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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

In reclutamentoAccetta partecipanti ora, secondo la scheda del registro.
Contatta questo studio

In breve

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.

Fase 34220 partecipanti ricercati567 centri28 paesi

Categorie

Registrato in 1 registro

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Le informazioni sulla sperimentazione sono mostrate così come pubblicate dal registro, nella lingua originale.

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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.

Sintesi

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.

Patologie

  • Breast Cancer

Idoneità

Idoneità
SessoTutti
Età18 YearsNessun massimo
Volontari saniNo

Idoneità come riportata nel registro

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.

Idoneità in frasi semplici

I criteri di questa scheda non sono ancora stati suddivisi in affermazioni distinte. Il testo del registro qui sopra è completo ed è la versione autorevole.

Disegno dello studio

Disegno dello studio
Tipo di studioInterventistico
FaseFase 3
AssegnazioneRandomizzata
Modello di interventoPARALLEL
Finalità principaleTREATMENT
MascheramentoNONE (0)
Arruolamento4220 partecipanti ricercati

Sponsor e collaboratori

  • Stemline Therapeutics, Inc. Sponsor

Bracci e interventi

  • 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

Interventi

  • Farmaco Anastrozole

    Administered as oral tablets

  • Farmaco Elacestrant

    Administered as oral tablets

  • Farmaco Exemestane

    Administered as oral tablets

  • Farmaco Letrozole

    Administered as oral tablets

  • Farmaco Tamoxifen

    Administered as oral tablets

Esiti misurati

  1. Esito primario

    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

    Orizzonte temporale Up to 5 years

  2. Esito secondario

    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

    Orizzonte temporale Up to 5 years

  3. Esito secondario

    Overall Survival (OS)

    Orizzonte temporale Up to 5 years

  4. Esito secondario

    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

    Orizzonte temporale Up to 5 years

  5. Esito secondario

    Number of Participants With Adverse Events (AEs)

    Orizzonte temporale Up to 5 years plus 28 days

  6. Esito secondario

    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)

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

  7. Esito secondario

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

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

  8. Esito secondario

    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)

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

  9. Esito secondario

    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)

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

  10. Esito secondario

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

    Orizzonte temporale Predose up to 4 hours postdose

  11. Esito secondario

    Maximum Plasma Concentration at Steady State (Cmaxss) of Elacestrant

    Orizzonte temporale Predose up to 4 hours postdose

Date

Date
Data di inizio27 settembre 2024 (effettiva)
Conclusione primaria1 agosto 2029 (stimata)
Conclusione1 ottobre 2032 (stimata)
Prima pubblicazione9 luglio 2024 (effettiva)
Ultimo aggiornamento15 settembre 2026
Risultati pubblicatiNon indicato nella scheda del registro
Stato verificato l'ultima voltasettembre 2026

«Effettiva» significa che l'evento è avvenuto. «Stimata» significa che lo sponsor lo prevede. Le due cose non sono equivalenti.

Centri

501 centri stanno reclutando

Argentina

Argentina
StrutturaCittàStato o regioneStato
(COIBA)Centro de Oncologia e Investigacion Buenos AiresBerazateguiBuenos AiresIn reclutamento
Clinica Adventista BelgranoBuenos AiresTucumán ProvinceIn reclutamento
Fundacion RespirarBuenos AiresBuenos Aires F.D.In reclutamento
Organizacion Medica de Investigacion (OMI)Buenos AiresBuenos Aires F.D.In reclutamento
Instituto Argentino de Diagnostico y TratamientoBuenos AiresIn reclutamento
Centro de Investigación CIPRECC.a.b.a.Buenos Aires F.D.In reclutamento
Centro Oncológico KorbenCABABuenos Aires F.D.In reclutamento
Centro Medico Privado CEMAICCórdobaCórdoba ProvinceIn reclutamento
Inst Med Fund Estudios ClinicosRosarioSanta Fe ProvinceIn reclutamento
Instituto de Oncologia de RosarioRosarioSanta Fe ProvinceIn reclutamento
Centro Oncologico de ExcelenciaSan JuanIn reclutamento

