Advanced, Androgen Receptor Positive Triple Negative Breast CancerPhase 2NCT01889238
Safety and Efficacy Study of Enzalutamide in Patients With Advanced, Androgen Receptor-Positive, Triple Negative Breast Cancer
A Phase 2 study testing Enzalutamide in people with Advanced, Androgen Receptor Positive Triple Negative Breast Cancer, run by Pfizer at 132 sites in 7 countries.
Trial summary
The purpose of this study is to determine if enzalutamide is safe and effective in the treatment of patients with advanced breast cancer that express the androgen receptor but do not express the estrogen or progesterone receptor and are not Her2 amplified. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Advanced, Androgen Receptor Positive Triple Negative Breast Cancer
- What is being tested?
- Enzalutamide
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 118 participants
- Where
- 132 sitesin 7 countries
- Study dates
- 12 Jun 2013to 10 Jan 2024
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Women at least 18 years of age;
- Advanced AR+ TNBC;
- Availability of a representative tumor specimen:
- Either measurable disease or bone only nonmeasurable disease;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Who cannot join
- Any severe concurrent disease, infection, or comorbid condition;
- Any condition or reason that interferes with the patient's ability to participate in the trial, that may cause undue risk, or complicates the interpretation of safety data;
- Current or previously treated brain metastasis or active leptomeningeal disease;
- Current hormone replacement therapy;
- Local palliative radiation therapy within 7 days before day 1;
- History of another invasive cancer within 5 years of day 1;
Show all 17Show fewer
- Absolute neutrophil count < 1500/µL, platelet count < 75,000/µL, or hemoglobin < 9 g/dL (5.6 mmol/L) at the screening visit;
- Creatinine > 1.5 times upper limit of normal (ULN) at the screening visit;
- History of seizure or any condition that may predispose to seizure;
- Clinically significant cardiovascular disease;
- Active gastrointestinal disorder affecting absorption;
- Major surgery within 4 weeks before day 1;
- Treatment with any commercially available anticancer agent within 14 days before day 1;
- Treatment with any investigational agent within 2 weeks before day 1;
- Treatment with any of the following medications within 2 weeks before day 1: Estrogens, including hormone replacement therapy; Androgens (testosterone, dihydroepiandrosterone, etc);Systemic radionuclides (eg, samarium or strontium);Vaccine therapy;
- Hypoglycemic episode requiring medical intervention while on insulin treatment within 12 months before day 1;
- Hypersensitivity reaction to the active pharmaceutical ingredient or any of the capsule components, including Labrasol, butylated hydroxyanisole, and butylated hydroxytoluene.
Trial locations and contacts
132 sites in 7 countries.
132 sites in 7 countries
United States95 sites
Florida Cancer Specialists
Altamonte Springs, Florida, 32701
Florida Cancer Specialists
Bonita Springs, Florida, 34135
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Florida Cancer Specialists
Bradenton, Florida, 34209
Florida Cancer Specialists
Brandon, Florida, 33511
Florida Cancer Specialists
Cape Coral, Florida, 33914
Northwestern Medical Faculty Foundation(NMFF)/ Women's Cancer Center Shared Laboratories
Chicago, Illinois, 60611
Northwestern Medical Faculty Foundation
Chicago, Illinois, 60611
Northwestern Memorial Hospital
Chicago, Illinois, 60611
The University of Chicago Medical Center, Investigational Drug Service Department of Pharmacy
Chicago, Illinois, 60637
The University of Chicago
Chicago, Illinois, 60637
Oncology Hematology Care, Inc.
Cincinnati, Ohio, 45211
Oncology Hematology Care, Inc.
Cincinnati, Ohio, 45219
Oncology Hematology Care, Inc.
Cincinnati, Ohio, 45230
Oncology Hematology Care, Inc.
Cincinnati, Ohio, 45236
Oncology Hematology Care, Inc.
Cincinnati, Ohio, 45242
Siteman Cancer Center
City of Saint Peters, Missouri, 63376
Florida Cancer Specialists
Clearwater, Florida, 33761
Rocky Mountain Cancer Centers
Colorado Springs, Colorado, 80907
The West Clinic, PC
Corinth, Mississippi, 38834
Oncology Hematology Care, Inc.
Crestview Hills, Kentucky, 41017
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Tennessee Oncology, PLLC
Dickson, Tennessee, 37055
Oncology Hematology Care, Inc.
