Breast Cancer FemalePhase 3ADAPTlateNCT04565054
Adjuvant Therapy With Abemaciclib + SOC ET vs. SOC ET in Clinical or Genomic High Risk, HR+/HER2- EBC
A Phase 3 study testing Abemaciclib 50 MG; 150mg 1-0-1 per os in people with Breast Cancer Female, run by Women's Cancer Study Group GmbH at 85 sites in 3 countries.
Trial summary
Patients with breast cancer, who have completed first line therapy (e.g., radiotherapy, chemotherapy, surgery), and who have to be identified with having a high risk of recurrence of cancer, will be eligible for the study. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer Female
- What is being tested?
- Abemaciclib 50 MG; 150mg 1-0-1 per os
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,260 participants
- Where
- 85 sitesin 3 countries
- Study dates
- 2 Sep 2020to Jul 2029
- 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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Prior to REGISTRATION
- 1. Written informed consent prior to any study procedures (outcomes of standard-of-care procedures performed before signing of informed consent by the patient but within allowed screening period can be used for screening of patient). 2. Female. 3. ≥ 18 years of age. 4a. EITHER: (Post)menopausal status at the time of initiation of adjuvant study medication
- patient underwent bilateral oophorectomy, or
- age ≥ 60, or
- age < 60 and amenorrhea for 12 or more months (in the absence of chemotherapy, tamoxifen, or ovarian suppression) and/or FSH and estradiol in the postmenopausal range per local normal range.
- 4b. OR: Pre-/perimenopausal patients:
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- confirmed negative serum or urine pregnancy test (β-hCG) before starting study treatment, or
- patient has had a hysterectomy. 5. Histologically confirmed diagnosis(by local laboratory ) of estrogen-receptor positive and/or progesterone-receptor positive (>1% ) primary early breast cancer or local relapse. In case the receptor status from local pathology is unclear a central pathology review is obligatory. Results must be known prior to randomization.
- 6. Patient has HER2-negative breast cancer defined as
- a negative in-situ hybridization test or an IHC status of 0, 1+, or 2+,
- if IHC is 2+, a negative in-situ hybridization (FISH, CISH, or SISH) test is required (based on the analyzed tissue sample at initial diagnosis by a local laboratory).
- 7. Patients are eligible
- with completed (i.e., 5 years according to SoC), planned or ongoing adjuvant endocrine therapy, without any signs of distant relapse or secondary malignancy AND
- if primary diagnosis was 6 years or less before enrollment 8a. Intermediate to high clinical or genomic risk, defined as either one of the following criteria:
- c or p or ypN 2-3 with/without (neo)adjuvant chemotherapy;
- in patients with c/ypN0-1:
- non-pCR in patients with G3 or c/ypN1
- high biological risk defined as G3 with Ki-67 ≥40%
- or high genomic risk (RS>25 (known or Oncotype Dx® in screening phase) or another test)
- high CTS5 score or UICC stage IIb (clinical if neoadjuvant chemotherapy or pathological)
- OR, if patients do not fulfill above criteria:
- patients ≤50 years old or pre-/perimenopausal and c or (y)pN1 disease (in particular if ET-non-response or no chemotherapy)
- patients >50 years old and postmenopausal and c or (y)pN1 with intermediate genomic risk (RS≥18) or non-low risk by another test
- ET non-response definition:
- Ki-67 post-treatment > 10% (central or local pathology value) OR 8b. Patients after isolated locoregional relapse with high-risk patterns (e.g., rpT2-3 or rpN1-3 or G3 or Ki-67 pre-treatment ≥20%), once surgery with free margins was completed Note: Inclusion is only possible for the first locoregional relapse removed by surgery (free margins) OR 8c. Patients with any high clinical risk at Investigator´s assessment but not fulfilling above criteria: consultation with sponsor required
- Prior to RANDOMIZATION in the study 9. Completed primary therapy of breast cancer according to current guidelines, i.e., after (neo)adjuvant treatment, definite surgery and radiotherapy, if applicable.
