Abemaciclib (LY2835219) Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Previously Treated Breast Cancer

2023-506771-10-00 Protocol I3Y-MC-JPEF Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 11 Mar 2022 · Status Ongoing, recruitment ended · 9 EU/EEA countries · 38 sites · Protocol I3Y-MC-JPEF

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 347
Countries 9
Sites 38

Breast Neoplasm, Neoplasm Metastasis

To compare the efficacy of fulvestrant with or without abemaciclib

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
11 Mar 2022 → ongoing
Decision date (initial)
2024-02-26
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2023-506771-10-00
EudraCT number
2021-002301-10
WHO UTN
U1111-1297-7851

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic, Safety, Pharmacogenetic, Efficacy, Therapy

To compare the efficacy of fulvestrant with or without abemaciclib

Conditions and MedDRA coding

Breast Neoplasm, Neoplasm Metastasis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Have a diagnosis of HR+, HER2- locally advanced or metastatic breast cancer
  2. Have radiologic evidence of disease progression or recurrence either On treatment with a CDK4/6 inhibitor with aromatase inhibitor (AI) as initial therapy for advanced disease, or On/after treatment with a CDK4/6 inhibitor plus endocrine therapy (ET) administered as adjuvant therapy for early stage breast cancer
  3. Must be deemed appropriate for treatment with ET
  4. If female, have a postmenopausal status by natural or surgical means or by ovarian function suppression
  5. Have Response Evaluable Criteria in Solid Tumors (RECIST) evaluable disease (measurable disease and/or nonmeasurable disease)
  6. Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group scale (Oken et al. 1982)
  7. Have adequate renal, hematologic, and hepatic organ function
  8. Must be able to swallow capsules/tablets

Exclusion criteria 6

  1. Have visceral crisis, lymphangitic spread, or leptomeningeal carcinomatosis
  2. Have symptomatic or untreated central nervous system metastasis
  3. Have received any systemic therapy between disease recurrence/progression and study screening
  4. Have received more than 1 line of therapy for advanced or metastatic disease.
  5. Have received prior chemotherapy for metastatic breast cancer (MBC)
  6. Have received prior treatment with fulvestrant, any investigational estrogen receptor (ER)-directed therapy (including selective ER degraders [SERDs] and non-SERDs), any phosphatidylinositol 3-kinase (PI3K)-, mammalian target of rapamycin (mTOR)-, or protein kinase B (AKT)-inhibitor

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Progression-Free Survival (PFS)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Fulvestrant

SCP15544179 · ATC

Active substance
Fulvestrant
Route of administration
INTRAMUSCULAR
Max daily dose
500 mg milligram(s)
Max total dose
20.5 g gram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L02BA03 — FULVESTRANT
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Clinical Trial specific packaging/labelling may be used.

Verzenios 50 mg film-coated tablets

PRD6701098 · Product

Active substance
Abemaciclib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
300 mg milligram(s)
Max total dose
328.5 g gram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L01EF03 — -
Marketing authorisation
EU/1/18/1307/001
MA holder
ELI LILLY NEDERLAND B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Text response: Different primary packaging (bottles) than in marketing authorisation and clinical trial specific packaging and labeling.

Placebo 1

Placebo to match abemaciclib

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Eli Lilly & Co.

Sponsor organisation
Eli Lilly & Co.
Address
1 Lilly Corporate Center
City
Indianapolis
Postcode
46285-0001
Country
United States

Scientific contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Public contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Third parties 13

OrganisationCity, countryDuties
Eresearchtechnology Inc.
ORG-100013039
Philadelphia, United States Data management
Almac Clinical Services Limited
ORG-100017464
Craigavon, United Kingdom (Northern Ireland) Laboratory analysis
Q2 Solutions LLC
ORG-100017000
Ithaca, United States Laboratory analysis
Pharmaserve Lilly S.A.C.I.
ORL-000004791
Kifissia, Greece On site monitoring, Code 12, Other, Code 2, Code 5
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Data management
Altasciences Compagnie Inc.
ORG-100037610
Laval, Canada Laboratory analysis
Pharmaceutical Product Development LLC
ORG-100016999
Wilmington, United States Code 10
Philips Pharma Solutions
ORL-000004706
Rochester, United States Laboratory analysis
Publicis Healthcare Communications Group Limited
ORG-100044665
London, United Kingdom Other
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Guardant Health Inc.
ORG-100042461
Redwood City, United States Laboratory analysis
Brightech International, LLC
ORL-000004701
Somerset, United States Code 10
Iqvia Rds Inc.
ORG-100043858
Durham, United States On site monitoring

