mCRPCPhase 3TALAPRO-2NCT03395197
Talazoparib + Enzalutamide vs. Enzalutamide Monotherapy in mCRPC
A Phase 3 study testing Talazoparib with enzalutamide in people with mCRPC, run by Pfizer at 370 sites in 26 countries.
Trial summary
This study compares rPFS in men with mCRPC treated with talazoparib plus enzalutamide vs. enzalutamide after confirmation of the starting dose of talazoparib in combination with enzalutamide. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- mCRPC
- What is being tested?
- Talazoparib with enzalutamide
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,054 participants
- Where
- 370 sitesin 26 countries
- Study dates
- 18 Dec 2017to 30 Jun 2027
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell or signet cell features
- Asymptomatic or mildly symptomatic metastatic castration resistant prostate cancer (mCRPC) (score on BPI-SF Question #3 must be < 4).
- For enrollment into Part 2 only (optional in Part 1): assessment of DDR mutation status
- Consent to a saliva sample collection for a germline comparator unless prohibited by local regulations or ethics committee decision (optional for patients in Part 1).
- Surgically or medically castrated, with serum testosterone ≤ 50 ng/dL (≤ 1.73 nmol/L) at screening.
- Metastatic disease in bone documented on bone scan or in soft tissue documented on CT/MRI scan.
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- Progressive disease at study entry in the setting of medical or surgical castration as defined by 1 or more of the following 3 criteria:
- Prostate specific antigen (PSA) progression defined by a minimum of 2 rising PSA values from 3 consecutive assessments with an interval of at least 7 days between assessments..
- Soft tissue disease progression as defined by RECIST 1.1.
- Bone disease progression defined by Prostate Cancer Working Group 3 (PCWG3) with 2 or more new metastatic bone lesions on a whole body radionuclide bone scan.
- Ongoing bisphosphonate or denosumab use prior to Day 1 (Part 1) or randomization (Part 2) is allowed but not mandatory.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
- Life expectancy ≥ 12 months as assessed by the investigator.
- Able to swallow the study drug and have no known intolerance to study drugs or excipients.
- Must agree to use a condom when having sex with a partner from the time of the first dose of study drug through 4 months after last dose of study treatment. Must also agree for female partner of childbearing potential to use an additional highly effective form of contraception from the time of the first dose of study treatment through 4 months after last dose of study treatment when having sex with a non pregnant female partner of childbearing potential.
- Must agree not to donate sperm from the first dose of study drug to 4 months after the last dose of study drug.
- Evidence of a personally signed and dated informed consent document (and molecular prescreening consent if appropriate) indicating that the patient [or a legally acceptable representative/legal guardian] has been informed of all pertinent aspects of the study.
- Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
Who cannot join
- Any prior systemic cancer treatment initiated in in the non metastatic CRPC and mCRPC disease state.
- Patients whose only evidence of metastasis is adenopathy below the aortic bifurcation.
- Prior treatment with second-generation androgen receptor inhibitors (enzalutamide, apalutamide, and darolutamide), a PARP inhibitor, cyclophosphamide, or mitoxantrone for prostate cancer.
- Prior treatment with platinum-based chemotherapy within 6 months (from the last dose) prior to Day 1 (Part 1) or randomization (Part 2), or any history of disease progression on platinum-based therapy within 6 months (from the last dose).
- Treatment with cytotoxic chemotherapy, biologic therapy including sipuleucel T, or radionuclide therapy received in the castration-sensitive prostate cancer is NOT exclusionary if discontinued in the 28 days prior to Day 1 (Part 1) or randomization (Part 2).
- Treatment with any investigational agent within 4 weeks before Day 1 (Part 1) or randomization (Part 2).
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- Prior treatment with opioids for pain related to either primary prostate cancer or metastasis within 28 days prior to Day 1 (Part 1) or randomization (Part 2).
- Current use of potent P-gp inhibitors within 7 days prior to Day 1 (Part 1) or randomization (Part 2).
- Major surgery (as defined by the investigator) within 2 weeks before Day 1 (Part 1) or randomization (Part 2), or palliative localized radiation therapy within 3 weeks before randomization (Part 2).
- Clinically significant cardiovascular disease
- Significant renal dysfunction as defined by any of the following laboratory abnormalities:
- Renal: eGFR < 30 mL/min/1.73 m2 by the MDRD equation (available via www.mdrd.com).
- Patients enrolled in Part 1 only: Moderate renal impairment (eGFR 30-59 mL/min/1.73 m2) at screening.
- Significant hepatic dysfunction as defined by any of the following laboratory abnormalities on screening labs:
- Total serum bilirubin >1.5 times the upper limit of normal (ULN) (>3 × ULN for patients with documented Gilbert syndrome or for whom indirect bilirubin concentrations suggest an extrahepatic source of elevation).
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) >2.5 times ULN (>5 × ULN if liver function abnormalities are due to hepatic metastasis).
- Albumin <2.8 g/dL
- Absolute neutrophil count < 1500/µL, platelets < 100,000/µL, or hemoglobin < 9 g/dL (may not have received growth factors or blood transfusions within 14 days before obtaining the hematology values at screening).
- Known or suspected brain metastasis or active leptomeningeal disease.
- Symptomatic or impending spinal cord compression or cauda equina syndrome.
- Any history of myelodysplastic syndrome, acute myeloid leukemia, or prior malignancy except any of the following:
- Carcinoma in situ or non melanoma skin cancer
- Any prior malignancies ≥3 years before randomization with no subsequent evidence of recurrence or progression regardless of the stage.
- Stage 0 or Stage 1 cancer <3 years before randomization that has a remote probability of recurrence or progression in the opinion of the investigator
- Gastrointestinal disorder affecting absorption.
- Fertile male subjects who are unwilling or unable to use highly effective methods of contraception for the duration of the study and for 4 months after the last dose of investigational product.
- Investigator site staff members directly involved in the conduct of the study and their family members, site staff members otherwise supervised by the investigator, or patients who are Pfizer employees, including their family members, directly involved in the conduct of the study.
- Other acute or chronic medical (concurrent disease, infection, or comorbidity) or psychiatric condition including recent (within the past year) or active suicidal ideation or behavior or laboratory abnormality that interferes with ability to participate in the study, may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
- History of seizure or any condition that may predispose to seizure (eg, prior cortical stroke, significant brain trauma). Also, history of loss of consciousness or transient ischemic attack within 12 months of randomization (Part 2).
Trial locations and contacts
370 sites in 26 countries.
370 sites in 26 countries
United States132 sites
Urology Group of New Mexico
Albuquerque, New Mexico, 87109
Florida Cancer Specialists
Altamonte Springs, Florida, 32701
UPMC Hillman Cancer Center - Altoona
Altoona, Pennsylvania, 16601
Alaska Urological Institute dba Alaska Clinical Research Center
Anchorage, Alaska, 99503
Piedmont Cancer Institute
Atlanta, Georgia, 30318
University of Colorado Denver CTO/CTRC
Aurora, Colorado, 80045
University of Colorado Hospital - Anschutz Cancer Pavilion
Aurora, Colorado, 80045
University of Colorado Hospital- Anschutz Inpatient Pavilion
Aurora, Colorado, 80045
University of Colorado Hospital- Anschutz Outpatient Pavilion
Aurora, Colorado, 80045
University of Colorado Hospital
Aurora, Colorado, 80045
Urology Austin PLLC
Austin, Texas, 78745
Clara Maass Medical Center
Belleville, New Jersey, 07109
New Jersey Cancer Care and Blood Disorders
Belleville, New Jersey, 07109
UPMC Hillman Cancer Center - Upper St. Clair
Bethel Park, Pennsylvania, 15102
Beverly Hills Cancer Center
Beverly Hills, California, 90211
Florida Cancer Specialists
Brandon, Florida, 33511
Ironwood Physicians P.C. dba Ironwood Cancer & Research Centers
Chandler, Arizona, 85224
Tennessee Oncology PLLC
Chattanooga, Tennessee, 37404
Tennessee Oncology, PLLC
Chattanooga, Tennessee, 37404
Cook County Health (CCH)
Chicago, Illinois, 60612
John H. Stroger, Jr. Hospital of Cook County/IND Pharmacy
Chicago, Illinois, 60612
South County Hematology/Oncology
Chula Vista, California, 91911
Sharp Rees-Stealy
Chula Vista, California, 91913
TriState urologic Services PSC Inc., dba The Urology Group
Cincinnati, Ohio, 45212
Kaiser Sunnyside Medical Center
Clackamas, Oregon, 97015
Florida Cancer Specialists
Clearwater, Florida, 33761
Florida Cancer Specialists
Daytona Beach, Florida, 32117
The Urology Center of Colorado
Denver, Colorado, 80211
Rio Grande Urology, P.A.
