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NCT06492616ClinicalTrials.gov

A Study of Elacestrant Versus Standard Endocrine Therapy in Women and Men With ER+,HER2-, Early Breast Cancer With High Risk of Recurrence

Elacestrant Versus Standard Endocrine Therapy in Women and Men With Node-positive, Estrogen Receptor-positive, HER2-negative, Early Breast Cancer With High Risk of Recurrence-A Global, Multicenter, Randomized, Open-label Phase 3 Study

RekrutiertNimmt laut Registereintrag derzeit Teilnehmende auf.
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Kurz gefasst

The primary goal of this study is to evaluate the effectiveness of elacestrant versus standard endocrine therapy in participants with node-positive, Estrogen Receptor-positive (ER+), Human Epidermal Growth Factor-2 negative (HER2-) early breast cancer with high risk of recurrence.

Phase 34.220 Teilnehmende gesucht567 Studienzentren28 Länder

Kategorien

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How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2024-07-09; recorded start 2024-09-27
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Present: Participants are randomly assignedAllocation is recorded as randomised
  • Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
  • Not stated: Open label (no blinding)Masking is recorded as none (open label)
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 15 other studies in this databaseCounted from the lead sponsor named in the record (Stemline Therapeutics, Inc.)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 1 condition.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourMODERATE

A moderately rigorous design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation20/20

    Participants are randomly allocated between arms

  • Blinding0/20

    Open-label

  • Control arm0/15

    No comparator arm stated in the record

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type10/10

    Mortality / MACE endpoint (hard clinical outcome)

  • Multi-centre8/8

    Multi-centre: 555 sites

  • Data monitoring committee0/7

    Data monitoring committee not stated in the record

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleLARGE

A large study, international in scope: 4,220 participants (target), run at 567 sites, across 28 countries.

How this score is built
  • Enrolment35/40

    4,220 participants (target)

  • Site count25/25

    555 sites

  • Country count15/15

    28 countries

  • Planned duration10/10

    Planned over about 98 months

  • Sponsor scale3/10

    Stemline Therapeutics, Inc. has led 13 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

Zusammenfassung

The primary goal of this study is to evaluate the effectiveness of elacestrant versus standard endocrine therapy in participants with node-positive, Estrogen Receptor-positive (ER+), Human Epidermal Growth Factor-2 negative (HER2-) early breast cancer with high risk of recurrence.

Erkrankungen

  • Breast Cancer

Eignung

Eignung
GeschlechtAlle
Alter18 YearsKein Höchstalter
Gesunde FreiwilligeNein

Eignung im Wortlaut des Registers

Key Inclusion Criteria: * Histopathologically or cytologically confirmed ER+ (≥10% by immunohistochemistry \[IHC\]), HER2- (tumors with an IHC score of 0, 1+, or 2+ with in situ hybridization \[ISH\]-negative \[not amplified\]). ISH-negative without IHC testing will also be eligible on tumor biopsy or final surgical pathology specimen early stage resected invasive breast cancer without evidence of recurrence or distant metastases, per local laboratory, according to the American Society of Clinical Oncology/College of American Pathologists guidelines. * Participants must be node positive (microscopic and macroscopic tumor involvement are allowed) and fulfill one of the following criteria: 1. ≥4 positive axillary lymph nodes or 2. 1-3 positive axillary lymph nodes and 1. Histologic grade 3 disease and/or 2. Tumor size ≥5 centimeters and/or 3. High genomic risk (identified by Oncotype, MammaPrint, EndoPredict, PAM50) * Participants who are currently taking endocrine therapy (aromatase inhibitors or tamoxifen) and have received at least 24 months but not more than 60 months of endocrine therapy at the time of randomization (Cycle 1 Day 1 \[C1D1\]) with or without a CDK 4 and CKD 6 inhibitor (CDK4/6i) and with or without a luteinizing hormone-releasing hormone agonist. * Participants who received prior CDK4/6i or a poly adenosine diphosphate-ribose polymerase inhibitor must have already completed or discontinued these treatments. Key Exclusion Criteria: * Participants with inflammatory breast cancer. * History of any prior (ipsilateral and/or contralateral) invasive breast cancer. * Participant with history of non-breast malignancy within 3 years of the date of randomization, except for adequately treated basal or squamous cell skin cancer, superficial bladder cancer or carcinoma in situ of the cervix. * Participants who have had more than a 6-month continuous interruption of prior SoC adjuvant endocrine therapy or who are off current adjuvant endocrine therapy more than 6 months prior to randomization. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Eignung in einfachen Aussagen

Die Kriterien dieses Eintrags wurden noch nicht in einzelne Aussagen aufgeschlüsselt. Der Registertext oben ist vollständig und ist die maßgebliche Fassung.