Fairfield, Ohio, 45014
Florida Cancer Specialists
Fort Myers, Florida, 33905
Florida Cancer Specialist South Division
Fort Myers, Florida, 33908
Florida Cancer Specialists
Fort Myers, Florida, 33908
Florida Cancer Specialists
Fort Myers, Florida, 33916
Tennessee Oncology, PLLC
Franklin, Tennessee, 37067
Florida Cancer Specialists
Gainesville, Florida, 32605
Tennessee Oncology, PLLC
Gallatin, Tennessee, 37066
Cone Health Cancer Center
Greensboro, North Carolina, 27403
Wesley Long Community Hospital
Greensboro, North Carolina, 27403
Greenville Health System
Greenville, South Carolina, 29605
Tennessee Oncology, PLLC
Hermitage, Tennessee, 37076
Texas Oncology - Memorial City
Houston, Texas, 77024
Florida Cancer Specialists
Hudson, Florida, 34667
Indiana University Health Hospital
Indianapolis, Indiana, 46202
Indiana University Health Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
Investigational Drug Services
Indianapolis, Indiana, 46202
Sidney and Lois Eskenazi Hospital
Indianapolis, Indiana, 46202
Springmill Medical Clinic
Indianapolis, Indiana, 46290
Rocky Mountain Cancer Centers
Lakewood, Colorado, 80228
Florida Cancer Specialists
Largo, Florida, 33770
Tennessee Oncology, PLLC
Lebanon, Tennessee, 37087
Tennessee Oncology, PLLC
Lebanon, Tennessee, 37090
Rocky Mountain Cancer Center Sky Ridge
Lone Tree, Colorado, 80124
Rocky Mountain Cancer Centers
Lone Tree, Colorado, 80124
Texas Oncology - Longview Cancer Center
Longview, Texas, 75601
Virginia Cancer Institute
Mechanicsville, Virginia, 23116-1844
The West Clinic, PC
Memphis, Tennessee, 38104
The West Clinic, PC
Memphis, Tennessee, 38120
Virginia Cancer Institute
Midlothian, Virginia, 23114
Hematology Oncology Associates of Northern NJ
Morristown, New Jersey, 07962
Tennessee Oncology, PLLC
Murfreesboro, Tennessee, 37129
Florida Cancer Specialists
Naples, Florida, 34102
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
The Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Vanderbilt Breast Center at One Hundred Oaks
Nashville, Tennessee, 37204
Vanderbilt Health Pharmacy One Hundred Oaks
Nashville, Tennessee, 37204
Tennessee Oncology, PLLC
Nashville, Tennessee, 37205
Tennessee Oncology, PLLC
Nashville, Tennessee, 37207
Tennessee Oncology, PLLC
Nashville, Tennessee, 37211
Henry-Joyce Cancer Clinic
Nashville, Tennessee, 37232
University of Chicago Comprehensive Cancer Center at Silver Cross Hospital
New Lenox, Illinois, 60451
Florida Cancer Specialists
New Port Richey, Florida, 34655
Memorial Sloan Kettering - I Chemotherapy Practice/Investigational Drug Service
New York, New York, 10065
Memorial Sloan-Kettering Cancer Center
New York, New York, 10065
Virginia Oncology Associates
Newport News, Virginia, 23606
Virginia Oncology Associates
Norfolk, Virginia, 23502
Florida Cancer Specialists
Orange City, Florida, 32763
Florida Cancer Specialists
Orlando, Florida, 32806
Florida Cancer Specialists
Port Charlotte, Florida, 33980
Virginia Cancer Institute
Richmond, Virginia, 23230
Virginia Cancer Institute
Richmond, Virginia, 23235-4730
Florida Cancer Specialists
Sarasota, Florida, 34232
Florida Cancer Specialists
Sarasota, Florida, 34236
Greenville Health System
Seneca, South Carolina, 29672
Tennessee Oncology, PLLC
Smyrna, Tennessee, 37167
The West Clinic, PC
Southaven, Mississippi, 38671
Greenville Health System
Spartanburg, South Carolina, 29307
Florida Cancer Specialists
Spring Hill, Florida, 34608
Barnes-Jewish Hospital
St Louis, Missouri, 63110
Washington University Infusion Center Pharmacy
St Louis, Missouri, 63110
Washington University School of Medicine
St Louis, Missouri, 63110
Siteman Cancer Center-South County
St Louis, Missouri, 63129
Siteman Cancer Center-West County
St Louis, Missouri, 63141
Florida Cancer Specialists
St. Petersburg, Florida, 33705
Florida Cancer Specialists
Tampa, Florida, 33607
Florida Cancer Specialists
Tavares, Florida, 32778
Texas Oncology-Tyler
Tyler, Texas, 75702
Florida Cancer Specialists
Venice, Florida, 34285
Florida Cancer Specialists
