Breast CancerPhase 2NCT02007512
Efficacy and Safety Study of Enzalutamide in Combination With Exemestane in Patients With Advanced Breast Cancer
A Phase 2 study testing Enzalutamide and exemestane in people with Breast Cancer, run by Pfizer at 135 sites in 7 countries.
Trial summary
The purpose of this study is to determine if enzalutamide given in combination with exemestane is safe and effective in patients with advanced breast cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Enzalutamide and exemestane
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 247 participants
- Where
- 135 sitesin 7 countries
- Study dates
- 16 Dec 2013to 23 Aug 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
- Willing and able to provide informed consent;
- Postmenopausal;
- Advanced histologically confirmed breast cancer that is ER+, PgR+, or both, and HER-2 normal;
- Up to one prior hormone therapy and up to one prior chemotherapy in the advanced setting is allowed;
- Availability of a representative, formalin-fixed, paraffin-embedded tumor specimen that enabled the diagnosis of breast cancer with viable tumor cells in a tissue block or unstained serial slides accompanied bay an associated pathology report;
- Measurable disease. Patients with non-measurable bone or skin disease as their only manifestation of advanced breast cancer are also eligible;
- Eastern Cooperative Oncology Group (ECOG) status of 0 or 1;
Who cannot join
- Any severe concurrent disease, infection, or comorbid condition that renders the patient inappropriate for enrollment in the opinion of the investigator;
- 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, in the opinion of the investigator;
- Current or previously treated brain metastasis or leptomeningeal disease;
- Prior therapy (> 28 days) with exemestane in the metastatic setting (Patients receiving exemestane in the adjuvant setting and having disease recurrence more than 1 year after treatment discontinuation are eligible);
- Requires treatment for tuberculosis or HIV infection;
- Radiation therapy within 7 days before randomization;
Show all 15Show fewer
- History of another invasive cancer within 5 years before randomization;
- History of seizure or any condition that may predispose to seizure;
- Clinically significant cardiovascular disease;
- Active gastrointestinal disorder;
- Major surgery within 28 days prior to randomization;
- Treatment with any oral anticancer or with any non-hormonal anticancer agent within 14 days before randomization;
- Treatment with any approved or investigational agent that blocks androgen synthesis or targets the androgen receptor;
- Treatments with any of the following medications within 14 days before randomization: Estrogens, Androgens, or Systemic radionuclides;
- Hypersensitivity reaction to exemestane.
Trial locations and contacts
135 sites in 7 countries.
135 sites in 7 countries
United States89 sites
Florida Cancer Specialists
Altamonte Springs, Florida, 32701
ATTN-Research Pharmacist
Aurora, Colorado, 80045
University of Colorado Cancer Center - Anschutz Cancer Pavilion
Aurora, Colorado, 80045
University of Colorado Hospital, Anschutz Outpatient Pavilion
Aurora, Colorado, 80045
Florida Cancer Specialists
Bonita Springs, Florida, 34135
Brigham and Women's Hospital
Boston, Massachusetts, 02115
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, 33909
Northwestern Medical Faculty Foundation
Chicago, Illinois, 60611
Northwestern Memorial Hospital
Chicago, Illinois, 60611
The University of Chicago Medical Center,
Chicago, Illinois, 60637
The University of Chicago
Chicago, Illinois, 60637
Oncology Hematology Care, Inc.
Cincinnati, Ohio, 45202
Oncology Hematology Care, Inc.
Cincinnati, Ohio, 45211
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, P.C.
Corinth, Mississippi, 38834
Florida Cancer Specialists
Englewood, Florida, 34223
Oncology Hematology Care, Inc.
