Recruitment

Recruitment Status
Active, not recruiting
Estimated Enrollment
Same as current

Summary

Conditions
Metastatic Breast Cancer
Type
Interventional
Phase
Phase 3
Design
Allocation: RandomizedIntervention Model: Sequential AssignmentIntervention Model Description: Step 1: 800 patients screened for circulating blood ESR1 mutation detection at regular intervals will be treated with palbociclib 125 mg once daily for 21 days followed by 7 days off (28-day cycle) + AI (letrozole, anastrozole or exemestane) administered once daily in a continuous scheme (EoT if RECIST tumor progression or ESR1 mutation detection) Step 2: 160 Patients with a rising circulating ESR1 mutation and without tumor progression will be randomized (1:1): ARM A: no change in therapy. EoT if tumor progression or possibility of a cross-over (step 3) ARM B: palbociclib 125 mg + fulvestrant 500 mg administered intramuscularly on D1,15 and 29 and once monthly thereafter. EoT if RECIST tumor progression Step 3 (cross over): 80 patients who have been randomized in arm A will be offered to be treated by fulvestrant + palbociclib, after having progressed under AI + palbociclib. The EoT will occur at the tumor progression under fulvestrant + palbociclib Masking: None (Open Label)Primary Purpose: Treatment

Participation Requirements

Age
Between 18 years and 125 years
Gender
Only males

Description

Not Provided

Not Provided

Tracking Information

NCT #
NCT03079011
Collaborators
Pfizer
Investigators
Principal Investigator: François-Clément BIDARD, MD PhD Institut Curie