Clinical trial • Phase III • Oncology
ABEMACICLIB for Breast cancer
Phase III trial of ABEMACICLIB for Breast cancer.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Breast cancer
- Trial Stage
- Phase III
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 29-11-2023
- First CTIS Authorization Date
- 26-01-2024
Trial design
Randomised, open-label, abemaciclib (ly2835219) combined with standard adjuvant endocrine therapy versus standard adjuvant endocrine therapy alone. endocrine therapy options listed include tamoxifen, exemestane, anastrozole, letrozole (oral). abemaciclib product entries indicate up to 300 mg daily (product maxdailydoseamount = 300 mg); endocrine agents' typical daily doses listed in product entries (tamoxifen up to 40 mg daily; exemestane 25 mg daily; anastrozole 1 mg daily; letrozole 2.5 mg daily).-controlled Phase III trial in Portugal, Sweden, Poland and others.
- Randomised
- Yes
- Open Label
- Yes
- Comparator
- Abemaciclib (LY2835219) combined with standard adjuvant endocrine therapy versus standard adjuvant endocrine therapy alone. Endocrine therapy options listed include tamoxifen, exemestane, anastrozole, letrozole (oral). Abemaciclib product entries indicate up to 300 mg daily (product maxDailyDoseAmount = 300 mg); endocrine agents' typical daily doses listed in product entries (tamoxifen up to 40 mg daily; exemestane 25 mg daily; anastrozole 1 mg daily; letrozole 2.5 mg daily).
- Target Sample Size
- 3072
- Trial Duration For Participant
- 960
Eligibility
Recruits 3072 Vulnerable populations selected (isVulnerablePopulationSelected = true). No explicit description of consent/assent handling for vulnerable groups is provided in the record..
- Pregnancy Exclusion
- Females who are pregnant or lactating.
- Vulnerable Population
- Vulnerable populations selected (isVulnerablePopulationSelected = true). No explicit description of consent/assent handling for vulnerable groups is provided in the record.
Inclusion criteria
- {"criterion_text":"- Women (regardless of menopausal status) or men ≥18 years of age (or per local regulations)."}
- {"criterion_text":"- The participant has a Eastern Cooperative Oncology Group (ECOG) performance status ≤1."}
- {"criterion_text":"- The participant has adequate organ function."}
- {"criterion_text":"- The participant is able to swallow oral medications."}
- {"criterion_text":"- The participant has confirmed HR+, HER2-, early stage resected invasive breast cancer without evidence of distant metastases."}
- {"criterion_text":"- The participant must have undergone definitive surgery of the primary breast tumor."}
- {"criterion_text":"- The participant must have tumor tissue from breast (preferred) or lymph node for exploratory biomarker analysis available prior to randomization."}
- {"criterion_text":"- Pathologic lymph node involvement and at least one of the following indicating a higher risk of recurrence: 4 or more positive axillary lymph nodes, Tumor size of at least 5 centimeters, Grade 3 defined as at least 8 points on the Bloom Richardson grading system, Ki-67 index by central analysis of ≥20% on untreated breast tissue."}
- {"criterion_text":"- The participant must be randomized within 16 months from the time of definitive breast cancer surgery."}
- {"criterion_text":"- The participant may receive up to 12 weeks of endocrine therapy until randomization following the last non-endocrine therapy (surgery, chemotherapy, or radiation) whichever is last."}
- {"criterion_text":"- Participants must have recovered (grade ≤1) from the acute effects of chemotherapy and radiotherapy and from surgical side effects following definitive breast surgery."}
- {"criterion_text":"- Women of reproductive potential must have a negative blood pregnancy test and agree to use highly effective contraceptive methods."}
Exclusion criteria
- {"criterion_text":"- Metastatic disease (including contralateral axillary lymph nodes) or node-negative disease."}
- {"criterion_text":"- The participant has active systemic infections or viral load."}
- {"criterion_text":"- The participant has received an experimental treatment in a clinical trial within the last 30 days or 5 half-lives, whichever is longer."}
- {"criterion_text":"- Participants with inflammatory breast cancer."}
- {"criterion_text":"- Participants with a history of previous breast cancer, with the exception of ipsilateral ductal carcinoma in situ (DCIS) treated by locoregional therapy alone ≥5 years ago. Participants with a history of contralateral DCIS treated by local regional therapy at any time may be eligible. Participants with a history of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix), unless in complete remission with no therapy for a minimum of 5 years from the date of randomization are excluded."}
- {"criterion_text":"- Females who are pregnant or lactating."}
- {"criterion_text":"- The participant has previously received treatment with any CDK4 and CDK6 inhibitor."}
- {"criterion_text":"- The participant is receiving concurrent exogenous reproductive hormone therapy (for example, birth control pills, hormone replacement therapy, or megestrol acetate)."}
- {"criterion_text":"- The participant has previously received endocrine therapy for breast cancer prevention (tamoxifen or aromatase inhibitors) or raloxifene."}
- {"criterion_text":"- The participant has serious preexisting medical condition(s) that, in the judgment of the investigator, would preclude participation in this study."}
- {"criterion_text":"- The participant has a personal history of any of the following conditions: syncope of cardiovascular etiology, ventricular arrhythmia of pathological origin or sudden cardiac arrest. Any participant with a history of venous thromboembolism (VTE)."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Invasive Disease Free Survival (IDFS) [ Time Frame: Baseline to Recurrence or Death from Any Cause (Up to 32 Months)","definition_or_measurement_approach":"Time frame: Baseline to recurrence or death from any cause (up to 32 months)."}
Recruitment
- Planned Sample Size
- 3072
- Recruitment Window Months
- 137
- Consent Approach
- Informed consent obtained from adult participants (participants must be ≥18). Subject information and informed consent forms (ICFs) are provided; ICFs and related patient information materials are available in multiple country/language-specific versions (examples in the record include English, French, Polish, Greek, Italian, Spanish, Portuguese, Dutch and German). Consent is therefore obtained from the participant (adult); no pediatric assent procedures are described in the record.
