Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast CancerPhase 3NCT04546009
A Study Evaluating the Efficacy and Safety of Giredestrant Combined With Palbociclib Compared With Letrozole Combined With Palbociclib in Participants With Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer (persevERA Breast Cancer)
A Phase 3 study testing Giredestrant, Letrozole and Palbociclib in people with Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer, run by Hoffmann-La Roche at 255 sites in 30 countries.
Trial summary
This Phase III, randomized, double-blind, placebo-controlled, multicenter study will evaluate the efficacy and safety of giredestrant combined with palbociclib compared with letrozole combined with palbociclib in patients with estrogen receptor (ER)-positive, human epidermal growth factor receptor-2 (HER2)-negative… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer
- What is being tested?
- Giredestrant, Letrozole and Palbociclib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 992 participants
- Where
- 255 sitesin 30 countries
- Study dates
- 9 Oct 2020to 31 Jul 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- For women who are premenopausal or perimenopausal and for men: treatment with approved LHRH agonist therapy for the duration of study treatment
- Locally advanced (recurrent or progressed) or metastatic adenocarcinoma of the breast, not amenable to treatment with curative intent
- Documented ER-positive tumor and HER2-negative tumor, assessed locally
- Patients who have bilateral breast cancers which are both ER-positive and HER2-negative can be included in the study because the metastases are suitably targeted by the study treatments. If patients have bilateral tumors which are of different biomarker status, then proof of the ER and HER2 status of the metastases is required for study entry
- No history of systemic anti-cancer therapy for locally advanced (recurrent or progressed) or metastatic disease
- Disease recurrence from early-stage breast cancer after standard adjuvant endocrine therapy meeting the protocol-defined criteria of having received at least 24 months of treatment without disease progression during treatment and a disease-free interval since the completion of treatment that was greater than 12 months
Show all 9Show fewer
- Measurable disease as defined per RECIST v.1.1 or bone only disease which must have at least one predominantly lytic bone lesion confirmed by CT or MRI which can be followed
- Eastern Cooperative Oncology Group Performance Status 0-1
- Adequate organ function
Who cannot join
- Disease recurrence during or within 12 months of completing prior neoadjuvant or adjuvant treatment with any CDK4/6 inhibitor
- Prior treatment with a selective estrogen receptor degrader (SERD)
- Treatment with any investigational therapy within 28 days prior to study treatment
- Treatment with strong CYP3A inhibitors or inducers within 14 days or 5 drug elimination half-lives (whichever is longer) prior to randomization
- Advanced, symptomatic, visceral spread that is at risk of life-threatening complications in the short term
- Known active uncontrolled or symptomatic CNS metastases, carcinomatous meningitis, or leptomeningeal disease
- Active cardiac disease or history of cardiac dysfunction, as defined in the protocol
- Pregnant or breastfeeding
Trial locations and contacts
255 sites in 30 countries.
255 sites in 30 countries
United States37 sites
University of Colorado
Aurora, Colorado, 80045-2517
Mercy Medical Center
Baltimore, Maryland, 21202
Memorial Sloan Kettering Cancer Center Basking Ridge
Basking Ridge, New Jersey, 07920
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Roper St. Francis Healthcare
Charleston, South Carolina, 29414
The Cleveland Clinic Foundation
Cleveland, Ohio, 44195
MSKCC @ Commack
Commack, New York, 11725
Texas Oncology - DFW
Dallas, Texas, 75246
Rocky Mountain Cancer Center
Denver, Colorado, 80218
Astera Cancer Care East Brunswick
East Brunswick, New Jersey, 08816
Inova Fairfax Hospital
Fairfax, Virginia, 22031
San Juan Oncology Associates
Farmington, New Mexico, 87401
Florida Cancer Specialists - Fort Myers (Broadway)
Fort Myers, Florida, 33901