El Paso, Texas, 79912
Inova Schar Cancer Institute Infusion Pharmacy
Fairfax, Virginia, 22031
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
The University of Kansas Clinical Research Center
Fairway, Kansas, 66205
San Juan Oncology Associates
Farmington, New Mexico, 87401
Farmington Health Center -University of Utah
Farmington, Utah, 84025
Piedmont Cancer Institute
Fayetteville, Georgia, 30214
Florida Cancer Specialists
Fort Myers, Florida, 33905
Florida Cancer Specialists
Gainesville, Florida, 32605
Ironwood Physicians P.C. dba Ironwood Cancer & Research Centers
Gilbert, Arizona, 85297
Glendale Adventist Medical Center
Glendale, California, 91206
Marin Cancer Care, Inc.
Greenbrae, California, 94904
UPMC Hillman Cancer Center - Arnold Palmer - Mt View
Greensburg, Pennsylvania, 15601
Kaiser Westside Medical Center
Hillsboro, Oregon, 97124
AMITA Health Adventist Medical Center Hinsdale
Hinsdale, Illinois, 60521
AMITA Health Cancer Institute
Hinsdale, Illinois, 60521
Houston Metro Urology
Houston, Texas, 77027
University of Iowa Hospital and Clinics
Iowa City, Iowa, 52242
Clark Memorial Hospital Radiology
Jeffersonville, Indiana, 47130
First Urology, PSC
Jeffersonville, Indiana, 47130
Cancer Center Oncology Medical Group
La Mesa, California, 91942
Lakeland Regional Health Hollis Cancer Center
Lakeland, Florida, 33805
Keystone Urology Specialists
Lancaster, Pennsylvania, 17604
Florida Cancer Specialists
Largo, Florida, 33770
Florida Cancer Specialists
Lecanto, Florida, 34461
Loma Linda University Cancer Center - Records Management Only
Loma Linda, California, 92350
Loma Linda University Cancer Center - Hematology/Oncology Clinic
Loma Linda, California, 92354
Loma Linda University Medical Center
Loma Linda, California, 92354
VA Long Beach Healthcare System
Long Beach, California, 90822
UCLA Clark Urology Center
Los Angeles, California, 90095
University of Wisconsin Clinical Science Center
Madison, Wisconsin, 53792
University of Wisconsin Hospital & Clinics
Madison, Wisconsin, 53792
University of Wisconsin
Madison, Wisconsin, 53792
Ironwood Physicians P.C. dba Ironwood Cancer & Research Centers
Mesa, Arizona, 85202
Ironwood Physicians P.C. dba Ironwood Cancer & Research Centers
Mesa, Arizona, 85206
Clinical Research Solutions
Middleburg Heights, Ohio, 44130
UPMC Hillman Cancer Center - Monroeville
Monroeville, Pennsylvania, 15146
Carolina Urologic Research Center
Myrtle Beach, South Carolina, 29572
Urology Associates P.C.
Nashville, Tennessee, 37209
The Vanderbilt Clinic
Nashville, Tennessee, 37232
Vanderbuilt University Medical Center, Department of Urology
Nashville, Tennessee, 37232
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Florida Cancer Specialists
New Port Richey, Florida, 34655
Providence Cancer Institute Newberg Clinic
Newberg, Oregon, 97132
Providence Newberg Medical Center
Newberg, Oregon, 97132
Piedmont Cancer Institute
Newnan, Georgia, 30265
Southeastern Regional Medical Center
Newnan, Georgia, 30265
University Radiology
Nutley, New Jersey, 07110
Florida Cancer Specialists
Ocala, Florida, 34471
OU Health Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
XCancer Omaha / Urology Cancer Center, PC d/b/a XCancer
Omaha, Nebraska, 68130
University of California, Irvine Medical Center
Orange, California, 92868
Florida Cancer Specialists
Orange City, Florida, 32763
Providence Cancer Institute Willamette Falls
Oregon City, Oregon, 97045
AdventHealth Medical Group Hermatology and Oncology
Orlando, Florida, 32804
Investigational Drug Services, Advent Health Orlando
Orlando, Florida, 32804
Florida Cancer Specialists
Orlando, Florida, 32806
Stanford Cancer Institute
Palo Alto, California, 94304
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
UPMC Hillman Cancer Center - Passavant (HOA)
Pittsburgh, Pennsylvania, 15237
UPMC Hillman Cancer Center - Passavant (OHA)
Pittsburgh, Pennsylvania, 15237
Providence Cancer Institute Franz Clinic
Portland, Oregon, 97213
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Oncology and Hematology Care Clinic - Westside
Portland, Oregon, 97225
Providence St Vincent Medical Center - Investigational Drug Service
Portland, Oregon, 97225
Providence St Vincent Medical Center
Portland, Oregon, 97225
Kaiser Permanente Northwest
Portland, Oregon, 97227
Premier Medical Group of the Hudson Valley PC
Poughkeepsie, New York, 12603
Desert Hematology Oncology Medical Group, Incorporation
Rancho Mirage, California, 92270
Eisenhower Medical Center
Rancho Mirage, California, 92270
Urology Austin, PLLC
Round Rock, Texas, 78681
Huntsman Cancer Hospital
Salt Lake City, Utah, 84112
University of Utah, Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Redwood Health Center-University of Utah
Salt Lake City, Utah, 84119
Medical Oncology Associates-SD
San Diego, California, 92123
Sharp Memorial Hospital Investigational Pharmacy
San Diego, California, 92123
Sharp Rees-Stealy
San Diego, California, 92123
Ironwood Physicians P.C. dba Ironwood Cancer & Research Centers
Scottsdale, Arizona, 85260
Swedish Cancer Institute
Seattle, Washington, 98104
Swedish Medical Center
Seattle, Washington, 98122
UPMC Hillman Cancer Center - Northwest
Seneca, Pennsylvania, 16346
South Jordan Health Center -University of Utah
South Jordan, Utah, 84095
Florida Cancer Specialists
Spring Hill, Florida, 34608
VA Saint Louis Healthcare System
St Louis, Missouri, 63106
Florida Cancer Specialists
St. Petersburg, Florida, 33705
Stanford Health Care
Stanford, California, 94305
Florida Cancer Specialists
Stuart, Florida, 34994
Associated Medical Professionals of New York, PLLC
Syracuse, New York, 13210
Florida Cancer Specialists
Tampa, Florida, 33607
Florida Cancer Specialists
Tavares, Florida, 32778
Baylor Scott & White Medical Center - Temple
Temple, Texas, 76508
Montefiore Medical Center - Montefiore Medical Park
The Bronx, New York, 10461
Florida Cancer Specialists
The Villages, Florida, 32159
Arizona Urology Specialists
Tucson, Arizona, 85715
Arizona Urology Specialists
Tucson, Arizona, 85741
UPMC Hillman Cancer Center - Uniontown
Uniontown, Pennsylvania, 15401
Florida Cancer Specialists
Vero Beach, Florida, 32960
New Jersey Urology, LLC
Voorhees Township, New Jersey, 08043
UPMC Hillman Cancer Center - Washington
Washington, Pennsylvania, 15301
Florida Cancer Specialists
Wellington, Florida, 33414
Florida Cancer Specialists
West Palm Beach, Florida, 33401
The University of Kansas Cancer Center
Westwood, Kansas, 66205
Florida Cancer Specialists
Winter Park, Florida, 32792
Midwestern Regional Medical Center
Zion, Illinois, 60099
China35 sites
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Peking University Third Hospital
Beijing, Beijing Municipality, 100191
Beijing Hospital
Beijing, 100010
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Beijing, 100021
Peking University First Hospital / Urology Department
Beijing, 100034
Jilin Cancer Hospital
Changchun, Jilin, 130000
West China Hospital of Sichuan University
Chengdu, Sichuan, 610041
