Main Study: The purpose of main study is to assess if the combination of apalutamide and androgen deprivation therapy (ADT) in participants with high-risk localized prostate cancer improves the biochemical recurrence (BCR) free rate. Sub-study: The purpose of the sub-study is to assess if the co administration of apalutamide and relugolix is able to maintain castrate levels of testosterone.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Confirmed Biochemical Recurrence (BCR)-Free Rate at Month 24
Timeframe: At Month 24
Sub-study: Percentage of Participants Who Maintained Testosterone Level Less Than (<) 50 Nanograms Per Deciliter (ng/dL) Through Day 28
Timeframe: From Day -14 through Day 28