Enzalutamide side effects: what 58,425 FDA adverse event reports show
Drug class
Brand names
Xtandi
Who reports
58,425 reports · 62% serious · 11,360 with death outcome · 1% female
Used for
XTANDI ® is indicated for the treatment of patients with: • castration-resistant prostate cancer (CRPC) • metastatic castration-sensitive prostate cancer (mCSPC) • non‑metastatic castration‑sensitive prostate cancer (nmCSPC) with biochemical recurrence.
What it is
Enzalutamide is an androgen receptor inhibitor.
Boxed warning
None in the current label
Causality screen of the 40 strongest signals
What the badges mean
- Labeled adverse reaction The exact term appears in the label's warnings or adverse-reactions sections: a known, expected effect. The FAERS signal confirms the label rather than discovering anything.
- Labeled (related wording) The label describes this effect under different wording (e.g. 'neutropenia' for 'neutrophil count decreased'). Treated as known.
- Likely indication confounding The term appears in the label's indications: reports probably describe the disease being treated (or its progression), not a drug effect. Classic confounding by indication.
- Reporting / coding artifact An administrative, monitoring or exposure term (product issue, off-label use, 'test normal', overdose...). Not a biological reaction; a high PRR here reflects how reports are coded.
- Lab value / disease marker A laboratory result, investigation or disease-activity marker (antibody positive, CRP abnormal, swollen joint count) not described in the label. These usually mirror the monitored disease or testing protocol rather than a drug effect; not screened further.
- Not in label — unassessed Not found in the label text, not an artifact pattern. This is a genuine candidate for a formal causality assessment (Bradford Hill / WHO-UMC); it has NOT had one here.
Strongest disproportionality signals
Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,085 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Malignant spinal cord compression | 25 | 519.3 280.4–961.5ROR 519.5 · calibrated p 4e-12 ✓ | 181.7 EB05 129.4 · IC025 +4.7 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Labeled (related wording) related wording | serious n=25 | no trial arm names this drug |
| Arrhythmia induced cardiomyopathy | 22 | 369.9 203.4–672.6ROR 370.1 · calibrated p 6e-11 ✓ | 156.8 EB05 109.1 · IC025 +4.5 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=22 · 100% clinician | no trial arm names this drug |
| Prostatic specific antigen increased | 4,344 | 164.4 158.8–170.3ROR 177.6 · calibrated p 1e-9 ✓ | 112.5 EB05 109.7 · IC025 +6.7 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 23.9 (22.4–25.6) | Lab value / disease marker | serious PRR 103.3 · 70% consumer | no trial arm names this drug |
| Hereditary optic atrophy | 14 | 89.9 50.0–161.6ROR 89.9 · calibrated p 2e-6 ✓ | 65.7 EB05 41.6 · IC025 +3.5 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=14 | no trial arm names this drug |
| Prostatic specific antigen abnormal | 199 | 84.4 72.3–98.4ROR 84.6 · calibrated p 4e-7 ✓ | 67.9 EB05 60.3 · IC025 +5.6 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 15.7 (11.9–20.6) | Lab value / disease marker | serious n=134 | no trial arm names this drug |
| Brca1 gene mutation | 15 | 73.6 42.2–128.3ROR 73.6 · calibrated p 5e-6 ✓ | 56.9 EB05 36.6 · IC025 +3.5 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=14 | no trial arm names this drug |
| Hormone-refractory prostate cancer | 181 | 65.4 55.8–76.6ROR 65.6 · calibrated p 3e-6 ✓ | 55.0 EB05 48.6 · IC025 +5.3 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 9.9 (7.7–12.6) | Likely indication confounding shares a disease stem with the indications wording | serious n=180 | no trial arm names this drug |
| Brca2 gene mutation | 13 | 56.0 31.2–100.5ROR 56.0 · calibrated p 3e-5 ✓ | 45.5 EB05 28.3 · IC025 +3.2 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=12 | no trial arm names this drug |
