Overview
Sponsor-declared trial summary
Unresectable locally recurrent or metastatic hormone receptor (HR)-positive and human epidermal growth factor receptor 2 (HER2)-low/ultralow breast cancer classified as non-luminal by gene expression profiling.
To demonstrate that first-line T-DXd compared with CDK4/6i plus ET is superior in prolonging the progression free survival (PFS) based on investigator assessment in patients with HR-positive, HER2-low (1+ by IHC or 2+ and negative by an ISH test) advanced breast cancer classified as non-luminal by central PAM50 analysi…
Key facts
- Sponsor
- Medica Scientia Innovation Research S.L.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 30 Jun 2025 → ongoing
- Decision date (initial)
- 2025-06-11
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Daiichi Sankyo
External identifiers
- EU CT number
- 2024-512360-55-00
- ClinicalTrials.gov
- NCT06486883
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Safety, Efficacy, Therapy
To demonstrate that first-line T-DXd compared with CDK4/6i plus ET is superior in prolonging the progression free survival (PFS) based on investigator assessment in patients with HR-positive, HER2-low (1+ by IHC or 2+ and negative by an ISH test) advanced breast cancer classified as non-luminal by central PAM50 analysis (HER2-low population).
To demonstrate that first-line T-DXd compared with CDK4/6i plus ET is superior in prolonging the PFS based on investigator assessment in patients with HR-positive and HER2-low/ultralow advanced breast cancer classified as non-luminal by central PAM50 analysis (all patients).
Secondary objectives 12
- To evaluate the efficacy of T-DXd compared with CDK4/6i plus ET in terms of OS in all patients and HER2-low population.
- To determine the efficacy in terms of ORR of first-line T-DXd compared with CDK4/6i plus ET in all patients and HER2-low population.
- To assess the efficacy of first-line T-DXd compared with CDK4/6i plus ET defined as CBR in all patients and HER2-low population.
- To assess the efficacy defined as DoR of first-line T-DXd compared with CDK4/6i plus ET in all patients and HER2-low population.
- To assess the efficacy in terms of TTR of first-line T-DXd compared with CDK4/6i plus ET in all patients and HER2-low population.
- To determine the efficacy of treatment with first-line T-DXd compared with CDK4/6i plus ET defined as time to treatment failure in all patients and HER2-low population.
- To determine the efficacy of treatment with first-line T-DXd compared with CDK4/6i plus ET defined as time to first subsequent chemotherapy in all patients and HER2- low population
- To determine the efficacy of treatment with first-line T-DXd compared with CDK4/6i plus ET defined as best percentage of change in tumor in all patients in all patients and HER2-low population
- To assess the second progression- free survival (PFS2) in all patients and HER2- low population
- To assess the time to start of first subsequent therapy or death (TFST) in all patients and HER2-low population
- To evaluate changes during treatment with first-line T-DXd compared with CDK4/6i plus ET in terms of PRO assessments of health-related QoL and treatment-related symptoms in all patients and HER2-low population
- To evaluate the safety and toxicity profile of treatment with T-DXd compared with CDK4/6i plus ET in all patients and HER2- low population. Safety data will be presented using descriptive statistics according to the treatment received unless otherwise specified
Conditions and MedDRA coding
Unresectable locally recurrent or metastatic hormone receptor (HR)-positive and human epidermal growth factor receptor 2 (HER2)-low/ultralow breast cancer classified as non-luminal by gene expression profiling.
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 16
- Patients must be capable to understand the purpose of the Study and have signed written informed consent form (ICF) prior to beginning specific protocol procedures.
- Female or male patients ≥ 18 years of age at the time of signing ICF.
- ECOG performance status of 0-1.
- Minimum life expectancy of ≥ 12 weeks at screening.