Studiendesign

Studiendesign
StudientypInterventionell
PhasePhase 3
ZuteilungRandomisiert
InterventionsmodellPARALLEL
Primäres ZielTREATMENT
VerblindungNONE (0)
Teilnahme4.220 Teilnehmende gesucht

Sponsor und Mitwirkende

  • Stemline Therapeutics, Inc. Sponsor

Studienarme und Interventionen

  • ElacestrantEXPERIMENTAL

    Participants will receive 345 milligrams (mg) elacestrant once daily (QD) for 5 years.

  • Standard of Care (SoC) Endocrine TherapyEXPERIMENTAL

    Participants will receive the SoC endocrine therapy that was used prior to randomization: * AI (anastrozole 1 mg QD, letrozole 2.5 mg QD, or exemestane 25 mg QD); or * Tamoxifen 20 mg QD

Interventionen

  • Arzneimittel Anastrozole

    Administered as oral tablets

  • Arzneimittel Elacestrant

    Administered as oral tablets

  • Arzneimittel Exemestane

    Administered as oral tablets

  • Arzneimittel Letrozole

    Administered as oral tablets

  • Arzneimittel Tamoxifen

    Administered as oral tablets

Endpunkte

  1. Primärer Endpunkt

    Invasive Breast Cancer-Free Survival (IBCFS)

    Assessed by the time from date of randomization to the date of first occurrence of: * Ipsilateral invasive breast tumor recurrence * Local/regional invasive breast cancer recurrence * Distant recurrence * Contralateral invasive breast cancer, or * Death attributable to any cause

    Zeitrahmen Up to 5 years

  2. Sekundärer Endpunkt

    Distant Relapse-Free Survival (DRFS)

    Assessed by the time from date of randomization to the date of first occurrence of: * Distant recurrence, or * Death attributable to any cause

    Zeitrahmen Up to 5 years

  3. Sekundärer Endpunkt

    Overall Survival (OS)

    Zeitrahmen Up to 5 years

  4. Sekundärer Endpunkt

    Invasive Disease-Free Survival (IDFS)

    Assessed by the time from date of randomization to the date of first occurrence of: * Local/regional recurrence * Contralateral recurrence * Second primary non-breast invasive cancer * Distant recurrence, or * Death attributable to any cause

    Zeitrahmen Up to 5 years

  5. Sekundärer Endpunkt

    Number of Participants With Adverse Events (AEs)

    Zeitrahmen Up to 5 years plus 28 days

  6. Sekundärer Endpunkt

    Change from Baseline in Global Health Status Quality of Life Scale score, as Assessed by the European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)

    Zeitrahmen Baseline, Month 6, Annually at Years 1, 2, 3, 4, 5

  7. Sekundärer Endpunkt

    Change from Baseline in the Physical Functioning Sub-Scale Score as Assessed by EORTC QLQ-C30

    Zeitrahmen Baseline, Month 6, Annually at Years 1, 2, 3, 4, 5

  8. Sekundärer Endpunkt

    Change From Baseline in the Breast Cancer Endocrine Therapy Symptoms Sub-Scale Score, as Assessed by the EORTC Quality of Life Breast Cancer Questionnaire module (EORTC QLQ-BR42)

    Zeitrahmen Baseline, Month 6, Annually at Years 1, 2, 3, 4, 5

  9. Sekundärer Endpunkt

    Change From Baseline in Side Effects, as Assessed by the Question 168 of the European Organization for the Research and Treatment of Cancer Question Library (EORTC Q168)

    Zeitrahmen Baseline, Month 6, Annually at Years 1, 2, 3, 4, 5

  10. Sekundärer Endpunkt

    Area Under the Plasma Concentration Versus Time Curve at Steady State (AUCss) of Elacestrant

    Zeitrahmen Predose up to 4 hours postdose

  11. Sekundärer Endpunkt

    Maximum Plasma Concentration at Steady State (Cmaxss) of Elacestrant

    Zeitrahmen Predose up to 4 hours postdose

Daten

Daten
Startdatum27. September 2024 (tatsächlich)
Primärer Abschluss1. August 2029 (geschätzt)
Abschluss1. Oktober 2032 (geschätzt)
Erstveröffentlichung9. Juli 2024 (tatsächlich)
Zuletzt aktualisiert15. September 2026
Ergebnisse veröffentlichtIm Registereintrag nicht angegeben
Status zuletzt bestätigtSeptember 2026

Tatsächlich bedeutet, dass das Ereignis eingetreten ist. Geschätzt bedeutet, dass der Sponsor es erwartet. Die beiden bedeuten Unterschiedliches.