The Center for Cancer and Blood Disorders - Fort Worth
Fort Worth, Texas, 76104
Orange Coast Memorial Medical Center
Fountain Valley, California, 92708
West Cancer Center
Germantown, Tennessee, 38138
Memorial Regional Cancer Ctr
Hollywood, Florida, 33021
Kaiser Permanente - Moanalua Medical Center
Honolulu, Hawaii, 96819-1469
Baylor St. Luke's Medical Center
Houston, Texas, 77030
Houston Methodist Hospital
Houston, Texas, 77030
HCA Midwest Division
Kansas City, Missouri, 64132
Long Beach Memorial Medical Center
Long Beach, California, 90806
University of Wisconsin
Madison, Wisconsin, 53792
University of Miami
Miami, Florida, 33136
Memorial Sloan Kettering Cancer Center at Bergen
Montvale, New Jersey, 07645
Sarah Cannon Research Institute / Tennessee Oncology
Nashville, Tennessee, 37203
Memorial Sloan-Kettering Cancer Center
New York, New York, 10065
Virginia Oncology Associates
Norfolk, Virginia, 23502
Providence Portland Medical Ctr
Portland, Oregon, 97213
Kaiser Permanente - San Leandro Medical Center
San Leandro, California, 94577
Maryland Oncology Hematology
Silver Spring, Maryland, 20902
SCRI Florida Cancer Specialists North
St. Petersburg, Florida, 33705
Stanford Univ Medical Center
Stanford, California, 94305
Northwest Medical Specialties
Tacoma, Washington, 98405
SCRI Florida Cancer Specialists PAN
Tallahassee, Florida, 32308
Kaiser Permanente - Walnut Creek
Walnut Creek, California, 94596
Japan22 sites
Nagoya University Hospital
Aichi, 466-8560
Chiba Cancer Center
Chiba, 260-8717
National Cancer Center Hospital East
Chiba, 277-8577
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Hiroshima City Hiroshima Citizens Hospital
Hiroshima, 730-8518
Hiroshima University Hospital
Hiroshima, 734-8551
National Hospital Organization Hokkaido Cancer Center
Hokkaido, 003-0804
Hyogo Cancer Center
Hyōgo, 673-0021
University of Tsukuba Hospital
Ibaraki, 305-8576
Sagara Hospital
Kagoshima, 892-0833
Kanagawa Cancer Center
Kanagawa, 241-8515
Tokai University Hospital
Kanagawa, 259-1193
Kumamoto University Hospital
Kumamoto, 860-8556
Fukushima Medical University Hospital
Miyagi, 960-1295
Niigata Cancer Center Hospital
Niigata, 951-8566
Naha-nishi Clinic
Okinawa, 901-0154
National Hospital Organization Osaka National Hospital
Osaka, 540-0006
Osaka International Cancer Institute
Osaka, 541-8567
Saitama Cancer Center
Saitama, 362-0806
National Cancer Center Hospital
Tokyo, 104-0045
The Cancer Institute Hospital of JFCR
Tokyo, 135-8550
Showa Medical University Hospital
Tokyo, 142-8666
Germany19 sites
Ambulantes Tumorzentrum Spandau
Berlin, 13581
Klinikum Chemnitz gGmbH
Chemnitz, 09116
Universitätsklinikum "Carl Gustav Carus" der Technischen Universität Dresden
Dresden, 01307
Universitätsklinikum Essen
Essen, 45122
Niels-Stensen-Kliniken Franziskus-Hospital Harderberg GmbH
Georgsmarienhütte, 49124
Dres.Andreas Ammon und Dirk Meyer
Göttingen, 37073
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20246
Facharztzentrum Eppendorf, Studien GbR
Hamburg, 20249
Medizinische Hochschule Zentrum Frauenheilkunde Abt.Gynäkologische Onkologie
Hanover, 30625
Nationales Centrum für Tumorerkrankungen (NCT)
Heidelberg, 69120
Praxis Köppler, Heymann, Weide, Thomalla
Koblenz, 56068
Dres. Andreas Köhler und Roswitha Fuchs
Langen, 63225
St. Elisabeth-Krankenhaus, Senologie/Brustzentrum
Leipzig, 04277
Universitätsklinikum Mannheim
Mannheim, 68167
Klinik & Poliklinik für Frauenheilkunde und Geburtshilfe, Campus Innenstadt
München, 80336
MVZ für Hämatologie und Onkologie Ravensburg GmBH
Ravensburg, 88212
Klinikum Mutterhaus der Borromaeerinnen gGmbH
Trier, 54290
Dres. Helmut Forstbauer, Carsten Ziske und Kollegen
Troisdorf, 53840
Universitätsklinik Tübingen
Tübingen, 72076
China17 sites
Anyang Tumor Hosptial
Anyang, 455000
Affiliated Hospital of Hebei University
Baoding, 071000
Beijing Cancer Hospital
Beijing, 100142
the First Affiliated Hospital of Bengbu Medical College
Bengbu, 233000
The First Hospital of Jilin University
Changchun, 130021
Hunan Cancer Hospital
Changsha, 410013
Fujian Medical University Union Hospital
Fujian, 350001
Sun Yat-sen Memorial Hospital
Guangzhou, 510000
Sun Yet-sen University Cancer Center
Guangzhou, 510060
Sir Run Run Shaw Hospital Zhejiang University
Hangzhou, 310016