- 10. No clinical evidence of distant metastasis (confirmation recommended prior to randomization by either combination of or either one of the following examinations: CT thorax / abdomen, chest X-ray, liver ultrasound, bone scan, PET-CT). 11. Patient has available tumor tissue from primary diagnostic biopsy. 12. No contraindication for adjuvant ET. 13. Eastern Cooperative Oncology Group (ECOG) performance status 0-1. 14. Patient has adequate bone marrow and organ function as defined by the following laboratory values:
- absolute neutrophil count ≥ 1.5 × 109/L,
- platelets ≥ 100 × 109/L,
- hemoglobin ≥ 8.0 g/dL,
- total bilirubin ≤ 1.5 ULN, except for patients with Gilbert's Syndrome who may only be included if the total bilirubin is ≤ 2.0 × ULN or direct bilirubin within normal ranges,
- aspartate transaminase (AST) ≤ 3 × ULN,
- alanine transaminase (ALT) ≤ 3 × ULN,
- serum creatinine ≤ 1.5 x ULN. 15. Ability to swallow abemaciclib tablets or to administer other study medication, respectively.
- 16. Ability to communicate with the investigator and comply with study procedures.
- 17. Willing to receive therapy by clinical site, as required by the protocol.
Who cannot join
- Patients eligible for inclusion in this study must not meet any of the following criteria:
- Patient with distant metastases of breast cancer beyond regional lymph nodes.
- Previously received CDK 4/6 inhibitor.
- Patient with a known hypersensitivity to any of the excipients of abemaciclib or standard-of-care endocrine therapy.
- Patient has had major surgery within 14 days prior to starting study drug or has not recovered from major side effects.
- Patient has not recovered from clinical and laboratory acute toxicities related to prior anticancer therapies to NCI CTCAE version 5.0 Grade ≤ 1 (polyneuropathy ≤ 2 is allowed).
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- Patient has a concurrent malignancy or non-breast malignancy within 5 years prior to randomization.
- Patient has impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of the study drugs (e.g., uncontrolled ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small-bowel resection).
- Patient has any active systemic bacterial infection (requiring intravenous antibiotics at time of initiating study treatment), fungal infection, or detectable viral infection (such as known human immunodeficiency virus positivity or with known active hepatitis B or C [for example, hepatitis B surface antigen positive]. Screening is not required for enrollment.
- Patient has any other concurrent severe and/or uncontrolled medical condition that would, in the investigator´s judgment, cause unacceptable safety risks, contraindicate patient participation in the clinical study, or compromise compliance with the protocol (e.g., interstitial lung disease, severe dyspnea at rest or requiring oxygen therapy, severe renal impairment [e.g. estimated creatinine clearance <30ml/min], history of major surgical resection involving the stomach or small bowel, or preexisting Crohn's disease or ulcerative colitis or a preexisting chronic condition resulting in baseline Grade 2 or higher diarrhea, etc.).
- Patient has a personal history of any of the following conditions: syncope of cardiovascular etiology, ventricular arrhythmia of pathological origin (including, but not limited to, ventricular tachycardia and ventricular fibrillation), or sudden cardiac arrest.
- Patient is currently receiving any of the following substances, which cannot be discontinued 7 days prior to day 1 of study treatment:
- o concomitant medications and herbal supplements, that are strong inducers or inhibitors of CYP3A4.
- Participation in a prior investigational study within 30 days prior to enrollment.
- Not able to understand and to comply with study instructions and requirements.
- Pregnant or nursing (lactating) woman.
- Woman of child-bearing potential defined as woman physiologically capable of becoming pregnant, unless she is using highly effective methods of contraception during the study treatment and for 21 days after stopping the treatment:
- total abstinence (when this is in line with the preferred and usual lifestyle of the patient).
- female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation at least 6 weeks before taking study treatment.
- male partner sterilization (at least 6 months prior to study screening). For female patients on the study, the vasectomized male partner should be the sole partner for that patient.
- placement of an intrauterine device (IUD).
- use of condom + spermicide.
- Use of oral (estrogen and progesterone), transdermal, injected, or implanted hormonal methods of contraception as well as hormonal replacement therapy.
Trial locations and contacts
85 sites in 3 countries.
85 sites in 3 countries
Germany70 sites
Stiftung Katholisches BrustCentrum Marienhospital
Aachen, North Rhine-Westphalia, 52066
Uniklinik RWTH Aachen Gynäkologie und Geburtsmedizin
Aachen, North Rhine-Westphalia, 52074
Haematologie-Onkologie im Zentrum MVZ GmbH
Augsburg, Bavaria, 86150
Klinikum Mittelbaden Balg
Baden-Baden, Baden-Würtemberg, 76532
Evangelisches Krankenhaus Bergisch Gladbach gGmbH Brustzentrum,
Bergisch Gladbach, North Rhine-Westphalia, 51465
MediOnko-Institut GbR Praxiskliik Krebsheilkunde für Frauen/Brustzentrum
Berlin, 10367
Praxis für gynäkologische Onkologie im Brustzentrum City am Sankt Gertrauden KH
Berlin, 10713
HELIOS Klinikum Berlin-Buch GmbH
Berlin, 13125
Onkologische Schwerpunktpraxis Bielefeld
Bielefeld, North Rhine-Westphalia, 33604
Gynäkologisches Zentrum Bonn PD Dr. med. Christian Kurbacher
Bonn, North Rhine-Westphalia, 53111
Studien GbR Braunschweig Dr. Lorenz/Dr. Kreiss-Sender
Braunschweig, Lower Saxony, 38100
Onkologisch-Hämatologische Schwerpunktpraxis
Bremen, 28209
Klinikum Chemnitz Frauenheilkunde und Geburtshilfe
Chemnitz, Saxony, 09116
GYNONOVA GbR Schwerpunktpraxis für gynäkologische Onkologie
Cologne, North Rhine-Westphalia, 50679
St. Elisabeth-Krankenhaus GmbH, Brustzentrum - Senologie
Cologne, North Rhine-Westphalia, 50935
Kliniken der Stadt Köln Krankenhaus Köln-Holweide Medizinische Klinik Brustzentrum
Cologne, North Rhine-Westphalia, 51067
Medizinische Universität Lausitz - Carl-Thiem Frauenklinik
Cottbus, Brandenburg, 03048
Onkozentrum Dresden/Freiberg/Meißen
Dresden, Saxony, 01127
Gemeinschaftspraxis Dr. med. Johannes Mohm, Dr. med. Virág Siklaky, Stefanie Mann Onkopraxis Dresden
Dresden, Saxony, 01307
Universitätsklinikum Düsseldorf Frauenheilkunde und Geburtshilfe
Düsseldorf, North Rhine-Westphalia, 40225
MVZ Medical Center Duesseldorf GmbH Luisenkrankenhaus Brustzentrum
Düsseldorf, North Rhine-Westphalia, 40235
St.-Antonius-Hospital Eschweiler Hämatologie/Onkologie
Eschweiler, North Rhine-Westphalia, 52249
Kliniken Essen-Mitte, Klinik für Senologie/Interdisziplinäres Brustzentrum
Essen, North Rhine-Westphalia, 45136
Universitätsklinikum Essen Frauenheilkunde und Geburtshilfe
Essen, North Rhine-Westphalia, 45147
Centrum für Hämatologie und Onkologie
Frankfurt a.M., Hesse, 60389
Praxis für interdisziplinäre Onkologie & Hämatologie
Freiburg im Breisgau, Baden-Wurttemberg, 79110
MVZ II der Niels Stensen Kliniken Onkologie u. Hämatologie
Georgsmarienhütte, Lower Saxony, 49124
MVZ Onkologische Kooperation Harz (GbR)
Goslar, Lower Saxony, 38642
Onkodok GmbH Onkologische Schwerpunktpraxis
Gütersloh, North Rhine-Westphalia, 33332
Universitätsklinikum Halle (UKH), Universitätsklinik und Poliklinik für Gynäkologie
Halle, Saxony-Anhalt, 06120
AGAPLESION Diakonie-Klinikum Hamburg Gyn. Studienambulanz
Hamburg, 20259
Mammazentrum Hamburg MVZ GbR
Hamburg, 20357
Diakovere Krankenhaus gGmbH Henriettenstift Frauenklinik
Hanover, Lower Saxony, 30171
Medizinische Hochschule Hannover Frauenheilkunde
Hanover, Lower Saxony, 30625
SLK Kliniken Heilbronn Klinik für Gynäkologie und Geburtshilfe
Heilbronn, Baden-Wurttemberg, 74078
Praxisgemeinschaft Gynäkologische Onkologie & Spezielle Operative Gynäkologie
Hildesheim, North Rhine-Westphalia, 31134
Universitätsklinikum des Saarlandes Klinik für Frauenheilkunde
Homburg (Saar), Saarland, 66421
Brustzentrum, Elisabeth-Krankenhaus gGmbH
Kassel, Hesse, 34117
Praxisklinik für Hämatologie und Onkologie Koblenz
Koblenz, Rhineland-Palatinate, 56068
Zentrum für ambulante gynäkologisch Onkologie (ZAGO)
Krefeld, North Rhine-Westphalia, 47805
Gemeinschaftspraxis für Hämatologie und Onkologie
Langen, Hesse, 63225
MVM Medizinische Verwaltungs und Managementgesellschaft mbH
Leer, Lower Saxony, 26789
Universitätsklinikum Leipzig, Klinik und Poliklinik für Frauenheilkunde
Leipzig, Saxony, 04103
Klinikum St. Georg Gynäkologie und Geburtshilfe
Leipzig, Saxony, 04129
Städtisches Klinikum Lüneburg Frauenklinik
Lüneburg, North Rhine-Westphalia, 21339
Klinikum Magdeburg Frauenheilkunde und Geburtshilfe
Magdeburg, Saxony-Anhalt, 39130
Johannes Wesling Klinikum Minden Innere Medizin, Hämatologie, Onkologie
Minden, North Rhine-Westphalia, 32429
Brustzentrum Niederrhein, im ev. Krankenhaus Bethesda
Mönchengladbach, North Rhine-Westphalia, 41061
Rotkreuzkliniken München, Interdisziplinbäres Brustzentrum
München, Bavaria, 80637
Klinikum der Universität München Campus Großhadern Frauenheilunde und Geburtsklinik
Munich, Bavaria, 80336
Medizinisches Zentrum für Hämatologie und Onkologie München MVZ GmbH
Munich, Bavaria, 80639
Universitätsklinikum Münster AöR Brustzentrum
Münster, North Rhine-Westphalia, 48149
Pius-Hospital Oldenburg Hämatologie, Onkologie
Oldenburg, Lower Saxony, 26121
Klinikum Ernst von Bergmann gGmbH Brustzentrum
Potsdam, Brandenburg, 14467
MVZ für Hämatologie und Onkologie
Ravensburg, Baden-Wurttemberg, 88212
Klinikum Obergöltzsch Brustzentrum Vogtland
Rodewisch, Saxony, 08228
Klinikum Südstadt Rostock Frauenklinik
Rostock, Mecklenburg-Vorpommern, 18059
Caritas Traegergesellschaft Saarbruecken mbH (CTS) Frauenklinik
Saarbrücken, Saarland, 66113
Marien Krankenhaus Schwerte MKS St. Paulus GmbH
Schwerte, North Rhine-Westphalia, 58239
Johanniter Krankenhaus Frauenklinik
Stendal, Saxony-Anhalt, 39576
Klinikum Mutterhaus der Borromäerinnen Innere Medizin 1
Trier, Rhineland-Palatinate, 54290
Praxisnetz Hämatologie / internistische Onkologie
Troisdorf, North Rhine-Westphalia, 53840
Universitätsklinikum Tübingen Department für Frauengesundheit, Brustzentrum
Tübingen, Baden-Wüttenburg, 72076
Universitätsklinikum Ulm Frauenheilkunde, Geburtshilfe
Ulm, Baden-Wurttemberg, 89075
Christliches Klinikum Unna Mitte Gynäkologie und Geburtshilfe
Unna, North Rhine-Westphalia, 59423
GRN-Klinik Weinheim Gynäkologie und Geburtshilfe
Weinheim, Baden-Wurttemberg, 69469
St. Josefs-Hospital Wiesbaden GmbH Ambulanz der Frauenklinik, Brustzentrum
Wiesbaden, Hesse, 65189
Marien Hospital Witten Brustzentrum
Witten, North Rhine-Westphalia, 58452
Helios Universitätsklinikum Wuppertal Landesfrauenklinik
Wuppertal, North Rhine-Westphalia, 42283
Hämatologisch-Onkologische Schwerpunktpraxis Würzburg & Kitzingen
Würzburg, Bavaria, 97080
Spain12 sites
Hospital Vall Hebron - Vall Hebron Institute of Oncology (VHIO)
Barcelona, 08035
Hospital Universitario San Pedro De Alcantara
Cáceres, 10003
Hospital Universitario de Vinalopo
Elche, 03293
Hospital Beata Maria Ana
Madrid, 28007
Hospital Regional Universitario Malaga
Málaga, 29010
Althaia Xarxa Assistencia
Manresa, 08242
Hospital Universitari Son Espases
Palma, Mallorca, 7120
Hospital Universitario De Navarra
Pamplona, 31008
Hospital Universitario San Juan De Alicante
Sant Joan d'Alacant, 03550
Complejo Hospitalario Universitario Santiago de Compostela
Santiago de Compostela, 15706
Hospital Quironsalud Sagrado Corazon
Seville, 41013
Consorcio Hospital General Universitario De Valencia
Valencia, 46014
Poland3 sites
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-211
Uniwersytet Jagiellonski Collegium Medicum Szpital Uniwersytecki w Krakowie - Klinika Onkologii
Krakow, 31-864
MSCM Cancer Center and Institute of Oncology Department of Breast Cancer and Reconstructive Surgery
Warsaw, 02-781
About this study
Official title: Adj. Dynamic Marker - Adjusted Personalized Therapy Comparing Abemaciclib Combined With Standard Adjuvant Endocrine Therapy Versus Standard Adjuvant Endocrine Therapy in (Clinical or Genomic) High Risk, HR+/HER2- EBC
Patients with breast cancer, who have completed first line therapy (e.g., radiotherapy, chemotherapy, surgery), and who have to be identified with having a high risk of recurrence of cancer, will be eligible for the study. This patient group is currently offered a standard of care chemotherapy plus endocrine therapy (ET). The study investigates whether the patient group with high-risk early breast cancer benefits from treatment with the medication abemaciclib in combination with ET compared to ET alone.
Read the detailed description
The WSG ADAPT trial program is one of the first new generation trials addressing the issue of individualization of (neo)-adjuvant decision-making in early breast cancer (EBC) in a subtype-specific manner. The first WSG ADAPT umbrella trial (NCT01779206) aimed to establish early predictive molecular surrogate markers for response after a short 3-week induction treatment.
The goals of the WSG ADAPT trial program - early response assessment and subtype-specific therapy tailoring to those patients who are most likely to benefit - have contributed to the positive national and international feedback regarding the ADAPT-concept as a whole.
The aim of this ADAPTlate phase-III-trial is to gain further knowledge of the group of patients at intermediate to high risk for disease recurrence, who have completed definite locoregional therapy (with or without neoadjuvant or adjuvant chemotherapy). With ADAPTlate it is planned to investigate if the intermediate to high-risk patient group identified during the screening phase derives additional benefit from treatment with abemaciclib in combination with ET compared to ET alone.
- Conditions
- Breast Cancer Female
- Being tested
- Abemaciclib 50 MG; 150mg 1-0-1 per os
- Keywords
- early breast cancer, ADAPT, endocrine therapy, abemaciclib, high risk, HER2 negative, HR 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.
Abemaciclib 50 MG; 150mg 1-0-1 per osDrug
Also called Verzenios
Experimental: Abemaciclib plus ET Abemaciclib 150 mg, 2 x daily, resulting in 300 mg/day, oral, 24 months plus endocrine treatment of physician´s choice
| Study group | Role | What they receive |
|---|---|---|
| Abemaciclib plus ET | Experimental | Abemaciclib 150 mg, 2 x daily, resulting in 300 mg/day, oral, 24 months plus endocrine treatment of physician´s choice Receives: Drug: Abemaciclib 50 MG; 150mg 1-0-1 per os |
| Standard-of-care ET | No intervention | Standard-of-care ET according to clinical guidelines. Pre-/perimenopausal patients: * Either aromatase inhibitor + GnRH agonist * or Tamoxifen +/- GnRH-agonist (as per investigator´s decision) or Postmenopausal patients: * Either Aromatase inhibitor * or Tamoxifen OR |
What is being measured
The primary outcome is the main question the study is designed to answer.
invasive disease-free survival (iDFS)
superiority in invasive disease-free survival (iDFS) of abemaciclib + endocrine therapy vs. standard-of-care endocrine therapy in patients with HR+/HER2- high risk breast cancer.