Standorte

501 Studienzentren rekrutieren

Argentina

Argentina
EinrichtungStadtBundesland oder RegionStatus
(COIBA)Centro de Oncologia e Investigacion Buenos AiresBerazateguiBuenos AiresRekrutiert
Clinica Adventista BelgranoBuenos AiresTucumán ProvinceRekrutiert
Fundacion RespirarBuenos AiresBuenos Aires F.D.Rekrutiert
Organizacion Medica de Investigacion (OMI)Buenos AiresBuenos Aires F.D.Rekrutiert
Instituto Argentino de Diagnostico y TratamientoBuenos AiresRekrutiert
Centro de Investigación CIPRECC.a.b.a.Buenos Aires F.D.Rekrutiert
Centro Oncológico KorbenCABABuenos Aires F.D.Rekrutiert
Centro Medico Privado CEMAICCórdobaCórdoba ProvinceRekrutiert
Inst Med Fund Estudios ClinicosRosarioSanta Fe ProvinceRekrutiert
Instituto de Oncologia de RosarioRosarioSanta Fe ProvinceRekrutiert
Centro Oncologico de ExcelenciaSan JuanRekrutiert

Australia

Australia
EinrichtungStadtBundesland oder RegionStatus
Cancer Research SAAdelaideSouth AustraliaRekrutiert
Royal Adelaide Hospital - OncologyAdelaideSouth AustraliaRekrutiert
Icon Cancer Centre WesleyAuchenflowerQueenslandRekrutiert
Flinders Medical CentreBedford ParkSouth AustraliaRekrutiert
Box Hill HospitalBox HillVictoriaRekrutiert
Monash Medical CentreClaytonVictoriaRekrutiert
St Vincent's Hospital SydneyDarlinghurstNew South WalesRekrutiert
Northern HospitalEppingVictoriaRekrutiert
Lake Macquarie Private Hospital - OncologyGatesheadNew South WalesRekrutiert
Austin HealthHeidelbergRekrutiert
Icon Cancer Centre HobartHobartRekrutiert
Icon Cancer Centre TownsvilleHyde ParkQueenslandRekrutiert
St George Hospital - Medical OncologyKogarahNew South WalesRekrutiert
Icon Cancer Centre Kurralta ParkKurralta ParkSouth AustraliaRekrutiert
Launceston General Hospital - Medical OncologyLauncestonTasmaniaRekrutiert
Lismore Base Hospital - Cancer Care , Haematology UnitLismoreNew South WalesRekrutiert
Macquarie UniversityMacquarie ParkNew South WalesRekrutiert
Maroondah Hospitals - Medical OncologyMelbourneVictoriaRekrutiert
Breast Cancer Research CentreNedlandsWestern AustraliaRekrutiert
Mater Hospital SydneyNorth SydneyNew South WalesRekrutiert
Mid North Coast Cancer InstitutePort MacquarieRekrutiert
Goulburn Valley HealthSheppartonVictoriaRekrutiert
Icon Cancer Centre SouthportSouthportQueenslandRekrutiert
Westmead HospitalWestmeadNew South WalesRekrutiert
The Queen Elizabeth HospitalWoodvilleSouth AustraliaRekrutiert

Austria

Austria
EinrichtungStadtBundesland oder RegionStatus
Medizinische Universität GrazGrazStyriaRekrutiert
Universitätsklinikum KremsKremsLower AustriaRekrutiert
LKH HochsteiermarkLeobenStyriaRekrutiert
Universitatsklinikum St. PoltenSankt PöltenLower AustriaRekrutiert
Hanusch KrankenhausViennaRekrutiert
Brustgesundheitszentrum SüdWeizStyriaRekrutiert

Belgium

Belgium
EinrichtungStadtBundesland oder RegionStatus
Edith Cavell Inter-regional Hospital Centre (CHIREC) - Delta HospitalAalstBrussels CapitalRekrutiert
Algemeen Ziekenhuis KlinaBrasschaatAntwerpenRekrutiert
Association Hospitaliere De Bruxelles Et De Schaerbeek - Centre Hospitalier Universitaire BrugmannBrusselsBrussels CapitalRekrutiert
Institut Jules BordetBrusselsRekrutiert
CHU Saint-PierreBrusselsBrussels CapitalRekrutiert
Grand Hopital de Charleroi - Site Les ViviersCharleroiHainautRekrutiert
Jessa Ziekenhuis - Campus Virga Jesse - Medische OncologieHasseltLimburgRekrutiert
UZ LeuvenLeuvenVlaams BrabantRekrutiert

517 weitere Studienzentren sind im Registereintrag aufgeführt.

Studiendokumente

In diesem Registereintrag sind keine Dokumente verlinkt.

Änderungen im Zeitverlauf

  1. 15. September 2026

    Studienzentrum hinzugefügt

    5 sites added (567 total)

    562567

  2. 17. August 2026

    Studienzentrum hinzugefügt

    7 sites added (562 total)

    555562