Venice, Florida, 34292
Virginia Oncology Associates
Virginia Beach, Virginia, 23456
United Kingdom11 sites
Clinical Investigation and Research Unit
Brighton, England, BN2 5BE
Pharmacy Department
Brighton, England, BN2 5BE
Radiation Safety Service, Medical Physics Department
Brighton, England, BN2 5BE
Histopathology Department
Nottingham, England, NG5 1PB
Nottingham University Hospital
Nottingham, England, NG5 1PB
Pharmacy Department
Nottingham, England, NG5 1PB
Radiology Department
Nottingham, England, NG5 1PB
Radiology Department
Nottingham, England, NG7 2UH
Department of Radiology
Truro, England, TR1 3LJ
Pharmacy Department
Truro, England, TR1 3LJ
Royal Cornwall Hospitals NHS trust
Truro, Cornwall, England, TR1 3LJ
Ireland10 sites
Department of Radiology
Dooradoyle, Limerick
3rd Floor,Oncology Link office
Dublin, 4
Department of Radiology
Dublin, 4
Institute for Cancer Research
Dublin, 7
Mater Private Hospital
Dublin, 7
Pharmacy Department
Dublin, 7
Radiology Department
Dublin, 7
Pharmacy Department
Dublin
Cancer Clinical Trials Unit, Mid-Western Cancer center
Limerick
Pharmacy Department
Limerick
Spain7 sites
Grupo Hospitalario Quiron - Hospital Quiron Barcelona
Barcelona, 08023
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Universitario HM Monteprincipe
Boadilla del Monte, Madrid, 28660
Hospital Universitario Ramon Y Cajal
Madrid, 28034
Hospital Universitario 12 Octubre
Madrid, 28041
Centro Intergral Oncologico Clara Campal
Madrid, 28050
Hospital de Madrid Norte-Sanchinarro.
Madrid, 28050
Italy4 sites
Dipartimento di Oncologia Medica, IRCCS Ospedale San Raffaele
Milan, 20132
Farmacia (magazzino ricevimento merc), IRCCS Ospedale San Raffaele
Milan, 20132
U.O Farmaceutica, Nuovo Ospedale di Prato Palazzina dei servizi
Prato, 59100
U.O. Oncologia Medica, Nuovo Ospedale di Prato
Prato, 59100
Canada3 sites
McGill University Health Centre-Cedars Cancer Centre
Montreal, Quebec, H4A 3J1
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
British Columbia Cancer Agency - Vancouver Centre
Vancouver, British Columbia, V5Z 4E6
Belgium2 sites
Institut Jules Bordet
Brussels, 1000
UZA
Edegem, Antwerpen, 2650
About this study
Official title: A PHASE 2, SINGLE-ARM, OPEN-LABEL, MULTICENTER STUDY OF THE CLINICAL ACTIVITY AND SAFETY OF ENZALUTAMIDE IN PATIENTS WITH ADVANCED, ANDROGEN RECEPTOR-POSITIVE, TRIPLE-NEGATIVE BREAST CANCER
The purpose of this study is to determine if enzalutamide is safe and effective in the treatment of patients with advanced breast cancer that express the androgen receptor but do not express the estrogen or progesterone receptor and are not Her2 amplified.
- Being tested
- Enzalutamide
- Keywords
- breast cancer, triple negative, androgen receptor positive
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EnzalutamideDrug
Also called Xtandi®, MDV3100
160 mg administered as four soft gelatin capsules orally once daily
| Study group | Role | What they receive |
|---|---|---|
| Enzalutamide | Experimental | 160 mg administered as four 40 mg soft gelatin capsules orally once daily Receives: Drug: Enzalutamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Clinical Benefit at Week 16: Evaluable Population
Percentage of participants with a clinical benefit at Week 16 defined as percentage of participants with a best response of complete response (CR), partial response(PR), stable disease(SD) for >=16 weeks on radiologic imaging based on Investigator assessment using Response Evaluation Criteria in Solid Tumors version 1.1(RECIST 1.1). An estimate of the percentage and its exact 2-sided 85% confidence interval(CI) were calculated using the Blaker method. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in size <10mm short axis. PR: At least 30% decrease in sum of longest diameter (LD) of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions. SD: Neither sufficient reduction to qualify as PR nor sufficient increase to qualify as PD, using the smallest sum diameters during the study as a reference.