Measured: at end of study, 3-6 years after start of study treatment
Secondary outcomes (7)
overall survival (OS)
assessment of overall survival (OS) and distant DFS (dDFS) in both arms
Measured: at end of study, 3-6 years after start of treatment
differences in overall survival (OS) and dDFS
differences in overall survival (OS) and dDFS between arms
Measured: at end of study, 3-6 years after start of study treatment
subgroup and multivariable survival analyses
subgroup and multivariable survival analyses
Measured: at end of study, 3-6 years after start of study treatment
CNS metastases
occurrence of CNS metastases
Measured: at end of study, 3-6 years after start of study treatment
EORTC QLQ-C30
quality of life (QoL)
Measured: at end of study, on average 3-6 years after start of treatment
EORTC QLQ-BR23
quality of life (QoL)
Measured: at end of study, on average 3-6 years after start of treatment
EQ-5D-5L
quality of life (QoL)
Measured: at end of study, on average 3-6 years after start of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Sep 2020
- Study start2 Sep 2020
- Primary completionJun 2028 (estimated)
- Study completionJul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast Cancer FemaleStudies of the same condition, open and under way.
- 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
- Model description
- multicenter, interventional, prospective, two-arm, randomized, open-label, controlled adjuvant, phase-III trial evaluating the efficacy and safety of abemaciclib with endocrine therapy (ET) versus standard-of-care endocrine therapy in early breast cancer (EBC) patients with molecular HR+/HER2- subtype.
- Masking
- None (open label)
- Enrolment
- 1,260 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Women's Cancer Study Group GmbH
- Sponsor type
- University, hospital or other
- Collaborators
- Eli Lilly and Company, Genomic Health®, Inc.
- Responsible party
- Sponsor
- Investigators
- Oleg Gluz, PD Dr. med., Principal investigator, Westdeutsche Studiengruppe GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04565054
- Sponsor's protocol ID
- WSG-AM11 (ADAPTlate)
- Other IDs
- 2019-001488-60, 2019
- Acronym
- ADAPTlate
- Status last verified
- Nov 2025
- First submitted
- 7 Jul 2020
- Last updated
- 19 Nov 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Adj. Dynamic Marker - Adjusted Personalized Therapy Comparing Abemaciclib Combined With Standard Adjuvant Endocrine Therapy Versus Standard Adjuvant Endocrine Therapy in (Clinical or Genomic) High Risk, HR+/HER2- EBC
- ClinicalTrials.gov ID
- NCT04565054
- Acronym / sponsor ID
- ADAPTlate / WSG-AM11 (ADAPTlate)
- Conditions
- Breast Cancer Female
- Keywords
- early breast cancer, ADAPT, endocrine therapy, abemaciclib, high risk, HER2 negative, HR positive
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 1,260 participants (estimated)
- Lead sponsor
- Women's Cancer Study Group GmbHUniversity, hospital or other
- Collaborators
- Eli Lilly and Company, Genomic Health®, Inc.
- Study start
- 2 Sep 2020 (actual)
- Primary completion
- Jun 2028 (estimated)
- Study completion
- Jul 2029 (estimated)
- First posted
- 25 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.
Patients with breast cancer, who have completed first line therapy (e.g., radiotherapy, chemotherapy, surgery), and who have to be identified with having a high risk of recurrence of cancer, will be eligible for the study. This patient group is currently offered a standard of care chemotherapy plus endocrine therapy (ET). The study investigates whether the patient group with high-risk early breast cancer benefits from treatment with the medication abemaciclib in combination with ET compared to ET alone.
Detailed description
The WSG ADAPT trial program is one of the first new generation trials addressing the issue of individualization of (neo)-adjuvant decision-making in early breast cancer (EBC) in a subtype-specific manner. The first WSG ADAPT umbrella trial (NCT01779206) aimed to establish early predictive molecular surrogate markers for response after a short 3-week induction treatment.
The goals of the WSG ADAPT trial program - early response assessment and subtype-specific therapy tailoring to those patients who are most likely to benefit - have contributed to the positive national and international feedback regarding the ADAPT-concept as a whole.
