Overview
Sponsor-declared trial summary
Estrogen receptor (ER)-positive, HER2-negative advanced breast cancer
To evaluate the efficacy of giredestrant compared with fulvestrant in the ESR1 mutation detected (ESR1m) subgroup and full analysis set (FAS) on the basis of progression-free survival (PFS)
Key facts
- Sponsor
- F. Hoffmann-La Roche AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 25 Jan 2024 → ongoing
- Decision date (initial)
- 2024-01-22
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
- Funding sources
- F. Hoffmann La Roche
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Safety
To evaluate the efficacy of giredestrant compared with fulvestrant in the ESR1 mutation detected (ESR1m) subgroup and full analysis set (FAS) on the basis of progression-free survival (PFS)
Secondary objectives 2
- To evaluate the safety of giredestrant compared with fulvestrant
- To evaluate the efficacy of giredestrant compared with fulvestrant based on PFS in the ESR1 no mutation detected (ESR1nmd) subgroup, and based on overall survival (OS), confirmed objective response rate (cORR), duration of response (DOR), clinical benefit rate (CBR), time to chemotherapy (TTCtx), time to confirmed deterioration (TTCD) in pain severity, presence and interference, TTCD in physical functioning (PF), role functioning (RF) and global health status / quality of life (GHS/QoL) in the ESR1m and ESR1nmd subgroups and in the FAS
Conditions and MedDRA coding
Estrogen receptor (ER)-positive, HER2-negative advanced breast cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 23.0 | LLT | 10070575 | Estrogen receptor positive breast cancer | 10029104 |
| 21.1 | LLT | 10072737 | Advanced breast cancer | 10029104 |
| 28.0 | LLT | 10077484 | HER2 negative | 10022891 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Overall Design This Phase III, randomized, open-label study will evaluate the efficacy and safety of giredestrant compared with fulvestrant, each combined with the investigator's choice of CDK4/6i between palbociclib, abemaciclib and ribociclib, as 1L treatment for patients with ER+, HER2- aBC resistant to prior adjuvant ET.
|
Randomised Controlled | None | A: Participants in the experimental arm will receive giredestrant orally, as well as the investigator’s choice of CDK4/6i. B: Participants in the control arm will receive intramuscular fulvestrant, as well as the investigator’s choice of CDK4/6i. |
Regulatory references
- Scientific advice from competent authorities
- European Medicines Agency
- Plan to share IPD
- No
- IPD plan description
- N/A
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 5
- Confirmed ESR1 mutation status in baseline ctDNA
- Resistance to prior standard adjuvant ET, defined as relapse on-treatment after ≥ 12 months or off-treatment within 12 months of completion. If adjuvant ET included a CDK4/6i, capecitabine, or S-1 relapse should have occurred ≥ 12 months since completion of CDK4/6i such treatment
- Measurable disease as defined per RECIST v.1.1 or non-measurable (including bone-only) disease
- Eastern Cooperative Oncology Group (ECOG) Performance Status 0 - 1
- Locally advanced or metastatic adenocarcinoma of the breast not amenable to treatment with curative intent, with documented ER+ HER2- status assessed locally based on the most recent tumor biopsy (or archived tumor sample if a recent tumor sample is not available for testing)
Exclusion criteria 5
- Prior treatment with a SERD (e.g., fulvestrant, investigational)
- Advanced, symptomatic, visceral spread that is at risk of life-threatening complications
- Active cardiac disease or history of cardiac dysfunction
- Clinically significant history of liver disease
- Prior systemic therapy (e.g., prior chemotherapy, immunotherapy, or biologic therapy) for locally advanced unresectable or metastatic breast cancer. Prior therapy for contralateral, local, and/or regional BC treated with curative surgery is allowed
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- 1. Progression-Free Survival (PFS), defined as time from randomization to first occurrence of disease progression (PD), as determined by the investigator according to RECIST v1.1, or death from any cause during the study (whichever occurs first), in the ESR1m subgroup and in the FAS
Secondary endpoints 12
- 1. PFS in the ESR1nmd subgroup
- 2. OS, defined as the time from randomization to death from any cause
- 3. cORR, defined as the proportion of participants with a complete response (CR) or partial response (PR) on two consecutive occasions ≥ 4 weeks apart, as determined by the investigator according to RECIST v1.1
- 4. DOR, defined as the time from the first occurrence of a documented objective response to PD, as determined by the investigator according to RECIST v1.1, or death from any cause (whichever occurs first)
- 5. CBR, defined as the proportion of participants with stable disease for ≥ 24 weeks or a CR or PR, as determined by the investigator according to RECIST v1.1
- 6. TTCtx, defined as the time from randomization until the start date of chemotherapy or death from any cause (whichever occurs first)
- 7. TTCD in pain severity, defined as the time from randomization to the first documentation of a ≥ 2-point increase from baseline on the “worst pain” item score from the BPI-SF
- 8. TTCD in pain presence and interference, defined as the time from randomization to the first documentation of a ≥ 10-point increase from baseline in the EORTC QLQ-C30 linearly transformed pain scale score
