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Active, not recruiting Phase 3

A Study to Learn About a New Medicine Called Vepdegestrant (ARV-471, PF-07850327) in People Who Have Advanced Metastatic Breast Cancer

NCT05654623 · tracked via the Priya Life Science Switzerland tracker
Sponsor
Phase
Phase 3
Started
2023-03-03
Last updated
2026-03-18

Condition(s) studied

Advanced Breast Cancer

Investigational drug(s) / intervention(s)

ARV-471 →Fulvestrant →

ARV-471: orally, once daily on a 28-day continuous dosing schedule

Fulvestrant: intramuscularly on Days 1 and 15 of Cycle 1 and then on Day 1 of each cycle starting from C2D1 (28-day cycle)

Study summary

A study to learn about a new medicine called ARV-471 (PF-07850327) in people who have advanced metastatic breast cancer.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Adult participants with loco-regional recurrent or metastatic breast disease not amenable to surgical resection or radiation therapy * Confirmed diagnosis of ER+/HER2- breast cancer * Prior therapies for locoregional recurrent or metastatic disease must fulfill all the following criteria: * One line of CDK4/6 inhibitor therapy in combination with endocrine therapy. Only one line of CDK4/6 inhibitor is allowed in any setting. * ≤ 1 endocrine therapy in addition to CDK4/6 inhibitor with ET * Most recent endocrine treatment duration must have been given for ≥6 months prior to disease progression. This may be the endocrine treatment component of the CDK4/6 inhibitor line of therapy. * Radiological progression during or after the last line of therapy. * Measurable disease evaluable per Response Evaluation Criterion in Solid Tumors (RECIST) v.1.1 or non-measurable bone-only disease * Eastern Cooperative Oncology Group (ECOG) performance status 0-1 * Participants should be willing to provide blood and tumor tissue Exclusion Criteria: * Participants with advanced, symptomatic visceral spread, that are at risk of life-threatening complications in the short term * Prior treatment with: * ARV-471, fulvestrant, elacestrant, mTOR, PI3K, AKT pathway inhibitors, PARP inhibitor for any setting * other investigational agents (including novel endocrine therapy any SERDs, SERCAs, CERANs) for any setting * prior chemotherapy for advanced/metastatic disease * Inadequate liver, kidney and bone marrow function * Active brain metastases * Participants with significant concomitant illness

Primary outcome measure(s)

  • Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) Assessment Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1- All Randomized Participants — From date of randomization to date of first documentation of objective PD or death (any cause) or censoring date, whichever occurred first (up to 18.56 months and 19.38 months of treatment exposure for vepdegestrant and fulvestrant arms respectively)
    PFS assessed by BICR was defined as the time from the date of randomization to the date of the first documentation of objective progression of disease (PD) per RECIST v1.1, or death due to any cause, whichever occurred first. PD as per RECIST v1.1 was defined as at least a 20% increase in the sum of diameters of target measurable lesions above nadir (smallest sum observed considering baseline and all assessments prior to the timepoint under evaluation), with a minimum absolute increase of 5 millimeters (mm) relative to nadir or unequivocal progression of existing non-target lesions or the presence of new lesions. PFS was censored on the date of last adequate disease assessment for those who did not have a PFS event, discontinued the study treatment due to withdrawal of consent prior to an event, started a new anticancer therapy prior to an event, had an event after a gap of 2 or more missing disease assessments, or lost to follow-up. Kaplan-Meier method was used.
  • PFS by BICR Assessment Per RECIST v1.1-Participants With ESR1 Mutation — From date of randomization to date of first documentation of objective PD or death (any cause) or censoring date, whichever occurred first (up to 18.56 months and 19.38 months of treatment exposure for vepdegestrant and fulvestrant arms respectively)
    PFS assessed by BICR was defined as the time from the date of randomization to the date of the first documentation of objective PD per RECIST v1.1, or death due to any cause, whichever occurred first. PD as per RECIST v1.1 was defined as at least a 20% increase in the sum of diameters of target measurable lesions above nadir (smallest sum observed considering baseline and all assessments prior to the timepoint under evaluation), with a minimum absolute increase of 5 mm relative to nadir or unequivocal progression of existing non-target lesions or the presence of new lesions. PFS was censored on the date of last adequate disease assessment for those who did not have a PFS event, discontinued the study treatment due to withdrawal of consent prior to an event, started a new anticancer therapy prior to an event, had an event after a gap of 2 or more missing disease assessments, or lost to follow-up. Kaplan-Meier method was used.

Trial sites (312)

FacilityCityRegionStatus
California Cancer Associates for Research and Excellence, Inc. (cCARE) Encinitas California
Orange Coast Memorial Medical Center Fountain Valley California
California Cancer Associates for Research and Excellence Fresno California
Providence Queen of the Valley Medical Center Napa California
California Cancer Associates for Research and Excellence San Marcos California
Olive View-UCLA Medical Center Sylmar California
Smilow Cancer Hospital Care Center at Fairfield Fairfield Connecticut
Smilow Cancer Hospital at Yale-New Haven New Haven Connecticut
Yale-New Haven Hospital New Haven Connecticut
Smilow Cancer Hospital Care Center at North Haven North Haven Connecticut
Smilow Cancer Hospital Care Center at Trumbull Trumbull Connecticut
Florida Cancer Specialists Altamonte Springs Florida
Florida Cancer Specialists BON Bonita Springs Florida
Florida Cancer Specialists BCC Bradenton Florida
Florida Cancer Specialists LRS Bradenton Florida
Florida Cancer Specialists Brandon Florida
Florida Cancer Specialists NFM Cape Coral Florida
Morton Plant Hospital - BayCare Health System Clearwater Florida
Florida Cancer Specialists Clearwater Florida
Florida Cancer Specialists Daytona Beach Florida
Florida Cancer Specialists COL Fort Myers Florida
Florida Cancer Specialists GLO Fort Myers Florida
Florida Cancer Specialists Gainesville Florida
Lakeland Regional Cancer Center Lakeland Florida
Florida Cancer Specialists Largo Florida
Florida Cancer Specialists Lecanto Florida
Florida Cancer Specialist And Research Institute N. Venice Florida
Florida Cancer Specialists NGD Naples Florida
Florida Cnacer Specialists North Port Florida
Florida Cancer Specialists Ocala Florida
Florida Cancer Specialists Orange City Florida
Florida Cancer Specialists Orlando Florida
Florida Cancer Specialists PCH Port Charlotte Florida
Florida Cancer Specialists SAC Sarasota Florida
Florida Cancer Specialists SAD Sarasota Florida
Florida Cancer Specialists St. Petersburg Florida
Florida Cancer Specialists Stuart Florida
Florida Cancer Specialists Tampa Florida
Florida Cancer Specialists Tavares Florida
Florida Cancer Specialists The Villages Florida

+ 272 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT05654623 on ClinicalTrials.gov ↗ ← All trials in Switzerland