Zhejiang Cancer Hospital
Hangzhou, 310022
Harbin Medical University Cancer Hospital
Harbin, 150081
Shandong Cancer Hospital
Jinan, 250117
Guangxi Cancer Hospital of Guangxi Medical University
Nanning, 530021
Shengjing Hospital of China Medical University
Shenyang, 110004
Liaoning cancer Hospital & Institute
Shenyang, 110042
The First Affiliated Hospital of Xian Jiao Tong University
Xi'an, 710061
South Korea13 sites
Chungbuk National University Hospital
Cheongju-si, 28644
Kyungpook National University Medical Center
Daegu, 41944
National Cancer Center
Gyeonggi-do, 10408
Seoul National University Bundang Hospital
Gyeonggi-do, 13620
Gachon University Gil Medical Center
Incheon, 21565
Korea University Anam Hospital
Seoul, 02841
Seoul National University Hospital
Seoul, 03080
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Gangnam Severance Hospital
Seoul, 06273
Samsung Medical Center
Seoul, 06351
Korea University Guro Hospital
Seoul, 8308
Ulsan University Hosiptal
Ulsan, 44033
Spain13 sites
Complejo Hospitalario Universitario A Coruña (CHUAC)
A Coruña, 15006
Hospital del Mar
Barcelona, 08003
Hospital Universitari Dexeus - Grupo Quironsalud
Barcelona, 08028
Vall d?Hebron Institute of Oncology (VHIO), Barcelona
Barcelona, 08035
Hospital de Donostia
Donostia / San Sebastian, Guipuzcoa, 20080
Hospital Duran i Reynals
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Centro Oncologico MD Anderson Internacional
Madrid, 28033
Hospital Ramon y Cajal
Madrid, 28034
HM Sanchinarro ? CIOCC
Madrid, 28050
Hospital Quiron de Madrid
Pozuelo de Alarcón, Madrid, 28223
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital Clinico Universitario de Valencia
Valencia, 46010
Canada11 sites
Royal Victoria Regional Health Centre
Barrie, Ontario, L4M 6M2
William Osler Health System Brampton Civic Hospital
Brampton, Ontario, L6R 3J7
Arthur J.E. Child Comprehensive Cancer Center-Calgary
Calgary, Alberta, T2N 5G2
Universite de Montreal - Hopital Maisonneuve-Rosemont
Montreal, Quebec, H1T 2M4
Centre Hospitalier de l?Université de Montréal (CHUM)
Montreal, Quebec, H2X 3E4
Jewish General Hospital
Montreal, Quebec, H3T 1E2
McGill University Health Center
Montreal, Quebec, H4A 3J1
Ottawa Hospital Research Institute
Ottawa, Ontario, K1Y 4E9
Hopital du Saint Sacrement
Québec, Quebec, G1S 4L8
BC Cancer ? Surrey
Surrey, British Columbia, V3V 1Z2
Princess Margaret Cancer Center
Toronto, Ontario, M5G 2M9
Italy11 sites
Az. Osp. Spedali Civili
Brescia, Lombardy, 25123
Fondazione del Piemonte per l?Oncologia (IRCCS)
Candiolo, Trentino-Alto Adige, 10060
Ospedale Civile - Livorno
Livorno, Tuscany, 57124
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola
Meldola, Emilia-Romagna, 47014
Istituto Europeo Di Oncologia
Milan, Lombardy, 20141
Humanitas Centro Catanese Di Oncologia
Misterbianco (CT), Sicily, 95045
Asst Di Monza
Monza, Lombardy, 20900
Ospedale Sacro Cuore Don Calabria
Negrar, Veneto, 37024
IOV - Istituto Oncologico Veneto - IRCCS
Padova, Veneto, 35128
IRCCS Istituto Regina Elena (IFO)
Rome, Lazio, 00144
Azienda ULSS 8 Berica
Vicenza, Veneto, 36100
United Kingdom10 sites
Royal Sussex County Hospital
Brighton, BN2 5BE
Leicester Royal Infirmary
Leicester, LE1 5WW
University College London Hospital
London, NW1 - 2PG
Royal Free Hospital
London, NW3 2QS
Guys & St Thomas Hospital
London, SE1 9RT
Maidstone Hospital
Maidstone, ME16 0FS
Peterborough City Hospital
Peterborough, PE3 9GZ
Derriford Hospital
Plymouth, PL6 8DH
Royal Marsden Hosp NHS Fnd
Sutton, SM2 5PT
Royal Cornwall Hospital
Truro, TR1 3LQ
France9 sites
ICO Paul Papin
Angers, 49055
Centre Hospitalier de La Cote Basque
Bayonne, 64109
Chd de Vendee
La Roche-sur-Yon, 85925
Institut régional du Cancer Montpellier
Montpellier, 34298
Chu La Miletrie
Poitiers, 86021
Institut Jean Godinot
Reims, 51056
Centre Eugene Marquis
Rennes, 35042
ICL
Saint-Priest-en-Jarez, 42271
Centre Alexis Vautrin
Vandœuvre-lès-Nancy, 54511
Turkey (Türkiye)9 sites
Hacettepe Uni Medical Faculty Hospital
Ankara, 06100
Ankara Bilkent City Hospital
Ankara, 06490
Trakya Universitesi Tip Fakultesi, Medikal Onkoloji Bilim Dali, Balkan Yerleskesi
Edirne, 22030
Medipol University Medical Faculty
Istanbul, 34214
Medeniyet University Goztepe Training and Research Hospital.