- Evidence of HER2-low expression (1+ by immunohistochemistry or 2+ and negative by an in situ hybridization [ISH] test) or HER2-ultralow (IHC 0 with faint membrane staining and in ≤ 10% of tumor cells) breast cancer according to the most recent American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) guidelines determined by a MEDSIR’s designated central laboratory, using Ventana 4B5 antibody. This assessment has to be done on the most recently available (archived or newly collected) formalin-fixed, paraffin-embedded (FFPE) tumor tissue blocks (obtained after last prior systemic therapy) from core or excisional biopsy from a locally recurrent (breast or locoregional lymph nodes) or metastatic tumor lesion, excluding bone metastases.
- Non-luminal breast cancer subtype as per central PAM50 analysis determined in the most recently available (archived or newly collected) FFPE tumor tissue blocks (obtained after last prior systemic therapy) from core or excisional biopsy from a locally recurrent (breast or locoregional lymph nodes) or metastatic tumor lesion with the exception of bone metastases.
- Patients must have HR-positive (estrogen receptor [ER] and/or progesterone receptor [PgR]-positive defined as ≥ 1% positive stained cells) status according to the most recent ASCO/CAP guidelines locally determined prior to Study entry.
- Unresectable locally recurrent or metastatic breast cancer documented by computerized tomography (CT) scan or magnetic resonance imaging (MRI) that is not amenable to resection with curative intent.
- Evaluable disease according to RECIST v.1.1. Patients with bone-only disease are not allowed. Patients with bone metastases with soft tissue masses measuring > 10 mm are eligible.
- Patients must have endocrine resistance criteria: disease progression during adjuvant ET or within the first year of completing adjuvant ET; or endocrine sensitivity criteria: de novo metastatic disease or disease progression ≥ 12 months after completing adjuvant ET with at least one of the following requirements: 1. Estrogen receptor ≤ 50% positive stained cells; 2. and/or high histological grade or Ki67 > 50% on primary tumor; 3. and/or liver metastases; 4. and/or known non-luminal subtype as per local PAM50 analysis.
- No prior treatment with any systemic therapy for advanced disease. Patients treated with a CDK4/6i in the adjuvant setting with a TFI ≥ 12 months following CDK4/6i treatment completion are eligible.
- Patients have adequate bone marrow, liver, and renal function: • Hematological (without platelet, red blood cell transfusion, and/or granulocyte colony-stimulating factor support within 14 days before first Study treatment dose): White blood cell (WBC) count > 3.0 x 109/L, absolute neutrophil count (ANC) ≥ 1.5 x 109/L, platelet count ≥ 100.0 x 109/L, and hemoglobin ≥ 9.0 g/dL (≥ 5.6mmol/L). • Hepatic: Serum albumin ≥ 2.5 g/dL; total bilirubin ≤ 1.5 times upper limit of normal (x ULN) (≤ 3 x ULN in patients with liver metastases or know history of Gilbert’s disease); alkaline phosphatase (ALP) ≤ 2.5 x ULN (≤ 5 x ULN in patients with liver/or bone metastases); aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3 x ULN (≤ 5 x ULN in patients with liver metastases). • Renal: Creatinine clearance ≥ 30 mL/min as determined by Cockcroft Gault (using actual body weight). • Coagulation: International normalized ratio or prothrombin time and either partial thromboplastin or activated partial thromboplastin time ≤ 1.5 × ULN.
- Resolution of all acute toxic effects of prior anti-cancer therapy to Grade ≤ 1 as determined by the US National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (v.5.0) (except for alopecia or other toxicities not considered a safety risk for the patient at investigator's discretion).
- Women of childbearing potential who are sexually active with a non-sterilized male partner must have a negative serum pregnancy test within 14 days before Study treatment initiation. In addition, they must agree to use one highly effective method of birth control from the time of screening until 7 months after the last dose of T-DXd, or within the time period specified per local prescribing guidelines after the final dose of physician’s choice of CDK4/6i plus ET. Female patients must refrain from egg cell donation and breastfeeding during this same period.
- Male participants who are sexually active with a female partner of childbearing potential must be surgically sterile or using an acceptable method of contraception from the time of screening until 4 months after the last dose of T-DXd, or within the time period specified per local prescribing guidelines after the final dose of physician’s choice of CDK4/6i plus ET. Male participants must not donate or bank sperm during this same period.
- Patients must be accessible for treatment and follow-up.