Chongqing University Cancer Hospital
Chongqing, 400030
The First Affiliated Hospital Of Fujian Medical University
Fuzhou, Fujian, 350005
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310014
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
The First affiliated Hospital of Anhui Medical University
Hefei, Anhui, 230022
Yunnan Cancer Hospital
Kunming, Yunnan, 650118
The First People's Hospital of Lianyungang
Lianyungang, Jiangsu, 222500
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Nanjing First Hospital
Nanjing, Jiangsu, 210006
Nanjing Drum Tower Hospital , The Affiliated Hospital of Nanjing University Medical School
Nanjing, Jiangsu, 210008
Nanjing First Hospital
Nanjing, Jiangsu, 210012
Nantong Tumor Hospital
Nantong, Jiangsu, 226000
The first affiliated hospital of Ningbo university
Ningbo, Zhejiang, 315010
Urinary surgery, Ningbo First Hospital
Ningbo, Zhejiang, 315010
Zhongshan Hospital Fudan University
Shanghai, Shanghai Municipality, 200032
Shanghai General Hospital
Shanghai, Shanghai Municipality, 200080
Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Shanghai, 200025
Fudan University Cancer Hospital, Deptartment of Urology
Shanghai, 200032
Shanghai Tenth People's Hospital
Shanghai, 200072
The Fifth People's Hospital of Shanghai, Fudan University
Shanghai, 201100
Second Affiliated Hospital of Suzhou University
Suzhou, Jiangsu
The Second Hospital of Tianjin Medical University
Tianjin, 300211
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
Union Hospital, Tongji Medical College of Huazhong University of Science & Technology
Wuhan, Hubei, 430022
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430030
Wuxi People's Hospital
Wuxi, Jiangsu, 214023
The First Affiliated Hospital of Xi'an Jiaotong University
Xi’an, Shanxi, 710061
First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361003
Japan23 sites
Chiba Cancer Center
Chiba, 260-8717
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Hamamatsu University School of Medicine, University Hospital
Hamamatsu, Shizuoka, 431-3192
Hirosaki University School of Medicine & Hospital
Hirosaki, Aomori, 036-8563
Kagoshima University Hospital
Kagoshima, 890-8520
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577
National Hospital Organization Kumamoto Medical Center
Kumamoto, 860-0008
National Hospital Organization Kure Medical Center and Chugoku Cancer Center
Kure, Hiroshima, 737-0023
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
National Hospital Organization Tokyo Medical Center
Meguro-ku, Tokyo, 152-8902
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Osaka International Cancer Institute
Osaka, Osaka, 5418567
Kindai University Hospital
Sakai, Osaka, 590-0197
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Keio University Hospital
Shinjuku-ku, Tokyo, 160-8582
Osaka University Hospital
Suita, Osaka, 565-0871
Tokushima University Hospital
Tokushima, 770-8503
Yamagata Prefectural Central Hospital
Yamagata, 990-2292
Yamagata University Hospital
Yamagata, 990-9585
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
Yokosuka Kyosai Hospital
Yokosuka, Kanagawa, 238-8558
Brazil20 sites
Fundacao Pio XII - Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
Associacao Hospital de Caridade de Ijui
Ijuí, Rio Grande do Sul, 98700-000
Sociedade Beneficencia e Caridade de Lajeado - Hospital Bruno Born
Lajeado, Rio Grande do Sul, 95900-022
Centro de Pesquisa Clinica em Oncologia - Hospital Sao Lucas da Pontificia Universidade Catolica
Porto Alegre, Rio Grande do Sul, 90610-000
Centro Gaucho Integrado - Hospital Mae de Deus
Porto Alegre, Rio Grande do Sul, 90850-170
MedPlex Eixo Norte
Porto Alegre, Rio Grande do Sul, 91010-004
Hospital Nossa Senhora da Conceicao - Grupo Hospitalar Conceicao
Porto Alegre, Rio Grande do Sul, 91350-200
Instituto Nacional de Câncer José de Alencar Gomes da Silva - INCA
Rio de Janeiro, Rio de Janeiro, 20230-130
Instituto Nacional de Câncer José de Alencar Gomes da Silva - INCA
Rio de Janeiro, Rio de Janeiro, 20231-050
Hospital Universitario Pedro Ernesto-Centro de Pesquisas (CEPUSA)
Rio de Janeiro, Rio de Janeiro, 20551-030
Hospital CopaDor
Rio de Janeiro, Rio de Janeiro, 22031-011
Hospital Gloria D'Or
Rio de Janeiro, Rio de Janeiro, 22211-230
Oncologia D'Or
Rio de Janeiro, Rio de Janeiro, 22251-040
Instituto D'Or de Pesquisa e Ensino
Rio de Janeiro, Rio de Janeiro, 22281-100
Oncologia D'Or
Rio de Janeiro, Rio de Janeiro, 22291-110
Faculdade de Medicina do ABC - Centro de Estudos e Pesquisa de Hematologia e Oncologia (CEPHO)
Santo André, São Paulo, 09060-650
Faculdade de Medicina do ABC - Centro de Estudos e Pesquisas de Hematologia e Oncologia (CEPHO)
Santo André, São Paulo, 09060-870
Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, 01246-000
Hospital Alemão Oswaldo Cruz
São Paulo, São Paulo, 01327-001
Instituto do Cancer do Estado de Sao Paulo-ICESP-Nucleo de Pesquisa
São Paulo, SÃO Paulo (SP), 01246-000
France15 sites
Centre d'Oncologie du Pays-Basque
Bayonne, 64100
Clinique Ramsay Belharra
Bayonne, 64100
Hopital Saint Andre - CHU de Bordeaux
Bordeaux, 33075
CHD Vendée
La Roche-sur-Yon, 85925
Clinique Victor Hugo Le Mans
Le Mans, Pays de la Loire Region, 72000
Centre Leon Berard
Lyon, 69373
Centre Léon Bérard
Lyon, 69373
CHU Montpellier-Hopital Saint Eloi
Montpellier, 34295
Hopital Saint-Louis
Paris, 75010
Hopital Europeen Georges Pompidou
Paris, 75908
Clinique Sainte Anne
Strasbourg, 67000
Hopitaux Universitaires de Strasbourg - ICANS
Strasbourg, 67200
Hopital Foch
Suresnes, 92150
Hopital Foch
Suresnes, 92151
Institut Gustave Roussy
Villejuif, 94805
Australia13 sites
Icon Cancer Centre Wesley
Auchenflower, Queensland, 4066
River City Pharmacy
Auchenflower, Queensland, 4066
Princess Alexandra Hospital
Brisbane, Queensland, 4102
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
ICON Cancer Centre Chermside
Chermside, Queensland, 4032
St Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
St. Vincent's Hospital Sydney
Darlinghurst, New South Wales, 2010
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
Peter MacCallum Cancer Centre
North Melbourne, Victoria, 3051
Port Macquarie Base Hospital
Port Macquarie, New South Wales, 2444
ICON Cancer Centre South Brisbane
South Brisbane, Queensland, 4101
Integrated Clinical Oncology Network Pty Ltd (ICON)
South Brisbane, Queensland, 4101
ICON Cancer Centre Southport
Southport, Queensland, 4215
South Korea13 sites
Pusan National University Hospital
Busan, 49241
Kyungpook National University Chilgok Hospital
Daegu, 41404
Clinical Trial Pharmacy, National Cancer Center
Goyang-si, Gyeonggi-do, 10408
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Seoul National University Hospital
Seoul, 03080
Clinical Trial Center, Serverance Hospital, yonsei University Health System
Seoul, 03722
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Cancer Center Clinical Trial, Asan Medical Center
Seoul, 05505
Clinical Trials Center Pharmacy
Seoul, 06351
Samsung Medical Center
Seoul, 06351