Measured: Week 16
Percentage of Participants With Clinical Benefit at Week 16: Intent-to-Treat (ITT) Population
Percentage of participants with a clinical benefit at Week 16 defined as percentage of participants with a best response of CR, PR, or SD for >= 16 weeks on radiologic imaging based on Investigator assessment using RECIST 1.1. An estimate of the percentage and its exact 2-sided 85% CI were calculated using the Blaker method. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in size <10 mm short axis. PR: At least 30% decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions. SD: Neither sufficient reduction to qualify as PR nor sufficient increase to qualify as PD, using the smallest sum diameters during the study as a reference.
Measured: Week 16
Secondary outcomes (9)
Percentage of Participants With Clinical Benefit at Week 24: Evaluable Population
Percentage of participants with a clinical benefit at Week 24 defined as percentage of participants with a best response of CR, PR, or SD for >= 24 weeks on radiologic imaging based on investigator assessment using RECIST 1.1. An estimate of the percentage and its exact 2-sided 85% CI were calculated using the Blaker method. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in size <10 mm short axis. PR: At least 30% decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions. SD: Neither sufficient reduction to qualify as PR nor sufficient increase to qualify as PD, using the smallest sum diameters during the study as a reference.
Measured: Week 24
Percentage of Participants With Clinical Benefit at Week 24: ITT Population
Percentage of participants with a clinical benefit at Week 24 defined as percentage of participants with a best response of CR, PR, or SD for >= 24 weeks on radiologic imaging based on investigator assessment using RECIST 1.1. An estimate of the percentage and its exact 2-sided 85% CI were calculated using the Blaker method. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in size <10 mm short axis. PR: At least 30% decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions. SD: Neither sufficient reduction to qualify as PR nor sufficient increase to qualify as PD, using the smallest sum diameters during the study as a reference.
Measured: Week 24
Percentage of Participants With Best Objective Response: Evaluable Population
Percentage of participants with best objective response defined as percentage of participants with a best response of CR and PR based on investigator assessment of target, non-target and new lesions using RECIST 1.1. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in <10 mm short axis. PR: At least 30% decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions.
Measured: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Percentage of Participants With Best Objective Response: ITT Population
Percentage of participants with best objective response defined as percentage of participants with a best response of CR and PR based on investigator assessment of target, non-target and new lesions using RECIST 1.1. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in <10 mm short axis. PR: At least 30% decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions.
Measured: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Progression-Free Survival (PFS): Evaluable Population
PFS was defined as the time (in weeks) from the date of first dose of study drug to the date of documented disease progression or death due to any cause whichever occurs first as determined by the investigator using RECIST 1.1. As per RECIST 1.1, progression was defined as: >=20 percent increase in sum of LD of target lesions taking as a reference the smallest sum of the LD recorded since the treatment started, or the appearance of one or more new lesions and/or unequivocal progression of existing non target-lesions.
Measured: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Progression-Free Survival: ITT Population
PFS was defined as the time (in weeks) from the date of first dose of study drug to the date of documented disease progression or death due to any cause whichever occurs first as determined by the investigator using RECIST 1.1. As per RECIST 1.1, progression was defined as: >=20 percent increase in sum of LD of target lesions taking as a reference the smallest sum of the LD recorded since the treatment started, or the appearance of one or more new lesions and/or unequivocal progression of existing non target-lesions.
Measured: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Time to Response: Evaluable Population
The time to response is defined as the time from the date of first dose of study drug to initial CR or PR. Participants without response of CR or PR before the data cutoff date were censored at the last tumor assessment date before the data cutoff. Kaplan-Meier method was used to summarize time to response.
Measured: From first dose of study drug until first documentation of CR or PR or data censoring date, whichever occurred first (up to 87 Weeks)
Duration of Response: Evaluable Population
Duration of objective response is defined as the time from initial CR or PR to documented disease progression or death due to any cause, whichever occurs first. Participants without disease progression or death due to any cause before the data cutoff date were censored at the last tumor assessment date before the data cutoff.