- 9. TTCD in PF, RF and GHS/QoL, defined as the time from randomization to the first documentation of a ≥ 10-point decrease from baseline in the EORTC QLQ-C30 linearly transformed respective scale scores
- 10. Incidence and severity of adverse events, with severity determined according to NCI CTCAE v5.0
- 11. Change from baseline in selected vital signs
- 12. Change from baseline in selected clinical laboratory test results
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD9491575 · Product
- Active substance
- Giredestrant
- Substance synonyms
- 3-((1R,3R)-1-(2,6-DIFLUORO-4-((1-(3-FLUOROPROPYL)AZETIDIN-3-YL)AMINO)PHENYL)-3-METHYL-1,3,4,9-TETRAHYDRO-2H-PYRIDO(3,4-B)INDOL-2-YL)-2,2-DIFLUOROPROPAN-1-OL, RG-6171, GDC-9545, RO7197597
- Other product name
- GDC-9545, Giredestrant
- Pharmaceutical form
- CAPSULE, HARD
- Route of administration
- ORAL
- Max daily dose
- 30 mg milligram(s)
- Max total dose
- 41 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Not Authorised
- MA holder
- F. HOFFMANN-LA ROCHE LTD
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 9
Faslodex 250 mg solution for injection.
PRD3545736 · Product
- Active substance
- Fulvestrant
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INTRAMUSCULAR USE
- Max daily dose
- 500 mg milligram(s)
- Max total dose
- 33 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BA03 — FULVESTRANT
- Marketing authorisation
- EU/1/03/269/002
- MA holder
- ASTRAZENECA AB
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
IBRANCE 75 mg film-coated tablets
PRD7907995 · Product
- Active substance
- Palbociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 125 mg milligram(s)
- Max total dose
- 171 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF01 — -
- Marketing authorisation
- EU/1/16/1147/010
- MA holder
- PFIZER EUROPE MA EEIG
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
IBRANCE 100 mg film-coated tablets
PRD7907867 · Product
- Active substance
- Palbociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 125 mg milligram(s)
- Max total dose
- 171 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF01 — -
- Marketing authorisation
- EU/1/16/1147/012
- MA holder
- PFIZER EUROPE MA EEIG
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
IBRANCE 125 mg film-coated tablets
PRD7907865 · Product
- Active substance
- Palbociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 125 mg milligram(s)
- Max total dose
- 171 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF01 — -
- Marketing authorisation
- EU/1/16/1147/014
- MA holder
- PFIZER EUROPE MA EEIG
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Kisqali 200 mg film-coated tablets
PRD5341551 · Product
- Active substance
- Ribociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 822 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF02 — -
- Marketing authorisation
- EU/1/17/1221/005
- MA holder
- NOVARTIS EUROPHARM LIMITED
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SUB180246 · Substance
- Active substance
- Ribociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 822 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- - — -
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Relabeled for CT use
Verzenios 150 mg film-coated tablets
PRD6701112 · Product
- Active substance
- Abemaciclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 548 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/015
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Verzenios 100 mg film-coated tablets
PRD6701107 · Product
- Active substance
- Abemaciclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 548 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/013
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Verzenios 50 mg film-coated tablets
PRD6701102 · Product
- Active substance
- Abemaciclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 548 g gram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/011
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 1
SCP1713601 · ATC
- Active substance
- Leuprorelin
- Substance synonyms
- LEUPROLIDE
- Route of administration
- INTRAMUSCULAR USE
- Max daily dose
- 3.75 mg milligram(s)
- Max total dose
- 248 mg milligram(s)
- Max treatment duration
- 60 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02AE02 — LEUPRORELIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
F. Hoffmann-La Roche AG
- Sponsor organisation
- F. Hoffmann-La Roche AG
- Address
- Building 686 Elsassertor, Centralbahnstrasse 4 Centralbahnstrasse 4
- City
- Basel Town
- Postcode
- 4051
- Country
- Switzerland
Scientific contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Public contact point
- Organisation
- F. Hoffmann-La Roche AG
- Contact name
- Trial Information System - TISL
Third parties 11
| Organisation | City, country | Duties |
|---|---|---|
| Labcorp Central Laboratory Services S.a.r.l. ORG-100011524
|
Meyrin, Switzerland | Laboratory analysis |
| CellCarta ORG-100039881
|
Antwerp, Belgium | Other |
| Swm Partners Limited ORG-100047818
|
Berkhamsted, United Kingdom | Other |
| IQVIA RDS Hellas Single Member S.A. ORG-100048380
|
Chalandri, Greece | On site monitoring |
| Foundation Medicine Inc. ORG-100040457
|
Boston, United States | Laboratory analysis |
| Kayentis ORG-100037894
|
Meylan, France | Other |
| Almac Clinical Technologies LLC ORG-100043036
|
Souderton, United States | Interactive response technologies (IRT) |
