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Last Updated: April 23, 2025

CLINICAL TRIALS PROFILE FOR NUBEQA


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All Clinical Trials for Nubeqa

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03878524 ↗ Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial Recruiting Oregon Health and Science University Phase 1 2020-04-01 This phase Ib trial determines if samples from a patient's cancer can be tested to find combinations of drugs that provide clinical benefit for the kind of cancer the patient has. This study is also being done to understand why cancer drugs can stop working and how different cancers in different people respond to different types of therapy.
NCT03878524 ↗ Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial Recruiting Prospect Creek Foundation Phase 1 2020-04-01 This phase Ib trial determines if samples from a patient's cancer can be tested to find combinations of drugs that provide clinical benefit for the kind of cancer the patient has. This study is also being done to understand why cancer drugs can stop working and how different cancers in different people respond to different types of therapy.
NCT03878524 ↗ Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial Recruiting OHSU Knight Cancer Institute Phase 1 2020-04-01 This phase Ib trial determines if samples from a patient's cancer can be tested to find combinations of drugs that provide clinical benefit for the kind of cancer the patient has. This study is also being done to understand why cancer drugs can stop working and how different cancers in different people respond to different types of therapy.
NCT04157088 ↗ Study to Compare the Effects of Drug Darolutamide and Drug Enzalutamide on Physical Function, Including Balance and Daily Activity, in Patients With Castration-resistant Prostate Cancer (CRPC) Recruiting Bayer Phase 2 2019-12-17 Researchers in this study want to compare the effects of drug darolutamide and drug enzalutamide on physical function, including balance and daily activity, in patients with castration-resistant prostate cancer (CRPC). Both darolutamide and enzalutamide are approved AR inhibitors used for the treatment of patients with CRPC. AR inhibitor is a substance that keeps androgens (male sex hormones) from binding to proteins called androgen receptors, which are found in normal prostate cells, some prostate cancer cells, and in some other cells. Preventing this binding blocks the effects of these hormones in the body and therefore keeps prostate cancer cells from growing. Patients participating this study will receive either darolutamide or enzalutamide tablets. To evaluate the physical function, patients will be asked to make some movements like rising from a chair, walking three meters, etc. Additionally, researchers also want to find out the survival of patients and if patients have fatigue (feeling tired), cognitive (learning and thinking) problems, or other medical problems during the trial. Brand name of darolutamide is Nubeqa; brand name of enzalutamide is Xtandi.
NCT04176081 ↗ Study of Radiation Therapy in Combination With Darolutamide + Degarelix in Intermediate Risk Prostate Cancer Not yet recruiting Bayer Phase 2 2021-09-01 Prostate cancer (PCa) is the most frequently diagnosed cancer in men and second leading cause of cancer-related death. Men with PCa have a wide range of possible outcomes if the cancer has not spread and is classified as Intermediate-Risk PCa (IR-PCa). The standard treatment for IR-PCa is radiation therapy (RT) with or without hormone therapy which can result in cure in some men. In other men, the cancer can come back or spread to other areas of the body. Treatment response in men with IR-PCa is highly variable. This uncertainty has led to significant under- and over-treatment. This study aims to find out if the addition of intensive treatment (hormonal therapy: darolutamide + degarelix) to standard treatment for PCa will work better than standard treatment alone. To do this, some participants will receive hormone therapy and others will not. All participants will receive RT. Currently, it is difficult to identify men who may require more intensive therapy. Current methods, such as using prostate specific antigen (PSA) alone, may not give the doctor enough information about who requires more intensive treatment. The researchers conducting this study believe that a particular arrangement of cancer cells [called intraductal carcinoma (IDC)] and the presence of a genetic marker called SChLAP1 can be used to identify people who would benefit from more intensive therapy. Hormonal therapy such as with drugs called darolutamide (new drug for PCa) and Degarelix, reduce androgens (male hormones, such as testosterone) or block their effect on the cells. PCa cells require androgens to grow and divide, so removal of androgens may be effective in preventing the return of cancer following radiation therapy. Although darolutamide has been studied in about 1000 men with PCa and seems promising and well tolerated it is considered an experimental drug, therefore it can only be used in a research study such as this one. Degarelix has been approved by Health Canada to treat PCa. This is a phase 2, open label, randomized, controlled study and will be conducted across sites in Canada. To qualify, men must have IR-PCa and have both SChLAP1 and IDC present or both absent. Participants will be randomized to receive RT with hormone therapy or RT only. The study treatment period is 6 months for the RT + hormone therapy group. RT will take about 1-2 weeks. All participants will be followed for 5 years with multiple visits to assess safety and treatment effects.
NCT04176081 ↗ Study of Radiation Therapy in Combination With Darolutamide + Degarelix in Intermediate Risk Prostate Cancer Not yet recruiting Prostate Cancer Canada Phase 2 2021-09-01 Prostate cancer (PCa) is the most frequently diagnosed cancer in men and second leading cause of cancer-related death. Men with PCa have a wide range of possible outcomes if the cancer has not spread and is classified as Intermediate-Risk PCa (IR-PCa). The standard treatment for IR-PCa is radiation therapy (RT) with or without hormone therapy which can result in cure in some men. In other men, the cancer can come back or spread to other areas of the body. Treatment response in men with IR-PCa is highly variable. This uncertainty has led to significant under- and over-treatment. This study aims to find out if the addition of intensive treatment (hormonal therapy: darolutamide + degarelix) to standard treatment for PCa will work better than standard treatment alone. To do this, some participants will receive hormone therapy and others will not. All participants will receive RT. Currently, it is difficult to identify men who may require more intensive therapy. Current methods, such as using prostate specific antigen (PSA) alone, may not give the doctor enough information about who requires more intensive treatment. The researchers conducting this study believe that a particular arrangement of cancer cells [called intraductal carcinoma (IDC)] and the presence of a genetic marker called SChLAP1 can be used to identify people who would benefit from more intensive therapy. Hormonal therapy such as with drugs called darolutamide (new drug for PCa) and Degarelix, reduce androgens (male hormones, such as testosterone) or block their effect on the cells. PCa cells require androgens to grow and divide, so removal of androgens may be effective in preventing the return of cancer following radiation therapy. Although darolutamide has been studied in about 1000 men with PCa and seems promising and well tolerated it is considered an experimental drug, therefore it can only be used in a research study such as this one. Degarelix has been approved by Health Canada to treat PCa. This is a phase 2, open label, randomized, controlled study and will be conducted across sites in Canada. To qualify, men must have IR-PCa and have both SChLAP1 and IDC present or both absent. Participants will be randomized to receive RT with hormone therapy or RT only. The study treatment period is 6 months for the RT + hormone therapy group. RT will take about 1-2 weeks. All participants will be followed for 5 years with multiple visits to assess safety and treatment effects.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Nubeqa

Condition Name

Condition Name for Nubeqa
Intervention Trials
Prostate Cancer 6
Metastatic Prostate Cancer 4
Stage IV Prostate Cancer AJCC v8 2
Metastatic Castration-resistant Prostate Cancer 2
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Condition MeSH

Condition MeSH for Nubeqa
Intervention Trials
Prostatic Neoplasms 12
Prostatic Neoplasms, Castration-Resistant 3
Adenocarcinoma 2
Carcinoma 2
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Clinical Trial Locations for Nubeqa

Trials by Country

Trials by Country for Nubeqa
Location Trials
United States 73
Brazil 4
United Kingdom 2
Australia 1
Spain 1
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Trials by US State

Trials by US State for Nubeqa
Location Trials
California 5
Michigan 4
North Carolina 3
Nebraska 3
Massachusetts 3
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Clinical Trial Progress for Nubeqa

Clinical Trial Phase

Clinical Trial Phase for Nubeqa
Clinical Trial Phase Trials
Phase 3 4
Phase 2 7
Phase 1/Phase 2 3
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Clinical Trial Status

Clinical Trial Status for Nubeqa
Clinical Trial Phase Trials
Recruiting 7
Not yet recruiting 6
Suspended 1
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Clinical Trial Sponsors for Nubeqa

Sponsor Name

Sponsor Name for Nubeqa
Sponsor Trials
Bayer 7
National Cancer Institute (NCI) 4
NRG Oncology 2
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Sponsor Type

Sponsor Type for Nubeqa
Sponsor Trials
Other 16
Industry 11
NIH 4
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Nubeqa: Clinical Trials, Market Analysis, and Projections

Introduction to Nubeqa

Nubeqa, also known as darolutamide, is an androgen receptor inhibitor developed by Bayer for the treatment of prostate cancer. It has shown significant promise in various clinical trials and is on track to become a cornerstone in prostate cancer therapy.

Clinical Trials Update

ARASENS Trial

The ARASENS trial, a Phase III clinical trial, demonstrated that Nubeqa, when combined with androgen deprivation therapy (ADT) and docetaxel, significantly increases overall survival (OS) in patients with metastatic hormone-sensitive prostate cancer (mHSPC)[1].

ARANOTE Trial

Bayer is awaiting the results of the ARANOTE trial, a placebo-controlled Phase III study assessing the effect of adding Nubeqa to standard ADT in patients with mHSPC. The primary endpoint of this trial is progression-free survival. The results from this trial are expected to support the use of Nubeqa without additional chemotherapy, expanding its treatment options for mHSPC patients[2][3].

