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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

En recrutementAccepte des participants actuellement, selon la fiche du registre.
Contacter cette étude

En bref

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 participants recherchés567 sites28 pays

Catégories

Enregistré dans 1 registre

Une même étude peut être enregistrée dans plusieurs registres. Nous l'affichons une seule fois et renvoyons vers chaque fiche que nous détenons.

Les informations de l'essai sont affichées telles que publiées par le registre, dans leur langue d'origine.

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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.

Résumé

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.

Affections

  • Breast Cancer

Éligibilité

Éligibilité
SexeTous
Âges18 YearsAucun maximum
Volontaires sainsNon

Éligibilité telle qu'elle figure dans le registre

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.

Éligibilité en énoncés simples

Les critères de cette fiche n'ont pas encore été décomposés en énoncés distincts. Le texte du registre ci-dessus est complet et fait foi.

Conception de l'étude

Conception de l'étude
Type d'étudeInterventionnelle
PhasePhase 3
RépartitionRandomisée
Modèle d'interventionPARALLEL
Objectif principalTREATMENT
InsuNONE (0)
Recrutement4 220 participants recherchés

Promoteur et collaborateurs

  • Stemline Therapeutics, Inc. Promoteur

Groupes et interventions

  • 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

Interventions

  • Médicament Anastrozole

    Administered as oral tablets

  • Médicament Elacestrant

    Administered as oral tablets

  • Médicament Exemestane

    Administered as oral tablets

  • Médicament Letrozole

    Administered as oral tablets

  • Médicament Tamoxifen

    Administered as oral tablets

Critères de jugement

  1. Critère de jugement principal

    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

    Délai Up to 5 years

  2. Critère de jugement secondaire

    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

    Délai Up to 5 years

  3. Critère de jugement secondaire

    Overall Survival (OS)

    Délai Up to 5 years

  4. Critère de jugement secondaire

    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

    Délai Up to 5 years

  5. Critère de jugement secondaire

    Number of Participants With Adverse Events (AEs)

    Délai Up to 5 years plus 28 days

  6. Critère de jugement secondaire

    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)

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

  7. Critère de jugement secondaire

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

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

  8. Critère de jugement secondaire

    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)

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

  9. Critère de jugement secondaire

    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)

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

  10. Critère de jugement secondaire

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

    Délai Predose up to 4 hours postdose

  11. Critère de jugement secondaire

    Maximum Plasma Concentration at Steady State (Cmaxss) of Elacestrant

    Délai Predose up to 4 hours postdose

Dates

Dates
Date de début27 septembre 2024 (réelle)
Achèvement principal1 août 2029 (estimée)
Achèvement1 octobre 2032 (estimée)
Première publication9 juillet 2024 (réelle)
Dernière mise à jour15 septembre 2026
Résultats publiésNon précisé dans la fiche du registre
Statut vérifié pour la dernière foisseptembre 2026

Réelle signifie que l'événement a eu lieu. Estimée signifie que le promoteur s'y attend. Les deux ont un sens différent.

Lieux

501 sites sont en recrutement

Argentina

Argentina
ÉtablissementVilleÉtat ou régionStatut
(COIBA)Centro de Oncologia e Investigacion Buenos AiresBerazateguiBuenos AiresEn recrutement
Clinica Adventista BelgranoBuenos AiresTucumán ProvinceEn recrutement
Fundacion RespirarBuenos AiresBuenos Aires F.D.En recrutement
Organizacion Medica de Investigacion (OMI)Buenos AiresBuenos Aires F.D.En recrutement
Instituto Argentino de Diagnostico y TratamientoBuenos AiresEn recrutement
Centro de Investigación CIPRECC.a.b.a.Buenos Aires F.D.En recrutement
Centro Oncológico KorbenCABABuenos Aires F.D.En recrutement
Centro Medico Privado CEMAICCórdobaCórdoba ProvinceEn recrutement
Inst Med Fund Estudios ClinicosRosarioSanta Fe ProvinceEn recrutement
Instituto de Oncologia de RosarioRosarioSanta Fe ProvinceEn recrutement
Centro Oncologico de ExcelenciaSan JuanEn recrutement