Measured: From first documentation of CR or PR until first documentation of tumor progression or death due to any cause or data censoring date, whichever occurred first (up to 87 Weeks)
Number of Participants With Postbaseline Laboratory Toxicities Grade 3 or 4
Laboratory parameters included hematology parameters [low lymphocytes (10^6/L), neutrophils (10^6/L) and Leukocytes (10^9/L)] and chemistry parameters [high phosphate (mmol/L), bilirubin, Alkaline phosphatase (U/L) and glucose (mmol/L)]. Number of participants with postbaseline laboratory toxicity Grade 3 or 4 as per NCI-CTCAE (version 4.0) (Grade 3= Severe, Grade 4= Life-threatening) were reported.
Measured: From start of study treatment on Day 1 up to 30 days after the last dose of study drug (up to maximum of 9.6 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jun 2013 (estimated)
- Study start12 Jun 2013
- Primary completion1 Mar 2015
- Study completion10 Jan 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Advanced, Androgen Receptor Positive Triple Negative Breast CancerStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 118 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc, Medivation LLC, a wholly owned subsidiary of Pfizer Inc.
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, PfizerPfizer CT.gov Call Center, Study chair, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01889238
- Sponsor's protocol ID
- MDV3100-11
- Other IDs
- 2013-000698-57, C3431007
- Status last verified
- Nov 2024
- First submitted
- 26 Jun 2013
- Last updated
- 13 Dec 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Kumar V, Yu J, Phan V, Tudor IC, Peterson A, Uppal H. Androgen Receptor Immunohistochemistry as a Companion Diagnostic Approach to Predict Clinical Response to Enzalutamide in Triple-Negative Breast Cancer. JCO Precis Oncol. 2017 Nov;1:1-19. doi: 10.1200/PO.17.00075.
PubMed 35172518Traina TA, Miller K, Yardley DA, Eakle J, Schwartzberg LS, O'Shaughnessy J, Gradishar W, Schmid P, Winer E, Kelly C, Nanda R, Gucalp A, Awada A, Garcia-Estevez L, Trudeau ME, Steinberg J, Uppal H, Tudor IC, Peterson A, Cortes J. Enzalutamide for the Treatment of Androgen Receptor-Expressing Triple-Negative Breast Cancer. J Clin Oncol. 2018 Mar 20;36(9):884-890. doi: 10.1200/JCO.2016.71.3495. Epub 2018 Jan 26.
PubMed 29373071
Study at a glance
From the registry record, last updated by the sponsor on 13 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 2, SINGLE-ARM, OPEN-LABEL, MULTICENTER STUDY OF THE CLINICAL ACTIVITY AND SAFETY OF ENZALUTAMIDE IN PATIENTS WITH ADVANCED, ANDROGEN RECEPTOR-POSITIVE, TRIPLE-NEGATIVE BREAST CANCER
- ClinicalTrials.gov ID
- NCT01889238
- Acronym / sponsor ID
- MDV3100-11
- Keywords
- breast cancer, triple negative, androgen receptor positive
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 118 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc, Medivation LLC, a wholly owned subsidiary of Pfizer Inc.
- Study start
- 12 Jun 2013 (actual)
- Primary completion
- 1 Mar 2015 (actual)
- Study completion
- 10 Jan 2024 (actual)
- First posted
- 28 Jun 2013 (estimated)
- Results
- Posted 22 Aug 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine if enzalutamide is safe and effective in the treatment of patients with advanced breast cancer that express the androgen receptor but do not express the estrogen or progesterone receptor and are not Her2 amplified.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Enzalutamide | Experimental | Drug: Enzalutamide160 mg administered as four 40 mg soft gelatin capsules orally once daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Women at least 18 years of age;
- Advanced AR+ TNBC;
- Availability of a representative tumor specimen:
- Either measurable disease or bone only nonmeasurable disease;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Key exclusion criteria (17 listed)
- Any severe concurrent disease, infection, or comorbid condition;
- Any condition or reason that interferes with the patient's ability to participate in the trial, that may cause undue risk, or complicates the interpretation of safety data;
- Current or previously treated brain metastasis or active leptomeningeal disease;
- Current hormone replacement therapy;
- Local palliative radiation therapy within 7 days before day 1;
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EnzalutamideAlso: Xtandi®, MDV3100160 mg administered as four soft gelatin capsules orally once daily | Drug | Enzalutamide |
Primary outcome
Percentage of Participants With Clinical Benefit at Week 16: Evaluable Population
Time frame: Week 16
Percentage of participants with a clinical benefit at Week 16 defined as percentage of participants with a best response of complete response (CR), partial response(PR), stable disease(SD) for >=16 weeks on radiologic imaging based on Investigator assessment using Response Evaluation Criteria in Solid Tumors version 1.1(RECIST 1.1). An estimate of the percentage and its exact 2-sided 85% confidence interval(CI) were calculated using the Blaker method. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in size <10mm short axis. PR: At least 30% decrease in sum of longest diameter (LD) of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions. SD: Neither sufficient reduction to qualify as PR nor sufficient increase to qualify as PD, using the smallest sum diameters during the study as a reference.