Fairfield, Ohio, 45014
Florida Cancer Specialists
Fort Myers, Florida, 33901
Florida Cancer Specialists
Fort Myers, Florida, 33905
Florida Cancer Specialists
Fort Myers, Florida, 33908
Tennessee Oncology, PLLC
Franklin, Tennessee, 37067
Florida Cancer Specialists
Gainesville, Florida, 32605
Tennessee Oncology, PLLC
Gallatin, Tennessee, 37066
The West Clinic, P.C. d/b/a West Cancer Center
Germantown, Tennessee, 38138
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, 37090
Rocky Mountain Cancer Centers
Lone Tree, Colorado, 80124
Texas Oncology-Longview Cancer Center
Longview, Texas, 75601
Virginia Cancer Institute
Mechanicsville, Virginia, 23116
The West Clinic, P.C. d/b/a West Cancer Center
Memphis, Tennessee, 38104
Minnesota Oncology Hematology, P.A
Minneapolis, Minnesota, 55404
Abbott Northwestern Hospital
Minneapolis, Minnesota, 55407
Allina Health System DBA Virginia Piper Cancer Institute
Minneapolis, Minnesota, 55407
Dr.Michaela Tsai
Minneapolis, Minnesota, 55407
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, 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 Cancer Center
New York, New York, 10065
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
Florida Cancer Specialists
Sarasota, Florida, 34232
Florida Cancer Specialists
Sarasota, Florida, 34236
Greenville Health System
Seneca, South Carolina, 29672
Tennessee Oncology, PLLC
Shelbyville, Tennessee, 37160
Tennessee Oncology, PLLC
Smyrna, Tennessee, 37167
The West Clinic, P.C. d/b/a West Cancer Center
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
Ireland14 sites
Pharmacy Department
Dublin, 4
Radiology Department
Dublin, 4
St Vincent's University Hospital
Dublin, 4
Institute for Cancer Research
Dublin, 7
Mater Private Hospital
Dublin, 7
Pharmacy Department
Dublin, 7
Radiology Department
Dublin, 7
Cancer Clinical Trials Unit
Dublin, D9
Pharmacy Department
Dublin, D9
Radiology Department
Dublin, D9
Institute for Cancer Research
Dublin
Mater Private Hospital
Dublin
Pharmacy Department
Dublin
Radiology Department
Dublin
United Kingdom12 sites
Brighton and Sussex University Hospital NHS Trust
Brighton, England, BN2 5BE
Pharmacy Department
Brighton, England, BN2 5BE
Radiation Safety Service, Medical Physics Department
Brighton, England, BN2 5BE
Clinical Investigation & Research Unit
Brighton, Sussex, 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, England, TR1 3LJ
Italy7 sites
Azienda Ospedaliera S.Orsola Malpighi
Bologna, 40138
IRCCS Ospedale San Raffaele
Milan, MI, 20132
Divisione di Senologia Medica; Istituto Europeo di Oncologia
Milan, MI, 20141
A.O.di Perugia S. Maria Della Misericoridia
Perugia, PG, 06132
U.O. Farmaceutica, Nuovo Ospedale di Prato
Prato, 59100
U.O. Oncologia Medica, Nuovo Ospedale di Prato
Prato, 59100
Dipartimento di Oncologia Medica, Istituto Nazionale Tumori Regina Elena
Roma, 00144
Spain7 sites
Grupo Hospitalario Quiron - Hospital Universitari Quiron Dexeus
Barcelona, 08028
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 Integral Oncologico Clara Campal
Madrid, 28050
Hospital de Madrid Norte Sanchinarro
Madrid, 28050
Belgium3 sites
Institut Jules Bordet
Brussels, 1000
UZA
Edegem, Antwerpen, 2650
GZA
Wilrijk, Antwerpen, 2610
Canada3 sites
McGill University Health Center- Cedars Cancer Center
Montreal, Quebec, H4A 3J1
McGill University Health Centre - Cedars Cancer Centre
Montreal, Quebec, H4A 3J1
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
About this study
Official title: A PHASE 2, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTICENTER STUDY OF EFFICACY AND SAFETY OF ENZALUTAMIDE IN COMBINATION WITH EXEMESTANE IN PATIENTS WITH ADVANCED BREAST CANCER THAT IS ESTROGEN OR PROGESTERONE RECEPTOR-POSITIVE AND HER2-NORMAL
The purpose of this study is to determine if enzalutamide given in combination with exemestane is safe and effective in patients with advanced breast cancer.
Read the detailed description
This is a Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of Efficacy and Safety of Enzalutamide in Combination With Exemestane in Patients With Advanced Breast Cancer That Is Estrogen or Progesterone Receptor Positive and HER2-Normal.
