Overview
Sponsor-declared trial summary
Breast cancer
To evaluate if treatment with a non-steroidal aromatase inhibitor combined with CDK4/6 inhibition in first line followed at progression by fulvestrant in second line (strategy A) improves progression-free survival compared to treatment with a non-steroidal aromatase inhibitor in first line followed at progression by fu…
Key facts
- Sponsor
- BOOG Study Center B.V.
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 21 Nov 2017 → ongoing
- Decision date (initial)
- 2024-11-12
- Transition trial
- Yes
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
External identifiers
- EU CT number
- 2024-516204-42-00
- EudraCT number
- 2017-002334-23
- ClinicalTrials.gov
- NCT03425838
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Therapy, Safety, Efficacy
To evaluate if treatment with a non-steroidal aromatase inhibitor combined with CDK4/6 inhibition in first line followed at progression by fulvestrant in second line (strategy A) improves progression-free survival compared to treatment with a non-steroidal aromatase inhibitor in first line followed at progression by fulvestrant combined with CDK4/6 inhibition in second line (strategy B) in women with HR+/HER2- metastatic breast cancer who have not received any prior systemic anticancer therapy for metastatic disease.
Secondary objectives 12
- to compare overall survival (OS)
- to compare quality of life
- to compare safety and tolerability
- to compare objective response rate (ORR)
- to compare cost-effectiveness
- to determine alterations in genes, proteins, and (mi)RNAs in tumor tissues in order to select patients primary resistant to single agent first line endocrine therapy
- to determine circulating tumor DNA (ctDNA) in plasma before and during treatment, to investigate the prognostic and possibly predictive values of these measures
- to evaluate the predictive value of nuclear imaging for the benefit of CDK4/6 inhibitors
- to develop a limited sampling model for CDK4/6 inhibitors pharmacokinetics (PK), investigate the relationship between CDK4/6 inhibitors PK exposure and response (efficacy) and common side-effects
- to determine the prevalence of polymorphisms in CYP3A4 and SULT2A1
- to evaluate if there is a difference in cognitive functioning over time between patients with HR+/HER2- metastatic breast cancer who undergo first line treatment with a non-steroidal aromatase inhibitor combined with CDK4/6 inhibition and patients who undergo first line treatment with single agent non-steroidal aromatase inhibitor
- to determine the prevalence of cognitive impairment in patients with HR+/HER2- metastatic breast cancer prior to treatment for metastatic disease and its relation with prior treatments.
Conditions and MedDRA coding
Breast cancer
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 20.0 | SOC | 10029104 | Neoplasms benign malignant and unspecified (incl cysts and polyps) | 2 |
| 24.0 | PT | 10085481 | Hormone receptor positive HER2 negative breast cancer | 100000004864 |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 8
- Adult women (≥ 18 years of age) with proven diagnosis of adenocarcinoma of the breast with locoregional recurrent or metastatic disease not amenable to resection or radiation therapy with curative intent and for whom chemotherapy is not clinically indicated
- Documentation of histologically or cytologically confirmed diagnosis of estrogen receptor (ER) expression >10% and/or progesterone receptor (PR) expression >10% breast cancer based on local laboratory results. In case ER ≤ 10% and PR >10% the ER and PR expression need to be confirmed in a referral center. Tumor must be HER2-negative as defined by ASCO-CAP guidelines (9). If HER2 status is unavailable then testing must be performed/repeated prior to randomization.
- Previously untreated with any systemic anti-cancer therapy for metastatic HR+ disease, with the exception of recently started (within 28 days of randomization) endocrine therapy.
- Women who are not post-menopausal must receive ovarian ablation or suppression with administration of LHRH agonist.
- Evaluable disease as defined per RECIST v.1.1. Tumor lesions previously irradiated or subjected to other locoregional therapy will only be deemed measurable if disease progression at the treated site after completion of therapy is clearly documented.
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2.