Exclusion criteria 24
- Current participation in another therapeutic clinical trial, except other translational studies.
- Treatment with approved or investigational cancer therapy within 3 weeks prior to initiation of Study drug.
- Treatment with chloroquine/hydroxychloroquine within 14 days prior to initiation of Study drug.
- Have previously been treated with T-DXd and/or fulvestrant. Note I: patients who experienced relapse after more than 1 year from completion of fulvestrant are eligible. Note II: previous treatment with anti-HER2 therapies in (neo-) adjuvant setting will be allowed for participants who showed conversion from HER2-positive expression in primary breast tumor sample to HER2-low or HER2-ultralow expression (HER2 loss) in relapsed tumor sample.
- Patients with advanced, symptomatic, visceral spread, that are at risk of life-threatening complications in the short term (including patients with massive uncontrolled effusions [pleural, pericardial, and/or peritoneal] and pulmonary lymphangitis).
- Impairment of gastro-intestinal (GI) function or GI disease that may significantly alter the absorption of CDK4/6i, such as history of GI surgery which may result in intestinal blind loops and patients with clinically significant gastroparesis, short bowel syndrome, unresolved nausea, vomiting, active inflammatory bowel disease, or diarrhea of CTCAE Grade > 1.
- Known central nervous system (CNS) involvement (brain metastases and/or leptomeningeal carcinomatosis). Subjects with clinically inactive brain metastases may be included in the Study. Subjects with treated brain metastases that are no longer symptomatic and who do not require treatment with corticosteroids or anticonvulsants may be included in the Study if they have recovered from the acute toxic effect of radiotherapy.
- Have a concurrent malignancy or malignancy within 5 years of Study enrollment with the exception of carcinoma in situ of the cervix and basal cell carcinoma or squamous cell carcinoma of the skin that has been previously treated with curative intent. For other cancers considered to have a low risk of recurrence, discussion with the Sponsor’s Medical Monitor is required.
- Known allergy or hypersensitivity reaction to any of the investigational medicinal products (IMPs) or their inactive ingredients.
- Palliative radiotherapy with a limited field of radiation within 2 weeks or with wide field of radiation or to more than 30% of the bone marrow within 4 weeks prior to start of Study treatment.
- Major surgical procedure or significant traumatic injury within 4 weeks before the first dose of Study treatment or anticipation of need for major surgery within the course of the Study treatment.
- Has an active cardiac disease or a history of cardiac dysfunction or conduction abnormalities including, but not confined, to any of the following: • Participants with a medical history of myocardial infarction within 6 months before screening, symptomatic CHF (NYHA Class II to IV), unstable angina pectoris, or a recent (< 6 months) cardiovascular event including stroke. Participants with troponin levels above ULN at screening (as defined by the manufacturer), and without any myocardial related symptoms, should have a cardiologic consultation to rule out myocardial infarction. • Left ventricular ejection fraction (LVEF) < 55% as determined by multigated acquisition (MUGA) scan or echocardiogram (ECHO). • History of arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, or ventricular tachycardia), which is symptomatic or requires treatment (NCI-CTCAE Grade 3), symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia. Participants with atrial fibrillation controlled by medication or arrhythmias controlled by pacemakers will be permitted to enroll. • QT interval corrected by Fridericia’s formula (QTcF) prolongation to > 470 ms (females) or > 450 ms (males) based on average of the screening triplicate 12-lead electrocardiogram (ECG). • History of QT prolongation associated with other medications that required discontinuation of that medication, or any current concomitant medication known to prolong the QT interval and cause Torsades de Pointes. • Congenital long QT syndrome, family history of long QT syndrome, or unexplained sudden death under 40 years of age in first-degree relatives.
- Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses including, but not limited to, any underlying pulmonary disorder (e.g., pulmonary emboli within 3 months of the Study enrolment, severe asthma, severe chronic obstructive pulmonary disease, restrictive lung disease, pleural effusion, post COVID-19 pulmonary fibrosis, etc.), and any autoimmune, connective tissue, or inflammatory disorders with pulmonary involvement (e.g., rheumatoid arthritis, Sjogren's syndrome, sarcoidosis, etc.), or prior pneumonectomy (complete).