| Product size issue | 612 | 46.6 42.9–50.7ROR 47.1 · calibrated p 2e-5 ✓ | 41.3 EB05 38.6 · IC025 +5.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 187.2 (117.2–299.2) | Reporting / coding artifact | serious n=288 · 71% consumer | no trial arm names this drug |
| Prostate cancer metastatic | 312 | 36.8 32.7–41.3ROR 37.0 · calibrated p 9e-5 ✓ | 33.3 EB05 30.3 · IC025 +4.8 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 5.9 (5.1–7.0) | Likely indication confounding term in indications; also in warnings | serious n=312 | no trial arm names this drug |
| Prostatic specific antigen decreased | 35 | 36.3 25.7–51.5ROR 36.4 · calibrated p 1e-4 ✓ | 32.5 EB05 24.4 · IC025 +3.9 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 9.2 (5.3–15.8) | Lab value / disease marker | serious n=20 · 71% consumer | no trial arm names this drug |
| Prostate cancer recurrent | 55 | 35.2 26.7–46.5ROR 35.3 · calibrated p 1e-4 ✓ | 31.8 EB05 25.4 · IC025 +4.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 5.2 (3.6–7.6) | Likely indication confounding shares a disease stem with the indications wording | serious n=55 | no trial arm names this drug |
| Bladder tamponade | 17 | 21.4 13.1–34.9ROR 21.4 · calibrated p 0.003 ✓ | 19.7 EB05 12.8 · IC025 +2.9 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=17 | no trial arm names this drug |
| Malignant neoplasm progression | 5,468 | 20.3 19.8–20.8ROR 22.3 · calibrated p 0.001 ✓ | 19.3 EB05 18.8 · IC025 +4.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 40.0 (37.1–43.1) | Reporting / coding artifact | serious PRR 18.3 | no trial arm names this drug |
| Foreign body in respiratory tract | 70 | 20.0 15.7–25.4ROR 20.0 · calibrated p 0.002 ✓ | 18.9 EB05 15.4 · IC025 +3.7 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=34 · 74% consumer | no trial arm names this drug |
| Metastases to bladder | 15 | 19.9 11.8–33.5ROR 19.9 · calibrated p 0.004 ✓ | 18.3 EB05 11.4 · IC025 +2.7 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=15 | no trial arm names this drug |
| Hot flush (hot flashes) | 3,882 | 19.4 18.8–20.1ROR 20.8 · calibrated p 0.002 ✓ | 18.5 EB05 18.0 · IC025 +4.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 27.0 (25.0–29.1) | Labeled adverse reaction exact term | serious PRR 17.1 · 87% consumer | no trial arm names this drug |
| Nephrostomy | 16 | 18.4 11.1–30.4ROR 18.4 · calibrated p 0.005 ✓ | 16.9 EB05 10.6 · IC025 +2.7 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=16 | no trial arm names this drug |
| Cancer pain | 120 | 17.6 14.6–21.1ROR 17.6 · calibrated p 0.004 ✓ | 16.7 EB05 14.3 · IC025 +3.7 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 15.4 (10.9–21.8) | Labeled (related wording) related wording | serious n=118 | no trial arm names this drug |
| Blood testosterone increased | 82 | 14.1 11.3–17.6ROR 14.2 · calibrated p 0.010 ✓ | 13.5 EB05 11.2 · IC025 +3.3 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 7.3 (5.2–10.1) | Lab value / disease marker | serious n=47 | no trial arm names this drug |
| Retroperitoneal lymphadenopathy | 20 | 14.1 9.0–22.1ROR 14.1 · calibrated p 0.013 ✓ | 12.9 EB05 8.4 · IC025 +2.6 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 4.6 (2.5–8.3) | Not in label — unassessed | serious n=19 | no trial arm names this drug |
| Blood testosterone abnormal | 42 | 14.0 10.3–19.0ROR 14.0 · calibrated p 0.011 ✓ | 13.2 EB05 10.0 · IC025 +3.0 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 8.0 (5.0–12.8) | Lab value / disease marker | serious n=28 | no trial arm names this drug |
| Foreign body in throat | 112 | 13.7 11.3–16.5ROR 13.7 · calibrated p 0.011 ✓ | 13.1 EB05 11.2 · IC025 +3.3 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=112 · 89% consumer | no trial arm names this drug |
| Metastases to pelvis | 23 | 13.5 8.9–20.5ROR 13.5 · calibrated p 0.014 ✓ | 12.5 EB05 8.3 · IC025 +2.7 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 12.7 (6.0–26.6) | Not in label — unassessed | serious n=23 | no trial arm names this drug |
| Prostatic pain | 15 | 13.5 8.0–22.6ROR 13.5 · calibrated p 0.016 ✓ | 11.9 EB05 7.0 · IC025 +2.4 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Likely indication confounding shares a disease stem with the indications wording | serious n=11 | no trial arm names this drug |