- Conditions
- Breast Cancer
- Being tested
- Enzalutamide, exemestane, Placebo (for enzalutamide)
- Keywords
- advanced breast cancer, enzalutamide, MDV3100, Estrogen receptor positive (ER +), Progesterone receptor positive (PgR +), HER-2 normal
- 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 MDV3100, XTANDI
160 mg/day administered as four 40mg soft gelatin capsules by mouth once daily with or without food.
exemestaneDrug
Also called Aromasin
25mg (overencapsulated to match 50mg dose during the blinded portion of the study and one 25mg tablet after unblinding) by mouth once daily after food.
Placebo (for enzalutamide)Drug
Sugar pill manufactured to mimic enzalutamide administered as four soft gelatin capsules by mouth once daily with or without food.
exemestaneDrug
Also called Aromasin
50mg (two 25mg tablets overencapsulated as a single capsule during the blinded portion of the study and two 25mg tablets after unblinding) by mouth once daily after food.
| Study group | Role | What they receive |
|---|---|---|
| Enzalutamide & exemestane | Experimental | Enzalutamide 160 mg/day administered as four 40mg soft gelatin capsules by mouth once daily with or without food and exemestane 50mg (two 25mg tablets overencapsulated as a single capsule during the blinded portion of the study and two 25mg tablets after unblinding) once daily after food. Receives: Drug: Enzalutamide; Drug: exemestane |
| Placebo & exemestane | Active comparator | Placebo and exemestane 25mg (overencapsulated to match 50mg dose during the blinded portion of the study and one 25mg tablet without placebo after unblinding) once daily after food. Receives: Drug: exemestane; Drug: Placebo (for enzalutamide) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS): Intent-to-Treat (ITT) Population By Interactive Web Recognition System (IWRS)
PFS was defined as the time in months from randomization to the first documentation of progression of disease (PD) or death on study due to any cause, whichever occurred first. PD according to response evaluation criteria in solid tumors version 1.1 (RECIST 1.1) was defined as greater than or equal to (>=) 20 percent (%) increase in the sum of diameters of the target lesions taking as a reference the smallest sum recorded since the start of treatment or unequivocal progression in non-target lesions or the appearance of 1 or more new lesions. The analysis of PFS was based on investigator assessment of disease progression. Participants who were not known to have had a PFS event at the analysis date were censored at last tumor assessment date prior to data cutoff or date of new treatment initiation, whichever occurred first.
Measured: From randomization until PD, last tumor assessment without PD before new antitumor treatment initiation or death due to any cause, whichever occurred first (up to 3 years)
Progression Free Survival (PFS): Diagnostic Positive (DX+) Population By Interactive Web Recognition System (IWRS)
PFS was defined as the time in months from randomization to the first documentation of PD or death on study due to any cause, whichever occurred first. PD according to RECIST 1.1, was defined as >= 20% increase in the sum of diameters of the target lesions taking as a reference the smallest sum recorded since the start of treatment or unequivocal progression in non-target lesions or the appearance of 1 or more new lesions. The analysis of PFS was based on investigator assessment of disease progression. Participants who were not known to have had a PFS event at the analysis date were censored at last tumor assessment date prior to data cutoff or date of new treatment initiation, whichever occurred first.
Measured: From randomization until PD, last tumor assessment without PD before new antitumor treatment initiation or death due to any cause, whichever occurred first (up to 3 years)
Secondary outcomes (9)
Clinical Benefit Rate-24 (CBR-24)
CBR-24: Percentage of participants with a best response of complete response (CR), partial response (PR), or stable disease (SD) sustained for atleast 24 weeks, as determined by investigator using RECIST 1.1. CR: Disappearance of all (target and non-target) lesions and normalization of tumor marker level for non-target lesions. All lymph nodes (target and non-target) must be non-pathological in size (less than [<] 10 millimeter [mm] short axis). PR: >=30% decrease in sum of diameters of target lesions, using baseline sum diameters as reference. SD: Neither sufficient reduction to qualify as PR nor sufficient increase to qualify as PD, using the smallest sum diameters during study as reference. PD: >=20% increase (an absolute increase of >=5 mm) in sum of diameters of target lesions, using the smallest sum during the study as a reference (including baseline sum), or unequivocal progression of existing non-target lesions, or appearance of atleast 1 new target or non-target lesions.
Measured: From randomization up to 3 years
Best Objective Response Rate
Best objective response rate: Percentage of participants with measurable disease and with a best response of CR or PR according to RECIST 1.1. CR: Disappearance of all (target and non-target) lesions and normalization of tumor marker level for non-target lesions. All lymph nodes (target and non-target) must be non-pathological in size (<10 mm short axis). PR: Atleast 30% decrease in sum of diameters of target lesions, using baseline sum diameters as reference. Response evaluation was based on investigators' judgment.
