProstateArmsEnzalutamide, Placebo (No longer applicable in Open Label study period), Leuprolide Open Label
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Stephen J FreedlandDepartment of Urology, Samuel Oschin Comprehensive Cancer Institute, Cedars‑Sinai Medical Center, Los Angeles, CA, USA.ORCID 0000-0002-8104-6419
Neal D ShoreSTART Carolinas/Carolina Urologic Research Center, Myrtle Beach, SC, USA.ORCID 0000-0001-5767-0548

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The fourth episode in this podcast series features a discussion between the two principal investigators from the phase III EMBARK trial (NCT02319837). EMBARK showed that in patients with prostate cancer with high-risk biochemical recurrence, enzalutamide plus leuprolide (enzalutamide combination) and enzalutamide monotherapy significantly improved metastasis-free survival compared with leuprolide alone. Furthermore, overall survival was significantly longer with enzalutamide combination compared with leuprolide alone. No new safety signals were observed, and health-related quality of life was maintained with enzalutamide combination and monotherapy (as determined by patient-reported outcomes). In this episode, the speakers discuss some of the results from EMBARK in more detail and provide their expert opinion on what the findings mean for clinical practice in the real world. They also answer some of the frequently asked questions that they receive about the study from people around the world, including discussion of whether the results apply regardless of primary therapy, if intermittent therapy is a possibility, and how the findings from EMBARK should be applied with respect to the availability of different imaging technologies.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsNeoplasm Recurrence, LocalPhenylthiohydantoinProstatic NeoplasmsBenzamidesClinical Trials, Phase III as TopicHumansLeuprolideMaleNitrilesProstate-Specific AntigenQuality of LifeTreatment OutcomeBenzamidesenzalutamideLeuprolideNitrilesPhenylthiohydantoinProstate-Specific AntigenAndrogen deprivation therapyandrogen receptor pathway inhibitorsbiochemical recurrenceEMBARKenzalutamidenonmetastatic castration-sensitive prostate cancerprostate-specific antigenprostate-specific antigen doubling time

Identifiers

PMID42421559
PMCPMC13382972

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.