- Has a history of non-infectious interstitial lung disease (ILD)/pneumonitis that required steroids, has current ILD/pneumonitis, or has suspected ILD/pneumonitis that cannot be ruled out by imaging at screening.
- Pregnant or lactating women or patients not willing to apply highly effective contraception as defined in the protocol.
- Current known infection with hepatitis B virus (HBV), or hepatitis C virus (HCV). Patients with past HBV infection or resolved HBV infection (defined as having a negative hepatitis B surface antigen [HBsAg] test and a positive hepatitis B core antibody [HBcAb] test, accompanied by a negative HBV DNA test), and > 6 months off anti-viral treatment are eligible. Those participants should be closely monitored for HBV reactivation and have access to a local hepatitis B expert during and after the Study. Patients positive for HCV antibody are eligible only if polymerase chain reaction (PCR) is negative for HCV RNA. Patients with HCV co-infection or history of HCV co-infection are excluded.
- Patients with cirrhosis or fibrosis on prior imaging or biopsy.
- Has an active primary immunodeficiency or known human immunodeficiency virus (HIV) infection.
- Other active uncontrolled infection at the time of enrollment.
- Receipt of live or attenuated vaccine within 30 days prior to the first dose of Study treatment.
- A history of uncontrolled seizures, CNS disorders, or serious and/or unstable pre-existing psychiatric disability judged by the investigator to be clinically significant and adversely affecting compliance to Study drugs or interfering with subject safety.
- Current use of food or drugs known to be potent CYP3A4 inhibitors, drugs known to be potent CYP3A4 inducers (for examples, see the Prohibited Medications Section).
- Known substance abuse or any other concurrent severe and/or uncontrolled medical condition that would, in the investigator’s judgment, contraindicate patient participation.
- Inability or unwillingness to comply with the requirements of the protocol in the opinion of the investigator.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 2
- PFS, defined as the period from randomization date to the first occurrence of documented radiographic disease progression or death from any cause, whichever occurs first, as determined locally by the investigator using RECIST v.1.1. in HER2-low patients.
- PFS, defined as the period from randomization date to the first occurrence of documented radiographic disease progression or death from any cause, whichever occurs first, as determined locally by the investigator using RECIST v.1.1 in all patients.
Secondary endpoints 16
- OS, defined as the period from randomization date to death from any cause, as determined locally by the investigator (in all patients and HER2-low population).
- ORR, defined as the rate of patients with complete response (CR) or partial response (PR), as determined locally by the investigator using RECIST v.1.1 (in all patients and HER2-low population).
- CBR, defined as the rate of patients with objective response (CR or PR), or stable disease for at least 24 weeks, as determined locally by the investigator using RECIST v.1.1 (in all patients and HER2-low population).
- DoR, defined as the period from the first occurrence of a documented objective response to disease progression or death from any cause, whichever occurs first, as determined locally by the investigator using RECIST v.1.1 (in all patients and HER2-low population).
- TTR, defined as the period from randomization date to the first objective tumor response (tumor shrinkage of ≥ 30%) observed for patients who achieved a CR or PR, as determined locally by the investigator using RECIST v.1.1 (in all patients and HER2-low population).
- TTF, defined as the time from randomization date to discontinuation of treatment for any reason, including progressive disease, treatment toxicity, patient choice, and death.
- TFSC: time to first subsequent chemotherapy, defined as the time from randomization date to the beginning of the first subsequent chemotherapy after discontinuation of the trial regimen
- Best percentage of change from baseline in the size of target tumor lesions, defined as the biggest decrease, or smallest increase if no decrease will be observed, as determined locally by the investigator using RECIST v.1.1.
- PFS2 is defined as the time from randomization date to the earliest progression event after that used for the primary variable PFS, or date of death as determined locally by the investigator using RECIST v.1.1.
- TFST, defined as the time from randomization to the earliest date of anti-cancer therapy start date following Study treatment discontinuation, or death.