Measured: From randomization until CR or PR, whichever occurred first (up to 3 years)
Duration of Objective Response
Duration of objective response: Time from first documentation of CR or PR, to the first documentation of PD or death due to any cause, whichever occurred first as determined by investigator using RECIST 1.1. CR: Disappearance of all (target and non-target) lesions and normalization of tumor marker level for non-target lesions. All lymph nodes (target and non-target) must be non-pathological in size (<10 mm short axis). PR: >=30% decrease in sum of diameters of target lesions, using baseline sum diameters as reference. PD: >=20% increase (an absolute increase of >=5 mm) in sum of diameters of target lesions, using the smallest sum during the study as a reference (including baseline sum), or unequivocal progression of existing non-target lesions, or appearance of atleast 1 new target or non-target lesions. Participants with no PD or death (after initial CR or PR) at the analysis date were censored at last tumor assessment date prior to date of new antitumor treatment or data cutoff.
Measured: From first documentation of CR or PR until PD, or last tumor assessment without PD before new antitumor treatment initiation or death due to any cause, whichever occurred first (up to 3 years)
Time to Response
Time to response: Time from randomization to first documentation of CR or PR. CR: Disappearance of all (target and non-target) lesions and normalization of tumor marker level for non-target lesions. All lymph nodes (target and non-target) must be non-pathological in size (<10 mm short axis). PR: >=30% decrease in sum of diameters of target lesions, using baseline sum diameters as reference. PD: >=20% increase (an absolute increase of >=5 mm) in sum of diameters of target lesions, using the smallest sum during the study as a reference (including baseline sum), or unequivocal progression of existing non-target lesions, or appearance of atleast 1 new target or non-target lesions. Participants who were not known to have had a CR or PR were censored at last tumor assessment date prior to data cutoff or date of new treatment initiation, whichever occurred first.
Measured: From randomization until first documentation of CR or PR, or last tumor assessment without PD or death prior to new antitumor treatment initiation, whichever occurred first (up to 3 years)
Time to Progression
Time to progression was defined as the time from the date of randomization to PD defined by the investigator using RECIST 1.1. PD: >=20% increase (an absolute increase of >=5 mm) in sum of diameters of target lesions, using the smallest sum during the study as a reference (including baseline sum), or unequivocal progression of existing non-target lesions, or appearance of atleast 1 new target or non-target lesions. Participants who did not experience disease progression, time to progression was right censored at the date of the last tumor assessment prior to data cutoff or date of new antitumor treatment, whichever occurred first.
Measured: From randomization until PD or last tumor assessment without PD before new antitumor treatment initiation, whichever occurred first (up to 3 years)
Progression Free Survival (PFS) at 6 Months
PFS at 6 months was defined as the percentage of participants with no event of disease progression at Month 6 landmark, estimated by Kaplan-Meier methods. PFS was defined as the time in months from randomization to the first documentation of PD or death on study due to any cause, whichever occurred first. PD: >=20% increase (an absolute increase of >=5 mm) in sum of diameters of target lesions, using the smallest sum during the study as a reference (including baseline sum), or unequivocal progression of existing non-target lesions, or appearance of atleast 1 new target or non-target lesions. The analysis of PFS was based on investigator assessment of disease progression.
Measured: Month 6
Concentration Versus Time Summary of Enzalutamide
Concentration versus time summary was calculated by setting concentration values below limit of quantitation to zero.
Measured: Predose on Day 29, 57 and 113
Concentration Versus Time Summary of Exemestane
Concentration versus time summary was calculated by setting concentration values below limit of quantitation to zero.
Measured: Predose, 1 and 6 hour postdose on Day 29, 57, 113 and 169
Concentration Versus Time Summary of N-desmethyl Enzalutamide
N-desmethyl enzalutamide was the active metabolite of enzalutamide. Concentration versus time summary was calculated by setting concentration values below limit of quantitation to zero.
Measured: Predose on Day 29, 57 and 113
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Dec 2013 (estimated)
- Study start16 Dec 2013
- Primary completion23 Sep 2016
- Study completion23 Aug 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.