Australia

Australia
StrutturaCittàStato o regioneStato
Cancer Research SAAdelaideSouth AustraliaIn reclutamento
Royal Adelaide Hospital - OncologyAdelaideSouth AustraliaIn reclutamento
Icon Cancer Centre WesleyAuchenflowerQueenslandIn reclutamento
Flinders Medical CentreBedford ParkSouth AustraliaIn reclutamento
Box Hill HospitalBox HillVictoriaIn reclutamento
Monash Medical CentreClaytonVictoriaIn reclutamento
St Vincent's Hospital SydneyDarlinghurstNew South WalesIn reclutamento
Northern HospitalEppingVictoriaIn reclutamento
Lake Macquarie Private Hospital - OncologyGatesheadNew South WalesIn reclutamento
Austin HealthHeidelbergIn reclutamento
Icon Cancer Centre HobartHobartIn reclutamento
Icon Cancer Centre TownsvilleHyde ParkQueenslandIn reclutamento
St George Hospital - Medical OncologyKogarahNew South WalesIn reclutamento
Icon Cancer Centre Kurralta ParkKurralta ParkSouth AustraliaIn reclutamento
Launceston General Hospital - Medical OncologyLauncestonTasmaniaIn reclutamento
Lismore Base Hospital - Cancer Care , Haematology UnitLismoreNew South WalesIn reclutamento
Macquarie UniversityMacquarie ParkNew South WalesIn reclutamento
Maroondah Hospitals - Medical OncologyMelbourneVictoriaIn reclutamento
Breast Cancer Research CentreNedlandsWestern AustraliaIn reclutamento
Mater Hospital SydneyNorth SydneyNew South WalesIn reclutamento
Mid North Coast Cancer InstitutePort MacquarieIn reclutamento
Goulburn Valley HealthSheppartonVictoriaIn reclutamento
Icon Cancer Centre SouthportSouthportQueenslandIn reclutamento
Westmead HospitalWestmeadNew South WalesIn reclutamento
The Queen Elizabeth HospitalWoodvilleSouth AustraliaIn reclutamento

Austria

Austria
StrutturaCittàStato o regioneStato
Medizinische Universität GrazGrazStyriaIn reclutamento
Universitätsklinikum KremsKremsLower AustriaIn reclutamento
LKH HochsteiermarkLeobenStyriaIn reclutamento
Universitatsklinikum St. PoltenSankt PöltenLower AustriaIn reclutamento
Hanusch KrankenhausViennaIn reclutamento
Brustgesundheitszentrum SüdWeizStyriaIn reclutamento

Belgium

Belgium
StrutturaCittàStato o regioneStato
Edith Cavell Inter-regional Hospital Centre (CHIREC) - Delta HospitalAalstBrussels CapitalIn reclutamento
Algemeen Ziekenhuis KlinaBrasschaatAntwerpenIn reclutamento
Association Hospitaliere De Bruxelles Et De Schaerbeek - Centre Hospitalier Universitaire BrugmannBrusselsBrussels CapitalIn reclutamento
Institut Jules BordetBrusselsIn reclutamento
CHU Saint-PierreBrusselsBrussels CapitalIn reclutamento
Grand Hopital de Charleroi - Site Les ViviersCharleroiHainautIn reclutamento
Jessa Ziekenhuis - Campus Virga Jesse - Medische OncologieHasseltLimburgIn reclutamento
UZ LeuvenLeuvenVlaams BrabantIn reclutamento

Nella scheda del registro sono indicati altri 517 centri.

Documenti dello studio

In questa scheda del registro non sono collegati documenti.

Modifiche nel tempo

  1. 15 settembre 2026

    Centro aggiunto

    5 sites added (567 total)

    562567

  2. 17 agosto 2026

    Centro aggiunto

    7 sites added (562 total)

    555562