Endocrine therapy plus CDK 4/6 inhibition in first- or second-line for hormone receptor positive advanced breast cancer - the SONIA study

2024-516204-42-00 Protocol BOOG 2017-03 Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 21 Nov 2017 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 69 sites · Protocol BOOG 2017-03

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 1,050
Countries 1
Sites 69

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

  1. to compare overall survival (OS)
  2. to compare quality of life
  3. to compare safety and tolerability
  4. to compare objective response rate (ORR)
  5. to compare cost-effectiveness
  6. 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
  7. to determine circulating tumor DNA (ctDNA) in plasma before and during treatment, to investigate the prognostic and possibly predictive values of these measures
  8. to evaluate the predictive value of nuclear imaging for the benefit of CDK4/6 inhibitors
  9. 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
  10. to determine the prevalence of polymorphisms in CYP3A4 and SULT2A1
  11. 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
  12. 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

VersionLevelCodeTermSystem 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

  1. 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
  2. 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.
  3. 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.
  4. Women who are not post-menopausal must receive ovarian ablation or suppression with administration of LHRH agonist.
  5. 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.
  6. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2.
  7. 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);
  8. 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

  1. 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).
  2. 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
  3. 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.
  4. Prior treatment with any CDK4/6 inhibitor.
  5. 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).
  6. 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.
  7. 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.
  8. QTc >480 msec at baseline
  9. Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, or any upper gastrointestinal surgery that influences uptake of oral medication
  10. 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

  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

  1. Overall survival
  2. Quality of life
  3. Safety and tolerability
  4. Objective response rate (ORR)
  5. Cost-effectiveness
  6. 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.
  7. Tumor tissue biomarkers, including genes, proteins and (mi)RNA expression
  8. Circulating tumor DNA (ctDNA) in plasma
  9. Nuclear imaging, including FDG-PET and FES-PET
  10. Pharmacokinetics, -dynamics and -genomics of CDK4/6 inhibitors
  11. 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

Estradiol Hemihydrate

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

Letrozole

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

Fulvestrant

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

Leuprorelin Acetate

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

Anastrozole

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.

5 Total trials 5 Ended
Academic / Non-commercial
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

OrganisationCity, countryDuties
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

CountryMS statusPlanned subjectsSites
Netherlands Ongoing, recruitment ended 1,050 69
Rest of world 0

