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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