Metastatic Breast CancerPhase 3ELAINEIIINCT05696626
Evaluation of Lasofoxifene Combined With Abemaciclib Compared With Fulvestrant Combined With Abemaciclib in Locally Advanced or Metastatic ER+/HER2- Breast Cancer With an ESR1 Mutation
A Phase 3 study testing Lasofoxifene in combination with abemaciclib and Fulvestrant in combination with abemaciclib in people with Metastatic Breast Cancer, run by LeonaBio at 224 sites in 17 countries.
Trial summary
The goal of this clinical trial is to assess the efficacy, safety and tolerability of the combination of lasofoxifene and abemaciclib compared to fulvestrant and abemaciclib for the treatment of pre- and postmenopausal women and men who have previously received ribociclib or palbociclib-based treatment and have… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Breast Cancer
- What is being tested?
- Lasofoxifene in combination with abemaciclib and Fulvestrant in combination with abemaciclib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 600 participants
- Where
- 224 sitesin 17 countries
- Study dates
- 31 Oct 2023to Apr 2028
- 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
- Pre- or postmenopausal women or men.
- Locally advanced and/or metastatic ER+ breast cancer with radiological or clinical evidence of progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease.
- Histological or cytological confirmation of ER+/HER2 - disease
- No evidence of progression for at least 6 months on an AI/CDKi combination for advanced breast cancer.
- At least 1 or more ESR1 point mutations in the ESR1 ligand binding domain as assessed in cell- free ctDNA obtained from a blood or breast cancer tissue.
- Locally advanced or metastatic breast cancer with at least 1 measurable (according to RECIST 1.1) lesion with or without non-measurable lesions.
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- Subjects may have received 1 cytotoxic chemotherapy regimen in the metastatic disease setting prior to study entry, but must have recovered from chemotherapy acute toxicity excluding alopecia and Grade 2 peripheral neuropathy.
- Eastern Cooperative Oncology Group (ECOG) performance score of 0 or 1
- Adequate organ function
- Able to swallow tablets
- Brain metastases are allowed only if the following 4 parameters hold:
- Asymptomatic,
- Definitively treated (e.g., radiotherapy, surgery),
- Not requiring steroids up to 4 weeks before study treatment initiation, AND
- Central nervous system disease stable for >3 months prior to registration as documented by magnetic resonance imagining (MRI).
- Able to understand and voluntarily sign a written informed consent before any screening procedures.
- Every attempt should be made to obtain a biopsy of metastatic breast cancer tissue, when safe and feasible, to provide histological or cytological confirmation of ER+/HER2- disease as assessed by a local laboratory, according to American Society of Clinical Oncology/College of American Pathologists guidelines, using slides, paraffin blocks, or paraffin samples. If a biopsy is done, it may undergo genomic testing at some point to assess for ESR1 mutations and correlation with ctDNA results. If a biopsy is not possible or inappropriate from a clinical standpoint, the ER and HER2 status from the subject's most recent biopsy must confirm that the subject is ER+ and HER2
Who cannot join
- Lymphangitic carcinomatosis involving the lung.
- History of Grade 3 or Grade 4 interstitial lung disease (ILD) on previous therapy.
- Visceral crisis in need of cytotoxic chemotherapy as assessed by the investigator.
- Prior progression of disease on abemaciclib, fulvestrant, or other selective estrogen receptor degrader (SERD) therapy.
- Subjects with a known hypersensitivity to fulvestrant or to any of the excipients
- Radiotherapy within 30 days prior to Visit 0 (Day 1) except in case of localized radiotherapy for analgesic purposes or for lytic lesions at risk of fracture, which can then be completed within 7 days prior to Visit 0 (Day 1). Subjects must have recovered from radiotherapy toxicities prior to Visit 0 (Day 1).
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- Known RB1 mutations or deletions that in the opinion of the investigator confer resistance to CDK4/6i. (Screening for RB1 mutation is not required for entry.)
- History of long QTc (Q-T interval corrected for heart rate) syndrome or a QTc of >480 msec.
- History of a pulmonary embolus (PE), deep vein thrombosis (DVT), or any known thrombophilia, unless the event occurred greater than 6 months prior to screening and the subject is treated with chronic anticoagulant therapy such as apixaban (Eliquis) or rivaroxaban (Xarelto).
- Lasofoxifene is not recommended for use in subjects with conditions that place them at increased risk for VTEs (such as severe congestive heart failure [CHF] or prolonged immobilization).
- On concomitant strong CYP3A4 inhibitors.
- On strong and moderate CYP3A4 inducers.
- Any significant co-morbidity that would impact the study or the subject's safety, including subjects with significant malabsorption.
- Active systemic bacterial or fungal infection (requiring intravenous [IV] antibiotics or antifungals at the time of initiating study treatment).
- Known infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV).
- History of malignancy within the past 5 years (excluding breast cancer), except basal cell or squamous cell carcinoma of the skin curatively treated by surgery.
- Positive serum pregnancy test (only if premenopausal).
- Sexually active premenopausal women and men unwilling to use double-barrier contraception.
- Women who are breast feeding
- History of non-compliance to medical regimens.
- Unwilling or unable to comply with the protocol.
- Current participation in any clinical research trial involving an investigational drug or device within the last 30 days.
- Subjects with a history of familial hypertriglyceridemia or fasting triglyceride levels >880 mg/dL at screening.
- Fasting triglyceride level >300 mg/dL and ≤880 mg/dL at screening. Subjects may be retested and enrolled if they have a repeat fasting triglyceride level less than or equal to 300 mg/dL prior to enrollment (e.g., after adjustment with diet and/or treatment).
- Fasting cholesterol level >400 mg/dL at screening. Subjects may be retested and enrolled if they have a repeat fasting cholesterol level less than or equal to 400 mg/dL prior to enrollment (e.g., after adjustment with diet and/or treatment).
Trial locations and contacts
224 sites in 17 countries. Contact the study team or a site near you to ask about taking part.
Simon Daggett - Senior Vice President, Clinical Operations contact
224 sites in 17 countries
China77 sites, 77 recruiting
- Recruiting
Anhui Provincial Cancer Hospital
Anhui
Yueyin Pan, 13805695536, yueyinpan1965@126.com
- Recruiting
Anyang Tumour Hospital
Anyang
Junlan Guo, fanyuguo201@163.com
- Recruiting
Beijing Cancer Hospital
Beijing
Huiping Li, 86 13811012595, huipingli2012@hotmail.com
- Recruiting
Peking Union Medical College Hospital
Beijing
Hongyan Ying, 15901226215, yhypumch@163.com
- Recruiting
The First Affiliated Hospital of Bengbu Medical University
Bengbu
Jinhai Zhu, 13956331545, bbmczhu@163.com
- Recruiting
The First Hospital of Jilin University
Changchun
Dong Song, 13943189777, songdong117@126.com
- Recruiting
The Second Xiangya Hospital of Central South University
Changsha
Wenjun Yi, 18608403318, Yiwenjun@csu.edu.cn
- Recruiting
Sichuan Provincial People's Hospital
Chengdu
Jing Luo, 18981838521, 42635967@qq.com
- Recruiting
West China Hospital, Sichuan University
Chengdu
Ting Luo, 18602866299, luoting@wchscu.cn
- Recruiting
The First Affiliated Hospital, Chongqing Medical University
Chongqicun
Lu Gan, 18602320222, 914012118@qq.com
- Recruiting
The Second Hospital of Dalian Medical University
Dalian
Man Li, 17709873580, dyeyliman@sohu.com
- Recruiting
Deyang People's Hospital
Deyang
Ying Yi, 8618908103891, 23411004@qq.com
- Recruiting
Fuyang Cancer Hosptial
Fuyang
Hesheng Qian, 13956814015, qianhesheng@sohu.com
- Recruiting
Fujian Cancer Hospital
Fuzhou
Yi Zeng, 13905916886, zengyifc@126.com
- Recruiting
Fujian Medical University Union Hospital
Fuzhou
Xiaoyan Lin, 13365910793, xiaoyanlin@yahoo.com
- Recruiting
Zhujiang Hospital of Nanfang Medical University
Guandong
Guangyu Yao, 18675835626, ygy531@163.com
- Recruiting
Guangdong Provincial People's Hospital
Guangdong
Kun Wang, 13922118086, gzwangkun@126.com
- Recruiting
Meizhou People's Hospital
Guangdong
Jingna Wu, 13431819838, wujingna@mzrmyy.com
- Recruiting
Peking University Shenzhen Hospital
Guangdong
Xiaoling Liu
- Recruiting
Sun Yat-Sen University- Cancer Center
Guangdong
Shusen Wang, 13926168469, Wangshusench@yahoo.com.cn
- Recruiting
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou
Yaping Yang, 13602409759, yypapple1225@163.com
- Recruiting
The First Affiliated Hospital of Hainan Medical University
Haikou
Jinsheng Wu, 13707599070, wjs7911@126.com
- Recruiting
Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
Hangzhou
Xian Wang, 15857121122, wangxian@srrsh.com
- Recruiting
The First Affiliated Hospital, College of Medicine, Zhejiang University
Hangzhou
Peifen Fu, 13958161556, fupeifen@hotmail.com
- Recruiting
Zhejiang Provincial Hospital of Chinese Medicine
Hangzhou
Xiaohong Xie, 13957101427, xxh666857@163.com
- Recruiting
Hebei Medical University - The Fourth Hospital - Hebei Provincial Tumor Hospital
Hebei
Yunjiang Liu, 13703297890, lyj818326@163.com
- Recruiting
Xiangyang Central Hospital
Hubei
Yuehua Wang, 13995777482, 510839835@qq.com
- Recruiting
Xiangya Hospital Central South University
Hunan
Juan Huang, 13469081784, 375272151@qq.com
- Recruiting
Jieyang People's Hospital
Jieyang
Zhenhai Cai, 13502606100, 462975632@qq.com
- Recruiting
Shandong Province Tumor Hospital
Jinan
Yongqing Li, 15553115677, Liyq720917@126.com
- Recruiting
Yunnan Cancer Hospital
Kunming
Wenlin Chen, 138 88087395, chenwenlin1@hotmail.com
- Recruiting
Gansu Provincial Hospital
Lanzhou
Jie Hao, 13099203178, 523975396@qq.com
- Recruiting
The First Hospital of Lanzhou University
Lanzhou
Xiaoling Ling, 18693165668, 86860306@qq.com
- Recruiting
Linyi Cancer Hospital
Linyi
Jingfen Wang, 15963976026, 2298641960@qq.com
- Recruiting
Luoyang Central Hospital
Luoyang
Mingli Ni, 15803795310, 928718761@qq.com
- Recruiting
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang
Xinshuai Wang, 13837986128, xshuaiw@126.com
- Recruiting
The Affiliated Hospital of Southwest Medical University (Luzhou Medical College)
Luzhou
Lijia He, 13619042857, 908380148@qq.com
- Recruiting
Jiangxi Cancer Hospital
Nanchang
Zhengkui Sun, 13907000210, sunzhengkui616@163.com
- Recruiting
Nanchang People's Hospital
Nanchang
Chunwei Xie, 13006218563, 1875536028@qq.com
- Recruiting
Jiangsu Province Hospital - The First Affiliated Hospital with Nanjing Medical University
Nanjing
Yongmei Yin, 86 13951842727, YongmeiYin_JSSRM@163.com
- Recruiting
Nanjing Drum Tower Hospital
Nanjing
Li Xie, 13605169652, sherry01130@163.com
- Recruiting
Guangxi Medical University Cancer Hospital
Nanning
Yan Liu, 15877129696, liuyansunny@163.com
- Recruiting
Nanyang Central Hospital
Nanyang
Hao Zhang, 13703772883, nyzxyyzh@163.com
- Recruiting
The Second People's Hospital of Neijiang
Neijiang
Xujuan Wang, 13696038558, 61132803@qq.com
- Recruiting
Ningbo Medical Center Li Huili Hospital
Ningbo
WeiZhu Wu, 13957402451, 1144184462@qq.com
- Recruiting
The First People'S Hospital of Ping Ding Shan
Pingdingshan
Xiaohui Jing, jingxh120@163.com
- Recruiting
Qingdao Central Hospital, University of Health and Rehabilitation Sciences
Qingdao
Qiang Mu, 18561858307, mudoctor@163.com
- Recruiting
The Affiliated Hospital of Qingdao University
Qingdao
Haobo Wang, 18661805787, hbwangqy@126.com
- Recruiting
Quanzhou First Hospital
Quanzhou
Xiaofeng Li, 18965658239, 18965658239@189.cn
- Recruiting
Fudan University Cancer Center
Shang’ai
Zhimin Shao, 18017312288, szmgcp2016@163.com
- Recruiting
Huashan Hospital, Fudan University
Shanghai
Xiaohua Liang, 18121186232, xhliang66@sina.com
- Recruiting
Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai
GU Jianchun, 13764074162, gujianchun@126.com
- Recruiting