Clinical Trial Pharmacy, The Catholic University of Korea
Seoul, 06591
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
United Kingdom13 sites
The Clatterbridge Cancer Centre NHS Foundation Trust
Bebington, Wirral, CH63 4JY
Royal Cornwall Hospitals NHS Trust
Cornwall, TR1 3LJ
Greater Glasgow Health Board J B Russell House, Gartnavel Royal Hospital
Glasgow, Scotland, G12 0XH
NHS Greater Glasgow and Clyde
Glasgow, Scotland, G12 0XH
NHS Greater Glasgow and Clyde (Radiology/Scans Address)
Glasgow, G12 0YN
NHS Greater Glasgow and Clyde, The Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
The Clatterbridge Cancer Centre - Liverpool
Liverpool, L7 8YA
Imperial College Healthcare NHS Trust
London, W12 0HS
Imperial College Healthcare NHS Trust
London, W2 1NY
Imperial College Healthcare NHS Trust, Charing Cross Hospital
London, W6 8RF
Oxford University Hospitals NHS Foundation Trust
Oxford, Oxfordshire, OX3 9DU
Department of Oncology, Cancer and Haematology Centre, Churchill Hospital
Oxford, OX3 7LE
University Hospitals Plymouth NHS Trust
Plymouth, Devon, PL6 8DH
Spain11 sites
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital Universitario Virgen de la Arrixaca
El Palmar, Murcia, 30120
Hospital General Universitario de Elche
Elche, Alicante, 03203
Institut Catala d'Oncologia - ICO L'Hospitalet
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital Universitario La Princesa
Madrid, 28006
Hospital General Universitario Gregorio Maranon
Madrid, 28009
MD Anderson Cancer Center
Madrid, 28033
Hospital Universitario 12 De Octubre
Madrid, 28041
Corporacio Sanitaria i Universitaria Parc Tauli
Sabadell, Barcelona, 08208
Hospital Clinico Universitario de Santiago de Compostela
Santiago de Compostela, A Coruna, 15706
Canada8 sites
Arthur J.E Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2
Centre integre universitaire de sante et de services sociaux du Saguenay-Lac-Saint-Jean
Chicoutimi, Quebec, G7H 5H6
Centre intégré universitaire de santé et de services sociaux du Saguenay-Lac-Saint-Jean
Chicoutimi, Quebec, G7H 7K9
Centre Hospitalier de l'Université de Montréal (CHUM)
Montreal, Quebec, H2X 0A9
CHUM - Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2X 3E4
Jewish General Hospital
Montreal, Quebec, H3T 1E2
The Ottawa Hospital Cancer Center
Ottawa, Ontario, K1H 8L6
Centre integre universitaire de sante et de services sociaux de l'Estrie
Sherbrooke, Quebec, J1H 5N4
Italy8 sites
Azienda Ospedaliero-Universitaria Policlinico Sant' Orsola Malpighi
Bologna, BO, 40138
ASST di Cremona
Cremona, CR, 26100
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS
Meldola, FC, 47014
Istituto Nazionale Tumori IRCCS Fondazione G. Pascale - Napoli
Naples, 80131
AOU San Luigi Gonzaga
Orbassano, TO, 10043
Azienda Ospedaliera S. Maria
Terni, TN, 05100
Ospedale Santa Chiara
Trento, TN, 38122
Azienda sanitaria universitaria integrata del Trentino (ASUIT) - Ospedale Santa Chiara
Trento, Trentino-Alto Adige, 38122
Finland7 sites
HUS Helsinki University Hospital
Helsinki, 00029
Docrates Cancer Center
Helsinki, 00180
Kuopio University Hospital
Kuopio, 70210
Oulun yliopistollinen sairaala
Oulu, 90220
Pirkanmaan hyvinvointialue
Tampere, 33520
Tampere University Hospital
Tampere, 33520
Turku University Hospital
Turku, 20520
Germany7 sites
Universitaetsklinikum Duesseldorf
Düsseldorf, 40225
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246
Universitaetsklinik Heidelberg
Heidelberg, 69120
Universitatsklinikum Heidelberg
Heidelberg, 69120
Diagnostikzentrum
Kirchheim, 73230
Universitaetsklinikum Muenster
Münster, 48149
Studienpraxis Urologie
Nürtingen, 72622
Argentina6 sites
Hospital Británico de Buenos Aires
Caba, C1280AEB
Centro de Educacion Medica e Investigaciones Clinicas "Norberto Quirno" Cemic
Caba, C1431FWO
Clinica Universitaria Reina Fabiola
Córdoba, X5004FHP
Hospital Privado Centro Medico de Cordoba
Córdoba, X5016KEH
Centro de Investigacion Pergamino SA - Clinica Pergamino SA
Pergamino, Buenos Aires, B2700CPM
Instituto de Oncologia de Rosario
Rosario, Santa Fe Province, S2000KZE
Belgium6 sites
AZ Klina
Brasschaat, 2930
A.Z. Sint-Lucas
Ghent, 9000
UZ Gent
Ghent, 9000
AZ Groeninge
Kortrijk, 8500
Clinique Saint-Pierre Ottignies
Ottignies, 1340
CHU UCL Namur site Godinne
Yvoir, 5530
Hungary6 sites
Semmelweis Egyetem Urologiai Klinika
Budapest, 1082
Országos Onkológiai Intézet
Budapest, 1122
Uzsoki Utcai Korhaz
Budapest, 1145
Uzsoki Utcai Kórház
Budapest, 1145
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Pecsi Tudomanyegyetem Klinikai Kozpont Onkoterapias Intezet
Pécs, 7624
Norway6 sites
Sykehusapoteket Ostfold, Kalnes
Grålum, 1712
Ostfold County Hospital, Kalnes
Grålum, 1714
Akershus University Hospital
Lorenskog, 1478
Oslo University Hospital -Ullevål & Radiumhospitalet
Oslo, 0379
St. Olavs Hospital, Trondheim University Hospital
Trondheim, 7030
Trondheim Hospital Pharmacy
Trondheim, 7030
Poland6 sites
Szpital Specjalistyczny w Brzozowie Podkarpacki Osrodek Onkologiczny im. ks. B. Markiewicza
Brzozów, 36-200
Szpitale Pomorskie Sp. z o.o. Oddzial Onkologii i Radioterapii
Gdynia, 81-519
Przychodnia Lekarska "Komed" Roman Karaszewski
Konin, 62-500
Europejskie Centrum Zdrowia Otwock Szpital im. Fryderyka Chopina
Otwock, 05-400
City Clinic Sp. z o.o.
Warsaw, 02-473
NZOZ Szpital Mazovia; Oddzial urologiczny
Warsaw, 02-797
Portugal6 sites
Centro Clínico Académico - Braga, Associação (2CABraga)
Braga, 4710-243
Instituto Português Oncologia de Coimbra Francisco Gentil - E.P.E
Coimbra, 3000-075
Fundação Champalimaud
Lisbon, 1400-038
Hospital da Luz Lisboa
Lisbon, 1500-650
Centro Hospitalar do Porto - Hospital de Santo Antonio
Porto, 4099-001
Instituto Português de Oncologia do Porto Francisco Gentil
Porto, 4200-072
South Africa6 sites
Cancercare Rondebosch Oncology
Cape Town, Western Cape, 7700
Outeniqua Cancercare Oncology Unit
George, Western Cape, 6530
The Medical Oncology Centre of Rosebank
Johannesburg, Gauteng, 2196
Cape Town Oncology Trials
Kraaifontein, Western Cape, 7570
Wits Clinical Research
Parktown, Gauteng, 2193
Cancercare Langenhoven Drive Oncology Centre
Port Elizabeth, Eastern Cape, 6045
Chile5 sites
James Lind Centro de Investigación del Cáncer
Araucania, 4800827
Sociedad Prosalud Montes y Orlandi Ltda. Fantasy name (Orlandi Oncologia)
Santiago, Santiago Metropolitan, 7500713
Centro de Investigacion Clinica del Sur
Temuco, Araucania, 4781156
Centro de Investigaciones Clinicas Vina del Mar
Viña del Mar, Valparaiso, 2540488
Centro de Investigaciones Clinicas Vina del Mar
Viña del Mar, Valparaiso, 2540634
Czechia4 sites
Fakultní nemocnice Hradec Králové
Hradec Králové, 500 05
Fakultni nemocnice Ostrava
Ostrava-Poruba, 708 52
Multiscan s.r.o.
Pardubice, 532 03
Fakultní nemocnice Královské Vinohrady
Prague, 100 34
New Zealand4 sites
Auckland City Hospital
Auckland, 1023
Canterbury District Health Board
Christchurch, Canterbury, 8011
Waikato Hospital
Hamilton, Waikato Region, 3204
Tauranga Urology Research Limited
Tauranga, Bay of Plenty, 3112
Peru4 sites
Clinica Monte Carmelo S.C.R.LTDA.
