Overview
Sponsor-declared trial summary
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
- Have a diagnosis of HR+, HER2- locally advanced or metastatic breast cancer
- 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
- Must be deemed appropriate for treatment with ET
- If female, have a postmenopausal status by natural or surgical means or by ovarian function suppression
- Have Response Evaluable Criteria in Solid Tumors (RECIST) evaluable disease (measurable disease and/or nonmeasurable disease)
- Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group scale (Oken et al. 1982)
- Have adequate renal, hematologic, and hepatic organ function
- Must be able to swallow capsules/tablets
Exclusion criteria 6
- Have visceral crisis, lymphangitic spread, or leptomeningeal carcinomatosis
- Have symptomatic or untreated central nervous system metastasis
- Have received any systemic therapy between disease recurrence/progression and study screening
- Have received more than 1 line of therapy for advanced or metastatic disease.
- Have received prior chemotherapy for metastatic breast cancer (MBC)
- 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
- Progression-Free Survival (PFS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
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 |
|---|---|---|---|---|---|
| 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |