Vasomotor Symptoms Caused by Adjuvant Endocrine Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast CancerPhase 3OASIS-4NCT05587296
A Study to Learn More About How Well Elinzanetant Works and How Safe it is Compared to Placebo for the Treatment of Hot Flashes Caused by Anti-cancer Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast Cancer
A Phase 3 study testing Elinzanetant (BAY3427080) in people with Vasomotor Symptoms Caused by Adjuvant Endocrine Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast Cancer and Hot Flashes, run by Bayer at 102 sites in 16 countries.
Trial summary
Researchers are looking for a better way to treat women with, or at high risk for developing hormone-receptor positive breast cancer, who have vasomotor symptoms (VMS), a condition of having hot flashes caused by anti-cancer therapy. Read more about this study
- Who is it for?
- Ages 18 to 70 years, women only
- Conditions the study is for
- Vasomotor Symptoms Caused by Adjuvant Endocrine Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast Cancer, Hot Flashes
- What is being tested?
- Elinzanetant (BAY3427080)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 474 participants
- Where
- 102 sitesin 16 countries
- Study dates
- 14 Oct 2022to 5 Jun 2028
- Phase
- Phase 3
- 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 to 70 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Females aged 18 to 70 years of age inclusive, at the time of signing the informed consent.
- Women experiencing vasomotor symptoms (VMS) caused by adjuvant endocrine therapy that they are expected to use for the duration of the study
- Tamoxifen with or without the use of gonadotropin-releasing hormone (GnRH) analogues or
- Aromatase inhibitors with or without the use of GnRH analogues
- Women must have
- a personal history of hormone-receptor positive breast cancer or
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- a high risk for developing breast cancer.
- Participant has completed Hot Flash Daily Diary (HFDD) for at least 11 days during the two weeks preceding baseline visit, and participant has recorded at least 35 moderate to severe hot flash (HF) (including night-time HF) over the last 7 days that the HFDD was completed (assessed at the Baseline Visit).
- Contraceptive use by [women except for post-menopausal women or Women of Non childbearing potential (WONCBP)] should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
Who cannot join
- Initial diagnosis of metastatic hormone-receptor positive breast cancer (stage IV) or recurrence under adjuvant endocrine therapy of hormone-receptor positive breast cancer.
- Current or history (except complete remission for 5 years or more prior to signing informed consent) of any malignancy, except for hormone-receptor positive breast cancer (Stage 0-III), basal and squamous cell skin tumors.
- Surgery or non-surgical (e.g., chemotherapy, radiotherapy, immunotherapy) treatment for breast cancer within the last 3 months prior to signing informed consent (except use of tamoxifen, aromatase inhibitors, GnRH analogues).
- Any clinically significant prior or ongoing history of arrhythmias, heart block and QT prolongation either determined through clinical history or on electrocardiogram (ECG) evaluation.
- Any active ongoing condition that could cause difficulty in interpreting VMS such as: infection that could cause pyrexia, pheochromocytoma, carcinoid syndrome.
- Any unexplained vaginal bleeding.
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- Mammogram with clinically relevant malignant or suspicious findings that will require surgery, radiotherapy or chemotherapy as per local guidelines (mammogram should not be older than 12 months prior to signing informed consent). If a mammogram is not possible after partial mastectomy an ultrasound could be performed instead.
- Disordered proliferative endometrium, endometrial hyperplasia, polyp, or endometrial cancer diagnosed based on endometrial biopsy during screening.
- Current arterial or venous vascular event (e.g., Myocardial infarction (MI), Transient ischemic attack (TIA), stroke, deep vein thrombosis (DVT), i.e., within the last 6 months prior to signing informed consent.
Trial locations and contacts
102 sites in 16 countries.
102 sites in 16 countries
Germany12 sites
Praxis Hr. Dr. S. Fiedler
Aachen, North Rhine-Westphalia, 52074
Evangelisches Krankenhaus Bergisch Gladbach - Gynäkologi
Bergisch Gladbach, North Rhine-Westphalia, 51465
Klinische Forschung Berlin-Mitte GmbH
Berlin, 10117
Praxis f. Gynäkologie und Geburtshilfe
Bernburg, Saxony-Anhalt, 6406
Gynäkologisches Zentrum Bonn
Bonn, North Rhine-Westphalia, 53111
Frauenärzte am Schloss Borbeck
Essen, North Rhine-Westphalia, 45355
Synexus Frankfurt Clinical Research Centre
Frankfurt am Main, Hesse, 60313
Frauenarztpraxis Dr. Inka Kiesche
Halle, Saxony-Anhalt, 6110
Klinische Forschung Hannover-Mitte GmbH
Hanover, Lower Saxony, 30159
Medplus Nordrhein
Krefeld, North Rhine-Westphalia, 47799
Frauenarztpraxis Aurora
Mannheim, Baden-Wurttemberg, 68163
Eberhard-Karls-Universität Tübingen
Tübingen, Baden-Wurttemberg, 72076
Portugal10 sites
Unidade Local de Saúde de Braga E.P.E. - Centro Clínico Académico de Braga - Serviço de Ginecologia
Braga, 4710-243
Unidade Local de Saúde de Coimbra, E.P.E. - Hospitais da Universidade de Coimbra - Serviço de Ginecologia
Coimbra, 3000-075
Fundacao Champalimaud | Centro Clinico Champalimaud - Unidade Investigacao Clinica
Lisbon, 1400-038
Unidade Local De Saúde De Lisboa Ocidental E.P.E.
Lisbon, 1449-005
Luz Saude | Hospital da Luz Lisboa - Centro de Investigacao Clinica
Lisbon, 1500-650
CHULN - H. Sta.Maria (Centro de Investigacao Clinica)
Lisbon, 1649-035
Luz Saude | Hospital Beatriz Angelo - Centro de Investigacao Clinica
Loures, Lisbon District, 2674-514
Centro Hospitalar Universitario do Porto
Porto, 4050-651
Companhia Uniao Fabril | Hospital CUF Porto - Clinical Trials Department
Porto, 4100-180
CHUSJ - Hospital Sao Joao
Porto, 4200-319
France9 sites
ICO Site Paul Papin - Angers - Service Oncologie
Angers, Pays de la Loire Region, 49100
Institut Bergonie - Unicancer Nouvelle Aquitaine
Bordeaux, New Aquitaine, 33076
Centre de Lutte Contre le Cancer François Baclesse - Service Pathologie mammaire
Caen, Normandy, 14000
UNICANCER - Centre Leon-Berard (CLB) - Medical oncology
Lyon, Auvergne-Rhône-Alpes, 69373
Institut du Cancer de Montpellier - Val d'Aurelle - Service Oncogynecologie et senologie
Montpellier, Occitanie, 34090
Hôpital Saint Louis
Paris, Île-de-France Region, 75010
Assistance Publique-Hopitaux de Paris (AP-HP) - Hopital Tenon - Gynecologie Obstetrique Medecine de la Reproduction
Paris, Île-de-France Region, 75020
Institut de Cancerologie Ouest - Saint-Herblain - Service gynecologie medicale
Saint-Herblain, Pays de la Loire Region, 44800
Centre Paul Strauss
Strasbourg, Grand Est, 67065
Italy9 sites
Careggi University Hospital - Ostetricia e Ginecologia
Florence, Tuscany, 50134
IRCCS Ospedale Policlinico San Martino - Clinica ostetrica e ginecologica
Genoa, Liguria, 16132
Istituto Europeo di Oncologia s.r.l - Ginecologia Preventiva
Milan, Lombardy, 20141
Azienda Ospedaliero Universitaria di Modena_Policlinico - Oncologia
Modena, Emilia-Romagna, 41124
Azienda Ospedaliera Universitaria Federico II Di Napoli - DAI Materno Infantile
Naples, Campania, 80131
Fondazione IRCCS Policlinico San Matteo - Ostetricia e Ginecologia
Pavia, Lombardy, 27100
Fondazione Policlinico Universitario Agostino Gemelli IRCCS - UOC Ginecologia Oncologica
Rome, Lazio, 00168
Azienda Ospedaliera Ordine Mauriziano Di Torino - Ostetricia e Ginecologia
Turin, Piedmont, 10128
Azienda Ospedaliera Universitaria Integrata Verona_Borgo Trento - Ostetricia e Ginecologia B
Verona, Veneto, 37126
Belgium8 sites
Hôpital Erasme/Erasmus Ziekenhuis
Brussels, 1070
CHU Saint-Pierre/UMC Sint-Pieter
Bruxelles - Brussel, 1000
CU Saint-Luc/UZ St-Luc
Bruxelles - Brussel, 1200
Ziekenhuis Oost-Limburg - Gynecology Department
Genk, 3600
Ghent University Hospital | Women's Clinic Department
Ghent, 9000
UZ Leuven Gasthuisberg
Leuven, 3000
Femicare vzw | Tienen, BE
Tienen, 3300
ZAS Augustinus - Gynaecology department
Wilrijk, Antwerpen, 2610
Poland8 sites
Gabinet Ginekologiczny Janusz Tomaszewski
Bialystok, 15-224
CLINICAL MEDICAL RESEARCH Sp. z o. o.
Katowice, 40-156
NZOZ MEDEM Wilk Sp. j.
Katowice, 40-301
Pratia McM Kraków
Krakow, 30-727
Prywatny Gabinet Lekarski Ginekologia, Poloznictwo i Ultr.
Lodz, 90-602
Salve Medica Sp. z o.o. SP.K.
Lodz, 91-211
Centrum Medyczne Pratia Poznan
Skorzewo, 60-185
Centrum Badawcze Wspolczesnej Terapii
Warsaw, 02-679
Spain8 sites
La Zarzuela University Hospital | Ginecologia
Aravaca, Madrid, 28023
Hospital del Mar | Ginecologia
Barcelona, 08003
Hospital Universitario Virgen De Las Nieves | Oncologia Medica
Granada, 18014
Hospital General Universitario Gregorio Maranon | Oncologia
Madrid, 28009
Complexo Hospitalario Universitario De Santiago | Oncologia
Santiago de Compostela, A Coruña, 15706
Hospital Universitario Virgen Del Rocio S.L. | Oncologia
Seville, 41013
Hospital Clinico Universitario De Valencia | Ginecologia
Valencia, 46010
Hospital General Universitario De Valencia | Ginecologia
Valencia, 46014
Ireland6 sites
Cork University Hospital
Cork, Munster, T12DC4A
St Vincents University Hospital
Dublin, Leinster, D04 TC63
Mater Misericordiae University Hospital
Dublin, Leinster, D07R2WY
St James' Hospital
Dublin, Leinster, D08NHY1
University College Hospital Galway
Galway, Connacht, H91YR71
University Hospital Waterford
Waterford, Munster, X91 ER8E
Israel6 sites
Assuta Ashdod Public Hospital (R.A)
Ashdod, 7747629
Hadassah Hebrew University Hospital Ein Kerem
Jerusalem, 9112001
Meir Medical Center
Kfar Saba, 4428164
Health Corporation of Galilee Medical Center
Nahariya, 2210001
Chaim Sheba Medical Center
Ramat Gan, 5266202
Tel- Aviv Sourasky Medical Center - Nephrology
Tel Aviv, 6492601
Finland5 sites
Docrates Mehiläinen Syöpäsairaala
Helsinki, Uusimaa, 00180
Mehiläinen Kuopio
Kuopio, Northern Savonia, 70100
Lääkärikeskus Gyneko Oy
Oulu, North Ostrobothnia, 90100
Tampere University Hospital, Tampereen yliopistollinen sairaala (TAYS)
Tampere, Pirkanmaa, 33520
Vaasa Central Hospital, Vaasan keskussairaala - Syöpätaudit
Vaasa, Pohjanmaa, 65130
Romania5 sites
S.C. Centrul Medical de Diagnostic si Tratament Ambulator Neomed SRL
Brasov, 500283
S.C. Quantum Medical Center SRL
Bucharest, 012071
Spitalul Clinic Filantropia
Bucharest, 11132
Sc Oncolab Srl
Craiova, Dolj, 200385
S.C Ovidius Clinical Hospital SRL - Oncology Department
Ovidiu, 905900
United Kingdom5 sites
NHS Grampian | Aberdeen Royal Infirmary - Gynaecology
Aberdeen, AB25 2ZN
NHS Greater Glasgow and Clyde | Glasgow Royal Infirmary - Gynaecology
Glasgow, Scotland, G4 0SF
Liverpool Women's NHS Foundation Trust | Liverpool Women's Hospital - Gynaecology
Liverpool, Merseyside, L8 7SS
Imperial College Healthcare NHS Trust| Queen Charlotte's and Chelsea Hospital - Gynaecology
London, Greater London, W12 0NN
Surrey and Sussex Healthcare NHS Trust - East Surrey Hospital - Gynaecology
Redhill, Surrey, RH1 5RH
Hungary4 sites
Debreceni Egyetem Klinikai Kozpont
Debrecen, Hajdú-Bihar, 4032
Axon Kft.
Kecskemét, Bács-Kiskun county, 6000
Szabolcs Szatmr Bereg County University Teaching Hospital | Andras Jasa Teaching Hospital - Oncology
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
Rub-Int Noi Egeszsegcentrum
Székesfehérvár, Fejér, 8000
Austria3 sites
Medical University of Graz | Division of Gynecology and Obstetrics
Salzburg, 5020
AKH Wien | Allg. Gynaekologie & gynaekologische Onkologie
Vienna, Burgenland, 7000
MedUni Innsbruck | Brust Gesundheit Zentrum
Vienna, State of Vienna, 1140
Canada2 sites
Centre Hospitalier de l'Universite de Montreal (CHUM) | Centre de Recherche
Montreal, Quebec, H2X 0A9
The Ottawa Hospital - Riverside Campus
Ottawa, Ontario, K1H 7W9
Kazakhstan2 sites
Kazakh Institute of Oncology and Radiology - Department of Gynecology
Almaty, Almaty Region, 640000
Multidisciplinary Medical Center of the Akimat of Astana - Department of Chemotherapy No1
Astana, Aqmola, 010000
About this study
Official title: A Double-blind, Randomized, Placebo-controlled Multicenter Study to Investigate Efficacy and Safety of Elinzanetant for the Treatment of Vasomotor Symptoms Induced by Adjuvant Endocrine Therapy, Over 52 Weeks and Optionally for an Additional up to 3.5 Years in Women With Hormone-receptor Positive Breast Cancer:
Researchers are looking for a better way to treat women with, or at high risk for developing hormone-receptor positive breast cancer, who have vasomotor symptoms (VMS), a condition of having hot flashes caused by anti-cancer therapy.
VMS, also called hot flashes, are very common medical problems in women with hormone-receptor (HR)-positive breast cancer, who are receiving anti-cancer therapy. HR-positive breast cancer is a type of breast cancer, which has hormone-receptors (proteins) for female sex hormones estrogen and/or progesterone. These hormone-receptors may attach to hormones like estrogen and progesterone and thereby help cancer cells to grow and to spread. Treatments that stop these hormones from attaching to these receptors are currently used to slow or stop the growth of HR-positive breast cancer.
Read more
It is already known that women with HR-positive breast cancer benefit from this treatment. However, hot flashes are common medical problems related to this therapy. They negatively affect quality of life of many women and may lead to discontinuation (stopping) of this therapy.
The study treatment, elinzanetant is being developed to treat hot flushes. It works by blocking a substance called neurokinin from sending signals to other parts of the body, which is thought to play a role in starting hot flashes.
The main purpose of this study is to learn more about how well elinzanetant helps to treat hot flashes caused by anti-cancer therapy in women with or at high risk for developing HR-positive breast cancer compared to placebo. A placebo is a treatment that looks like a medicine but does not have any medicine in it.
To answer this, the doctors will ask the participants to record information about their hot flashes before treatment start and at certain time points during the treatment in an electronic diary. The researchers will then assess possible average changes in number and severity of hot flashes after 4 and 12 weeks of treatment.
To see how safe elinzanetant is compared to placebo. The study will collect information about the number of participants who have medical problems after taking treatment.
The study participants will be randomly (by chance) assigned to 2 treatment groups, A and B. The participants from treatment group A will take elinzanetant. The participants from treatment group B will start with placebo and then switch to elinzanetant.
All participants will continue taking the anti-cancer therapy they have been using when entering the study.
Dependent on the treatment group, the participants will either take elinzanetant or placebo as capsules by mouth once a day. After 12 weeks, the participants who have initially received placebo will switch to take elinzanetant for the remaining 40 weeks.
Each participant will be in the study for approximately 62 weeks. The treatment duration in the study will be 52 weeks. There will be up to 12 visits to the study site and 6 phone calls in between. Participants who completed the 52 weeks treatment phase, will be offered to continue treatment for another up to 3.5 years.
During the study, the participants will:
- record information about their hot flashes
- answer questions about their quality of life and other symptoms.
The doctors and their study team will:
- check the participants health and vital signs
- take blood and urine samples
- examine heart health using electrocardiogram (ECG)
- examine pelvic organs like womb or ovaries using a trans vaginal ultrasound scan to see images of these organs
- make images of the breast using x-ray (mammogram), a type of radiation that passes through the body to make images of the inside and/or by using ultrasound (if applicable)
- check the health of the participant's cervix (neck of the womb) by taking a small sample of cells (smear test) for an analysis called cervical cytology (if applicable)
- take an endometrial biopsy, a small piece of tissue from the lining of the womb (called the endometrium) for analysis.
- ask the participants questions about what medicines they are taking and if they are having adverse events.
An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events that happen in studies, even if they do not think the adverse events might be related to the study treatments.
About 4 weeks after the participants take their last treatment, the study doctors and their team will check the participants' health.
- Conditions
- Vasomotor Symptoms Caused by Adjuvant Endocrine Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast Cancer, Hot Flashes
- Being tested
- Elinzanetant (BAY3427080), Placebo
- Medical subject headings
- Hot Flashes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Elinzanetant (BAY3427080)Drug
120 mg elinzanetant orally once daily
PlaceboDrug
Matching placebo orally once daily
| Study group | Role | What they receive |
|---|---|---|
| Elinzanetant (BAY3427080) | Experimental | Participants will receive 120 mg elinzanetant orally once daily. Receives: Drug: Elinzanetant (BAY3427080) |
| Placebo | Placebo comparator | Participants will receive matching placebo orally once daily for 12 weeks, followed by 120 mg elinzanetant orally once daily Receives: Drug: Elinzanetant (BAY3427080); Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change in Frequency of Moderate to Severe Hot Flashes (HF) From Baseline to Week 4 (Assessed by Hot Flash Daily Diary [HFDD])
Participants' assessments of HF were recorded electronically twice daily using the sponsor developed Hot Flash Daily Diary (HFDD). The HFDD was completed in the morning after waking up (morning diary) and each evening at bedtime (evening diary) on the hand-held device. The HFDD items assessed the number of mild, moderate, and severe HF experienced during the day and during the night. Mild HF was defined as a "sensation of heat without sweating", moderate HF was defined as a "sensation of heat with sweating, but able to continue activity", and severe HF was defined as a "sensation of heat with sweating, causing cessation (stopping) of activity". Mean daily frequency is calculated as total number of moderate to severe HF during that week divided by the total number of available days with data during that week.
Measured: Baseline to Week 4
Mean Change in Frequency of Moderate to Severe HFs From Baseline to Week 12 (Assessed by HFDD)
Participants' assessments of HF were recorded electronically twice daily using the sponsor developed Hot Flash Daily Diary (HFDD). The HFDD was completed in the morning after waking up (morning diary) and each evening at bedtime (evening diary) on the hand-held device. The HFDD items assessed the number of mild, moderate, and severe HF experienced during the day and during the night. Mild HF was defined as a "sensation of heat without sweating", moderate HF was defined as a "sensation of heat with sweating, but able to continue activity", and severe HF was defined as a "sensation of heat with sweating, causing cessation (stopping) of activity". Mean daily frequency is calculated as total number of moderate to severe HF during that week divided by the total number of available days with data during that week.
Measured: Baseline to Week 12
Secondary outcomes (6)
Mean Change in Severity of Moderate to Severe HF From Baseline to Week 4 (Assessed by HFDD).
In the HFDD, the severity of HFs was categorized as: 1 = mild, 2 = moderate, and 3 = severe; therefore, a decrease in the HF severity score indicates an improvement.
The mean daily severity during treatment was calculated for the available days as [(1 x number of mild HF) + (2 x number of moderate HF) + (3 x number of severe HF)] / (total number of mild, moderate and severe hot flashes on that day). When no HFs were reported for a particular day, the mean severity for that day was set to 0. The mean daily severity during baseline was calculated for the available days as [(2 x number of moderate HF) + (3 x number of severe HF)] / (total number of moderate to severe hot flashes on that day).
Measured: Baseline to Week 4
Mean Change in Severity of Moderate to Severe HF From Baseline to Week 12 (Assessed by HFDD)
In the HFDD, the severity of HFs was categorized as: 1 = mild, 2 = moderate, and 3 = severe; therefore, a decrease in the HF severity score indicates an improvement.
The mean daily severity during treatment was calculated for the available days as [(1 x number of mild HF) + (2 x number of moderate HF) + (3 x number of severe HF)] / (total number of mild, moderate and severe hot flashes on that day). When no HFs were reported for a particular day, the mean severity for that day was set to 0. The mean daily severity during baseline was calculated for the available days as [(2 x number of moderate HF) + (3 x number of severe HF)] / (total number of moderate to severe hot flashes on that day).
Measured: Baseline to Week 12
Mean Change in Frequency of Moderate to Severe HF From Baseline to Week 1 (Assessed by HFDD)
Participants' assessments of HF were recorded electronically twice daily using the sponsor developed Hot Flash Daily Diary (HFDD). The HFDD was completed in the morning after waking up (morning diary) and each evening at bedtime (evening diary) on the hand-held device. The HFDD items assessed the number of mild, moderate, and severe HF experienced during the day and during the night. Mild HF was defined as a "sensation of heat without sweating", moderate HF was defined as a "sensation of heat with sweating, but able to continue activity", and severe HF was defined as a "sensation of heat with sweating, causing cessation (stopping) of activity". Mean daily frequency is calculated as total number of moderate to severe HF during that week divided by the total number of available days with data during that week.
Measured: Baseline to Week 1
Mean Change in Frequency of Moderate to Severe HF From Baseline Over Time (Assessed by HFDD)
Participants' assessments of HF were recorded electronically twice daily using the sponsor developed Hot Flash Daily Diary (HFDD). The HFDD was completed in the morning after waking up (morning diary) and each evening at bedtime (evening diary) on the hand-held device. The HFDD items assessed the number of mild, moderate, and severe HF experienced during the day and during the night. Mild HF was defined as a "sensation of heat without sweating", moderate HF was defined as a "sensation of heat with sweating, but able to continue activity", and severe HF was defined as a "sensation of heat with sweating, causing cessation (stopping) of activity". Mean daily frequency is calculated as total number of moderate to severe HF during that week divided by the total number of available days with data during that week.
