XTANDI 40mg - Enzalutamide by Astellas

    XTANDI

    40mg
    Oncology Medications

    XTANDI40mg

    XTANDI (enzalutamide) 40mg is a potent androgen receptor inhibitor for treating metastatic and non-metastatic castration-resistant prostate cancer with proven survival benefits.

    Generic Name:Enzalutamide
    Manufacturer:Astellas

    Key Benefits

    • Potent next-generation androgen receptor inhibitor
    • No prednisone requirement
    • Flexible dosing—with or without food
    • Proven survival benefits across multiple settings
    • Works in both metastatic and non-metastatic CRPC
    • Also approved for metastatic hormone-sensitive disease

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    How XTANDI Works

    1

    XTANDI inhibits androgen signaling at multiple steps:

    2

    **1. Competitive AR Binding:** Binds to the androgen receptor with 5-8 times greater affinity than bicalutamide, preventing testosterone and DHT from activating the receptor.

    3

    **2. Blocks Nuclear Translocation:** Prevents the AR from moving into the cell nucleus where it would activate gene transcription.

    4

    **3. Inhibits DNA Binding:** Prevents AR from binding to DNA even if it reaches the nucleus.

    5

    **4. Prevents Coactivator Recruitment:** Blocks recruitment of factors needed for AR-mediated gene expression.

    6

    This comprehensive blockade is more effective than older antiandrogens that only block ligand binding. XTANDI remains active against AR splice variants and overexpressed AR that can cause resistance to older antiandrogens.

    About XTANDI 40mg

    XTANDI (enzalutamide) 40mg by Pfizer (originally Astellas) is a next-generation androgen receptor (AR) inhibitor that has become a cornerstone of prostate cancer treatment. Unlike older antiandrogens, XTANDI binds the AR with much higher affinity and blocks multiple steps in androgen signaling. XTANDI is FDA-approved for both metastatic and non-metastatic castration-resistant prostate cancer (CRPC), as well as metastatic castration-sensitive prostate cancer (mCSPC). This broad indication range makes it one of the most widely used prostate cancer therapies. The AFFIRM and PREVAIL trials demonstrated significant overall survival improvements in mCRPC. The PROSPER trial showed XTANDI delayed metastasis by over two years in non-metastatic CRPC. The ARCHES and ENZAMET trials established its role in metastatic castration-sensitive disease. XTANDI offers advantages over ZYTIGA including no requirement for prednisone co-administration and no food restrictions. Pharmacy Remedy provides authentic Pfizer XTANDI for urology and oncology practices worldwide.

    Common Uses

    • Metastatic castration-resistant prostate cancer (mCRPC)
    • Non-metastatic castration-resistant prostate cancer (nmCRPC)
    • Metastatic castration-sensitive prostate cancer (mCSPC)
    • Post-chemotherapy mCRPC
    • Pre-chemotherapy mCRPC

    Dosage Information

    Standard Dosing:

  1. 160 mg (four 40mg capsules) orally once daily
  2. Can be taken with or without food
  3. No prednisone required
  4. Administration:

  5. Swallow capsules whole
  6. Take at approximately same time each day
  7. Continue ADT (unless bilateral orchiectomy)
  8. Dose Modifications:

  9. For severe toxicity: reduce to 80 mg or 120 mg once daily
  10. Drug interactions: avoid strong CYP2C8 inhibitors; if needed, reduce to 80 mg
  11. Duration:

  12. Continue until disease progression or unacceptable toxicity
  13. Always consult with a qualified healthcare professional for proper dosing. This information is for reference only.

    Storage & Handling

    Store XTANDI capsules at 20°C to 25°C (68°F to 77°F). Excursions permitted between 15°C and 30°C (59°F and 86°F). Keep in original container. No cold chain required.

    We ensure proper cold chain handling during shipping to maintain product integrity.

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