| Median Technologies ORG-100041462
|
Valbonne, France | Other |
| IQVIA Limited ORG-100008655
|
Reading, United Kingdom | On site monitoring |
| Labcorp Central Laboratory Services LP ORG-100032236
|
Indianapolis, United States | Laboratory analysis |
| Foundation Medicine GmbH ORG-100040499
|
Penzberg, Germany | Other |
Locations
13 EU/EEA countries · 110 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Ongoing, recruiting | 18 | 5 |
| Belgium | Ongoing, recruiting | 17 | 8 |
| Finland | Ongoing, recruiting | 7 | 2 |
| France | Ongoing, recruiting | 38 | 13 |
| Germany | Ongoing, recruiting | 25 | 10 |
| Greece | Ongoing, recruiting | 16 | 5 |
| Hungary | Ongoing, recruiting | 7 | 4 |
| Italy | Ongoing, recruiting | 65 | 22 |
| Poland | Ongoing, recruiting | 27 | 12 |
| Portugal | Ongoing, recruiting | 15 | 5 |
| Romania | Ongoing, recruiting | 16 | 8 |
| Slovenia | Ongoing, recruiting | 5 | 1 |
| Spain | Ongoing, recruiting | 40 | 15 |
| Rest of world
Guatemala, Colombia, Turkey, Peru, New Zealand, Hong Kong, Costa Rica, Taiwan, Kenya, Mexico, South Africa, Argentina, India, Israel, Brazil, Canada, Singapore, United States, Thailand, Korea, Republic of, Australia, Chile, China
|
— | 754 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Austria | 2024-06-25 | 2024-06-25 | |||
| Belgium | 2024-02-14 | 2024-03-05 | |||
| Finland | 2024-06-10 | 2025-01-02 | |||
| France | 2024-04-09 | 2024-04-18 | |||
| Germany | 2024-04-29 | 2024-06-13 | |||
| Greece | 2024-09-23 | 2024-09-26 | |||
| Hungary | 2024-04-18 | 2024-04-22 | |||
| Italy | 2024-03-12 | 2024-03-18 | |||
| Poland | 2024-03-26 | 2024-04-12 | |||
| Portugal | 2024-01-25 | 2024-01-29 | |||
| Romania | 2024-12-02 | 2024-12-03 | |||
| Slovenia | 2024-07-11 | 2025-01-30 | |||
| Spain | 2024-02-08 | 2024-02-19 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 406 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2022-502980-39-00 GR Redacted | 3 |
| Protocol (for publication) | D1_Protocol 2022-502980-39-00 Redacted | 3 |
| Protocol (for publication) | D1_Protocol Clarification Letter 2022-502980-39-00 Redacted | 1 |
| Protocol (for publication) | D1_Protocol Clarification Letter_2 2022-502980-39-00 Redacted | N/A |
| Protocol (for publication) | D1_Protocol Clarification Letter_3 2022-502980-39-00 Redacted | N/A |
| Protocol (for publication) | D1_Protocol Clarification Letter_4 2022-502980-39-00 Redacted | N/A |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_DE-AT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_DE-DE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_EN.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_ES-ES.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_FR-BE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_FR-FR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_GR-GR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_HU-HU.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_IT-IT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_NL-BE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_PT | N/A |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_RO-RO.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_BPI-SF_SL-SL.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_DE-AT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_DE-DE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_EN.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_ES-ES.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_FR-BE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_FR-FR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_GR-GR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_HU-HU.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_IT-IT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_NL-BE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_PT | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_RO-RO.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_CTCAE_SL-SL.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_BE-FR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_BE-NL.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_DE-AT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_DE-DE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_EN.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_ES-ES.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_FR-FR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_GR-GR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_HU-HU.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_IT-IT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_PT | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_RO-RO.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_EQ5D5L_SL-SL.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_BE-NL.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_DE-AT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_DE-DE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_EN.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_ES-ES.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_FR-FR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_GR-GR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_HU-HU.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_IT-IT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_PT | 4 |