Locations

9 EU/EEA countries · 38 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruitment ended 12 3
Czechia Ended 2 2
Denmark Ended 3 2
France Ongoing, recruitment ended 21 4
Greece Ended 12 4
Hungary Ongoing, recruitment ended 16 4
Italy Ongoing, recruitment ended 27 7
Poland Ended 3 1
Spain Ongoing, recruitment ended 58 11
Rest of world
Argentina, Turkey, Korea, Republic of, Mexico, Taiwan, United States, Israel
193

Investigational sites

Belgium

3 sites · Ongoing, recruitment ended
Jessa Ziekenhuis
Oncology, Stadsomvaart 11, 3500, Hasselt
Centre Hospitalier Universitaire Dinant Godinne Sainte-Elisabeth-UCL-Namur
Oncology, Place Louise Godin 15, 5000, Namur
Algemeen Ziekenhuis Klina
Oncology, Augustijnslei 100, 2930, Brasschaat

Czechia

2 sites · Ended
Fakultni Nemocnice Hradec Kralove
Klinika onkologie a radioterapie, Sokolska 581, 500 03, Novy Hradec Kralove
Multiscan s.r.o.
N/A, Kyjevska 44, 532 03, Pardubice

Denmark

2 sites · Ended
Herlev Hospital
Department of Oncology, Borgmester Ib Juuls Vej 1, 2730, Herlev
Region Midtjylland
Kræftklinikken, Hospitalsparken 15, 7400, Herning

France

4 sites · Ongoing, recruitment ended
Centre Hospitalier Departemental Vendee
onco-hematologie, Boulevard Stephane Moreau, 85925, La Roche Sur Yon Cedex 9
Institut Bergonie
Medical Oncology, 229 Cours De L Argonne, 33000, Bordeaux
L'Hopital Prive Du Confluent
Service d'oncologie médicale, 4 Rue Eric Tabarly, 44277, Nantes Cedex 2
Centre Hospitalier Regional Et Universitaire De Brest
Institut de cancérologie et hématologie, Boulevard Tanguy Prigent, 29200, Brest

Greece

4 sites · Ended
Athens Medical Center S.A.
3rd Department of Oncology, Pylea, Asklipiou 10, Thessaloniki
General University Hospital Of Patras
Internal Medicine Clinic-Oncology Department, Rio, 265 04, Patras
Alexandra Hospital
Oncology Department, University Clinic of Therapeutics, Vassilissas Sofias Avenue 80, 115 28, Athens
University General Hospital Of Heraklion
Internal Medicine-Oncology Clinic, Stavrakia And Voutes, 715 00, Heraklion

Hungary

4 sites · Ongoing, recruitment ended
Bacs-Kiskun Varmegyei Oktatokorhaz
Oncoradiology, Nyiri Ut 38, 6000, Kecskemet
Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz
Oncoradiology, Vasvari Pal Utca 2-4, 9024, Gyor
Central Hospital Of Northern Pest Military Hospital
Oncology, Podmaniczky Utca 109, 1062, Budapest VI
Orszagos Onkologiai Intezet
Chemotherapy, Rath Gyorgy Utca 7-9, Kerulet, Budapest XII

Italy

7 sites · Ongoing, recruitment ended
Humanitas Istituto Clinico Catanese S.p.A.
Oncologia Medica, Strada Provinciale 54 Contrada Cubba 11, 95045, Misterbianco
Belcolle Hospital
U.O.C Oncologia, Strada Sammartinese Snc, 01100, Viterbo
Azienda Sanitaria Universitaria Friuli Centrale
Oncology Department, Piazzale Santa Maria Della Misericordia 15, 33100, Udine
Istituto Tumori Bari Giovanni Paolo II
Oncologia Medica, Viale Orazio Flacco 65, 70124, Bari
Ospedale San Raffaele S.r.l.
Oncologia Medica, Via Olgettina 60, 20132, Milan
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Oncologia Medica, Via Piero Maroncelli 40, 47014, Meldola
Azienda USL Toscana Sud Est
Oncologia Medica, Via Senese 169, 58100, Grosseto

Poland

1 site · Ended
Opolskie Centrum Onkologii w Opolu im. prof. Tadeusza Koszarowskiego
Oddzial Onkologii Klinicznej z Odcinkiem Dziennym, ulica Katowicka 66A, 45-061, Opole