Istanbul, 34730
Izmir Ataturk Training and Research Hospital
Izmir, 35360
Kocaeli University Faculty of Medicine
İzmit, 31380
Inonu University Medical Faculty Turgut Ozal Medical Center Medical Oncology Department
Malatya, 44280
19 Mayis University Medical Faculty
Samsun, 55139
Brazil8 sites
Hospital Araujo Jorge
Goiânia, Goiás, 74605-070
Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90050-170
Hospital Sao Lucas - PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital do Cancer de Pernambuco - HCP
Recife, Pernambuco, 50040-000
Hospital Sao Rafael - HSR
Salvador, Estado de Bahia, 41253-190
Hospital de Base de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria Ltda
São Paulo, São Paulo, 01317-000
Beneficencia Portuguesa de Sao Paulo
São Paulo, São Paulo, 01323-900
Russia8 sites
Chelyabinsk region oncology dispensary
Chelyabinsk, 454087
SBIH "Moscow Clinical Scientific and Practical Center named after A.S. Loginov of DHM"
Moskva, Moscow Oblast, 111123
Podolsk City Clinical Hospital
Podolsk, Moscow Oblast, 142100
Ryazan Regional clinical oncology dispensary
Ryazan, Ryazan Oblast, 390011
GBUZ Saint Petersburg Clinical Research Center of Specialized Types of Care (Oncology)
Saint Petersburg, Sankt-Peterburg, 197758
Multidisciplinary clinic Reaviz
Samara, 443011
Respublikanskiy Onkologicheskiy Dispanser
Saransk, Respublika Mordoviya, 430032
Regional Clinical Oncology Hospital
Yaroslavl, 150040
Argentina7 sites
Centro de Investigaciones Médicas y Desarrollo LC S.R.L
Buenos Aires, Ciudad Autónoma de BuenosAires, C1113AAE
Hospital de Onc Angel Roffo
Buenos Aires, 1425
Organización medica de Investi
Cap Fed, 1015
Hospital Britanico
Ciudad Autonoma Bs As, C1280AEB
Hospital Provincial del Centenario
Rosario, 2000
Instituto de Oncología de Rosario
Rosario, S2000KZE
CEMER Centro Medico de Enfermedades Respiratorias
Vicente López, B1602DQD
Mexico7 sites
Health Pharma Professional Research
CD Mexico, Mexico CITY (federal District), 03810
Centro de Atencion Oncologica Viva S de RL de CV
Mexico City, Mexico CITY (federal District), 06760
Filios Alta Medicina
Monterrey, Nuevo León, 64460
Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde
Morelia, 58260
Centro de Investigacion Clinica de Oaxaca
Oaxaca City, Oaxaca, 68020
Oncologico Potosino
San Luis Potosí City, San Luis Potosí, 78209
Sociedad de Metabolismo y Corazón (SOMECO)
Veracruz, 91900
Australia6 sites
Peter MacCallum Cancer Centre-East Melbourne
Melbourne, Victoria, 3000
Fiona Stanley Hospital - Medical Oncology
Murdoch, Western Australia, 6150
Mater Hospital Brisbane
South Brisbane, Queensland, 4101
Sunshine Hospital
St Albans, Victoria, 3021
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Taiwan6 sites
China Medical University Hospital
Taichung, 404
National Cheng Kung Uni Hospital
Tainan, 704
Veterans General Hospital
Taipei, 00112
National Taiwan Uni Hospital
Taipei, 100
Mackay Memorial Hospital
Taipei, 104
Chang Gung Memorial Hosipital at Linkou
Taoyuan Hsien, 333
Thailand5 sites
Chulalongkorn Hospital, Faculty of Medicine
Bangkok, 10330
Rajavithi Hospital
Bangkok, 10400
Ramathibodi Hospital
Bangkok, 10400
Maharaj Nakorn Chiang Mai Hosp
Chang Mai, 50200
Songklanagarind Hospital