Arequipa
Hospital Militar Central "Coronel Luis Arias Schreiber"
Lima, Lima 11
Clinica Internacional Sede San Borja
Lima, Lima 41
Clinica Oncosalud
Lima, Lima 41
Israel3 sites
Rambam Health Care Campus
Haifa, 3109601
Shaare Zedek Medical Center
Jerusalem, 9103102
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Sweden3 sites
Sahlgrenska Universitetssjukhuset
Gothenburg, Västra Götalands LÄN [se-14], 413 45
Karolinska Universitetssjukhuset
Solna, 17176
Cancercentrum
Umeå, 901 85
About this study
Official title: A PHASE 3, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY OF TALAZOPARIB WITH ENZALUTAMIDE IN METASTATIC CASTRATION-RESISTANT PROSTATE CANCER
This study compares rPFS in men with mCRPC treated with talazoparib plus enzalutamide vs. enzalutamide after confirmation of the starting dose of talazoparib in combination with enzalutamide.
Read the detailed description
Part 1 is an open-label, non-randomized, safety and PK run-in study designed to confirm the starting dose of talazoparib in combination with enzalutamide through assessment of target safety events and PK at select sites. Part 2 is a randomized, double-blind, placebo-controlled, multinational study comparing talazoparib plus enzalutamide vs. placebo plus enzalutamide in patients with mCRPC.
- Conditions
- mCRPC
- Being tested
- Talazoparib with enzalutamide, Placebo with enzalutamide
- Keywords
- mCRPC (metastatic castration-resistant prostate cancer)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Talazoparib with enzalutamideDrug
Talazoparib 0.5 mg/day plus enzalutamide 160mg/day
Placebo with enzalutamideDrug
Placebo plus enzalutamide 160 mg/day
| Study group | Role | What they receive |
|---|---|---|
| Combination arm | Experimental | Talazoparib plus enzalutamide Receives: Drug: Talazoparib with enzalutamide |
| Monotherapy arm | Active comparator | Ezalutamide plus placebo Receives: Drug: Placebo with enzalutamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Occuring Within the First 66 Days of Dosing - Part 1
An adverse event (AE) was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per Common Terminology Criteria for Adverse Events (CTCAE) version 4, Grade 1= mild AE; Grade 2= moderate AE; Grade 3= severe AE; Grade 4= life-threatening or disabling AE; Grade 5= death related to an AE. Serious TEAE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. SAEs were determined according to the investigator's assessment. Results as of 16 Aug 2022 are reported.
Measured: Post dose on Day 1 up to Day 66 in Part 1
Number of Participants With All-Causality Clustered Treatment-Emergent Cytopenias by Preferred Term (PT) and Max CTCAE Grade Occuring Within the First 66 Days of Dosing - Part 1
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per CTCAE version 4, Grade 1=mild AE; Grade 2=moderate AE; Grade 3=severe AE; Grade 4=life-threatening or disabling AE; Grade 5=death related to an AE. Medical Dictionary for Regulatory Activities (MedDRA) v25.0 coding dictionary applied. PTs for the cluster terms are: ANEMIA, including Anemia, Hematocrit decreased, Hemoglobin decreased, and Red blood cell count decreased; THROMBOCYTOPENIA, including, Thrombocytopenia and Platelet count decreased; NEUTROPENIA, including Febrile neutropenia, Neutropenia and Neutrophil count decreased; LEUKOPENIA, including Leukopenia, White blood cell count decreased. Events in any grade with at least 1 occurrence in participants are reported for this outcome measure. Results as of 16 Aug 2022 are reported.
Measured: Post dose on Day 1 up to Day 66 in Part 1
Number of Participants With All-Causality TEAEs During the Overall Period of Part 1
An adverse event (AE) was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per CTCAE version 4, Grade 1= mild AE; Grade 2= moderate AE; Grade 3= severe AE; Grade 4= life-threatening or disabling AE; Grade 5= death related to an AE. Serious TEAE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. SAEs were determined according to the investigator's assessment. Results as of 16 Aug 2022 are reported.
Measured: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
Number of Participants With Treatment-Related TEAEs During the Overall Period of Part 1
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. Treatment-related AE was any untoward medical occurrence attributed to study intervention in a participant who received study intervention. As per CTCAE version 4, Grade 1= mild AE; Grade 2= moderate AE; Grade 3= severe AE; Grade 4= life-threatening or disabling AE; Grade 5= death related to an AE. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. SAEs were determined according to the investigator's assessment. Results as of 16 Aug 2022 are reported.
Measured: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
Number of Participants With All-Causality Clustered Treatment-Emergent Cytopenias by PT and Max CTCAE Grade Occuring Anytime After Dosing - Part 1
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per CTCAE version 4, Grade 1=mild AE; Grade 2=moderate AE; Grade 3=severe AE; Grade 4=life-threatening or disabling AE; Grade 5=death related to an AE. MedDRA v25.0 coding dictionary applied. PTs for the cluster terms are: ANEMIA, including Anemia, Hematocrit decreased, Hemoglobin decreased, and Red blood cell count decreased; THROMBOCYTOPENIA, including, Thrombocytopenia and Platelet count decreased; NEUTROPENIA, including Febrile neutropenia, Neutropenia and Neutrophil count decreased; LEUKOPENIA, including Leukopenia, White blood cell count decreased. Events in any grade with at least 1 occurrence in participants are reported for this outcome measure. Results as of 16 Aug 2022 are reported.
Measured: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
Number of Participants With Treatment-Related Clustered Treatment-Emergent Cytopenias by PT and Max CTCAE Grade in >=10% of Participants Occuring Anytime After Dosing - Part 1
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are newly occurring AEs or those worsening after first dose. Treatment-related AE was any AE attributed to study intervention in a participant who received study intervention. As per CTCAE version 4, Grade 1=mild; Grade 2=moderate; Grade 3=severe; Grade 4=life-threatening or disabling; Grade 5=death related to an AE. MedDRA v25.0 coding dictionary applied. PTs for the cluster terms are: ANEMIA, including Anemia, Hematocrit decreased, Hemoglobin decreased, and Red blood cell count decreased; THROMBOCYTOPENIA, including, Thrombocytopenia and Platelet count decreased; NEUTROPENIA, including Febrile neutropenia, Neutropenia and Neutrophil count decreased; LEUKOPENIA, including Leukopenia, White blood cell count decreased. Events in any grade with incidence in >=10% of participants are reported. Results as of 16 Aug 2022 are reported.
Measured: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
Blinded Independent Central Review (BICR) Assessed Radiographic Progression-Free Survival (rPFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 for All-Comers - Part 2 Cohort 1
rPFS is defined as the time from the date of randomization to first objective evidence of radiographic progression as assessed in soft tissue per RECIST 1.1, or death, whichever occurs first. Soft tissue disease status was assessed at regular intervals during the course of the study by computed tomography (CT) of chest and CT or magnetic resonance imaging (MRI) of abdomen and pelvis. Progression is defined using RECIST 1.1 as a >=20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Results as of 16 Aug 2022 are reported for this outcome measure.
Measured: From the start of treatment to the time of first documented progression, or death (maximum up to 42 months)
BICR Assessed rPFS Per RECIST 1.1 in Patients With DDR Deficiencies - Part 2
rPFS is defined as the time from the date of randomization to first objective evidence of radiographic progression as assessed in soft tissue per RECIST 1.1, or death, whichever occurs first. Soft tissue disease status was assessed at regular intervals during the course of the study by CT of chest and CT or MRI of abdomen and pelvis. Results as of 03 Oct 2022 are reported for this outcome measure.
Measured: From the start of treatment to the time of first documented progression, or death (maximum up to 38 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jan 2018
- Study start18 Dec 2017
- Primary completion3 Oct 2022
- Study completion30 Jun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (15)Papers the sponsor has linked to this study.
- Other trials for mCRPCStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- To assess radiographic PFS in men with mCRPC (with no systemic treatments initiated after documentation of mCRCP) treated with talazoparib and enzalutamide vs. placebo plus enzalutamide
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,054 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03395197
- Sponsor's protocol ID
- C3441021
- Other IDs
- 2017-003295-31, TALAPRO-2, 2023-509087-20-00, 2023, 2017
- Acronym
- TALAPRO-2
- Status last verified
- Oct 2026
- First submitted
- 21 Nov 2017
- Last updated
- 14 Oct 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Yajima S, Yoshida S, Chen W, Fukushima H, Tanaka H, Sato H, Hirakawa A, Masuda H, Fujii Y. Exploratory Time-Dependent Patterns in Estimated Treatment Effect of Talazoparib Plus Enzalutamide in HRR Non-Deficient or Unknown Metastatic Castration-Resistant Prostate Cancer: A Post Hoc Analysis of the TALAPRO-2 Trial. Int J Urol. 2026 Jul;33(7):e70582. doi: 10.1111/iju.70582.