- Changes from baseline in the EORTC QLQ-C30, EORTC QLQ-BR42 scales and the EQ-5D-5L index.
- Time to deteriorate in the EORTC QLQ-C30 and QLQ-BR42 subscales.
- Safety endpoints: Safety and tolerability as per NCI-CTCAE v.5.0.
- Exploratory endpoints can include (but are not limited to): Association of clinical outcomes, safety and/or tolerability profile with mutation profiling, copy number variability, gene expression, multiplex assays, proteomic analyses, digital pathology, immunohistochemistry, taxonomic or functional analyses performed on tissue and/or liquid biopsy samples.
- Exploratory endpoints can include (but are not limited to): Efficacy endpoints for all patients according to different clinicopathological characteristics and prior treatment for early breast cancer.
- Exploratory endpoints can include (but are not limited to): Association of treatment efficacy and/or safety outcomes in all patients with radiological imaging biomarkers.
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 1
PRD5308994 · Product
- Active substance
- Trastuzumab Deruxtecan
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENOUS
- Max daily dose
- 0.26 mg/Kg milligram(s)/kilogram
- Max total dose
- 59.4 mg/Kg milligram(s)/kilogram
- Max treatment duration
- 72 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- DAIICHI SANKYO, INC.
- Paediatric formulation
- No
- Orphan designation
- No
Comparator 11
IBRANCE 100 mg film-coated tablets
PRD7907867 · Product
- Active substance
- Palbociclib
- Substance synonyms
- PD-332,991, PD-0332991
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 100 mg milligram(s)
- Max total dose
- 100 mg milligram(s)
- Max treatment duration
- 36 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 75 mg film-coated tablets
PRD7907995 · Product
- Active substance
- Palbociclib
- Substance synonyms
- PD-332,991, PD-0332991
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 75 mg milligram(s)
- Max total dose
- 75 mg milligram(s)
- Max treatment duration
- 36 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 125 mg film-coated tablets
PRD7907865 · Product
- Active substance
- Palbociclib
- Substance synonyms
- PD-332,991, PD-0332991
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 125 mg milligram(s)
- Max total dose
- 125 mg milligram(s)
- Max treatment duration
- 36 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
Verzenios 100 mg film-coated tablets
PRD6701103 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 100 mg milligram(s)
- Max total dose
- 100 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01XE50 — -
- Marketing authorisation
- EU/1/18/1307/004
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Verzenios 150 mg film-coated tablets
PRD6701108 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 150 mg milligram(s)
- Max total dose
- 150 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/007
- 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
PRD6701098 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 50 mg milligram(s)
- Max total dose
- 50 mg milligram(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
- No
Letrozol Tevagen 2,5 mg comprimidos recubiertos con película EFG
PRD698676 · Product
- Active substance
- Letrozole
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 2.5 mg milligram(s)
- Max total dose
- 2.5 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BG04 — LETROZOLE
- Marketing authorisation
- 72500
- MA holder
- TEVA PHARMA S.L.U.,
- MA country
- Spain
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Exemestano Teva 25 mg comprimidos recubiertos con película EFG
PRD665020 · Product
- Active substance
- Exemestane
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 25 mg milligram(s)
- Max total dose
- 25 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BG06 — EXEMESTANE
- Marketing authorisation
- 73282
- MA holder
- TEVA PHARMA S.L.U.,
- MA country
- Spain
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Anastrozol Teva 1 mg comprimidos recubiertos con película EFG
PRD641682 · Product
- Active substance
- Anastrozole
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 1 mg milligram(s)
- Max total dose
- 1 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BG03 — ANASTROZOLE
- Marketing authorisation
- 69430
- MA holder
- TEVA PHARMA S.L.U.,
- MA country
- Spain
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Fulvestrant Teva 250 mg solución inyectable en jeringa precargada EFG
PRD4527836 · Product
- Active substance
- Fulvestrant
- Pharmaceutical form
- SOLUTION FOR INJECTION
- Route of administration
- INJECTION
- Max daily dose
- 250 mg milligram(s)
- Max total dose
- 250 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BA03 — FULVESTRANT
- Marketing authorisation
- 80910
- MA holder
- TEVA PHARMA S.L.U.,
- MA country
- Spain
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Kisqali 200 mg film-coated tablets
PRD5341538 · Product
- Active substance
- Ribociclib
- Substance synonyms
- LEE011
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL
- Max daily dose
- 200 mg milligram(s)
- Max total dose
- 200 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF02 — -
- Marketing authorisation
- EU/1/17/1221/001
- MA holder
- NOVARTIS EUROPHARM LIMITED
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Auxiliary 2
SCP151923 · ATC
- Active substance
- Leuprorelin Acetate
- Substance synonyms
- LEUPROLIDE ACETATE
- Route of administration
- INFUSION
- Max daily dose
- 22.5 mg milligram(s)
- Max total dose
- 22.5 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02AE02 — LEUPRORELIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
—
SCP111850463 · ATC
- Route of administration
- INJECTION
- Max daily dose
- 3.6 mg milligram(s)
- Max total dose
- 3.6 mg milligram(s)
- Max treatment duration
- 36 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02AE03 — GOSERELIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Medica Scientia Innovation Research S.L.