Songkhla, 90110
Ukraine5 sites
Municipal Institution City Clinical Hospital #4 of Dnipro City Council
Dnipropetrovsk, Katerynoslav Governorate, 49102
Ivano-Frankivsk Regional Oncology Center
Ivano-Frankivsk, 76018
SI Institute of general&urgent surgery n/a Zaytseva V.T NAMSU
Kharkiv, Kharkiv Governorate, 61018
ME Kryviy Rih Oncology Dispensary of Dnipropetrovs?k Regional Council
Kryvyi Rih, 50048
Sumy Regional Clinical Onc Ctr
Sumy, 40005
Greece4 sites
Anticancer Hospital Ag Savas
Athens, 115 22
Anticancer Hospital Ag. Savas
Athens, 115 22
Euromedical General Clinic of Thessaloniki
Thessaloniki, 546450
European Interbalkan Medical Center
Thessaloniki, 570 01
Peru4 sites
Oncosalud Sac
Lima, 41
Instituto Peruano de Oncología y Radioterapia
Lima, Lima 27
Instituto Nacional de Enfermedades Neoplasicas
Lima, Lima 34
Instituto Regional de Enfermedades Neoplasicas - IREN Norte
Trujillo, 13014
Portugal4 sites
IPO de Coimbra
Coimbra, 3000-075
Hospital da Luz
Lisbon, 1500-650
Centro Hospitalar Lisboa Norte
Lisbon
IPO do Porto
Porto, 4200-072
Austria3 sites
Uniklinikum Salzburg, LKH
Salzburg, 5020
A.Ö. LHK
Steyr, 4400
Medizinische Universität Wien
Vienna, 1090
Denmark3 sites
Herlev Hospital
Herlev, 2730
Sjællands Universitetshospital, Næstved
Næstved, 4700
Odense Universitetshospital, Onkologisk Afdeling R
Odense C, 5000
Hong Kong3 sites
Pamela Youde Nethersole Eastern Hospital
Hong Kong
Princess Margaret Hospital
Hong Kong
Queen Mary Hospital
Hong Kong
Israel3 sites
Davidof Center - Rabin Medical Center
Petah Tikva, 49100
Chaim Sheba Medical Center
Ramat Gan, 52620-00
Tel Aviv Sourasky Medical Ctr
Tel Aviv, 6423906
Poland3 sites
Uniwersyteckie Centrum Kliniczne
Gda?sk, 80-214
Szpital Morski im. PCK
Gdynia, 81-519
Narodowy Inst.Onkologii im.Sklodowskiej-Curie Panstw.Inst.Bad
Warsaw, 02-781
Belgium2 sites
Cliniques Universitaires St-Luc
Brussels, 1200
Jessa Zkh (Campus Virga Jesse)
Hasselt, 3500
Hungary2 sites
Honvédelmi Minisztérium Állami Egészségügyi Központ;Onkológiai Osztály
Budapest, 1062
Budapesti Uzsoki Utcai Kórház
Budapest, 1145
About this study
Official title: A Phase III Randomized, Double-Blind, Placebo-Controlled, Multicenter Study Evaluating the Efficacy and Safety of GDC-9545 Combined With Palbociclib Compared With Letrozole Combined With Palbociclib in Patients With Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer
This Phase III, randomized, double-blind, placebo-controlled, multicenter study will evaluate the efficacy and safety of giredestrant combined with palbociclib compared with letrozole combined with palbociclib in patients with estrogen receptor (ER)-positive, human epidermal growth factor receptor-2 (HER2)-negative locally advanced (recurrent or progressed) or metastatic breast cancer.
- Being tested
- Giredestrant, Giredestrant-matched Placebo, Letrozole, Letrozole-matched Placebo, Palbociclib
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GiredestrantDrug
Also called GDC-9545, RO7197597, RG6171
Giredestrant is taken orally once per day on Days 1-28 of each 28-day treatment cycle.
Giredestrant-matched PlaceboDrug
Giredestrant-matched placebo is taken orally once per day on Days 1-28 of each 28-day treatment cycle.