| Hydroureter | 13 | 12.9 7.4–22.4ROR 12.9 · calibrated p 0.020 ✓ | 11.0 EB05 6.2 · IC025 +2.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 5.1 (2.4–10.9) | Not in label — unassessed | serious n=13 | no trial arm names this drug |
| Metastases to bone | 548 | 12.4 11.4–13.5ROR 12.5 · calibrated p 0.014 ✓ | 12.0 EB05 11.2 · IC025 +3.4 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 6.5 (5.7–7.3) | Not in label — unassessed | serious PRR 11.3 | no trial arm names this drug |
| Oncologic complication | 31 | 11.8 8.2–16.8ROR 11.8 · calibrated p 0.022 ✓ | 10.9 EB05 7.8 · IC025 +2.7 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Reporting / coding artifact | serious n=31 · 100% consumer | no trial arm names this drug |
| Bladder obstruction | 16 | 11.8 7.2–19.4ROR 11.8 · calibrated p 0.025 ✓ | 10.2 EB05 6.2 · IC025 +2.3 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Not in label — unassessed | serious n=16 | no trial arm names this drug |
| Oesophageal ulcer haemorrhage | 16 | 11.6 7.1–19.2ROR 11.7 · calibrated p 0.026 ✓ | 10.1 EB05 6.1 · IC025 +2.3 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 5.9 (2.9–11.9) | Not in label — unassessed | serious n=16 | no trial arm names this drug |
| Testicular atrophy | 26 | 11.0 7.5–16.3ROR 11.0 · calibrated p 0.028 ✓ | 10.0 EB05 6.9 · IC025 +2.5 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 8.4 (4.6–15.5) | Not in label — unassessed | serious n=18 · 100% consumer | no trial arm names this drug |
| Haemorrhage urinary tract | 73 | 10.6 8.4–13.4ROR 10.6 · calibrated p 0.028 ✓ | 10.1 EB05 8.2 · IC025 +2.9 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 20.1 (12.3–33.0) | Labeled (related wording) related wording | serious n=70 · 82% consumer | no trial arm names this drug |
| Underdose | 2,084 | 10.5 10.1–11.0ROR 10.9 · calibrated p 0.024 ✓ | 10.2 EB05 9.9 · IC025 +3.3 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 122.1 (99.3–150.1) | Reporting / coding artifact | serious PRR 18.9 · 78% consumer | no trial arm names this drug |
| Bone cancer metastatic | 15 | 10.5 6.3–17.5ROR 10.5 · calibrated p 0.038 ✓ | 8.8 EB05 5.3 · IC025 +2.1 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Labeled (related wording) related wording | serious n=15 | no trial arm names this drug |
| Metastases to spine | 94 | 10.3 8.4–12.7ROR 10.3 · calibrated p 0.030 ✓ | 9.9 EB05 8.2 · IC025 +2.9 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 8.0 (5.8–10.9) | Not in label — unassessed | serious n=94 | no trial arm names this drug |
| Nipple pain | 51 | 9.2 7.0–12.1ROR 9.2 · calibrated p 0.047 ✓ | 8.6 EB05 6.7 · IC025 +2.6 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 15.6 (9.1–26.7) | Not in label — unassessed | serious n=24 · 88% consumer | no trial arm names this drug |
| Radiation injury | 26 | 9.0 6.1–13.2ROR 9.0 · calibrated p 0.055 | 8.0 EB05 5.6 · IC025 +2.3 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 8.9 (4.8–16.7) | Not in label — unassessed | serious n=24 · 73% consumer | no trial arm names this drug |
| Spinal cord compression | 94 | 8.8 7.2–10.8ROR 8.8 · calibrated p 0.051 | 8.4 EB05 7.0 · IC025 +2.7 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 11.5 (8.1–16.4) | Labeled adverse reaction exact term | serious n=93 | no trial arm names this drug |
| Spinal cord neoplasm | 21 | 8.8 5.7–13.5ROR 8.8 · calibrated p 0.060 | 7.6 EB05 5.1 · IC025 +2.1 3/3 methods agree vs other Androgen Receptor Inhibitors: only this drug | Labeled (related wording) related wording | serious n=21 | no trial arm names this drug |
| Urinary bladder haemorrhage | 50 | 8.7 6.6–11.5ROR 8.7 · calibrated p 0.056 | 8.1 EB05 6.3 · IC025 +2.5 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 14.5 (8.5–24.6) | Labeled (related wording) related wording | serious n=50 · 74% consumer | no trial arm names this drug |
Trial evidence (ClinicalTrials.gov)
Most frequently reported reactions
By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.