- Adequate organ and marrow function defined as follows: 1) ANC ≥1,000/mm3 (1.0 x 10e9 /L); 2) Platelets ≥50,000/mm3 (50 x 10e9 /L); 3) Estimated creatinine clearance ≥ 30 mL/min as calculated using the method standard for the institution; 4) Total serum bilirubin ≤1.5 x ULN (≤3.0 x ULN if Gilbert’s disease); 5) AST and ALT ≤3 x ULN (≤5.0 x ULN if liver metastases present);
- Resolution of all acute toxic effects of prior anti-cancer therapy or surgical procedures to NCI CTCAE version 4.0 Grade ≤1, except alopecia or other toxicities not considered a safety risk for the patient at investigator's discretion.
Exclusion criteria 10
- Patients with advanced, symptomatic, visceral spread, who are at risk of life-threatening complications in the short term (including patients with massive uncontrolled effusions (pleural, pericardial, peritoneal), pulmonary lymphangitis, and over 50% liver involvement).
- Known active uncontrolled or symptomatic CNS metastases, carcinomatous meningitis, or leptomeningeal disease as indicated by clinical symptoms, cerebral edema, and/or progressive growth. Patients with a history of CNS metastases or cord compression are eligible if they have been definitively treated with local therapy (e.g., radiotherapy, stereotactic surgery) and are clinically stable without the use of steroids for at least 4 weeks before randomization
- Prior neoadjuvant or adjuvant treatment with a non-steroidal aromatase inhibitor (i.e. anastrozole or letrozole) with disease recurrence while on or within 12 months of treatment.
- Prior treatment with any CDK4/6 inhibitor.
- Patients treated within the last 7 days prior to randomization with: 1) Food or drugs that are known to be CYP3A4 inhibitors (ie, amprenavir, atazanavir, boceprevir, clarithromycin, conivaptan, delavirdine, diltiazem, erythromycin, fosamprenavir, indinavir, itraconazole, ketoconazole, lopinavir, mibefradil, miconazole, nefazodone, nelfinavir, posaconazole, ritonavir, saquinavir, telaprevir, telithromycin, verapamil, voriconazole, and grapefruit, pomegranate or grapefruit/pomegranate juice); 2) Drugs that are known to be CYP3A4 inducers (ie, carbamazepine, felbamate, nevirapine, phenobarbital, phenytoin, primidone, rifabutin, rifampin, rifapentin, and St. John’s wort).
- Major surgery, chemotherapy, any investigational agents, or other anticancer therapy within 2 weeks before randomization. Palliative radiotherapy and/or (neo)adjuvant endocrine treatment within 2 weeks before randomization are allowed, provided that patients have recovered from these treatments. Patients who received prior radiotherapy to ≥25% of bone marrow are not eligible independent of when it was received.
- Diagnosis of any other malignancy prior to randomization, except those that are not believed to influence the patient’s prognosis and do not require any further treatment. This includes, but is not limited to adequately treated basal cell or squamous cell skin cancer and carcinoma in situ of the cervix.
- QTc >480 msec at baseline
- Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, or any upper gastrointestinal surgery that influences uptake of oral medication
- Known hypersensitivity to letrozole or anastrozole, or any of its excipients, or to any CDK4/6 inhibitors excipients.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Progression-free survival after two lines of treatment (PFS2) defined as time from randomization until one of the following (whichever occurs first): second objective disease progression or objective disease progression on second-line therapy, whichever occurs first, symptomatic deterioration on second-line therapy leading to discontinuation of second-line therapy initiation of chemotherapy for breast cancer or death
Secondary endpoints 11
- Overall survival
- Quality of life
- Safety and tolerability
- Objective response rate (ORR)
- Cost-effectiveness
- Type and incidence of grade 3 and 4 (serious) adverse events ((S)AE) (as graded by NCI CTCAE v4.0) and its relation to study medications.