Investigational sites

Netherlands

69 sites · Ongoing, recruitment ended
Diakonessenhuis Stichting
Oncology, Bosboomstraat 1, 3582 KE, Utrecht
Bernhoven B.V.
Internal medicine, Nistelrodeseweg 10, 5406 PT, Uden
Admiraal De Ruyter Ziekenhuis B.V.
Internal medicine / Oncology, 'S-Gravenpolderseweg 114, 4462 RA, Goes
Bravis Ziekenhuis
Oncology center, Boerhaavelaan 25, 4708 AE, Roosendaal
Stichting Amsterdam UMC
Medical Oncology, Meibergdreef 9, 1105 AZ, Amsterdam
Catharina Ziekenhuis Stichting
Oncology, Michelangelolaan 2, 5623 EJ, Eindhoven
Canisius Wilhelmina Ziekenhuis
Oncology-Hematology, Weg Door Jonkerbos 100, 6532 SZ, Nijmegen
Deventer Ziekenhuis
Medical Oncology / Oncology center Deventer, Nico Bolkesteinlaan 75, 7416 SE, Deventer
Alrijne Zorggroep Stichting
Internal medicine, Simon Smitweg 1, 2353 GA, Leiderdorp
Albert Schweitzer Ziekenhuis
Oncology, Albert Schweitzerplaats 25, 3318 AT, Dordrecht
Amphia Hospital
Oncology, Molengracht 21, 4818 CK, Breda
Zuyderland Medisch Centrum Stichting
Oncology, Henri Dunantstraat 5, 6419 PC, Heerlen
Treant Ziekenhuiszorg Stichting
Internal medicine, Boermarkeweg 60, 7824 AA, Emmen
Universitair Medisch Centrum Groningen
Medical Oncology, Hanzeplein 1, 9713 GZ, Groningen
Universitair Medisch Centrum Utrecht
Medical Oncology, Heidelberglaan 100, 3584 CX, Utrecht
Ziekenhuis Amstelland
Oncology, Laan Van De Helende Meesters 8, 1186 AM, Amstelveen
Ziekenhuisgroep Twente Stichting
Oncology center, Zilvermeeuw 1, 7609 PP, Almelo
ZorgSaam Ziekenhuis
Oncology, Wielingenlaan 2, 4535 PA, Terneuzen
Stichting Viecuri Medisch Centrum voor Noord-Limburg
Internal medicine / Oncology, Tegelseweg 210, 5912 BL, Venlo
Ziekenhuis St Jansdal
Oncology, Wethouder Jansenlaan 90, 3844 DG, Harderwijk
Zaans Medisch Centrum Stichting
Oncology, Koningin Julianaplein 58, 1502 DV, Zaandam
Het Van Weel-Bethesda Ziekenhuis
Oncology, Stationsweg 22, 3247 BW, Dirksland
Wilhelmina Ziekenhuis Assen
Oncology, Europaweg-Zuid 1, 9401 RK, Assen
Laurentius Ziekenhuis Roermond
Internal medicine, Monseigneur Driessenstraat 6, 6043 CV, Roermond
IJsselland Ziekenhuis
Oncology, Prins Constantijnweg 2, 2906 ZC, Capelle Aan Den Ijssel
Maasstad Ziekenhuis Stichting
Oncology, Maasstadweg 21, 3079 DZ, Rotterdam
Ikazia Ziekenhuis
Oncology, Montessoriweg 1, 3083 AN, Rotterdam
Stichting OLVG
Internal medicine / Oncology, Oosterpark 9, 1091 AC, Amsterdam
Medisch Centrum Leeuwarden B.V.
Oncology center Leeuwarden, Henri Dunantweg 2, 8934 AD, Leeuwarden
Stichting Radboud universitair medisch centrum
Medical Oncology, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen
Medisch Spectrum Twente
Internal medicine, Koningsplein 1, 7512 KZ, Enschede
Noordwest Ziekenhuisgroep Stichting
Internal medicine / Oncology, Wilhelminalaan 12, 1815 JD, Alkmaar
Maxima Medisch Centrum
Oncology, Ds Theodor Fliednerstraat 1, 5631 BM, Eindhoven
Haga Hospital
Internal medicine, Els Borst-Eilersplein 275, 2545 AA, 's-Gravenhage
Leids Universitair Medisch Centrum (LUMC)
Oncology, Albinusdreef 2, 2333 ZA, Leiden
Beatrix Ziekenhuis
Oncology, Banneweg 57, 4204 AA, Gorinchem
Jeroen Bosch Ziekenhuis Stichting
Oncology, Henri Dunantstraat 1, 5223 GZ, 'S-Hertogenbosch
Stichting Martini Ziekenhuis
Internal medicine, Van Swietenplein 1, 9728 NT, Groningen
Ziekenhuis Nij Smellinghe
Oncology, Compagnonsplein 1, 9202 NN, Drachten
Gelre Hospitals
Internal medicine, Albert Schweitzerlaan 31, 7334 DZ, Apeldoorn
Haaglanden Medisch Centrum Stichting
Oncology, Burgemeester Banninglaan 1, 2262 BA, Leidschendam
Reinier de Graaf Groep
Oncology, Reinier De Graafweg 5, 2625 AD, Delft
Groene Hart Ziekenhuis
Internal medicine / Oncology-Hematology, Bleulandweg 10, 2803 HH, Gouda
Meander Medisch Centrum Stichting
Oncology, Maatweg 3, 3813 TZ, Amersfoort
Rijnstate Ziekenhuis Stichting
Internal medicine, Wagnerlaan 55, 6815 AD, Arnhem
Isala Klinieken Stichting
Oncology center, Dokter Van Heesweg 2, 8025 AB, Zwolle
Ziekenhuis Gelderse Vallei Stichting
Oncology center, Willy Brandtlaan 10, 6716 RP, Ede Gld
Sint Franciscus Vlietland Groep Stichting
Oncology, Vlietlandplein 2, 3118 JH, Schiedam
Dijklander Ziekenhuis
Oncology, Maelsonstraat 3, 1624 NP, Hoorn Nh
Elkerliek Ziekenhuis
Oncology-Hematology, Wesselmanlaan 25, 5707 HA, Helmond
Flevoziekenhuis Stichting
Internal medicine, Hospitaalweg 1, 1315 RA, Almere
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Oncology, Dr. Molewaterplein 40, 3015 GD, Rotterdam
Stichting Elisabeth-Tweesteden Ziekenhuis
Oncology-Hematology, Hilvarenbeekseweg 60, 5022 GC, Tilburg
Ziekenhuis Rivierenland
Internal medicine / Oncology, President Kennedylaan 1, 4002 WP, Tiel
Tergooiziekenhuizen
Internal medicine, Laan Van Tergooi 2, 1212 VG, Hilversum
Sint Antonius Ziekenhuis Stichting
Internal medicine, Koekoekslaan 1, 3435 CM, Nieuwegein
Slingeland Ziekenhuis
Internal medicine, Kruisbergseweg 25, 7009 BL, Doetinchem
Rode Kruis Ziekenhuis B.V.
Internal medicine, Vondellaan 13, 1942 LE, Beverwijk
Streekziekenhuis Koningin Beatrix
Oncology, Beatrixpark 1, 7101 BN, Winterswijk
Stichting St. Anna Zorggroep
Internal medicine, Bogardeind 2, 5664 EH, Geldrop
Spaarne Gasthuis Stichting
Oncology, Spaarnepoort 1, 2134 TM, Hoofddorp
Saxenburgh Medisch Centrum
Internal medicine, Jan Weitkamplaan 4a, 7772 SE, Hardenberg
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Internal medicine, Plesmanlaan 121, 1066 CX, Amsterdam
Maasziekenhuis Pantein B.V.
Oncology, Dokter Kopstraat 1, 5835 DV, Beugen
Tjongerschans B.V.
Internal medicine, Thialfweg 44, 8441 PW, Heerenveen
Alexander Monro Ziekenhuis Stichting
Internal medicine, Professor Bronkhorstlaan 10 G 94, 3723 MB, Bilthoven
Antonius Ziekenhuis Sneek
Interne Geneeskunde, Bolswarderbaan 1, 8601 ZK, Sneek
Stichting BovenIJ
Interne Geneeskunde, Statenjachtstraat 1, 1034 CS, Amsterdam
SJG Weert
Interne Geneeskunde, Vogelsbleek 5, 6001BE, Weert

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment 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.

TypeTitleVersion
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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-14 Netherlands Acceptable
2024-11-12
2024-11-12