- Other trials for 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
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 247 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc, Medivation, Inc.
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02007512
- Sponsor's protocol ID
- MDV3100-12
- Other IDs
- 2013-002717-35, C3431008
- Status last verified
- Aug 2025
- First submitted
- 3 Dec 2013
- Last updated
- 2 Sep 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- 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.
Study at a glance
From the registry record, last updated by the sponsor on 2 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 2, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, MULTICENTER STUDY OF EFFICACY AND SAFETY OF ENZALUTAMIDE IN COMBINATION WITH EXEMESTANE IN PATIENTS WITH ADVANCED BREAST CANCER THAT IS ESTROGEN OR PROGESTERONE RECEPTOR-POSITIVE AND HER2-NORMAL
- ClinicalTrials.gov ID
- NCT02007512
- Acronym / sponsor ID
- MDV3100-12
- Conditions
- Breast Cancer
- Keywords
- advanced breast cancer, enzalutamide, MDV3100, Estrogen receptor positive (ER +), Progesterone receptor positive (PgR +), HER-2 normal
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 247 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- Astellas Pharma Inc, Medivation, Inc.
- Study start
- 16 Dec 2013 (actual)
- Primary completion
- 23 Sep 2016 (actual)
- Study completion
- 23 Aug 2024 (actual)
- First posted
- 10 Dec 2013 (estimated)
- Results
- Posted 6 Feb 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 given in combination with exemestane is safe and effective in patients with advanced breast cancer.
Detailed description
This is a Phase 2, Randomized, Double-Blind, Placebo-Controlled, Multicenter Study of Efficacy and Safety of Enzalutamide in Combination With Exemestane in Patients With Advanced Breast Cancer That Is Estrogen or Progesterone Receptor Positive and HER2-Normal.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Enzalutamide & exemestane | Experimental | Drug: Enzalutamide, Drug: exemestaneEnzalutamide 160 mg/day administered as four 40mg soft gelatin capsules by mouth once daily with or without food and exemestane 50mg (two 25mg tablets overencapsulated as a single capsule during the blinded portion of the study and two 25mg tablets after unblinding) once daily after food. |
| Placebo & exemestane | Active comparator | Drug: exemestane, Drug: Placebo (for enzalutamide)Placebo and exemestane 25mg (overencapsulated to match 50mg dose during the blinded portion of the study and one 25mg tablet without placebo after unblinding) once daily after food. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Willing and able to provide informed consent;
- Postmenopausal;
- Advanced histologically confirmed breast cancer that is ER+, PgR+, or both, and HER-2 normal;
- Up to one prior hormone therapy and up to one prior chemotherapy in the advanced setting is allowed;
- Availability of a representative, formalin-fixed, paraffin-embedded tumor specimen that enabled the diagnosis of breast cancer with viable tumor cells in a tissue block or unstained serial slides accompanied bay an associated pathology report;
Key exclusion criteria (15 listed)
- Any severe concurrent disease, infection, or comorbid condition that renders the patient inappropriate for enrollment in the opinion of the investigator;
- 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, in the opinion of the investigator;
- Current or previously treated brain metastasis or leptomeningeal disease;
- Prior therapy (> 28 days) with exemestane in the metastatic setting (Patients receiving exemestane in the adjuvant setting and having disease recurrence more than 1 year after treatment discontinuation are eligible);
- Requires treatment for tuberculosis or HIV infection;
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: MDV3100, XTANDI160 mg/day administered as four 40mg soft gelatin capsules by mouth once daily with or without food. | Drug | Enzalutamide & exemestane |
| exemestaneAlso: Aromasin25mg (overencapsulated to match 50mg dose during the blinded portion of the study and one 25mg tablet after unblinding) by mouth once daily after food. | Drug | Placebo & exemestane |
| Placebo (for enzalutamide)Sugar pill manufactured to mimic enzalutamide administered as four soft gelatin capsules by mouth once daily with or without food. | Drug | Placebo & exemestane |
| exemestaneAlso: Aromasin50mg (two 25mg tablets overencapsulated as a single capsule during the blinded portion of the study and two 25mg tablets after unblinding) by mouth once daily after food. | Drug | Enzalutamide & exemestane |
Primary outcome
Progression Free Survival (PFS): Intent-to-Treat (ITT) Population By Interactive Web Recognition System (IWRS)
Time frame: From randomization until PD, last tumor assessment without PD before new antitumor treatment initiation or death due to any cause, whichever occurred first (up to 3 years)
PFS was defined as the time in months from randomization to the first documentation of progression of disease (PD) or death on study due to any cause, whichever occurred first. PD according to response evaluation criteria in solid tumors version 1.1 (RECIST 1.1) was defined as greater than or equal to (>=) 20 percent (%) increase in the sum of diameters of the target lesions taking as a reference the smallest sum recorded since the start of treatment or unequivocal progression in non-target lesions or the appearance of 1 or more new lesions. The analysis of PFS was based on investigator assessment of disease progression. Participants who were not known to have had a PFS event at the analysis date were censored at last tumor assessment date prior to data cutoff or date of new treatment initiation, whichever occurred first.