The aim of this ADAPTlate phase-III-trial is to gain further knowledge of the group of patients at intermediate to high risk for disease recurrence, who have completed definite locoregional therapy (with or without neoadjuvant or adjuvant chemotherapy). With ADAPTlate it is planned to investigate if the intermediate to high-risk patient group identified during the screening phase derives additional benefit from treatment with abemaciclib in combination with ET compared to ET alone.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- multicenter, interventional, prospective, two-arm, randomized, open-label, controlled adjuvant, phase-III trial evaluating the efficacy and safety of abemaciclib with endocrine therapy (ET) versus standard-of-care endocrine therapy in early breast cancer (EBC) patients with molecular HR+/HER2- subtype.
| Arm | Type | Receives |
|---|---|---|
| Abemaciclib plus ET | Experimental | Drug: Abemaciclib 50 MG; 150mg 1-0-1 per osAbemaciclib 150 mg, 2 x daily, resulting in 300 mg/day, oral, 24 months plus endocrine treatment of physician´s choice |
| Standard-of-care ET | No intervention | –Standard-of-care ET according to clinical guidelines. Pre-/perimenopausal patients: * Either aromatase inhibitor + GnRH agonist * or Tamoxifen +/- GnRH-agonist (as per investigator´s decision) or Postmenopausal patients: * Either Aromatase inhibitor * or Tamoxifen OR |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (36 listed)
- Prior to REGISTRATION
- 1. Written informed consent prior to any study procedures (outcomes of standard-of-care procedures performed before signing of informed consent by the patient but within allowed screening period can be used for screening of patient). 2. Female. 3. ≥ 18 years of age. 4a. EITHER: (Post)menopausal status at the time of initiation of adjuvant study medication
- patient underwent bilateral oophorectomy, or
- age ≥ 60, or
- age < 60 and amenorrhea for 12 or more months (in the absence of chemotherapy, tamoxifen, or ovarian suppression) and/or FSH and estradiol in the postmenopausal range per local normal range.
Key exclusion criteria (23 listed)
- Patients eligible for inclusion in this study must not meet any of the following criteria:
- Patient with distant metastases of breast cancer beyond regional lymph nodes.
- Previously received CDK 4/6 inhibitor.
- Patient with a known hypersensitivity to any of the excipients of abemaciclib or standard-of-care endocrine therapy.
- Patient has had major surgery within 14 days prior to starting study drug or has not recovered from major side effects.
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 |
|---|---|---|
| Abemaciclib 50 MG; 150mg 1-0-1 per osAlso: VerzeniosExperimental: Abemaciclib plus ET Abemaciclib 150 mg, 2 x daily, resulting in 300 mg/day, oral, 24 months plus endocrine treatment of physician´s choice | Drug | Abemaciclib plus ET |
Primary outcome
invasive disease-free survival (iDFS)
Time frame: at end of study, 3-6 years after start of study treatment
superiority in invasive disease-free survival (iDFS) of abemaciclib + endocrine therapy vs. standard-of-care endocrine therapy in patients with HR+/HER2- high risk breast cancer.
7 secondary outcomes
overall survival (OS)
Time frame: at end of study, 3-6 years after start of treatment
differences in overall survival (OS) and dDFS
Time frame: at end of study, 3-6 years after start of study treatment
subgroup and multivariable survival analyses
Time frame: at end of study, 3-6 years after start of study treatment
CNS metastases
Time frame: at end of study, 3-6 years after start of study treatment
EORTC QLQ-C30
Time frame: at end of study, on average 3-6 years after start of treatment
EORTC QLQ-BR23
Time frame: at end of study, on average 3-6 years after start of treatment
EQ-5D-5L
Time frame: at end of study, on average 3-6 years after start of treatment
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 19 Nov 2025.
- Individual participant dataSharing planned: No
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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.
Oleg Gluz, PD Dr. med. principal investigator
Westdeutsche Studiengruppe GmbH
85 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Abemaciclib 50 MG; 150mg 1-0-1 per os in people with Breast Cancer Female, run by Women's Cancer Study Group GmbH at 85 sites in 3 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 36 inclusion and 23 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 19 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 85 sites in Germany, Spain, Poland. 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?
invasive disease-free survival (iDFS) (time frame: at end of study, 3-6 years after start of study treatment). 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 19 Nov 2025.