PubMed 42502892Agarwal N, Azad AA, Carles J, Fay AP, Matsubara N, Szczylik C, De Giorgi U, Joung JY, Fong PCC, Voog E, Jones RJ, Shore ND, Saad F, Dunshee C, Zschabitz S, Oldenburg J, Lin X, Healy CG, Kalac M, Kennedy D, Fizazi K. A plain language summary of the final overall survival results from the TALAPRO-2 study comparing talazoparib plus enzalutamide with placebo plus enzalutamide for patients with advanced prostate cancer. Future Oncol. 2026 Jun;22(14):1687-1702. doi: 10.1080/14796694.2026.2668552. Epub 2026 Jun 9.
PubMed 42261883Fizazi K, Azad AA, Matsubara N, Carles J, Fay AP, De Giorgi U, Joung JY, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Ye D, Lin X, Kalac M, Laird AD, Kennedy D, Agarwal N. A plain language summary of the final overall survival results from the TALAPRO-2 study comparing talazoparib plus enzalutamide versus placebo plus enzalutamide for patients with advanced prostate cancer and changes in specific DNA repair genes. Future Oncol. 2026 Jun;22(14):1669-1685. doi: 10.1080/14796694.2026.2661093. Epub 2026 Jun 4.
PubMed 42237765Agarwal N, Azad AA, Carles J, Fay AP, Matsubara N, Szczylik C, De Giorgi U, Young Joung J, Fong PCC, Voog E, Jones RJ, Shore ND, Saad F, Dunshee C, Zschabitz S, Oldenburg J, Lin X, Healy CG, Kalac M, Kennedy D, Fizazi K. Talazoparib plus enzalutamide in men with metastatic castration-resistant prostate cancer: final overall survival results from the randomised, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet. 2025 Aug 2;406(10502):447-460. doi: 10.1016/S0140-6736(25)00684-1. Epub 2025 Jul 16.
PubMed 40683290Fizazi K, Azad AA, Matsubara N, Carles J, Fay AP, De Giorgi U, Young Joung J, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Ye D, Lin X, Kalac M, Douglas Laird A, Kennedy D, Agarwal N. Talazoparib plus enzalutamide in men with HRR-deficient metastatic castration-resistant prostate cancer: final overall survival results from the randomised, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet. 2025 Aug 2;406(10502):461-474. doi: 10.1016/S0140-6736(25)00683-X. Epub 2025 Jul 16.
PubMed 40683287Fay AP, Fizazi K, Matsubara N, Azad AA, Saad F, De Giorgi U, Joung JY, Fong PCC, Jones RJ, Zschabitz S, Oldenburg J, Shore ND, Dunshee C, Carles J, Cislo P, Chang J, Healy CG, Niyazov A, Agarwal N. First-line talazoparib plus enzalutamide versus placebo plus enzalutamide in men with metastatic castration-resistant prostate cancer and homologous recombination repair gene alterations: patient-reported outcomes from the randomised, double-blind, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet Oncol. 2025 Apr;26(4):481-490. doi: 10.1016/S1470-2045(25)00031-2.
PubMed 40179907Matsubara N, Azad AA, Agarwal N, Saad F, De Giorgi U, Joung JY, Fong PCC, Jones RJ, Zschabitz S, Oldenburg J, Shore ND, Dunshee C, Carles J, Fay AP, Cislo P, Chang J, Healy CG, Niyazov A, Fizazi K. First-line talazoparib plus enzalutamide versus placebo plus enzalutamide for metastatic castration-resistant prostate cancer: patient-reported outcomes from the randomised, double-blind, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet Oncol. 2025 Apr;26(4):470-480. doi: 10.1016/S1470-2045(25)00030-0.
PubMed 40179906Matsubara N, Miyake H, Uemura H, Mizokami A, Kikukawa H, Kosaka T, Nishimura K, Nakamura M, Kobayashi K, Komaru A, Mori Y, Toyoizumi S, Hori N, Umeyama Y, Uemura H. Phase 3 Study of Talazoparib Plus Enzalutamide Versus Placebo Plus Enzalutamide as First-Line Treatment in Patients With Metastatic Castration-Resistant Prostate Cancer: TALAPRO-2 Japanese Subgroup Analysis. Cancer Med. 2025 Jan;14(1):e70333. doi: 10.1002/cam4.70333.
PubMed 39737542Azad AA, Fizazi K, Matsubara N, Saad F, De Giorgi U, Joung JY, Fong PCC, Jones RJ, Zschabitz S, Oldenburg J, Shore ND, Dunshee C, Carles J, Fay AP, Lin X, DeAnnuntis L, Di Santo N, Zielinski MA, Agarwal N. Talazoparib plus enzalutamide in metastatic castration-resistant prostate cancer: Safety analyses from the randomized, placebo-controlled, phase III TALAPRO-2 study. Eur J Cancer. 2024 Dec;213:115078. doi: 10.1016/j.ejca.2024.115078. Epub 2024 Oct 20.
PubMed 39486165Agarwal N, Saad F, Azad AA, Mateo J, Matsubara N, Shore ND, Chakrabarti J, Chen HC, Lanzalone S, Niyazov A, Fizazi K. The TALAPRO-3 study design: a plain language summary. Future Oncol. 2024;20(30):2225-2231. doi: 10.1080/14796694.2024.2363131. Epub 2024 Jul 24.
PubMed 39451095Agarwal N, Azad AA, Carles J, Fay AP, Matsubara N, Heinrich D, Szczylik C, De Giorgi U, Joung JY, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Lin X, Healy CG, Di Santo N, Zohren F, Fizazi K. Plain language summary of the results from the TALAPRO-2 study: Talazoparib plus enzalutamide versus placebo plus enzalutamide for patients with advanced prostate cancer. Future Oncol. 2024;20(29):2123-2135. doi: 10.1080/14796694.2024.2362108. Epub 2024 Jul 12.
PubMed 38995237Heiss BL, Chang E, Gao X, Truong T, Brave MH, Bloomquist E, Shah A, Hamed S, Kraft J, Chiu HJ, Ricks TK, Tilley A, Pierce WF, Tang L, Abukhdeir A, Kalavar S, Philip R, Tang S, Pazdur R, Amiri-Kordestani L, Kluetz PG, Suzman DL. US Food and Drug Administration Approval Summary: Talazoparib in Combination With Enzalutamide for Treatment of Patients With Homologous Recombination Repair Gene-Mutated Metastatic Castration-Resistant Prostate Cancer. J Clin Oncol. 2024 May 20;42(15):1851-1860. doi: 10.1200/JCO.23.02182. Epub 2024 Mar 7.
PubMed 38452327Fizazi K, Azad AA, Matsubara N, Carles J, Fay AP, De Giorgi U, Joung JY, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Ye D, Lin X, Healy CG, Di Santo N, Laird AD, Zohren F, Agarwal N. First-line talazoparib with enzalutamide in HRR-deficient metastatic castration-resistant prostate cancer: the phase 3 TALAPRO-2 trial. Nat Med. 2024 Jan;30(1):257-264. doi: 10.1038/s41591-023-02704-x. Epub 2023 Dec 4.
PubMed 38049622Agarwal N, Azad AA, Carles J, Fay AP, Matsubara N, Heinrich D, Szczylik C, De Giorgi U, Young Joung J, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Lin X, Healy CG, Di Santo N, Zohren F, Fizazi K. Talazoparib plus enzalutamide in men with first-line metastatic castration-resistant prostate cancer (TALAPRO-2): a randomised, placebo-controlled, phase 3 trial. Lancet. 2023 Jul 22;402(10398):291-303. doi: 10.1016/S0140-6736(23)01055-3. Epub 2023 Jun 4.
PubMed 37285865Agarwal N, Azad A, Shore ND, Carles J, Fay AP, Dunshee C, Karsh LI, Paccagnella ML, Santo ND, Elmeliegy M, Lin X, Czibere A, Fizazi K. Talazoparib plus enzalutamide in metastatic castration-resistant prostate cancer: TALAPRO-2 phase III study design. Future Oncol. 2022 Feb;18(4):425-436. doi: 10.2217/fon-2021-0811. Epub 2022 Jan 26.