LetrozoleDrug
Letrozole 2.5 milligrams (mg) is taken orally once per day on Days 1-28 of each 28-day treatment cycle.
Letrozole-matched PlaceboDrug
Letrozole-matched placebo is taken orally once per day on Days 1-28 of each 28-day treatment cycle.
PalbociclibDrug
Palbociclib 125 mg is taken orally once per day on Days 1-21 of each 28-day treatment cycle.
LHRH AgonistDrug
Only premenopausal/perimenopausal and male participants will receive a luteinizing hormone-releasing hormone (LHRH) agonist on Day 1 of each 28-day treatment cycle. The investigator will determine and supply the appropriate LHRH agonist locally approved for use in breast cancer.
| Study group | Role | What they receive |
|---|---|---|
| Giredestrant + Letrozole-matched Placebo + Palbociclib | Experimental | Not described Receives: Drug: Giredestrant; Drug: Letrozole-matched Placebo; Drug: Palbociclib; Drug: LHRH Agonist |
| Letrozole + Giredestrant-matched Placebo + Palbociclib | Active comparator | Not described Receives: Drug: Giredestrant-matched Placebo; Drug: Letrozole; Drug: Palbociclib; Drug: LHRH Agonist |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS), as Determined by the Investigator According to RECIST v1.1
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 78 months)
Secondary outcomes (13)
Overall Survival
Measured: From randomization to death from any cause (up to 78 months)
Objective Response Rate, as Determined by the Investigator According to RECIST v1.1
The objective response rate is defined as the percentage of participants with a complete response or partial response on two consecutive occasions at least (≥)4 weeks apart.
Measured: From randomization until disease progression or death (up to 78 months)
Duration of Response, as Determined by the Investigator According to RECIST v1.1
Measured: From first occurrence of documented objective response to disease progression or death from any cause, whichever occurs first (up to 78 months)
Clinical Benefit Rate, as Determined by the Investigator According to RECIST v1.1
The clinical benefit rate is defined as the percentage of participants with stable disease for ≥24 weeks or a complete response or partial response.
Measured: From randomization until disease progression or death (up to 78 months)
Time to Confirmed Deterioration in Pain Level, Defined as the Time to First Documented ≥2-Point Increase from Baseline in the 'Worst Pain' Item from the Brief Pain Inventory-Short Form (BPI-SF) Questionnaire
Measured: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Pain Presence and Interference, Defined as the Time to First Documented ≥10-Point Increase from Baseline in the EORTC QLQ-C30 Linearly Transformed Pain Scale Score
EORTC QLQ-C30 = European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire
Measured: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Physical Functioning, Defined as the Time to First Documented ≥10-Point Decrease from Baseline in the EORTC QLQ-C30 Linearly Transformed Physical Functioning Scale Score
Measured: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Role Functioning, Defined as the Time to First Documented ≥10-Point Decrease from Baseline in the EORTC QLQ-C30 Linearly Transformed Role Functioning Scale Score
Measured: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Global Health Status and Quality of Life (GHS/QoL), Defined as the Time to First Documented ≥10-Point Decrease from Baseline in the EORTC QLQ-C30 Linearly Transformed GHS/QoL Scale Score
Measured: From Baseline until treatment discontinuation (up to 78 months)
Number of Participants with Adverse Events, Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI-CTCAE v5.0)
Measured: From treatment initiation until 30 days after the final dose of study treatment (up to 78 months)
Number of Participants with Vital Sign Abnormalities Over the Course of the Study
Vital signs include respiratory rate, pulse rate, and systolic and diastolic blood pressure while the participant is in a seated position, and temperature.
