A Study of Elacestrant Versus Standard Endocrine Therapy in Women and Men With ER+,HER2-, Early Breast Cancer With High Risk of Recurrence

Sponsor: Stemline Therapeutics, Inc.

Sponsor score: 0

ClinicalTrials ID:NCT06492616

This study assesses elacestrant's efficacy compared to standard endocrine therapies (anastrozole, letrozole, exemestane, tamoxifen) in ER+, HER2- early breast cancer patients at high recurrence risk. Eligible participants have confirmed ER+, HER2- status, completed 24-60 months of endocrine therapy, and may have used CDK4/6 or PARP inhibitors.

Patient Parameters

Program Overview

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.

Eligibility Criteria

Inclusion Criteria

  • Histopathologically or cytologically confirmed ER-positive (≥ 10% by immunohistochemistry [IHC]), HER2-negative [IHC = 0 or 1, or (IHC = 2 and in situ hybridization [ISH]-negative)] 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 (ASCO)/College of American Pathologists (CAP) guidelines
  • Participants considered at high risk of recurrence at initial staging
  • Participants who have received at least 24 months but not more than 60 months of endocrine therapy (AIs or tamoxifen) with or without a CDK 4 and CKD 6 inhibitor (CDK4/6i)
  • Participants who received prior CDK4/6i or a poly adenosine diphosphate-ribose polymerase (PARP) 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 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 discontinued adjuvant endocrine therapy more than 6 months prior to randomization

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Locations

FACILITYZIPCITYSTATE
Southern Cancer Center, PC36526DaphneAlabama
Arizona Clinical Research Center, Inc.85715TucsonArizona
Highlands Oncology Group, PA72762SpringdaleArkansas
Cancer and Blood Research Center, LLC90720Los AlamitosCalifornia
UCLA Department of Medicine - Hematology/Oncology90095Los AngelesCalifornia
Dignity Health dba Health Research Institute95816SacramentoCalifornia
Sansum Clinic93463SolvangCalifornia
Rocky Mountain Cancer Centers, LLP80124Lone TreeColorado
AdventHealth - Orlando32701Altamonte SpringsFlorida
Florida Cancer Specialists33901Fort MyersFlorida

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