PubMed 35080190
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY OF TALAZOPARIB WITH ENZALUTAMIDE IN METASTATIC CASTRATION-RESISTANT PROSTATE CANCER
- ClinicalTrials.gov ID
- NCT03395197
- Acronym / sponsor ID
- TALAPRO-2 / C3441021
- Conditions
- mCRPC
- Keywords
- mCRPC (metastatic castration-resistant prostate cancer)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,054 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc
- Study start
- 18 Dec 2017 (actual)
- Primary completion
- 3 Oct 2022 (actual)
- Study completion
- 30 Jun 2027 (estimated)
- First posted
- 10 Jan 2018 (actual)
- Results
- Posted 17 Jan 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study compares rPFS in men with mCRPC treated with talazoparib plus enzalutamide vs. enzalutamide after confirmation of the starting dose of talazoparib in combination with enzalutamide.
Detailed description
Part 1 is an open-label, non-randomized, safety and PK run-in study designed to confirm the starting dose of talazoparib in combination with enzalutamide through assessment of target safety events and PK at select sites. Part 2 is a randomized, double-blind, placebo-controlled, multinational study comparing talazoparib plus enzalutamide vs. placebo plus enzalutamide in patients with mCRPC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- To assess radiographic PFS in men with mCRPC (with no systemic treatments initiated after documentation of mCRCP) treated with talazoparib and enzalutamide vs. placebo plus enzalutamide
| Arm | Type | Receives |
|---|---|---|
| Combination arm | Experimental | Drug: Talazoparib with enzalutamideTalazoparib plus enzalutamide |
| Monotherapy arm | Active comparator | Drug: Placebo with enzalutamideEzalutamide plus placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell or signet cell features
- Asymptomatic or mildly symptomatic metastatic castration resistant prostate cancer (mCRPC) (score on BPI-SF Question #3 must be < 4).
- For enrollment into Part 2 only (optional in Part 1): assessment of DDR mutation status
- Consent to a saliva sample collection for a germline comparator unless prohibited by local regulations or ethics committee decision (optional for patients in Part 1).
- Surgically or medically castrated, with serum testosterone ≤ 50 ng/dL (≤ 1.73 nmol/L) at screening.
Key exclusion criteria (29 listed)
- Any prior systemic cancer treatment initiated in in the non metastatic CRPC and mCRPC disease state.
- Patients whose only evidence of metastasis is adenopathy below the aortic bifurcation.
- Prior treatment with second-generation androgen receptor inhibitors (enzalutamide, apalutamide, and darolutamide), a PARP inhibitor, cyclophosphamide, or mitoxantrone for prostate cancer.
- Prior treatment with platinum-based chemotherapy within 6 months (from the last dose) prior to Day 1 (Part 1) or randomization (Part 2), or any history of disease progression on platinum-based therapy within 6 months (from the last dose).
- Treatment with cytotoxic chemotherapy, biologic therapy including sipuleucel T, or radionuclide therapy received in the castration-sensitive prostate cancer is NOT exclusionary if discontinued in the 28 days prior to Day 1 (Part 1) or randomization (Part 2).
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Talazoparib with enzalutamideTalazoparib 0.5 mg/day plus enzalutamide 160mg/day | Drug | Combination arm |
| Placebo with enzalutamidePlacebo plus enzalutamide 160 mg/day | Drug | Monotherapy arm |
Primary outcome
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Occuring Within the First 66 Days of Dosing - Part 1
Time frame: Post dose on Day 1 up to Day 66 in Part 1
An adverse event (AE) was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per Common Terminology Criteria for Adverse Events (CTCAE) version 4, Grade 1= mild AE; Grade 2= moderate AE; Grade 3= severe AE; Grade 4= life-threatening or disabling AE; Grade 5= death related to an AE. Serious TEAE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. SAEs were determined according to the investigator's assessment. Results as of 16 Aug 2022 are reported.
Number of Participants With All-Causality Clustered Treatment-Emergent Cytopenias by Preferred Term (PT) and Max CTCAE Grade Occuring Within the First 66 Days of Dosing - Part 1
Time frame: Post dose on Day 1 up to Day 66 in Part 1
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per CTCAE version 4, Grade 1=mild AE; Grade 2=moderate AE; Grade 3=severe AE; Grade 4=life-threatening or disabling AE; Grade 5=death related to an AE. Medical Dictionary for Regulatory Activities (MedDRA) v25.0 coding dictionary applied. PTs for the cluster terms are: ANEMIA, including Anemia, Hematocrit decreased, Hemoglobin decreased, and Red blood cell count decreased; THROMBOCYTOPENIA, including, Thrombocytopenia and Platelet count decreased; NEUTROPENIA, including Febrile neutropenia, Neutropenia and Neutrophil count decreased; LEUKOPENIA, including Leukopenia, White blood cell count decreased. Events in any grade with at least 1 occurrence in participants are reported for this outcome measure. Results as of 16 Aug 2022 are reported.
Number of Participants With All-Causality TEAEs During the Overall Period of Part 1
Time frame: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
An adverse event (AE) was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per CTCAE version 4, Grade 1= mild AE; Grade 2= moderate AE; Grade 3= severe AE; Grade 4= life-threatening or disabling AE; Grade 5= death related to an AE. Serious TEAE (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. SAEs were determined according to the investigator's assessment. Results as of 16 Aug 2022 are reported.
Number of Participants With Treatment-Related TEAEs During the Overall Period of Part 1
Time frame: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. Treatment-related AE was any untoward medical occurrence attributed to study intervention in a participant who received study intervention. As per CTCAE version 4, Grade 1= mild AE; Grade 2= moderate AE; Grade 3= severe AE; Grade 4= life-threatening or disabling AE; Grade 5= death related to an AE. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. SAEs were determined according to the investigator's assessment. Results as of 16 Aug 2022 are reported.
Number of Participants With All-Causality Clustered Treatment-Emergent Cytopenias by PT and Max CTCAE Grade Occuring Anytime After Dosing - Part 1
Time frame: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are defined as newly occurring AEs or those worsening after first dose. As per CTCAE version 4, Grade 1=mild AE; Grade 2=moderate AE; Grade 3=severe AE; Grade 4=life-threatening or disabling AE; Grade 5=death related to an AE. MedDRA v25.0 coding dictionary applied. PTs for the cluster terms are: ANEMIA, including Anemia, Hematocrit decreased, Hemoglobin decreased, and Red blood cell count decreased; THROMBOCYTOPENIA, including, Thrombocytopenia and Platelet count decreased; NEUTROPENIA, including Febrile neutropenia, Neutropenia and Neutrophil count decreased; LEUKOPENIA, including Leukopenia, White blood cell count decreased. Events in any grade with at least 1 occurrence in participants are reported for this outcome measure. Results as of 16 Aug 2022 are reported.
Number of Participants With Treatment-Related Clustered Treatment-Emergent Cytopenias by PT and Max CTCAE Grade in >=10% of Participants Occuring Anytime After Dosing - Part 1
Time frame: Post dose on Day 1 up to 28 days after the last dose of study intervention, or before new systemic antineoplastic therapy, whichever occurred first (maximum of 235.14 weeks)
An AE was any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship. TEAEs are newly occurring AEs or those worsening after first dose. Treatment-related AE was any AE attributed to study intervention in a participant who received study intervention. As per CTCAE version 4, Grade 1=mild; Grade 2=moderate; Grade 3=severe; Grade 4=life-threatening or disabling; Grade 5=death related to an AE. MedDRA v25.0 coding dictionary applied. PTs for the cluster terms are: ANEMIA, including Anemia, Hematocrit decreased, Hemoglobin decreased, and Red blood cell count decreased; THROMBOCYTOPENIA, including, Thrombocytopenia and Platelet count decreased; NEUTROPENIA, including Febrile neutropenia, Neutropenia and Neutrophil count decreased; LEUKOPENIA, including Leukopenia, White blood cell count decreased. Events in any grade with incidence in >=10% of participants are reported. Results as of 16 Aug 2022 are reported.
Blinded Independent Central Review (BICR) Assessed Radiographic Progression-Free Survival (rPFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 for All-Comers - Part 2 Cohort 1
Time frame: From the start of treatment to the time of first documented progression, or death (maximum up to 42 months)
rPFS is defined as the time from the date of randomization to first objective evidence of radiographic progression as assessed in soft tissue per RECIST 1.1, or death, whichever occurs first. Soft tissue disease status was assessed at regular intervals during the course of the study by computed tomography (CT) of chest and CT or magnetic resonance imaging (MRI) of abdomen and pelvis. Progression is defined using RECIST 1.1 as a >=20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Results as of 16 Aug 2022 are reported for this outcome measure.