Measured: Baseline, Days 1 and 15 of Cycles 1 and 2, and Day 1 of each cycle thereafter until treatment discontinuation (1 cycle is 28 days)
Plasma Concentration of Giredestrant at Specified Timepoints
Measured: Days 1 and 15 of Cycle 1; Day 1 of Cycles 2, 4, 8, and 16 (1 cycle is 28 days)
Plasma Concentration of Palbociclib at Specified Timepoints
Measured: Days 1 and 15 of Cycle 1 (1 cycle is 28 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2020
- Study start9 Oct 2020
- Primary completion30 Jan 2026
- Study completion31 Jul 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 992 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04546009
- Sponsor's protocol ID
- BO41843
- Other IDs
- 2020-000119-66, 2023-506911-16-00, 2023
- Status last verified
- Aug 2026
- First submitted
- 8 Sep 2020
- Last updated
- 17 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Study at a glance
From the registry record, last updated by the sponsor on 17 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III Randomized, Double-Blind, Placebo-Controlled, Multicenter Study Evaluating the Efficacy and Safety of GDC-9545 Combined With Palbociclib Compared With Letrozole Combined With Palbociclib in Patients With Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer
- ClinicalTrials.gov ID
- NCT04546009
- Acronym / sponsor ID
- BO41843
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 992 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 9 Oct 2020 (actual)
- Primary completion
- 30 Jan 2026 (actual)
- Study completion
- 31 Jul 2027 (estimated)
- First posted
- 11 Sep 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This Phase III, randomized, double-blind, placebo-controlled, multicenter study will evaluate the efficacy and safety of giredestrant combined with palbociclib compared with letrozole combined with palbociclib in patients with estrogen receptor (ER)-positive, human epidermal growth factor receptor-2 (HER2)-negative locally advanced (recurrent or progressed) or metastatic breast cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Giredestrant + Letrozole-matched Placebo + Palbociclib | Experimental | Drug: Giredestrant, Drug: Letrozole-matched Placebo, Drug: Palbociclib, Drug: LHRH Agonist |
| Letrozole + Giredestrant-matched Placebo + Palbociclib | Active comparator | Drug: Giredestrant-matched Placebo, Drug: Letrozole, Drug: Palbociclib, Drug: LHRH Agonist |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- For women who are premenopausal or perimenopausal and for men: treatment with approved LHRH agonist therapy for the duration of study treatment
- Locally advanced (recurrent or progressed) or metastatic adenocarcinoma of the breast, not amenable to treatment with curative intent
- Documented ER-positive tumor and HER2-negative tumor, assessed locally
- Patients who have bilateral breast cancers which are both ER-positive and HER2-negative can be included in the study because the metastases are suitably targeted by the study treatments. If patients have bilateral tumors which are of different biomarker status, then proof of the ER and HER2 status of the metastases is required for study entry
- No history of systemic anti-cancer therapy for locally advanced (recurrent or progressed) or metastatic disease
Key exclusion criteria (8 listed)
- Disease recurrence during or within 12 months of completing prior neoadjuvant or adjuvant treatment with any CDK4/6 inhibitor
- Prior treatment with a selective estrogen receptor degrader (SERD)
- Treatment with any investigational therapy within 28 days prior to study treatment
- Treatment with strong CYP3A inhibitors or inducers within 14 days or 5 drug elimination half-lives (whichever is longer) prior to randomization
- Advanced, symptomatic, visceral spread that is at risk of life-threatening complications in the short term
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 |
|---|---|---|
| GiredestrantAlso: GDC-9545, RO7197597, RG6171Giredestrant is taken orally once per day on Days 1-28 of each 28-day treatment cycle. | Drug | Giredestrant + Letrozole-matched Placebo + Palbociclib |
| Giredestrant-matched PlaceboGiredestrant-matched placebo is taken orally once per day on Days 1-28 of each 28-day treatment cycle. | Drug | Letrozole + Giredestrant-matched Placebo + Palbociclib |
| LetrozoleLetrozole 2.5 milligrams (mg) is taken orally once per day on Days 1-28 of each 28-day treatment cycle. | Drug | Letrozole + Giredestrant-matched Placebo + Palbociclib |
| Letrozole-matched PlaceboLetrozole-matched placebo is taken orally once per day on Days 1-28 of each 28-day treatment cycle. | Drug | Giredestrant + Letrozole-matched Placebo + Palbociclib |
| PalbociclibPalbociclib 125 mg is taken orally once per day on Days 1-21 of each 28-day treatment cycle. | Drug | Giredestrant + Letrozole-matched Placebo + Palbociclib, Letrozole + Giredestrant-matched Placebo + Palbociclib |
| LHRH AgonistOnly premenopausal/perimenopausal and male participants will receive a luteinizing hormone-releasing hormone (LHRH) agonist on Day 1 of each 28-day treatment cycle. The investigator will determine and supply the appropriate LHRH agonist locally approved for use in breast cancer. | Drug | Giredestrant + Letrozole-matched Placebo + Palbociclib, Letrozole + Giredestrant-matched Placebo + Palbociclib |
Primary outcome