Progression Free Survival (PFS): Diagnostic Positive (DX+) Population By Interactive Web Recognition System (IWRS)
Time frame: From randomization until PD, last tumor assessment without PD before new antitumor treatment initiation or death due to any cause, whichever occurred first (up to 3 years)
PFS was defined as the time in months from randomization to the first documentation of PD or death on study due to any cause, whichever occurred first. PD according to RECIST 1.1, was defined as >= 20% increase in the sum of diameters of the target lesions taking as a reference the smallest sum recorded since the start of treatment or unequivocal progression in non-target lesions or the appearance of 1 or more new lesions. The analysis of PFS was based on investigator assessment of disease progression. Participants who were not known to have had a PFS event at the analysis date were censored at last tumor assessment date prior to data cutoff or date of new treatment initiation, whichever occurred first.
9 secondary outcomes
Clinical Benefit Rate-24 (CBR-24)
Time frame: From randomization up to 3 years
Best Objective Response Rate
Time frame: From randomization until CR or PR, whichever occurred first (up to 3 years)
Duration of Objective Response
Time frame: From first documentation of CR or PR until PD, or last tumor assessment without PD before new antitumor treatment initiation or death due to any cause, whichever occurred first (up to 3 years)
Time to Response
Time frame: From randomization until first documentation of CR or PR, or last tumor assessment without PD or death prior to new antitumor treatment initiation, whichever occurred first (up to 3 years)
Time to Progression
Time frame: From randomization until PD or last tumor assessment without PD before new antitumor treatment initiation, whichever occurred first (up to 3 years)
Progression Free Survival (PFS) at 6 Months
Time frame: Month 6
Concentration Versus Time Summary of Enzalutamide
Time frame: Predose on Day 29, 57 and 113
Concentration Versus Time Summary of Exemestane
Time frame: Predose, 1 and 6 hour postdose on Day 29, 57, 113 and 169
Concentration Versus Time Summary of N-desmethyl Enzalutamide
Time frame: Predose on Day 29, 57 and 113
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- 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.
Related trials for Breast Cancer
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
RecruitingPhase 2
Gene Signatures to Guide HR+MBC Therapy in a Diverse Cohort
Invasive Mammary Carcinoma, Metastatic Breast Cancer
Not yet recruitingObservational study
Comparison of Reliability, Time Cost, and Participant Comfort of Lymphedema Assessments in Upper Extremity
Lymphedema, Upper Extremity Lymphedema
RecruitingPhase 3
A Study of Camrelizumab Plus Chemotherapy in Combination With or Without Famitinib as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (BCTOP-T-N01)
TNBC - Triple-Negative Breast Cancer
RecruitingPhase 3
Testing Whether Hormone Therapy With Ribociclib is as Effective as Chemotherapy Followed by Hormone Therapy With Ribociclib for the Treatment of High Anatomic Stage Breast Cancer With Low Recurrence Risk, The RxFINE-Low Trial
Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8
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
135 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 and exemestane in people with Breast Cancer, run by Pfizer at 135 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 7 inclusion and 15 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 2 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 135 sites in United States, Ireland, United Kingdom, Italy, Spain 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 6 Feb 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?
Progression Free Survival (PFS): Intent-to-Treat (ITT) Population By Interactive Web Recognition System (IWRS) (time frame: From randomization until PD, last tumor assessment without PD before new antitumor treatment initiation or death due to any cause, whichever occurred first (up to 3 years)). 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?
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 2 Sep 2025.