The robustness of radiographic progression-free survival (rPFS), as defined by the Prostate Cancer Clinical Trials Working Group 2 (PCWG2), as a trial end point was evaluated in 1,717 patients with metastatic castration-resistant prostate cancer. The findings of the PREVAIL trial show that enzalutamide significantly reduced the risk of radiographic progression or death in all performed sensitivity analyses (P < 0.001). Overall survival and rPFS were positively correlated (Spearman ρ 0.89 and Kendall τ 0.72).