BICR Assessed rPFS Per RECIST 1.1 in Patients With DDR Deficiencies - Part 2
Time frame: From the start of treatment to the time of first documented progression, or death (maximum up to 38 months)
rPFS is defined as the time from the date of randomization to first objective evidence of radiographic progression as assessed in soft tissue per RECIST 1.1, or death, whichever occurs first. Soft tissue disease status was assessed at regular intervals during the course of the study by CT of chest and CT or MRI of abdomen and pelvis. Results as of 03 Oct 2022 are reported for this outcome measure.
Results and safety
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Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42502892Yajima S, Yoshida S, Chen W, Fukushima H, Tanaka H, Sato H, Hirakawa A, Masuda H, Fujii Y. Exploratory Time-Dependent Patterns in Estimated Treatment Effect of Talazoparib Plus Enzalutamide in HRR Non-Deficient or Unknown Metastatic Castration-Resistant Prostate Cancer: A Post Hoc Analysis of the TALAPRO-2 Trial. Int J Urol. 2026 Jul;33(7):e70582. doi: 10.1111/iju.70582.
- Derived from this study: PubMed 42261883Agarwal N, Azad AA, Carles J, Fay AP, Matsubara N, Szczylik C, De Giorgi U, Joung JY, Fong PCC, Voog E, Jones RJ, Shore ND, Saad F, Dunshee C, Zschabitz S, Oldenburg J, Lin X, Healy CG, Kalac M, Kennedy D, Fizazi K. A plain language summary of the final overall survival results from the TALAPRO-2 study comparing talazoparib plus enzalutamide with placebo plus enzalutamide for patients with advanced prostate cancer. Future Oncol. 2026 Jun;22(14):1687-1702. doi: 10.1080/14796694.2026.2668552. Epub 2026 Jun 9.
- Derived from this study: PubMed 42237765Fizazi K, Azad AA, Matsubara N, Carles J, Fay AP, De Giorgi U, Joung JY, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Ye D, Lin X, Kalac M, Laird AD, Kennedy D, Agarwal N. A plain language summary of the final overall survival results from the TALAPRO-2 study comparing talazoparib plus enzalutamide versus placebo plus enzalutamide for patients with advanced prostate cancer and changes in specific DNA repair genes. Future Oncol. 2026 Jun;22(14):1669-1685. doi: 10.1080/14796694.2026.2661093. Epub 2026 Jun 4.
- Derived from this study: PubMed 40683290Agarwal N, Azad AA, Carles J, Fay AP, Matsubara N, Szczylik C, De Giorgi U, Young Joung J, Fong PCC, Voog E, Jones RJ, Shore ND, Saad F, Dunshee C, Zschabitz S, Oldenburg J, Lin X, Healy CG, Kalac M, Kennedy D, Fizazi K. Talazoparib plus enzalutamide in men with metastatic castration-resistant prostate cancer: final overall survival results from the randomised, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet. 2025 Aug 2;406(10502):447-460. doi: 10.1016/S0140-6736(25)00684-1. Epub 2025 Jul 16.
- Derived from this study: PubMed 40683287Fizazi K, Azad AA, Matsubara N, Carles J, Fay AP, De Giorgi U, Young Joung J, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Ye D, Lin X, Kalac M, Douglas Laird A, Kennedy D, Agarwal N. Talazoparib plus enzalutamide in men with HRR-deficient metastatic castration-resistant prostate cancer: final overall survival results from the randomised, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet. 2025 Aug 2;406(10502):461-474. doi: 10.1016/S0140-6736(25)00683-X. Epub 2025 Jul 16.
- Derived from this study: PubMed 40179907Fay AP, Fizazi K, Matsubara N, Azad AA, Saad F, De Giorgi U, Joung JY, Fong PCC, Jones RJ, Zschabitz S, Oldenburg J, Shore ND, Dunshee C, Carles J, Cislo P, Chang J, Healy CG, Niyazov A, Agarwal N. First-line talazoparib plus enzalutamide versus placebo plus enzalutamide in men with metastatic castration-resistant prostate cancer and homologous recombination repair gene alterations: patient-reported outcomes from the randomised, double-blind, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet Oncol. 2025 Apr;26(4):481-490. doi: 10.1016/S1470-2045(25)00031-2.
- Derived from this study: PubMed 40179906Matsubara N, Azad AA, Agarwal N, Saad F, De Giorgi U, Joung JY, Fong PCC, Jones RJ, Zschabitz S, Oldenburg J, Shore ND, Dunshee C, Carles J, Fay AP, Cislo P, Chang J, Healy CG, Niyazov A, Fizazi K. First-line talazoparib plus enzalutamide versus placebo plus enzalutamide for metastatic castration-resistant prostate cancer: patient-reported outcomes from the randomised, double-blind, placebo-controlled, phase 3 TALAPRO-2 trial. Lancet Oncol. 2025 Apr;26(4):470-480. doi: 10.1016/S1470-2045(25)00030-0.
- Derived from this study: PubMed 39737542Matsubara N, Miyake H, Uemura H, Mizokami A, Kikukawa H, Kosaka T, Nishimura K, Nakamura M, Kobayashi K, Komaru A, Mori Y, Toyoizumi S, Hori N, Umeyama Y, Uemura H. Phase 3 Study of Talazoparib Plus Enzalutamide Versus Placebo Plus Enzalutamide as First-Line Treatment in Patients With Metastatic Castration-Resistant Prostate Cancer: TALAPRO-2 Japanese Subgroup Analysis. Cancer Med. 2025 Jan;14(1):e70333. doi: 10.1002/cam4.70333.
- Derived from this study: PubMed 39486165Azad AA, Fizazi K, Matsubara N, Saad F, De Giorgi U, Joung JY, Fong PCC, Jones RJ, Zschabitz S, Oldenburg J, Shore ND, Dunshee C, Carles J, Fay AP, Lin X, DeAnnuntis L, Di Santo N, Zielinski MA, Agarwal N. Talazoparib plus enzalutamide in metastatic castration-resistant prostate cancer: Safety analyses from the randomized, placebo-controlled, phase III TALAPRO-2 study. Eur J Cancer. 2024 Dec;213:115078. doi: 10.1016/j.ejca.2024.115078. Epub 2024 Oct 20.
- Derived from this study: PubMed 39451095Agarwal N, Saad F, Azad AA, Mateo J, Matsubara N, Shore ND, Chakrabarti J, Chen HC, Lanzalone S, Niyazov A, Fizazi K. The TALAPRO-3 study design: a plain language summary. Future Oncol. 2024;20(30):2225-2231. doi: 10.1080/14796694.2024.2363131. Epub 2024 Jul 24.
- Derived from this study: PubMed 38995237Agarwal N, Azad AA, Carles J, Fay AP, Matsubara N, Heinrich D, Szczylik C, De Giorgi U, Joung JY, Fong PCC, Voog E, Jones RJ, Shore ND, Dunshee C, Zschabitz S, Oldenburg J, Lin X, Healy CG, Di Santo N, Zohren F, Fizazi K. Plain language summary of the results from the TALAPRO-2 study: Talazoparib plus enzalutamide versus placebo plus enzalutamide for patients with advanced prostate cancer. Future Oncol. 2024;20(29):2123-2135. doi: 10.1080/14796694.2024.2362108. Epub 2024 Jul 12.
- Derived from this study: PubMed 38452327Heiss BL, Chang E, Gao X, Truong T, Brave MH, Bloomquist E, Shah A, Hamed S, Kraft J, Chiu HJ, Ricks TK, Tilley A, Pierce WF, Tang L, Abukhdeir A, Kalavar S, Philip R, Tang S, Pazdur R, Amiri-Kordestani L, Kluetz PG, Suzman DL. US Food and Drug Administration Approval Summary: Talazoparib in Combination With Enzalutamide for Treatment of Patients With Homologous Recombination Repair Gene-Mutated Metastatic Castration-Resistant Prostate Cancer. J Clin Oncol. 2024 May 20;42(15):1851-1860. doi: 10.1200/JCO.23.02182. Epub 2024 Mar 7.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
370 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Talazoparib with enzalutamide in people with mCRPC, run by Pfizer at 370 sites in 26 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 18 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 14 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 370 sites in United States, China, Japan, Brazil, France and 21 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 17 Jan 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) Occuring Within the First 66 Days of Dosing - Part 1 (time frame: Post dose on Day 1 up to Day 66 in Part 1). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03395197, which also lists 15 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2026.