| Protocol (for publication) | D4_Patient facing documents_GP5_RO-RO.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5_SL-SL.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_GP5.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemabociclib_DE-DE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_AT-DE.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_BE-FR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_BE-NL.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_EN.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_ES Redline.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_ES.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_FR-FR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_GR.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_HU.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_IT.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_PT | 1.1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_RO Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_RO.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Abemaciclib_SI.pdf | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_AT-DE Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_AT-DE.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_BE-FR Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_BE-FR.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_BE-NL Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_BE-NL.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_DE-DE Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_DE-DE.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_EN.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_ENG Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_ES Redline | 3 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_ES.pdf | 3 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_FR-FR Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_FR-FR.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_GR-GR Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_GR-GR.pdf | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_HU Redline | 2 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Fulvestrant & Palbociclib_HU.pdf | 2 |
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| Protocol (for publication) | D4_Patient facing documents_Medication Diary_Giredestrant & Abemaciclib_AT-DE Redline | 2 |
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| Subject information and informed consent form (for publication) | L1_SIS and ICF_Prescreening | 1 |
| Subject information and informed consent form (for publication) | L1_SIS Data Privacy Information sheet appendix 1 | 1 |
| Subject information and informed consent form (for publication) | L1_SIS ICF and Master Inform Consent_redacted | 6 |
| Subject information and informed consent form (for publication) | L1_SIS_Mandatory genetic_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS_Optional procedure_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS_Prescreening RBR_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS_RBR_Redacted | 2 |
| Subject information and informed consent form (for publication) | L1_SISand ICF_SiteContactDetails_placeholder | 1.0 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Main_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SISandICF_optional use of pre-existing sample_redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SISandICF_optionalProcedure_redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_SISandICF_optionalRBR_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SISandICF_placeholder | 2 |
| Subject information and informed consent form (for publication) | L1_SISandICF_PPA and IAF | 1.1 |
| Subject information and informed consent form (for publication) | L1_SISandICF_Prescreening_redacted | 1.1 |
| Subject information and informed consent form (for publication) | L2_CO44657_Other subject information material_Introduction Brochure_all enrolling_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L2_CO44657_Other subject information material_Introduction Brochure_ESR1 only_Redacted | 1.0 |
| Subject information and informed consent form (for publication) | L2_Informed Consent Form Procedure_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L2_Lay CTD | 1.0 |
| Subject information and informed consent form (for publication) | L2_Memo Clarification on Patient Documents | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material recruitment brochure ESR1 et ESR1nmd redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material recruitment brochure ESR1 only redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_BPI-SF_Portuguese-Portugal_CURRENT | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_BR23 Portuguese Portugal 1 0 | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Effective_REPR_PT_EQ-5D-5L Digital Self-Complete v1 1 | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_GP5_POR_Final_Ver4_ePRO_23Aug16 | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_pro-ctcae_PT_6464a8f0 | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_QLQ_C30 Portuguese 1 3 | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_SIB_ESR1nmd and ESR1m enrolling_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_SIB_only ESR1m enrolling_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study Introduction Brochure_ESR1m only | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study Introduction Brochure_ESR1nmd and ESR1m | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study-Introduction-Brochure-ESR1nmd-and-ESR1m-enrolling | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Study-Introduction-Brochure-only ESR1m-enrolling | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material_Visit Guide | 3 |