- Sponsor organisation
- Medica Scientia Innovation Research S.L.
- Address
- Torre Glories 27th Floor, Avinguda Diagonal 211 Avinguda Diagonal 211
- City
- Barcelona
- Postcode
- 08018
- Country
- Spain
Scientific contact point
- Organisation
- Medica Scientia Innovation Research S.L.
- Contact name
- Alicia García
Public contact point
- Organisation
- Medica Scientia Innovation Research S.L.
- Contact name
- Marta Campolier
Locations
9 EU/EEA countries · 84 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Austria | Authorised, recruiting | 10 | 3 |
| Belgium | Authorised, recruiting | 4 | 4 |
| France | Authorised, recruiting | 28 | 8 |
| Germany | Authorised, recruiting | 12 | 6 |
| Italy | Ongoing, recruiting | 46 | 15 |
| Netherlands | Authorised, recruitment pending | 4 | 1 |
| Poland | Authorised, recruiting | 8 | 4 |
| Portugal | Authorised, recruiting | 16 | 11 |
| Spain | Ongoing, recruiting | 66 | 32 |
| Rest of world
United Kingdom
|
— | 6 | — |
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 | 2026-04-10 | ||||
| Belgium | 2026-03-23 | ||||
| France | 2026-02-19 | ||||
| Germany | 2026-02-10 | ||||
| Italy | 2025-08-29 | 2026-02-03 | |||
| Poland | 2026-03-26 | ||||
| Portugal | 2025-10-06 | ||||
| Spain | 2025-06-30 | 2025-07-15 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 115 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol FP_2024-512360-55-00 | 3 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 Dutch | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 English | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 French | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 German | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 Italian | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 Polish | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 Portuguese | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 Spanish | 1 |
| Protocol (for publication) | D4_ Patient facing documents_BR42 Summary | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L Belgium | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L Dutch NL | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L English | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L French | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L French Belgium | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L German | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L German austria | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L German Germany | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L Italian | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L Polish | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L Portuguese | 1 |
| Protocol (for publication) | D4_ Patient facing documents_EQ5D5L Spanish | 1 |
| Protocol (for publication) | D4_ Patient facing documents_Patient Card_NL | 2 |
| Protocol (for publication) | D4_ Patient facing documents_Patient Card_PL | 2 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 Dutch | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 English | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 French | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 German | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 Italian | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 Polish | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 Portuguese | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 Spanish | 1 |
| Protocol (for publication) | D4_ Patient facing documents_QLQ-C30 Summary | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_DE | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_EN | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_ES | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_FR | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_IT | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_NL | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_PL | 1 |
| Protocol (for publication) | D4_Patient facing documents_Medication Diary_PT | 1 |
| Protocol (for publication) | D4_Patient facing documents_Patient Card_DE | 2 |
| Protocol (for publication) | D4_Patient facing documents_Patient Card_EN | 2 |
| Protocol (for publication) | D4_Patient facing documents_Patient Card_ES | 2 |
| Protocol (for publication) | D4_Patient facing documents_Patient Card_FR | 2 |
| Protocol (for publication) | D4_Patient facing documents_Patient Card_IT | 2 |
| Protocol (for publication) | D4_Patient facing documents_Patient Card_PT | 2 |
| Recruitment arrangements (for publication) | K_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K_Recruitment arrangements Portugal | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 3.0 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K1_Recruitment arrangements | 1 |
