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AKEEGA® (niraparib and abiraterone acetate)

Medical Information

AKEEGA - Comparison of AKEEGA with Talazoparib

Last Updated: 07/23/2025

Summary

  • No prospective, randomized, head-to-head clinical trials comparing the efficacy and safety of AKEEGA with talazoparib have been conducted.
  • Results from a matching-adjusted indirect comparison (MAIC) study that utilized data from the following phase 3 registrational studies in patients with first-line metastatic castration-resistant prostate cancer have been reported:1 
    • MAGNITUDE (AKEEGA and androgen deprivation therapy [ADT] vs placebo/abiraterone acetate plus prednisone [AAP] and ADT; homologous recombination repair [HRR] mutation population)
    • TALAPRO-2 (talazoparib plus enzalutamide and ADT vs placebo plus enzalutamide and ADT; all-comers population)
    • PROpel (olaparib plus AAP and ADT vs placebo plus AAP and ADT; all-comers population)

LITERATURE SEARCH

A literature search of MEDLINE®, Embase®, BIOSIS Previews®, and Derwent Drug File (and/or other resources, including internal/external databases) was conducted on 17 July 2025. Summarized in this response are relevant data pertaining to this topic in patients with prostate cancer.

 

References

1 Castro E, Wang D, Walsh S, et al. Talazoparib plus enzalutamide versus olaparib plus abiraterone acetate and niraparib plus abiraterone acetate for metastatic castration-resistant prostate cancer: a matching-adjusted indirect comparison [published online ahead of print December 07, 2024]. Prostate Cancer Prostatic Dis. 2024;doi: 10.1038/s41391-024-00924-x.  
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