Enzalutamide Implants (Enolen) in Patients With Prostate Cancer

Inclusion Criteria:

1. Age at least 21 years old

2. Histologically confirmed adenocarcinoma of the prostate

3. Study participant qualified and planning for radical prostatectomy

4. At least 1 prostate lesion measurable by MRI greater or equal to 0.5 cm

5. Cohort A and Cohort B: Gleason score 3+4 or higher Cohort C: Gleason score 3+3 withhigh risk features or 3+4

6. Study participant must be willing to undergo post-treatment imaging by MRI

7. Participants must be able to understand and sign the informed consent form

8. ECOG performance status 0 or 1

9. Adequate organ function, including absolute neutrophil count (ANC) ≥1000 cells/μL,hemoglobin ≥9 g/dL, platelets ≥100,000 cells/μL, estimated creatinine clearance ≥50mL/min, bilirubin <1.5x ULN (< 3x ULN for documented Gilbert's syndrome)

10. Aspartate aminotransferase (AST), alanine aminotransferase (ALT) and Alkalinephosphatase <2.5x ULN

11. The effects of Enolen on the developing human fetus are unknown. For this reason andbecause other therapeutic agents used in this trial are known to be teratogenic, menmust agree to use a highly effective form of contraception or abstinence at the timeof study entry and continuing through three months after radicalprostatectomy/implant removal. Highly effective forms of contraception include:

Vasectomy Condom with spermicide

Partner use of one of the following methods:

Postmenopausal >1 year or age >55y Bilateral tubal ligation Intrauterine devices (IUDs) Hormonal implants (Implanon, Nexplanon, etc.) Combination oral contraceptives Progestin-only injections (Depo-Provera) Hormonal patches Vaginal Ring Should a woman become pregnant or suspect she is pregnant while her partner is participating in this study, the treating physician should be informed immediately.

Exclusion Criteria:

1. Prior radiotherapy or surgery for prostate cancer

2. Ongoing hormonal therapy for prostate cancer or hormone therapy <3 months prior tothe start of treatment

3. Prior prostate procedures such as transurethral resection of the prostate,transurethral microwave thermotherapy of the prostate, high-intensity focusedultrasound or minimally invasive Benign Prostate Hyperplasia (BPH) procedure

4. Study participant unwilling or unable to undergo MRI, including participants withcontra-indications to MRI, such as cardiac pacemakers, non-compatible intracranialvascular clips, etc.

5. Metallic hip implant or any other metallic implant or device that distorts thequality of prostatic MR images.

6. Study participants who, because of age, general medical or psychiatric condition, orphysiologic status cannot give valid informed consent.

7. Presence of any metastatic disease.

8. No evidence of extracapsular extension of disease.

9. Study participants, who in the opinion of the treating clinician, would be atincreased risk of refractory urinary retention due to a transperineal procedure suchas the Enolen implant.

10. History of prostate infection within 2 years.

11. No intercurrent medical condition or circumstances that would precludeprostatectomy.

12. History of bleeding diathesis or currently on anti-coagulation therapy that cannotbe safely discontinued for implant procedure.

13. Any condition that, in the opinion of the Principal Investigator, which would impairthe participant's ability to comply with study procedures and undergo prostatectomy.