Measured: Baseline to Week 50
Mean Change in Patient-reported Outcomes Measurement Information System Sleep Disturbance Short Form 8b (PROMIS SD SF 8b) Total Score From Baseline to Week 12
The PROMIS SD SF 8b includes 8 items assessing sleep disturbance over the past 7 days. Items assess sleep quality, sleep depth and restoration associated with sleep, perceived difficulties with getting to sleep or staying asleep and perceptions of the adequacy of and satisfaction with sleep. Participants respond to the items on a 5-point scale from "not at all", "never" or "very poor" to "very much", "always" or "very good". Four of the items are scored reversely. Individual item scores are aggregated to total raw scores which range from 8 to 40. Total raw scores are converted into T-scores for comparison with population norms, with a mean of 50 and standard deviation of 10. T-scores range from 28.9 to 76.5. For both raw and T-scores higher scores indicate greater severity of sleep disturbance. According to available score cut points from PROMIS developers, T-scores can be interpreted as indicating mild (55-59), moderate (60-69), or severe (>70) sleep disturbance.
Measured: Baseline to Week 12
Mean Change in Menopause Specific Quality of Life Scale (MENQOL) Total Score From Baseline to Week 12
The MENQOL questionnaire is comprised of 29 items assessing the presence of menopausal symptoms and the impact of menopause on health-related quality of life over the past week. The items assess four domains of symptoms and functioning: VMS, psychosocial functioning, physical functioning, and sexual functioning. For each item, the participant indicates if they have experienced the symptom (yes/no). If participants select yes, participants rate how bothered they were by the symptom using a six-point verbal descriptor scale, with response options ranging from 0 'not at all bothered' to 6 'extremely bothered'. Based on the individual responses, item scores, domain scores, and a total MENQOL score are calculated. Each score ranges from 1-8, higher scores indicate greater bother. For a MENQOL total score, the aggregated mean of the mean domain scores is calculated.
Measured: Baseline to Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Oct 2022
- Study start14 Oct 2022
- Primary completion29 Jan 2024
- Study completion5 Jun 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Vasomotor Symptoms Caused by Adjuvant Endocrine Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast CancerStudies of the same condition, open and under way.
- More trials run by BayerThe 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
- 474 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05587296
- Sponsor's protocol ID
- 21656
- Other IDs
- 2023-508265-33-00, 2022-000095-18, 2023
- Acronym
- OASIS-4
- Status last verified
- Jun 2026
- First submitted
- 17 Oct 2022
- Last updated
- 9 Jul 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No: There are no current plans to share data. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.
Publications
Cardoso F, Parke S, Brennan DJ, Briggs P, Donders G, Panay N, Haseli-Mashhadi N, Block M, Caetano C, Francuski M, Haberland C, Laapas K, Seitz C, Zuurman L. Elinzanetant for Vasomotor Symptoms from Endocrine Therapy for Breast Cancer. N Engl J Med. 2025 Aug 21;393(8):753-763. doi: 10.1056/NEJMoa2415566. Epub 2025 Jun 2.
PubMed 40454634
Study at a glance
From the registry record, last updated by the sponsor on 9 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Double-blind, Randomized, Placebo-controlled Multicenter Study to Investigate Efficacy and Safety of Elinzanetant for the Treatment of Vasomotor Symptoms Induced by Adjuvant Endocrine Therapy, Over 52 Weeks and Optionally for an Additional up to 3.5 Years in Women With Hormone-receptor Positive Breast Cancer:
- ClinicalTrials.gov ID
- NCT05587296
- Acronym / sponsor ID
- OASIS-4 / 21656
- Conditions
- Vasomotor Symptoms Caused by Adjuvant Endocrine Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast Cancer, Hot Flashes
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 474 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 14 Oct 2022 (actual)
- Primary completion
- 29 Jan 2024 (actual)
- Study completion
- 5 Jun 2028 (estimated)
- First posted
- 20 Oct 2022 (actual)
- Results
- Posted 29 Oct 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Researchers are looking for a better way to treat women with, or at high risk for developing hormone-receptor positive breast cancer, who have vasomotor symptoms (VMS), a condition of having hot flashes caused by anti-cancer therapy.