- Tumor tissue biomarkers, including genes, proteins and (mi)RNA expression
- Circulating tumor DNA (ctDNA) in plasma
- Nuclear imaging, including FDG-PET and FES-PET
- Pharmacokinetics, -dynamics and -genomics of CDK4/6 inhibitors
- Cognitive functioning as assessed by validated online cognitive tests
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 15
Verzenios 100 mg film-coated tablets
PRD6705023 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 150 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/004
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Norway
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Verzenios 100 mg film-coated tablets
PRD6705027 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 150 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/013
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Norway
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Verzenios 50 mg film-coated tablets
PRD6705022 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 150 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/011
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Norway
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Verzenios 150 mg film-coated tablets
PRD6705032 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 150 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF03 — -
- Marketing authorisation
- EU/1/18/1307/015
- MA holder
- ELI LILLY NEDERLAND B.V.
- MA country
- Norway
- 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 USE
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 150 mg milligram(s)
- Max treatment duration
- 100 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
Verzenios 150 mg film-coated tablets
PRD6701108 · Product
- Active substance
- Abemaciclib
- Substance synonyms
- LY2835219
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 300 mg milligram(s)
- Max total dose
- 150 mg milligram(s)
- Max treatment duration
- 100 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
IBRANCE 75 mg film-coated tablets
PRD7907995 · Product
- Active substance
- Palbociclib
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 125 mg milligram(s)
- Max total dose
- 125 mg milligram(s)
- Max treatment duration
- 100 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 USE
- Max daily dose
- 125 mg milligram(s)
- Max total dose
- 125 mg milligram(s)
- Max treatment duration
- 100 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 USE
- Max daily dose
- 125 mg milligram(s)
- Max total dose
- 125 mg milligram(s)
- Max treatment duration
- 100 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
PRD5341550 · Product
- Active substance
- Ribociclib
- Substance synonyms
- LEE011
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 600 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF02 — -
- Marketing authorisation
- EU/1/17/1221/004
- MA holder
- NOVARTIS EUROPHARM LIMITED
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Kisqali 200 mg film-coated tablets
PRD5341552 · Product
- Active substance
- Ribociclib
- Substance synonyms
- LEE011
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 600 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF02 — -
- Marketing authorisation
- EU/1/17/1221/006
- MA holder
- NOVARTIS EUROPHARM LIMITED
- 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
- Substance synonyms
- LEE011
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 600 mg milligram(s)
- Max treatment duration
- 100 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
Kisqali 200 mg film-coated tablets
PRD5341538 · Product
- Active substance
- Ribociclib
- Substance synonyms
- LEE011
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 600 mg milligram(s)
- Max treatment duration
- 100 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
Kisqali 200 mg film-coated tablets
PRD5341543 · Product
- Active substance
- Ribociclib
- Substance synonyms
- LEE011
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 600 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF02 — -
- Marketing authorisation
- EU/1/17/1221/003
- MA holder
- NOVARTIS EUROPHARM LIMITED
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Kisqali 200 mg film-coated tablets
PRD5341542 · Product
- Active substance
- Ribociclib
- Substance synonyms
- LEE011
- Pharmaceutical form
- FILM-COATED TABLET
- Route of administration
- ORAL USE
- Max daily dose
- 600 mg milligram(s)
- Max total dose
- 600 mg milligram(s)
- Max treatment duration
- 100 Month(s)
- Authorisation status
- Authorised
- ATC code
- L01EF02 — -
- Marketing authorisation
- EU/1/17/1221/002
- MA holder
