
Opinion|Videos|June 2, 2025
Comparing the safety profile of darolutamide with other androgen receptor inhibitors in Black patients
Author(s)Quoc-Dien Trinh, MD, MPH
This study highlights the safety of mHSPC drugs in black men, supported by both trial data and real-world evidence.
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Episodes in this series

Safety Data from Multiple Sources
Key Themes:
- The ARANOTE study had sufficient Black male representation for meaningful comparative analysis.
- Safety data from other clinical trials show similar patterns.
- Real-world evidence corroborates safety in Black men.
- This category of drugs (androgen receptor antagonists) appears generally safe across racial groups.
Key Points for Physicians:
- Multiple data sources support the safety of darolutamide in Black men.
- Real-world evidence complements clinical trial findings.
- Specific subanalysis provides higher confidence in safety conclusions.
Notable Insights: The convergence of evidence from clinical trials and real-world data strengthens confidence in safety conclusions despite relatively small sample sizes in individual studies.
Clinical Significance: The combination of clinical trial data and real-world evidence provides a comprehensive safety profile supporting the use of darolutamide in Black men with metastatic hormone-sensitive prostate cancer.
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