VMS, also called hot flashes, are very common medical problems in women with hormone-receptor (HR)-positive breast cancer, who are receiving anti-cancer therapy. HR-positive breast cancer is a type of breast cancer, which has hormone-receptors (proteins) for female sex hormones estrogen and/or progesterone. These hormone-receptors may attach to hormones like estrogen and progesterone and thereby help cancer cells to grow and to spread. Treatments that stop these hormones from attaching to these receptors are currently used to slow or stop the growth of HR-positive breast cancer.
It is already known that women with HR-positive breast cancer benefit from this treatment. However, hot flashes are common medical problems related to this therapy. They negatively affect quality of life of many women and may lead to discontinuation (stopping) of this therapy.
The study treatment, elinzanetant is being developed to treat hot flushes. It works by blocking a substance called neurokinin from sending signals to other parts of the body, which is thought to play a role in starting hot flashes.
The main purpose of this study is to learn more about how well elinzanetant helps to treat hot flashes caused by anti-cancer therapy in women with or at high risk for developing HR-positive breast cancer compared to placebo. A placebo is a treatment that looks like a medicine but does not have any medicine in it.
To answer this, the doctors will ask the participants to record information about their hot flashes before treatment start and at certain time points during the treatment in an electronic diary. The researchers will then assess possible average changes in number and severity of hot flashes after 4 and 12 weeks of treatment.
To see how safe elinzanetant is compared to placebo. The study will collect information about the number of participants who have medical problems after taking treatment.
The study participants will be randomly (by chance) assigned to 2 treatment groups, A and B. The participants from treatment group A will take elinzanetant. The participants from treatment group B will start with placebo and then switch to elinzanetant.
All participants will continue taking the anti-cancer therapy they have been using when entering the study.
Dependent on the treatment group, the participants will either take elinzanetant or placebo as capsules by mouth once a day. After 12 weeks, the participants who have initially received placebo will switch to take elinzanetant for the remaining 40 weeks.
Each participant will be in the study for approximately 62 weeks. The treatment duration in the study will be 52 weeks. There will be up to 12 visits to the study site and 6 phone calls in between. Participants who completed the 52 weeks treatment phase, will be offered to continue treatment for another up to 3.5 years.
During the study, the participants will:
- record information about their hot flashes
- answer questions about their quality of life and other symptoms.
The doctors and their study team will:
- check the participants health and vital signs
- take blood and urine samples
- examine heart health using electrocardiogram (ECG)
- examine pelvic organs like womb or ovaries using a trans vaginal ultrasound scan to see images of these organs
- make images of the breast using x-ray (mammogram), a type of radiation that passes through the body to make images of the inside and/or by using ultrasound (if applicable)
- check the health of the participant's cervix (neck of the womb) by taking a small sample of cells (smear test) for an analysis called cervical cytology (if applicable)
- take an endometrial biopsy, a small piece of tissue from the lining of the womb (called the endometrium) for analysis.
- ask the participants questions about what medicines they are taking and if they are having adverse events.
An adverse event is any medical problem that a participant has during a study. Doctors keep track of all adverse events that happen in studies, even if they do not think the adverse events might be related to the study treatments.
About 4 weeks after the participants take their last treatment, the study doctors and their team will check the participants' health.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Elinzanetant (BAY3427080) | Experimental | Drug: Elinzanetant (BAY3427080)Participants will receive 120 mg elinzanetant orally once daily. |
| Placebo | Placebo comparator | Drug: Elinzanetant (BAY3427080), Drug: PlaceboParticipants will receive matching placebo orally once daily for 12 weeks, followed by 120 mg elinzanetant orally once daily |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Females aged 18 to 70 years of age inclusive, at the time of signing the informed consent.
- Women experiencing vasomotor symptoms (VMS) caused by adjuvant endocrine therapy that they are expected to use for the duration of the study
- Women must have
- Participant has completed Hot Flash Daily Diary (HFDD) for at least 11 days during the two weeks preceding baseline visit, and participant has recorded at least 35 moderate to severe hot flash (HF) (including night-time HF) over the last 7 days that the HFDD was completed (assessed at the Baseline Visit).
- Contraceptive use by [women except for post-menopausal women or Women of Non childbearing potential (WONCBP)] should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
Key exclusion criteria (9 listed)
- Initial diagnosis of metastatic hormone-receptor positive breast cancer (stage IV) or recurrence under adjuvant endocrine therapy of hormone-receptor positive breast cancer.
- Current or history (except complete remission for 5 years or more prior to signing informed consent) of any malignancy, except for hormone-receptor positive breast cancer (Stage 0-III), basal and squamous cell skin tumors.
- Surgery or non-surgical (e.g., chemotherapy, radiotherapy, immunotherapy) treatment for breast cancer within the last 3 months prior to signing informed consent (except use of tamoxifen, aromatase inhibitors, GnRH analogues).