First Affiliated Hospital of Xi'an Jiaotong University
Shanxi
Jin Yang, 18991232383, 1473106133@qq.com
- Recruiting
The Central Hospital of Shaoyang
Shaoyang
Bin Dai, 15243901393, 490042498@qq.com
- Recruiting
Liaoning Cancer Hospital & Institute
Shenyang
Tao Sun, 18900917877, lnzlrxnsy@163.com
- Recruiting
Yuebei People's Hospital
Shouguang
Ruiwen Lei, 13826351682, leiruiwen2003@126.com
- Recruiting
University of Electonic Science & Technology (UESTC) - Sichuan Cancer Hospital & Institute
Sichuan
Hao Wang, 13518204307, unique909@126.com
- Recruiting
Tianjin Cancer Hospital Airport Hospital
Tianjin
Chunfang Hao, 13602031629, haochf@163.com
- Recruiting
Tianjin Medical University Cancer Institute & Hospital
Tianjin
Yehui Shi, 18622221183, shiyehui@tjmuch.com
- Recruiting
The Affiliated Cancer Hospital of Xinjiang Medical University
Ürümqi
Bing Zhao, 13899908184, 819502412@qq.com
- Recruiting
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou
Ouchen Wang, 13957706099, woc099@163.com
- Recruiting
Hubei Cancer Hospital
Wuhan
Xinhong Wu, 86 18602726300, xinhongwuhbch@163.com
- Recruiting
Union Hospital Tongji Medical College Huazhong University of Science and Technolog
Wuhan
Jing Yao, 13971139665, Jeaneyph@163.com
- Recruiting
The Second People's Hospital of WuHu
Wuhu
Hu Qin, 18055316155, huqin2007001@163.com
- Recruiting
The First Affiliated Hospital of Air Force Medical University
Xi Ail
Jing Fan, 13572961081, jingfan@vip.163.com
- Recruiting
The first affiliated hospital of Xiamen University
Xiamen
Zhong Ouyang, 18205962909, oyzlyl@163.com
- Recruiting
Zhongshang Hospital Xiamen University
Xiamen
Minjun Meng, 31455216@qq.com
- Recruiting
The Second Affiliated Hospital Of Xi'an Jiaotong University
Xinzheng
Shuqun Zhang, 13891841249, Zhangshuqun1971@aliyun.com
- Recruiting
The Affiliated Hospital of Xuzhou Medical University
Xuzhou
Hongbing Wang, 15996969368, hbw0316@163.com
- Recruiting
Xuzhou Central Hospital
Xuzhou
Li Sun, 18052230275, xzsonya@sohu.com
- Recruiting
Yuncheng Central Hospital
Yuncheng
Xiaoke Hou, 17703591026, hxk13720980018@163.com
- Recruiting
Zhejiang cancer hospital
Zhejiang
Junqing Chen, 18658840965, 10918129@zju.edu.cn
- Recruiting
Zhejiang Provincial People's Hospital
Zhejiang
Xuli Meng, 13757128803, mxlmail@126.com
- Recruiting
Henan Cancer Hospital
Zhengzhou
Zhenzhen Liu, 13603862755, liuzhenzhen73@126.com
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou
Jingruo Li, 13939021305, jingruoli@163.com
- Recruiting
Zhongshan City People's Hospital
Zhongshan
Shihui Ma, 13620394254, shihui612@163.com
- Recruiting
Zhumadian Central Hospital
Zhumadian
Sen Xiang, 13839928053, xiangsen7@163.com
United States36 sites, 30 recruiting
- Not yet recruiting
Presbyterian Kaseman Hospital
Albuquerque, New Mexico, 87110
Ethan Binder, ebinder@phs.org
- Recruiting
Emory University School of Medicine
Atlanta, Georgia, 30322
Jane Meisel, jane.l.meisel@emory.edu
- Recruiting
Johns Hopkins Kimmel Cancer Center
Baltimore, Maryland, 21231
Jessica Tao, jtao10@jhmi.edu
- Withdrawn
New Jersey Cancer Care, PA
Belleville, New Jersey, 07109
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
Seth Wander, SWANDER@mgh.harvard.edu
- Recruiting
Dana-Farber Cancer Institute
Boston, Massachusetts, 02115
Erica Mayer, erica_mayer@dfci.harvard.edu
- Recruiting
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
S Berwick, sberwick@bidmc.harvard.edu
- Recruiting
University Hospitals Seidman Cancer Center
Cleveland, Ohio, 44106
Takae Mizukami, Takae.Mizukami@UHhospitals.org
- Withdrawn
Cleveland Clinic
Cleveland, Ohio, 44119
- Recruiting
The Ohio State University Comprehensive Cancer Center - Arthur G. James Cancer Hospital and Richard J. Solovev Research Institute (OSUCCC - James)
