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Johnson & Johnson announces ERLEADA® (apalutamide) treatment before and after surgery reduces risk of recurrence or death by 62% versus surgery alone in high-risk prostate cancer

$JNJPress releaseOct 24, 2026, 8:55 AM ETRead the release

Johnson & Johnson announced Phase 3 PROTEUS substudy results showing perioperative ERLEADA (apalutamide) plus ADT reduced the risk of recurrence or death by 62% versus surgery alone in high-risk localized prostate cancer. The regimen also cut the risk of metastasis or death by 51% and the risk of needing subsequent therapy by 71%, with median event-free survival not reached versus 19.1 months for surgery alone.

Key figures

Drug Name
ERLEADA (apalutamide)
Phase Of Trial
Phase 3
Patients randomized
408
Grade 3 4 ae surgery
22%
Median followup months
37.8
Grade 3 4 ae apalutamide
31%
Event free 3yr apalutamide
63%
Event free 3yr surgery alone
41.4%
Median efu surgery arm months
19.1
Risk reduction subsequent therapy
71%
Risk reduction metastasis or death
51%
Risk reduction recurrence or death
62%
Subsequent therapy free 3yr surgery
32%
Subsequent therapy free 3yr apalutamide
64.6%

AI analysis

Red flags2 · Pro

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    JNJ: Johnson & Johnson announces ERLEADA® (apalutamide) treatment before and after surgery reduces risk of recurrence or death by 62% versus surgery alone in high-risk prostate cancer — AI Analysis | Signal8