| Recruitment arrangements (for publication) | K2_Recruitment material social networks digital compaigns website | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Main Adults_PT_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pre-screening_PT_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Preg_Participant DE | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Preg_Partner DE | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF Pregnancy_PT_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Future use_DE redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_BE - DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_BE - FR_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_BE - NL_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_DE_redacted | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_DE_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_ES_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_FR_redacted | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_IT_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_NL_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Main_PL_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_BE - DE_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_BE - FR_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_BE - NL_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_DE_redacted | 4 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_DE_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_ES_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_FR_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_IT_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_NL_redacted | 3.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pre-screening_PL_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_BE - DE_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_BE - FR_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_BE - NL_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_DE | 4.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_DE | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_ES_redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_FR_redacted | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_IT_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_NL | 2.0 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_Participant_DE | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_Participant_DE_TC | 2 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_Pregnancy_PL | 1 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF_TravelReimburment_DE | 1 |
| Subject information and informed consent form (for publication) | L1_SIS ans ICF main_EN | 1 |
| Subject information and informed consent form (for publication) | L1_SIS ans ICF main_EN_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS ans ICF pre-screening_EN | 1 |
| Subject information and informed consent form (for publication) | L1_SIS ans ICF pre-screening_EN_Redacted | 1 |
| Subject information and informed consent form (for publication) | L1_SIS ans ICF pregnancy_EN | 1 |
| Subject information and informed consent form (for publication) | L1_SIS ans ICF pregnancy_EN_Redacted | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material race justification | 1 |
| Subject information and informed consent form (for publication) | L2_Other subject information material race justification | 1 |
| Subject information and informed consent form (for publication) | L2_Sponsor Statement_redacted | 1 |
| Subject information and informed consent form (for publication) | L3_Declaration of Sponsor_redacted | 1 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Fulvestrant_SP | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_DEU_2024-512360-55-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_EN_2024-512360-55-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ESP_2024-512360-55-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_FRA_2024-512360-55-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_ITA_2024-512360-55-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_NLD_2024-512360-55-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PLK_2024-512360-55-00 | 1 |
| Synopsis of the protocol (for publication) | D1_Protocol synopsis_PTG_2024-512360-55-00 | 1 |
Application history
12 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-02-18 | Portugal | Acceptable 2025-06-06
|
2025-06-09 |
| 2 | NON SUBSTANTIAL MODIFICATION | NSM-1 | 2025-06-18 | Portugal | Acceptable 2025-06-06
|
2025-06-18 |
| 3 | SUBSTANTIAL MODIFICATION | SM-1 | 2025-07-22 | Acceptable | 2025-09-05 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-09-19 | Acceptable | 2025-11-11 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-10-06 | Acceptable | 2025-10-09 | |
| 6 | NON SUBSTANTIAL MODIFICATION | NSM-2 | 2025-11-25 | Portugal | Acceptable | 2025-11-25 |
| 7 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-12-22 | Acceptable | 2026-02-16 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-12-23 | Acceptable | 2026-01-16 | |
| 9 | SUBSTANTIAL MODIFICATION | SM-6 | 2026-01-26 | Portugal | Acceptable | 2026-03-02 |
| 10 | NON SUBSTANTIAL MODIFICATION | NSM-3 | 2026-03-03 | Portugal | 2026-03-03 | |
| 11 | SUBSTANTIAL MODIFICATION | SM-8 | 2026-03-12 | Acceptable | 2026-04-21 | |
| 12 | SUBSTANTIAL MODIFICATION | SM-9 | 2026-04-15 | Acceptable | 2026-05-22 |