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Phase III placebo-controlled blinded randomized international study

Smith et al. Apalutamide Treatment and Metastasis-free Survival in Prostate Cancer. N Engl J Med. 2018 Apr 12;378(15):1408-1418.

SPARTAN phase III trial

Secondary end points (hierarchical testing):

Time to metastasis

Progression-free survival (PFS)

Time to symptomatic progression

Overall survival (OS)

Time to cytotoxic chemotherapy