Progression-Free Survival (PFS), as Determined by the Investigator According to RECIST v1.1
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 78 months)
13 secondary outcomes
Overall Survival
Time frame: From randomization to death from any cause (up to 78 months)
Objective Response Rate, as Determined by the Investigator According to RECIST v1.1
Time frame: From randomization until disease progression or death (up to 78 months)
Duration of Response, as Determined by the Investigator According to RECIST v1.1
Time frame: From first occurrence of documented objective response to disease progression or death from any cause, whichever occurs first (up to 78 months)
Clinical Benefit Rate, as Determined by the Investigator According to RECIST v1.1
Time frame: From randomization until disease progression or death (up to 78 months)
Time to Confirmed Deterioration in Pain Level, Defined as the Time to First Documented ≥2-Point Increase from Baseline in the 'Worst Pain' Item from the Brief Pain Inventory-Short Form (BPI-SF) Questionnaire
Time frame: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Pain Presence and Interference, Defined as the Time to First Documented ≥10-Point Increase from Baseline in the EORTC QLQ-C30 Linearly Transformed Pain Scale Score
Time frame: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Physical Functioning, Defined as the Time to First Documented ≥10-Point Decrease from Baseline in the EORTC QLQ-C30 Linearly Transformed Physical Functioning Scale Score
Time frame: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Role Functioning, Defined as the Time to First Documented ≥10-Point Decrease from Baseline in the EORTC QLQ-C30 Linearly Transformed Role Functioning Scale Score
Time frame: From Baseline until treatment discontinuation (up to 78 months)
Time to Confirmed Deterioration in Global Health Status and Quality of Life (GHS/QoL), Defined as the Time to First Documented ≥10-Point Decrease from Baseline in the EORTC QLQ-C30 Linearly Transformed GHS/QoL Scale Score
Time frame: From Baseline until treatment discontinuation (up to 78 months)
Number of Participants with Adverse Events, Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI-CTCAE v5.0)
Time frame: From treatment initiation until 30 days after the final dose of study treatment (up to 78 months)
Number of Participants with Vital Sign Abnormalities Over the Course of the Study
Time frame: Baseline, Days 1 and 15 of Cycles 1 and 2, and Day 1 of each cycle thereafter until treatment discontinuation (1 cycle is 28 days)
Plasma Concentration of Giredestrant at Specified Timepoints
Time frame: Days 1 and 15 of Cycle 1; Day 1 of Cycles 2, 4, 8, and 16 (1 cycle is 28 days)
Plasma Concentration of Palbociclib at Specified Timepoints
Time frame: Days 1 and 15 of Cycle 1 (1 cycle is 28 days)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Aug 2026.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
Related trials for Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer
Active, not recruitingPhase 3
A Study Evaluating the Efficacy and Safety of Giredestrant Plus Everolimus Compared With the Physician's Choice of Endocrine Therapy Plus Everolimus in Participants With Estrogen Receptor-Positive, HER2-Negative, Locally Advanced or Metastatic Breast Cancer (evERA Breast Cancer)
Estrogen Receptor (ER)-Positive, HER2-negative, Locally Advanced or Metastatic Breast Cancer
Active, not recruitingPhase 2
Tamoxifen Citrate or Z-Endoxifen Hydrochloride in Treating Patients With Locally Advanced or Metastatic, Estrogen Receptor-Positive, HER2-Negative Breast Cancer
Recurrent Breast Carcinoma, Stage III Breast Cancer AJCC v7
RecruitingPhase 1/2
A Study to Evaluate the Effect of GDC-4198 Alone and in Combination With Giredestrant Versus Abemaciclib and Giredestrant in Participants With Locally Advanced or Metastatic Estrogen Receptor-Positive (ER+), Human Epidermal Growth Factor Receptor-Negative (HER2-) Breast Cancer
Breast Cancer
RecruitingPhase 3
A Study to Learn About the Study Medicine Called PF-07248144 in Combination With Fulvestrant in People With HR-positive, HER2-negative Advanced or Metastatic Breast Cancer Who Progressed After a Prior Line of Treatment.
Breast Cancer
Active, not recruitingPhase 3
Study of PF-07220060 With Letrozole in Adults With HR-positive HER2-negative Breast Cancer Who Have Not Received Anticancer Treatment for Advanced/Metastatic Disease
Breast Cancer
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.
Clinical Trials study director
Hoffmann-La Roche
255 sites in 30 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Giredestrant, Letrozole and Palbociclib in people with Estrogen Receptor-Positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer, run by Hoffmann-La Roche at 255 sites in 30 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 9 inclusion and 8 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: under way, not looking for participants, as of the sponsor's last update on 17 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 255 sites in United States, Japan, Germany, China, South Korea and 25 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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), as Determined by the Investigator According to RECIST v1.1 (time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 78 months)). 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 17 Aug 2026.