- Any clinically significant prior or ongoing history of arrhythmias, heart block and QT prolongation either determined through clinical history or on electrocardiogram (ECG) evaluation.
- Any active ongoing condition that could cause difficulty in interpreting VMS such as: infection that could cause pyrexia, pheochromocytoma, carcinoid syndrome.
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 |
|---|---|---|
| Elinzanetant (BAY3427080)120 mg elinzanetant orally once daily | Drug | Elinzanetant (BAY3427080), Placebo |
| PlaceboMatching placebo orally once daily | Drug | Placebo |
Primary outcome
Mean Change in Frequency of Moderate to Severe Hot Flashes (HF) From Baseline to Week 4 (Assessed by Hot Flash Daily Diary [HFDD])
Time frame: Baseline to Week 4
Participants' assessments of HF were recorded electronically twice daily using the sponsor developed Hot Flash Daily Diary (HFDD). The HFDD was completed in the morning after waking up (morning diary) and each evening at bedtime (evening diary) on the hand-held device. The HFDD items assessed the number of mild, moderate, and severe HF experienced during the day and during the night. Mild HF was defined as a "sensation of heat without sweating", moderate HF was defined as a "sensation of heat with sweating, but able to continue activity", and severe HF was defined as a "sensation of heat with sweating, causing cessation (stopping) of activity". Mean daily frequency is calculated as total number of moderate to severe HF during that week divided by the total number of available days with data during that week.
Mean Change in Frequency of Moderate to Severe HFs From Baseline to Week 12 (Assessed by HFDD)
Time frame: Baseline to Week 12
Participants' assessments of HF were recorded electronically twice daily using the sponsor developed Hot Flash Daily Diary (HFDD). The HFDD was completed in the morning after waking up (morning diary) and each evening at bedtime (evening diary) on the hand-held device. The HFDD items assessed the number of mild, moderate, and severe HF experienced during the day and during the night. Mild HF was defined as a "sensation of heat without sweating", moderate HF was defined as a "sensation of heat with sweating, but able to continue activity", and severe HF was defined as a "sensation of heat with sweating, causing cessation (stopping) of activity". Mean daily frequency is calculated as total number of moderate to severe HF during that week divided by the total number of available days with data during that week.
6 secondary outcomes
Mean Change in Severity of Moderate to Severe HF From Baseline to Week 4 (Assessed by HFDD).
Time frame: Baseline to Week 4
Mean Change in Severity of Moderate to Severe HF From Baseline to Week 12 (Assessed by HFDD)
Time frame: Baseline to Week 12
Mean Change in Frequency of Moderate to Severe HF From Baseline to Week 1 (Assessed by HFDD)
Time frame: Baseline to Week 1
Mean Change in Frequency of Moderate to Severe HF From Baseline Over Time (Assessed by HFDD)
Time frame: Baseline to Week 50
Mean Change in Patient-reported Outcomes Measurement Information System Sleep Disturbance Short Form 8b (PROMIS SD SF 8b) Total Score From Baseline to Week 12
Time frame: Baseline to Week 12
Mean Change in Menopause Specific Quality of Life Scale (MENQOL) Total Score From Baseline to Week 12
Time frame: Baseline to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jul 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40454634Cardoso F, Parke S, Brennan DJ, Briggs P, Donders G, Panay N, Haseli-Mashhadi N, Block M, Caetano C, Francuski M, Haberland C, Laapas K, Seitz C, Zuurman L. Elinzanetant for Vasomotor Symptoms from Endocrine Therapy for Breast Cancer. N Engl J Med. 2025 Aug 21;393(8):753-763. doi: 10.1056/NEJMoa2415566. Epub 2025 Jun 2.
- Individual participant dataSharing planned: No. There are no current plans to share data. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.
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.
The record lists no contact. Use the official record to reach the sponsor.
102 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Elinzanetant (BAY3427080) in people with Vasomotor Symptoms Caused by Adjuvant Endocrine Therapy in Women With, or at High Risk for Developing Hormone-receptor Positive Breast Cancer and Hot Flashes, run by Bayer at 102 sites in 16 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 9 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 9 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 102 sites in Germany, Portugal, France, Italy, Belgium and 11 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. Some participants in this study may receive a placebo. 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?
Yes. Results are posted in the registry (first posted 29 Oct 2025). 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?
Mean Change in Frequency of Moderate to Severe Hot Flashes (HF) From Baseline to Week 4 (Assessed by Hot Flash Daily Diary [HFDD]) (time frame: Baseline to Week 4). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05587296, which also lists 1 linked publication.
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 9 Jul 2026.