The ELM-PC 5 phase III randomized, double blind, multicentre trial comparing treatment with orteronel plus prednisone with placebo plus prednisone failed to show an overall survival benefit for orteronel therapy. Several possible reasons exist for the lack of a positive result in this study.
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Sharifi, N. CYP17A1 inhibitor failure—lessons for future drug development. Nat Rev Urol 12, 245–246 (2015). https://doi.org/10.1038/nrurol.2015.66
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DOI: https://doi.org/10.1038/nrurol.2015.66