Spain

11 sites · Ongoing, recruitment ended
Hospital Universitario De Toledo
Medical Oncology, Avenue Del Rio Guadiana Sn, 45007, Toledo
Hospital Universitario Regional De Malaga
Medical Oncology, Avenida De Carlos De Haya Sn, 29010, Malaga
Hospital General Universitario Gregorio Maranon
Oncology, Calle Del Doctor Esquerdo 46, 28009, Madrid
Universidad De Navarra
Medical Oncology, Irunlarrea Kalea S/n, 31008, Pamplona
Hospital Clinic De Barcelona
Medical Oncology, Calle Villarroel 170, 08036, Barcelona
University Clinical Hospital Virgen De La Arrixaca
Medical Oncology, Carretera De Cartagena Sn, El Palmar, Murcia
University Hospital Son Espases
Oncology, Carretera Valldemossa 79, 07120, Palma
Salut Sant Joan De Reus
Oncology, Avinguda Del Doctor Josep Laporte 2, 43204, Reus
Hospital Universitario Dr Peset Aleixandre
Medical Oncology, Avinguda De Gaspar Aguilar 90, 46017, Valencia
Complexo Hospitalario Universitario A Coruna
Medical Oncology, Lugar Jubias De Arriba 84, 15006, A Coruna
Hospital Universitario De Badajoz
Medical Oncology, Avenida Elvas S/n, 06006, Badajoz

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2022-05-06 2022-05-12 2023-03-27
Czechia 2022-06-13 2026-01-14 2022-11-03 2023-04-19
Denmark 2022-09-08 2026-03-02 2022-10-04 2023-02-17
France 2022-04-14 2022-04-15 2023-05-03
Greece 2022-10-07 2026-04-24 2022-10-10 2023-05-22
Hungary 2022-06-02 2022-06-07 2023-05-02
Italy 2022-05-05 2022-05-10 2023-05-23
Poland 2022-05-30 2023-11-27 2022-07-18 2023-01-10
Spain 2022-03-11 2022-03-11 2023-04-05