Methods
- Third-party recruitment support: Publicis Healthcare Communications Group Ltd is listed with responsibility for patient screening, recruitment/retention. (No specific channels or country-specific recruitment channels described in the record.)
Geography
- Total Number Of Participants
- 1790
Portugal
- Latest Decision Or Authorization Date
- 26-09-2025
- Number Of Participants
- 37
Sweden
- Latest Decision Or Authorization Date
- 29-04-2025
- Number Of Participants
- 12
Poland
- Latest Decision Or Authorization Date
- 29-04-2025
- Number Of Participants
- 125
Germany
- Latest Decision Or Authorization Date
- 10-11-2025
- Number Of Participants
- 299
Denmark
- Latest Decision Or Authorization Date
- 18-02-2026
- Number Of Participants
- 112
Austria
- Latest Decision Or Authorization Date
- 30-04-2025
- Number Of Participants
- 36
Belgium
- Latest Decision Or Authorization Date
- 25-04-2025
- Number Of Participants
- 116
Romania
- Latest Decision Or Authorization Date
- 30-04-2025
- Number Of Participants
- 113
Greece
- Latest Decision Or Authorization Date
- 29-04-2025
- Number Of Participants
- 138
Italy
- Latest Decision Or Authorization Date
- 29-04-2025
- Number Of Participants
- 131
Finland
- Latest Decision Or Authorization Date
- 29-04-2025
- Number Of Participants
- 94
Czechia
- Latest Decision Or Authorization Date
- 25-04-2025
- Number Of Participants
- 27
Spain
- Latest Decision Or Authorization Date
- 17-04-2026
- Number Of Participants
- 292
France
- Latest Decision Or Authorization Date
- 28-04-2025
- Number Of Participants
- 187
Netherlands
- Latest Decision Or Authorization Date
- 07-04-2026
- Number Of Participants
- 19
Hungary
- Latest Decision Or Authorization Date
- 29-07-2025
- Number Of Participants
- 52
Sponsor
Primary sponsor
- Full Name
- Eli Lilly & Co.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Iqvia Rds Inc.
- Responsibilities
- Sponsor duties entries include code: 1 (patient support/operational role listed; specific responsibilities not detailed in record)
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- Sponsor duties entries include code: 10 (specific responsibilities not detailed in record)
- Name
- RWS Life Sciences Inc.
- Responsibilities
- Sponsor duties entries include code: 6 (specific responsibilities not detailed in record)
- Name
- Labcorp Central Laboratory Services S.a.r.l.
- Responsibilities
- Central laboratory services (sponsor duties code: 4)
- Name
- Pharmaserve Lilly S.A.C.I.
- Responsibilities
- Multiple sponsor duties including site agreements and payments: "Negotiation and Execution of Clinical trial agreements with the participating sites, make study payments based on invoices" (plus other coded duties)
Third parties
- {"country":"United Kingdom","full_name":"Publicis Healthcare Communications Group Ltd.","duties_or_roles":"Patient Screening, Recruitment/Retention","organisation_type":"Health care"}
- {"country":"United States","full_name":"Iqvia Rds Inc.","duties_or_roles":"code: 1","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"RWS Life Sciences Inc.","duties_or_roles":"code: 6","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"code: 10","organisation_type":"Pharmaceutical company"}
- {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services S.a.r.l.","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
- {"country":"Greece","full_name":"Pharmaserve Lilly S.A.C.I.","duties_or_roles":"codes: 1, 12, 15, 2, 5; includes: \"Negotiation and Execution of Clinical trial agreements with the participating sites, make study payments based on invoices\"","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Brightech International LLC","duties_or_roles":"code: 10","organisation_type":"Health care"}
Investigational products
- Investigational Product Name
- LY2835219 (abemaciclib)
- Active Substance
- ABEMACICLIB
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Not authorised (investigational product entry in trial listing)
- Maximum Dose
- 300 mg per day
- Investigational Product Name
- Verzenios 50 mg film-coated tablets (abemaciclib)
- Active Substance
- ABEMACICLIB
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Marketing authorisation EU/1/18/1307/001 (Verzenios 50 mg)
- Maximum Dose
- 300 mg per day
- Combination Treatment
- Yes
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