| Subject information and informed consent form (for publication) | L2_Other subject information_SIB_ESR1m and ESR1nmd enrolling_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information_SIB_only ESR1m enrolling_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information_Visit guide | 3 |
| Subject information and informed consent form (for publication) | L2_OtherSubjectInformationMaterial_Study Introduction Brochure | 1.0 |
| Subject information and informed consent form (for publication) | L2_Patient Participation Card | 1 |
| Subject information and informed consent form (for publication) | L2_pionERA_Study Introduction Brochure_based on Global ICF V3 ESR1nmd and ESR1m enrolling_V1_R | 1 |
| Subject information and informed consent form (for publication) | L2_pionERA_Study Introduction Brochure_based on Global ICF V3 only ESR1m enrolling_V1_REDACTED | 1 |
| Subject information and informed consent form (for publication) | L2_Sponsor Statement On Use Of ICF Model | 1 |
| Subject information and informed consent form (for publication) | L2_Study Introduction Brochure ESR1nmd and ESR1m enrolling_EN_REDACTED | 1.0 |
| Subject information and informed consent form (for publication) | L2_Study Introduction Brochure ESR1nmd and ESR1m enrolling_FR_REDACTED | 1.0 |
| Subject information and informed consent form (for publication) | L2_Study Introduction Brochure ESR1nmd and ESR1m enrolling_NL_REDACTED | 1.0 |
| Subject information and informed consent form (for publication) | L2_Study Introduction Brochure Only ESR1m enrolling_EN_REDACTED | 1.0 |
| Subject information and informed consent form (for publication) | L2_Study Introduction Brochure Only ESR1m enrolling_FR_REDACTED | 1.0 |
| Subject information and informed consent form (for publication) | L2_Study Introduction Brochure Only ESR1m enrolling_NL_REDACTED | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC abemaciclib | NA |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC fulvestrant | NA |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC palbociclib | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Ribociclib | NA |
| Summary of Product Characteristics (SmPC) (for publication) | e2_smpc-abemaciclib redline | NA |
| Summary of Product Characteristics (SmPC) (for publication) | e2_smpc-fulvestrant redline | NA |
| Summary of Product Characteristics (SmPC) (for publication) | e2_smpc-palbociclib redline | N/A |
| Summary of Product Characteristics (SmPC) (for publication) | e2_smpc-ribociclib redline | NA |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_AT-DE 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-DE 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-FR 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_BE-NL 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_DE-DE 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ENG 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ES-ES 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_FR-FR 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_GR-GR 2022-502980-39-00.pdf | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_HU-HU 2022-502980-39-00.pdf | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_IT-IT 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PL-PL 2022-502980-39-00.pdf | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PT-PT 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_RO-RO 2022-502980-39-00.pdf | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_SL-SL 2022-502980-39-00.pdf | 1 |
Application history
17 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2023-09-13 | Italy | Acceptable 2024-01-15
|
2024-01-16 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2024-02-08 | Italy | Acceptable 2024-01-15
|
2024-02-08 |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-03-25 | Italy | Acceptable 2024-06-26
|
2024-06-27 |
| 4 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2024-08-05 | Italy | Acceptable 2024-06-26
|
2024-08-05 |
| 5 | SUBSTANTIAL MODIFICATION | SM-2 | 2024-10-14 | Italy | Acceptable 2025-02-03
|
2025-02-04 |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2025-02-13 | Acceptable 2025-02-03
|
2025-02-13 | |
| 7 | NON SUBSTANTIAL MODIFICATION | NSM-4 | 2025-02-17 | Italy | Acceptable 2025-02-03
|
2025-02-17 |
| 8 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-03-04 | Italy | Acceptable 2025-06-10
|
2025-06-10 |
| 9 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-07-09 | Italy | Acceptable 2025-10-13
|
2025-10-14 |
| 10 | NON SUBSTANTIAL MODIFICATION | NSM-5 | 2025-10-27 | Italy | Acceptable 2025-10-13
|
2025-10-27 |
| 11 | NON SUBSTANTIAL MODIFICATION | NSM-6 | 2025-10-28 | Acceptable 2025-10-13
|
2025-10-28 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-11-11 | Italy | Acceptable | 2025-12-05 |
| 13 | SUBSTANTIAL MODIFICATION | SM-6 | 2025-12-15 | Acceptable | 2026-01-13 | |
| 14 | NON SUBSTANTIAL MODIFICATION | NSM-7 | 2026-01-28 | Acceptable | 2026-01-28 | |
| 15 | NON SUBSTANTIAL MODIFICATION | NSM-8 | 2026-03-02 | Italy | Acceptable | 2026-03-02 |
| 16 | NON SUBSTANTIAL MODIFICATION | NSM-9 | 2026-03-10 | Acceptable | 2026-03-10 | |
| 17 | NON SUBSTANTIAL MODIFICATION | NSM-10 | 2026-05-06 | Italy | Acceptable | 2026-05-06 |