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TALZENNA Plus XTANDI Improves Radiographic Progression-Free Survival by More Than 50% in Metastatic Prostate Cancer

$PFEPress releaseMay 30, 2026, 8:00 AM ETRead the release

Pfizer announced positive pivotal Phase 3 results from the TALAPRO-3 study, showing TALZENNA plus XTANDI reduced the risk of radiographic progression or death by 52% (HR 0.48) in men with HRR gene-mutated metastatic hormone-sensitive prostate cancer. At three years, radiographic progression-free survival was 77% for the combination versus 56% for placebo plus XTANDI, with median rPFS not reached in the treatment arm after over 37 months of follow-up. The benefit was consistent across BRCA and non-BRCA subgroups, and interim overall survival showed a strong trend (HR 0.77) though it did not reach statistical significance (p=0.09).

Key figures

Drug Name
TALZENNA (talazoparib)
Phase Of Trial
Phase 3
Hr OS
0.77
Hr r PFS
0.48
P value OS
0.09
R PFS 3yr control
56%
Trial enrollment
599
Hr PSA progression
0.51
R PFS 3yr treatment
77%
R PFS reduction pct
52%
Hr subsequent therapy
0.51
Discontinuation anemia
5%
Grade 3 anemia control
3%
Median follow up months
37
Grade 3 anemia treatment
51%

AI analysis

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    PFE: TALZENNA Plus XTANDI Improves Radiographic Progression-Free Survival by More Than 50% in Metastatic Prostate Cancer — AI Analysis | Signal8