CancerDrs

Prostate Cancer (advanced/mCRPC): drug payment transparency

Advanced prostate cancer therapy involves choosing among four next-generation androgen-receptor pathway inhibitors with overlapping indications across mHSPC, nmCRPC, and mCRPC settings. The sequencing of these agents with PARP inhibitors (for BRCA/HRR-mutant patients) and radioligand therapy is an area of active clinical debate and substantial promotional spend.

Data from CMS Open Payments (2023–2024) · last checked

The drugs in question

These are the close-substitute branded therapies your oncologist may choose among for prostate cancer (advanced/mcrpc). Generic and biosimilar options may also be available depending on line of therapy.

Androgen receptor pathway inhibitors

  • Xtandi (enzalutamide) — Astellas / Pfizer
  • Zytiga / Yonsa / generic (abiraterone acetate) — Johnson & Johnson / multiple
  • Erleada (apalutamide) — Johnson & Johnson
  • Nubeqa (darolutamide) — Bayer / Orion

PARP inhibitors (for BRCA / HRR-mutant disease)

  • Lynparza (olaparib) — AstraZeneca / Merck
  • Rubraca (rucaparib) — Pharma& / Clovis
  • Zejula (niraparib) — GSK
  • Talzenna (talazoparib) — Pfizer

Radioligand therapies

  • Pluvicto (lutetium-177 vipivotide tetraxetan) — Novartis
  • Xofigo (radium-223 dichloride) — Bayer

Top paying manufacturers to oncologists in our index

Across all oncologists in our index (all cancer types), these are the companies making these prostate cancer (advanced/mcrpc) drugs, summed across their latest reported year of disclosures. Payments include both general and research categories; see methodology for the split.

Manufacturer Total disclosed to oncologists (latest year)
AstraZeneca $11,913,894
Pfizer $8,033,132
Merck $5,435,449
Novartis $2,644,139
Astellas $1,725,342
Bayer $950,975
Orion $4,115
Johnson & Johnson $1,618

prostate cancer (advanced/mcrpc) trials with research-payment cross-reference

Active prostate cancer (advanced/mcrpc) trials in our database where one or more research-payment records (tied to the trial's NCT ID) are disclosed in CMS Open Payments. We show the disclosed principal investigators and amounts. The presence of research payments on a trial is expected — industry-funded clinical trials pay the physicians running them for site work — but knowing the scale gives you useful context.

Questions to ask your oncologist

  • Among the approved options for my stage and biomarker profile, which do you recommend, and why this one over its close substitutes?
  • Have you received consulting, speaking, or research payments from the maker of the drug you're recommending? (Every U.S. physician can look themselves up at openpaymentsdata.cms.gov.)
  • Are there cooperative-group or NIH-sponsored trials I should consider, in addition to industry-sponsored ones?
  • What do the published head-to-head trials show for the option you're recommending versus its substitutes?

A financial relationship between a physician and a manufacturer is not, on its own, a problem — it is the expected context of modern drug development. The purpose of federal disclosure is to let you ask informed questions, not to make the decision for you.

More on prostate cancer (advanced/mcrpc)

Medical disclaimer: This page aggregates public federal data and is not medical advice. Drug choice for any individual patient depends on stage, biomarker profile, prior therapy, comorbidities, and patient preference — decisions that must be made with your licensed care team.

About the payment data: Figures are disclosed by manufacturers to CMS under the Physician Payments Sunshine Act (42 U.S.C. §1320a-7h). Presence of payments is not a conflict of interest. Physicians who believe a record is wrong file a correction through the CMS dispute process.

Sources: CMS Open Payments · ClinicalTrials.gov · Data fetched: 2026-04-21 · full methodology