Other Ongoing Trials

In addition to ARANOTE, Bayer is conducting other trials such as ARASTEP and DASL-HiCAP, which aim to explore the use of Nubeqa in earlier lines of therapy. These trials could further broaden the label for Nubeqa, making it available to a larger patient population[2].

Market Analysis

Current Market Performance

Nubeqa has been a standout performer for Bayer, with sales almost doubling in the previous year to €869 million ($948 million). It is currently the fastest-growing androgen receptor inhibitor in the U.S. and is predicted to achieve blockbuster status in 2024, with projected sales exceeding €1 billion[2].

Growth Projections

GlobalData analysis suggests that Nubeqa sales could increase to over $3.6 billion by 2029, driven by potential label expansions and increased adoption in multiple prostate cancer indications[3].

Competitive Landscape

Bayer's confidence in Nubeqa's growth is also driven by its strong efficacy and tolerability profile, which sets it apart from other treatments in the market. The company is positioning Nubeqa as a foundational drug for appropriate prostate cancer patients, aiming to make it a standard treatment option across various disease stages[1][3].

Market Impact and Expansion

Mitigating Patent Loss

The growth of Nubeqa is crucial for Bayer as it prepares to face the loss of exclusivity for its anticoagulant medication Xarelto, which generated €4.1 billion in revenues last year. Nubeqa's success is expected to help mitigate the financial impact of this patent loss[2].

Regulatory Approvals

Following the positive results from the ARANOTE trial, Bayer plans to submit the data for regulatory approval to expand Nubeqa's label for use in mHSPC without the need for additional chemotherapy. This expansion could significantly increase the number of patients eligible for Nubeqa treatment[3].

Future Clinical Development

Bayer is committed to further investigating Nubeqa across multiple prostate cancer stages and indications. The company's clinical development program aims to establish Nubeqa as a versatile treatment option, enhancing its market presence and patient reach[1][3].

Financial Outlook

Sales Growth

Bayer has confirmed its guidance for sales growth in 2024, with Nubeqa expected to be a key driver. The company anticipates continued growth momentum from Nubeqa in 2025, contributing to the overall performance of its Pharmaceuticals division[5].

Revenue Projections

With Nubeqa achieving blockbuster status, Bayer's Pharmaceuticals division saw significant gains, with an 83.2% growth rate for Nubeqa. This growth is expected to continue, supporting Bayer's financial outlook and helping to offset declines in other product lines[5].

Key Takeaways

  • Clinical Success: Nubeqa has shown positive results in Phase III trials, particularly in the ARASENS and upcoming ARANOTE trials.
  • Market Growth: Nubeqa is on track to achieve blockbuster status in 2024, with projected sales exceeding €1 billion.
  • Label Expansion: Bayer is pursuing label expansions for Nubeqa to include use in mHSPC without additional chemotherapy.
  • Financial Impact: Nubeqa's growth is crucial for mitigating the financial impact of patent loss for Xarelto.
  • Future Development: Ongoing trials aim to expand Nubeqa's use across multiple prostate cancer stages and indications.

FAQs

What is Nubeqa used for?

Nubeqa (darolutamide) is used for the treatment of prostate cancer, specifically in patients with non-metastatic castrate-resistant prostate cancer and metastatic hormone-sensitive prostate cancer.

What are the key findings from the ARASENS trial?

The ARASENS trial showed that Nubeqa, combined with ADT and docetaxel, significantly increases overall survival in patients with mHSPC.

What is the ARANOTE trial evaluating?

The ARANOTE trial is evaluating the effect of adding Nubeqa to standard ADT in patients with mHSPC, with the primary endpoint being progression-free survival.

How is Nubeqa performing in the market?

Nubeqa is the fastest-growing androgen receptor inhibitor in the U.S., with sales almost doubling in the previous year and projected to exceed €1 billion in 2024.

What are the future growth projections for Nubeqa?

Nubeqa sales are expected to increase to over $3.6 billion by 2029, driven by potential label expansions and increased adoption.

Sources

  1. UroToday: "Positive Results from Phase III Investigational Trial Shows NUBEQA (Darolutamide) Plus Androgen Deprivation Therapy (ADT) and Docetaxel Significantly Increases Overall Survival (OS) in Patients with mHSPC"
  2. BioSpace: "Bayer's Prostate Cancer Drug Nubeqa on Track to Generate Blockbuster Sales in 2024"
  3. Pharmaceutical Technology: "Bayer eyes Nubeqa's label expansion in prostate cancer following Phase III win"
  4. FDA: "Drug Trials Snapshots: NUBEQA"
  5. Bayer: "Strategic progress in challenging business environment – Group outlook confirmed in nearly all parameters"

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