Percentage of Participants With Clinical Benefit at Week 16: Intent-to-Treat (ITT) Population
Time frame: Week 16
Percentage of participants with a clinical benefit at Week 16 defined as percentage of participants with a best response of CR, PR, or SD for >= 16 weeks on radiologic imaging based on Investigator assessment using RECIST 1.1. An estimate of the percentage and its exact 2-sided 85% CI were calculated using the Blaker method. As per RECIST 1.1, CR defined as disappearance of all target, non-target lesions and normalization of tumor marker level and all lymph nodes decreased to non-pathological in size <10 mm short axis. PR: At least 30% decrease in sum of LD of target lesions taking as reference baseline sum of LD, without progression of non-target lesions, no appearance of new lesions. SD: Neither sufficient reduction to qualify as PR nor sufficient increase to qualify as PD, using the smallest sum diameters during the study as a reference.
9 secondary outcomes
Percentage of Participants With Clinical Benefit at Week 24: Evaluable Population
Time frame: Week 24
Percentage of Participants With Clinical Benefit at Week 24: ITT Population
Time frame: Week 24
Percentage of Participants With Best Objective Response: Evaluable Population
Time frame: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Percentage of Participants With Best Objective Response: ITT Population
Time frame: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Progression-Free Survival (PFS): Evaluable Population
Time frame: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Progression-Free Survival: ITT Population
Time frame: From Baseline up to disease progression or death due to any cause (up to 87 Weeks)
Time to Response: Evaluable Population
Time frame: From first dose of study drug until first documentation of CR or PR or data censoring date, whichever occurred first (up to 87 Weeks)
Duration of Response: Evaluable Population
Time frame: From first documentation of CR or PR until first documentation of tumor progression or death due to any cause or data censoring date, whichever occurred first (up to 87 Weeks)
Number of Participants With Postbaseline Laboratory Toxicities Grade 3 or 4
Time frame: From start of study treatment on Day 1 up to 30 days after the last dose of study drug (up to maximum of 9.6 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35172518Kumar V, Yu J, Phan V, Tudor IC, Peterson A, Uppal H. Androgen Receptor Immunohistochemistry as a Companion Diagnostic Approach to Predict Clinical Response to Enzalutamide in Triple-Negative Breast Cancer. JCO Precis Oncol. 2017 Nov;1:1-19. doi: 10.1200/PO.17.00075.
- Derived from this study: PubMed 29373071Traina TA, Miller K, Yardley DA, Eakle J, Schwartzberg LS, O'Shaughnessy J, Gradishar W, Schmid P, Winer E, Kelly C, Nanda R, Gucalp A, Awada A, Garcia-Estevez L, Trudeau ME, Steinberg J, Uppal H, Tudor IC, Peterson A, Cortes J. Enzalutamide for the Treatment of Androgen Receptor-Expressing Triple-Negative Breast Cancer. J Clin Oncol. 2018 Mar 20;36(9):884-890. doi: 10.1200/JCO.2016.71.3495. Epub 2018 Jan 26.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
Pfizer CT.gov Call Center study chair
Pfizer
132 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Enzalutamide in people with Advanced, Androgen Receptor Positive Triple Negative Breast Cancer, run by Pfizer at 132 sites in 7 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 132 sites in United States, United Kingdom, Ireland, Spain, Italy and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 22 Aug 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Clinical Benefit at Week 16: Evaluable Population (time frame: Week 16). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01889238, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Dec 2024.