- NOVARTIS EUROPHARM LIMITED
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Comparator 6
SCP110317214 · ATC
- Active substance
- Estradiol Hemihydrate
- Substance synonyms
- Estra-1,3,5(10)-triene-3,17beta-diol hydrate (2:1), (17.BETA.)-ESTRA-1,3,5(10)-TRIENE-3,17-DIOL HEMIHYDRATE, oestradiol hemihydrate
- Route of administration
- INTRAVENOUS BOLUS INJECTION/IV INFUSION
- Max daily dose
- 3 MBq/kg megabecquerel(s)/kilogram
- Max total dose
- 3 MBq/kg megabecquerel(s)/kilogram
- Max treatment duration
- 1 Day(s)
- Authorisation status
- Authorised
- ATC code
- G03CA03 — ESTRADIOL
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- Yes
- Modification description
- Estradiol with a radioactive label making the tracer 16-alpha-[18F]-17-beta-estradiol for diagnostics
—
SCP111850463 · ATC
- Route of administration
- SUBCUTANEOUS INJECTION
- Max daily dose
- 10.8 mg milligram(s)
- Max total dose
- 10.8 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02AE03 — GOSERELIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP1154118 · ATC
- Active substance
- Letrozole
- Route of administration
- ORAL USE
- Max daily dose
- 2.5 mg milligram(s)
- Max total dose
- 2.5 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BG04 — LETROZOLE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP15544179 · ATC
- Active substance
- Fulvestrant
- Route of administration
- INTRAMUSCULAR USE
- Max daily dose
- 500 mg milligram(s)
- Max total dose
- 500 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BA03 — FULVESTRANT
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP151923 · ATC
- Active substance
- Leuprorelin Acetate
- Substance synonyms
- LEUPROLIDE ACETATE
- Route of administration
- INTRAMUSCULAR USE
- Max daily dose
- 11.25 mg milligram(s)
- Max total dose
- 11.25 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02AE02 — LEUPRORELIN
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
SCP136961 · ATC
- Active substance
- Anastrozole
- Route of administration
- ORAL USE
- Max daily dose
- 1 mg milligram(s)
- Max total dose
- 1 mg milligram(s)
- Max treatment duration
- 120 Month(s)
- Authorisation status
- Authorised
- ATC code
- L02BG03 — ANASTROZOLE
- Marketing authorisation
- -
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
BOOG Study Center B.V.
- Sponsor organisation
- BOOG Study Center B.V.
- Address
- Moreelsepark 1
- City
- Utrecht
- Postcode
- 3511 EP
- Country
- Netherlands
Scientific contact point
- Organisation
- BOOG Study Center B.V.
- Contact name
- BOOG Study Center
Public contact point
- Organisation
- BOOG Study Center B.V.
- Contact name
- BOOG Study Center
Third parties 4
| Organisation | City, country | Duties |
|---|---|---|
| Amsterdam UMC Stichting ORG-100008355
|
Amsterdam, Netherlands | Code 11, Code 13 |
| Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC) ORG-100008976
|
Rotterdam, Netherlands | Code 11, Code 13, Laboratory analysis |
| Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting ORG-100033850
|
Amsterdam, Netherlands | Code 10, Code 11, Code 13, Laboratory analysis |
| IKNL ORG-100022717
|
Utrecht, Netherlands | On site monitoring, Data management, E-data capture, Code 8 |
Locations
1 EU/EEA country · 69 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Netherlands | Ongoing, recruitment ended | 1,050 | 69 |
| Rest of world | — | 0 | — |
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 |
|---|---|---|---|---|---|
| Netherlands | 2017-11-21 | 2017-11-21 | 2021-09-01 |
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 12 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol 2024-516204-42 public | 1.11 |
| Recruitment arrangements (for publication) | Blank document | x |
| Subject information and informed consent form (for publication) | L1_SIS and ICF public | 10 |
| Subject information and informed consent form (for publication) | L1_SIS and ICF SONIA EfFECT side study public | 2 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Anastrozole | x |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Fulvestrant | x |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Goserelin | x |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Ibrance palbociclib | x |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Kisqali ribociclib | x |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Letrozole | x |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Leuprorelin | x |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC Verzenios abemaciclib | x |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-10-14 | Netherlands | Acceptable 2024-11-12
|
2024-11-12 |