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 102 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Blanket Statement_Document not published anymore 2
Protocol (for publication) D1_Protocol 2023-506771-10-00_Redacted d
Protocol (for publication) D1_Protocol_2023-506771-10-00_GR_Redacted d
Protocol (for publication) D4_Patient Documents Copyright 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) K1_Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_Blank Document 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_Blank document Template_CTD assessment 1
Recruitment arrangements (for publication) K2_Recruitment Material List of participating sites_Redacted 1
Recruitment arrangements (for publication) K3_List of planned sites France_Redacted 3.0
Recruitment arrangements (for publication) K3_List of planned sites_Czech Republic 2.0
Subject information and informed consent form (for publication) L1_ICF_Main_GR_Redacted 1
Subject information and informed consent form (for publication) L1_List of Submitted Part II Documents in SM-3 1
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum_Data Privacy 1
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum_Greenphire Reimbursement_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum_Pregnant Partner 2
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum_Tissue Sample 2
Subject information and informed consent form (for publication) L1_SIS and ICF Amendment Summary_BEDU_Redacted 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF Amendment Summary_BEFR_Redacted 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF Amendment Summary_Redacted 5
Subject information and informed consent form (for publication) L1_SIS and ICF Amendment Summary_Redacted 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF Amendment_Summary_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Biopsy_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Genetic_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Main_BEDU_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Main_BEFR_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted 4
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Adult_FRE_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Amendment_FRE_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Greenphire ICF_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Amendment Summary_Redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 8.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main_Redacted 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Reimbursement ICF 1.0
Subject information and informed consent form (for publication) L1_SIS anf ICF Main_Redacted 2.0
Subject information and informed consent form (for publication) L2_Czech_Greenphire ClinCard Travel Ref Guide for Subjects 3
Subject information and informed consent form (for publication) L2_Czech_Greenphire Travel Contact Card 2
Subject information and informed consent form (for publication) L2_General_ConneX_EC_packet_w_Data_Privacy_as_applied_to_GP 2
Subject information and informed consent form (for publication) L2_Greenphire_ClinCard Msg Templates_ROW 6
Subject information and informed consent form (for publication) L2_Greenphire_ClinCard_Card_Carrier 1
Subject information and informed consent form (for publication) L2_Greenphire_ClinCard_Cardholder_FAQ_EU 3
Subject information and informed consent form (for publication) L2_Greenphire_EC_packet_w_Data_Laws_as_applied_to_GP 6
Subject information and informed consent form (for publication) L2_Greenphire_EU Generic ClinCard 3
Subject information and informed consent form (for publication) L2_Greenphire_Fee_Schedule 4
Subject information and informed consent form (for publication) L2_List of Submitted Part II Documents 1
Subject information and informed consent form (for publication) L2_Other subject information material_Appointment Card 1
Subject information and informed consent form (for publication) L2_Other subject information material_Appointment Card 1
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Appointment Card_GR 1
Subject information and informed consent form (for publication) L2_Other subject information material_Appointment Card_HU 1
Subject information and informed consent form (for publication) L2_Other subject information material_Appointment Card_IT 1
Subject information and informed consent form (for publication) L2_Other subject information material_Diarrhea Card_IT 1
Subject information and informed consent form (for publication) L2_Other subject information material_Diarrhea Fact Card 1
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Diarrhea Fact Card_GR 1
Subject information and informed consent form (for publication) L2_Other subject information material_Diarrhea Fact Card_HU 1
Subject information and informed consent form (for publication) L2_Other subject information material_Mitra Microsampling 1
Subject information and informed consent form (for publication) L2_Other subject information material_Mitra microsampling instructions 1
Subject information and informed consent form (for publication) L2_Other subject information material_Mitra Microsampling instructions_HU 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Card_IT 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Diary 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Diary_IT 1
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Information Card 4.0
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Information Card_HU 2.0
Subject information and informed consent form (for publication) L2_Other subject information material_Thank You Card_HU 1
Subject information and informed consent form (for publication) L2_Other subject information material_Thank You Card_IT 1
Subject information and informed consent form (for publication) L2_Other subject information material_Thank You Cards 1
Subject information and informed consent form (for publication) L2_Other subject information material_Thank You Cards 1
Subject information and informed consent form (for publication) L2_Other Subject Information Material_Thank You Cards_GR 1
Subject information and informed consent form (for publication) L2_Other subject information material-Diarrhea Card 1
Subject information and informed consent form (for publication) L2_Other subject information material-Invite Letter 1
Subject information and informed consent form (for publication) L2_SIS and ICF_ ConneX Spain Travel Ref Guide for Subjects 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_ConneX Spain Travel Contact Card 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_EC_packet_w_Data_Privacy 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_General_ConneX_EC_packet_w_Data_Privacy 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_Greenphire ClinCard Msg Templates 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_Greenphire_ClinCard_Card_Carrier 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_Greenphire_ClinCard_Cardholder 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_Greenphire_Fee_Schedule 1.0
Subject information and informed consent form (for publication) L2_SIS and ICF_Participant Diary BEDU 1
Subject information and informed consent form (for publication) L2_SIS and ICF_Participant Diary BEFR 1
Subject information and informed consent form (for publication) L2_SIS and ICF_Patient card 1
Subject information and informed consent form (for publication) L2_SIS and ICF_Patient Emergency Card 1
Subject information and informed consent form (for publication) L2_SIS and ICF_Thank You Card BEDU 1
Subject information and informed consent form (for publication) L2_SIS and ICF_Thank You Card BEFR 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Faslodex AstraZeneca UK Ltd RSI 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC faslodex-epar-product-information_en_AstraZeneca AB_31_Aug_2022 N/A
Synopsis of the protocol (for publication) D1_Protocol synopsis 2023-506771-10-00 FR_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis 2023-506771-10-00_CZ_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis 2023-506771-10-00_ES_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis 2023-506771-10-00_IT_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis 2023-506771-10-00_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis_BEDE_2023-506771-10_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis_BEDU_2023-506771-10_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis_BEFR_2023-506771-10_Redacted d
Synopsis of the protocol (for publication) D1_Protocol Synopsis_DK 2023-506771-10-00_Redacted d

Application history

7 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-01-12 Italy Acceptable
2024-02-26
2024-02-26
2 SUBSTANTIAL MODIFICATION SM-3 2024-07-04 Italy Acceptable
2024-09-16
2024-09-17
3 SUBSTANTIAL MODIFICATION SM-5 2024-11-15 Acceptable 2024-12-18
4 SUBSTANTIAL MODIFICATION SM-6 2025-02-28 Italy Acceptable with conditions
2025-06-09
2025-06-09
5 SUBSTANTIAL MODIFICATION SM-8 2025-07-08 Acceptable with conditions 2025-08-07
6 SUBSTANTIAL MODIFICATION SM-9 2025-12-04 Acceptable with conditions 2026-01-19
7 NON SUBSTANTIAL MODIFICATION NSM-4 2026-03-05 Italy Acceptable with conditions 2026-03-05