| Reaction | Reports | PRR 95% CI · ROR · χ²/p | EBGM EB05 · IC025 | Label screen | Serious-only & strata | Trial cross-check |
|---|---|---|---|---|---|---|
| Fatigue (tiredness) | 10,267 | 4.8 4.7–4.9ROR 5.6 · calibrated p 0.178 | 4.7 EB05 4.7 · IC025 +2.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 42.6 (40.3–45.0) | Labeled adverse reaction exact term | serious PRR 3.7 · 80% consumer | no trial arm names this drug |
| Death | 7,698 | 3.2 3.2–3.3ROR 3.6 · calibrated p 0.469 | 3.2 EB05 3.1 · IC025 +1.6 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 42.7 (40.0–45.5) | Outcome field, not a reaction | serious PRR 3.0 | no trial arm names this drug |
| Malignant neoplasm progression | 5,468 | 20.3 19.8–20.8ROR 22.3 · calibrated p 0.001 ✓ | 19.3 EB05 18.8 · IC025 +4.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 40.0 (37.1–43.1) | Reporting / coding artifact | serious PRR 18.3 | no trial arm names this drug |
| Prostatic specific antigen increased | 4,344 | 164.4 158.8–170.3ROR 177.6 · calibrated p 1e-9 ✓ | 112.5 EB05 109.7 · IC025 +6.7 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 23.9 (22.4–25.6) | Lab value / disease marker | serious PRR 103.3 · 70% consumer | no trial arm names this drug |
| Asthenia (weakness) | 4,171 | 4.0 3.9–4.1ROR 4.2 · calibrated p 0.335 | 4.0 EB05 3.9 · IC025 +1.9 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 28.4 (26.4–30.6) | Labeled adverse reaction exact term | serious PRR 3.1 · 77% consumer | no trial arm names this drug |
| Drug ineffective (drug did not work) | 4,052 | 1.1 1.1–1.1ROR 1.1 · calibrated p 0.381 | 1.1 EB05 1.1 · IC025 +0.1 vs other Androgen Receptor Inhibitors: PRR 36.6 (33.7–39.9) | Reporting / coding artifact | serious PRR 1.2 · 76% consumer | no trial arm names this drug |
| Hot flush (hot flashes) | 3,882 | 19.4 18.8–20.1ROR 20.8 · calibrated p 0.002 ✓ | 18.5 EB05 18.0 · IC025 +4.2 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 27.0 (25.0–29.1) | Labeled adverse reaction exact term | serious PRR 17.1 · 87% consumer | no trial arm names this drug |
| Decreased appetite (loss of appetite) | 3,408 | 5.3 5.2–5.5ROR 5.6 · calibrated p 0.178 | 5.3 EB05 5.1 · IC025 +2.3 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 36.7 (33.4–40.2) | Labeled adverse reaction exact term | serious PRR 4.6 · 76% consumer | no trial arm names this drug |
| Nausea | 3,259 | 1.5 1.4–1.5ROR 1.5 · calibrated p 0.650 | 1.5 EB05 1.4 · IC025 +0.5 vs other Androgen Receptor Inhibitors: PRR 31.9 (29.2–34.8) | Labeled adverse reaction exact term | serious PRR 1.4 · 76% consumer | no trial arm names this drug |
| Dizziness | 3,143 | 2.3 2.2–2.4ROR 2.3 · calibrated p 0.882 | 2.3 EB05 2.2 · IC025 +1.1 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 29.7 (27.3–32.5) | Labeled adverse reaction exact term | serious PRR 1.9 · 80% consumer | no trial arm names this drug |
| Diarrhoea (diarrhea) | 2,798 | 1.6 1.5–1.6ROR 1.6 · calibrated p 0.701 | 1.6 EB05 1.5 · IC025 +0.6 vs other Androgen Receptor Inhibitors: PRR 29.2 (26.7–32.1) | Labeled adverse reaction exact term | serious PRR 1.2 · 80% consumer | no trial arm names this drug |
| Back pain | 2,298 | 3.6 3.4–3.7ROR 3.7 · calibrated p 0.443 | 3.5 EB05 3.4 · IC025 +1.8 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 31.6 (28.5–35.2) | Labeled adverse reaction exact term | serious PRR 3.0 · 79% consumer | no trial arm names this drug |
