Long-term Survival Advantage Confirmed in TITAN Phase III Trial

Published

July 22, 2025

Author

Lansbury Sinclair

Lansbury is an intelligence analyst focused on immunology. She tracks clinical and market developments across psoriasis, psoriatic arthritis, and lupus.

The final analysis of the pivotal TITAN Phase III trial, presented in May 2024 after a median follow-up of nearly four years (~44 months), conclusively demonstrated Erleada’s long-term survival advantage in metastatic castration-sensitive prostate cancer (mCSPC). Patients receiving Erleada combined with androgen-deprivation therapy (ADT) experienced a consistent 35% reduction in the risk of death compared to ADT alone. This sustained benefit reaffirms earlier data from the trial’s initial phases and underscores Erleada’s substantial impact on patient survival. The safety profile remained favorable throughout the extended follow-up period, characterized by manageable side effects and minimal significant adverse events. These robust, long-term data provide compelling evidence supporting Erleada’s use as a primary therapeutic option in clinical guidelines for mCSPC, reinforcing its role in standard treatment protocols.

Citation: Globe Newswire, 2024; Johnson & Johnson Press Release, 2024. Available at: https://www.globenewswire.com/news-release/2024/05/03/2875293/0/en/Phase-2-data-for-ERLEADA-apalutamide-plus-androgen-deprivation-therapy-following-radical-prostatectomy-in-patients-with-high-risk-localised-prostate-cancer-shows-100-percent-bioche.html; https://www.jnj.com/media-center/press-releases/erleada-apalutamide-demonstrates-statistically-significant-and-clinically-meaningful-improvement-in-overall-survival-compared-to-enzalutamide-in-patients-with-metastatic-castration-sensitive-prostate-cancer

Implication: This reinforces Erleada’s long-term role as a preferred frontline treatment option for mCSPC.