Australia

Australia
ÉtablissementVilleÉtat ou régionStatut
Cancer Research SAAdelaideSouth AustraliaEn recrutement
Royal Adelaide Hospital - OncologyAdelaideSouth AustraliaEn recrutement
Icon Cancer Centre WesleyAuchenflowerQueenslandEn recrutement
Flinders Medical CentreBedford ParkSouth AustraliaEn recrutement
Box Hill HospitalBox HillVictoriaEn recrutement
Monash Medical CentreClaytonVictoriaEn recrutement
St Vincent's Hospital SydneyDarlinghurstNew South WalesEn recrutement
Northern HospitalEppingVictoriaEn recrutement
Lake Macquarie Private Hospital - OncologyGatesheadNew South WalesEn recrutement
Austin HealthHeidelbergEn recrutement
Icon Cancer Centre HobartHobartEn recrutement
Icon Cancer Centre TownsvilleHyde ParkQueenslandEn recrutement
St George Hospital - Medical OncologyKogarahNew South WalesEn recrutement
Icon Cancer Centre Kurralta ParkKurralta ParkSouth AustraliaEn recrutement
Launceston General Hospital - Medical OncologyLauncestonTasmaniaEn recrutement
Lismore Base Hospital - Cancer Care , Haematology UnitLismoreNew South WalesEn recrutement
Macquarie UniversityMacquarie ParkNew South WalesEn recrutement
Maroondah Hospitals - Medical OncologyMelbourneVictoriaEn recrutement
Breast Cancer Research CentreNedlandsWestern AustraliaEn recrutement
Mater Hospital SydneyNorth SydneyNew South WalesEn recrutement
Mid North Coast Cancer InstitutePort MacquarieEn recrutement
Goulburn Valley HealthSheppartonVictoriaEn recrutement
Icon Cancer Centre SouthportSouthportQueenslandEn recrutement
Westmead HospitalWestmeadNew South WalesEn recrutement
The Queen Elizabeth HospitalWoodvilleSouth AustraliaEn recrutement

Austria

Austria
ÉtablissementVilleÉtat ou régionStatut
Medizinische Universität GrazGrazStyriaEn recrutement
Universitätsklinikum KremsKremsLower AustriaEn recrutement
LKH HochsteiermarkLeobenStyriaEn recrutement
Universitatsklinikum St. PoltenSankt PöltenLower AustriaEn recrutement
Hanusch KrankenhausViennaEn recrutement
Brustgesundheitszentrum SüdWeizStyriaEn recrutement

Belgium

Belgium
ÉtablissementVilleÉtat ou régionStatut
Edith Cavell Inter-regional Hospital Centre (CHIREC) - Delta HospitalAalstBrussels CapitalEn recrutement
Algemeen Ziekenhuis KlinaBrasschaatAntwerpenEn recrutement
Association Hospitaliere De Bruxelles Et De Schaerbeek - Centre Hospitalier Universitaire BrugmannBrusselsBrussels CapitalEn recrutement
Institut Jules BordetBrusselsEn recrutement
CHU Saint-PierreBrusselsBrussels CapitalEn recrutement
Grand Hopital de Charleroi - Site Les ViviersCharleroiHainautEn recrutement
Jessa Ziekenhuis - Campus Virga Jesse - Medische OncologieHasseltLimburgEn recrutement
UZ LeuvenLeuvenVlaams BrabantEn recrutement

517 sites supplémentaires sont indiqués dans la fiche du registre.

Documents de l'étude

Aucun document n'est lié dans cette fiche du registre.

Évolution au fil du temps

  1. 15 septembre 2026

    Site ajouté

    5 sites added (567 total)

    562567

  2. 17 août 2026

    Site ajouté

    7 sites added (562 total)

    555562