| Arthralgia (joint pain) | 2,152 | 1.9 1.8–1.9ROR 1.9 · calibrated p 0.889 | 1.9 EB05 1.8 · IC025 +0.8 vs other Androgen Receptor Inhibitors: PRR 31.4 (28.1–34.9) | Labeled adverse reaction exact term | serious PRR 1.6 · 81% consumer | no trial arm names this drug |
| Underdose | 2,084 | 10.5 10.1–11.0ROR 10.9 · calibrated p 0.024 ✓ | 10.2 EB05 9.9 · IC025 +3.3 3/3 methods agree vs other Androgen Receptor Inhibitors: PRR 122.1 (99.3–150.1) | Reporting / coding artifact | serious PRR 18.9 · 78% consumer | no trial arm names this drug |
| Fall | 1,834 | 2.0 1.9–2.1ROR 2.0 · calibrated p 0.953 | 2.0 EB05 1.9 · IC025 +0.9 vs other Androgen Receptor Inhibitors: PRR 23.9 (21.5–26.5) | Labeled adverse reaction exact term | serious PRR 1.9 | no trial arm names this drug |
Unlabeled candidate signals
These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.
- Arrhythmia induced cardiomyopathy — n=22, PRR 369.9
- Foreign body in respiratory tract — n=70, PRR 20.0
- Retroperitoneal lymphadenopathy — n=20, PRR 14.1
- Foreign body in throat — n=112, PRR 13.7
- Metastases to pelvis — n=23, PRR 13.5
- Metastases to bone — n=548, PRR 12.4
- Testicular atrophy — n=26, PRR 11.0
- Metastases to spine — n=94, PRR 10.3
- Nipple pain — n=51, PRR 9.2
- Radiation injury — n=26, PRR 9.0
Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.
Common questions
What are the most reported side effects of Enzalutamide?
In FDA FAERS, the most frequently co-reported reaction terms for Enzalutamide are fatigue, prostatic specific antigen increased, asthenia, hot flush, decreased appetite, nausea. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.
Does Enzalutamide have an FDA boxed warning?
No. The FDA label retrieved for Enzalutamide has no boxed warning; see the label's Warnings and Precautions for the recognised risks.
Do FAERS signals prove that Enzalutamide causes these side effects?
No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.
Sources & methods
- FDA label via openFDA (set ID b129fdc9-1d8e-425c-a5a9-8a2ed36dfbdf, effective 20260728; matched on
openfda.generic_name.exact:"ENZALUTAMIDE") - Bayesian shrinkage measures computed offline over all 1,317,300 cached pairs: BCPNN information component (IC, with Norén closed-form IC025) and MGPS empirical-Bayes geometric mean (EBGM, EB05) with a two-component gamma prior fitted by maximum marginal likelihood (α₁=0.57, β₁=0.02, α₂=1.42, β₂=0.70, w=0.17); unstratified
- FAERS pair statistics from the OpenPV build of 2026-09-14 (openFDA
count=aggregation, fieldpatient.drug.openfda.generic_name.exact, 1,125 reaction terms, min 3 co-reports); PRR/ROR with 95% CI, chi-square with Yates correction - Serious-only and stratified counts (serious:1, patient.patientsex, primarysource.qualification) from openFDA count queries; serious-only PRR uses the drug serious report total and the term global serious total (N_serious=11,882,979); strata shown only when n ≥ 20
- Seriousness and sex counts from openFDA
count=serious,patient.patientsex,seriousnessdeath - ClinicalTrials.gov API v2 (query
ENZALUTAMIDE, results-bearing studies sorted by enrollment)
Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.