Columbus, Ohio, 42112
Daniel Stover, Daniel.Stover@osumc.edu
- Recruiting
Duke University Medical Center
Durham, North Carolina, 27705
Rani Bansal, 919-660-1278, rani.bansal@duke.edu
- Completed
Altru Health Systems
Grand Forks, North Dakota, 58201
- Recruiting
Cancer and Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
Amy Vander Woude, avanderwoude@chcwm.com
- Recruiting
Baylor College of Medicine
Houston, Texas, 77030
Ahmed Elkhanany, Ahmed.Elkhanany@bcm.edu
- Recruiting
MD Anderson Cancer Center
Houston, Texas, 77030
Senthil Damodaran, SDamodaran@mdanderson.org
- Recruiting
Harris Health System - Smith Clinic
Houston, Texas, 77054
Ahmed Elkhanany, Ahmed.Elkhanany@bcm.edu
Ahmed Elkhanany
- Recruiting
Mayo Clinic - Jacksonville
Jacksonville, Florida, 32224
Clinical Trials Office - All Mayo Clinic Locations, 855-776-0015
- Recruiting
Saint Luke's Cancer Institute
Kansas City, Missouri, 64111
Timothy Pluard, 816-932-3300, tpluard@saint-lukes.org
- Recruiting
Norton Cancer Institute
Louisville, Kentucky, 40202
Laila Agrawal, laila.agrawal@nortonhealthcare.org
- Recruiting
Miami Cancer Institute
Miami, Florida, 33143
Ana Sandoval Leon, AnaSand@baptisthealth.net
- Completed
Allina Health System DBA Virginia Piper Cancer Institute
Minneapolis, Minnesota, 55407
- Recruiting
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
Coral Omene, co273@cinj.rutgers.edu
- Recruiting
The Blavatnik Family - Chelsea Medical Center at Mount Sinai
New York, New York, 10011
Amy Tiersten, (212) 241-3300, amy.tiersten@mssm.edu
- Recruiting
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Amy Tiersten, amy.tiersten@mssm.edu
- Recruiting
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Sherry Shen, shens1@mskcc.org
- Completed
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232
- Recruiting
Miami Cancer Institute Plantation
Plantation, Florida, 33324
Ana Sandoval Leon, AnaSand@baptisthealth.net
- Recruiting
Renown Regional Medical Centre
Reno, Nevada, 89502
Lee Schwartzberg, Lee.Schwartzberg@renown.org
- Recruiting
Cancer Care Specialists
Reno, Nevada, 89511-2250
Sowjanya Reganti, sreganti@ccsreno.com
- Recruiting
Presbyterian Rust Cancer Center
Rio Rancho, New Mexico, 87124
Ethan Binder, ebinder@phs.org
- Recruiting
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
Clinical Trials Office - All Mayo Clinic Locations, 855-776-0015
- Recruiting
Providence Medical Foundation - Santa Rosa, CA
Santa Rosa, California, 95403
Jarrod Holmes, jarrod.holmes@stjoe.org
- Recruiting
Mayo Clinic - Scottsdale
Scottsdale, Arizona, 85259
Clinical Trials Office - All Mayo Clinic Locations, 855-776-0015
- Withdrawn
Swedish Cancer Institute (SCI)
Seattle, Washington, 98104
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110
Nusayba Bagegni, nbagegni@wustl.edu
- Recruiting
University of Arizona - Cancer Center
Tucson, Arizona, 85719
Umbreen Rozell, uarshad@arizona.edu
Italy14 sites, 12 recruiting
- Recruiting
Azienda Ospedaliero-Universitaria delle Marche
Ancona
Rossana Berardi, rossana.berardi@ospedaliriuniti.marche.it
- Recruiting
Centro Riferimento Oncologico - Aviano
Aviano
Lorenzo Gerratana, (+39) 0434 659254, lgerratana@gmail.com; lorenzo.gerratana@cro.it
- Recruiting
La Fondazione e l'Istituto di Candiolo
Candiolo, 10060
Vanesa Gregorc, vanesa.gregorc@ircc.it
- Recruiting
IRCCS Istituto Romagnolo per lo Studio dei Tumori Dino Amadori - IRST S.r.l.
Meldola
Michela Palleschi, +39 0543 739100, michela.palleschi@irst.emr.it
- Recruiting
Istituto Europeo di Oncologia
Milan
Marco Angelo Colleoni, 02-57489.970, marco.colleoni@ieo.it; emilia.montagna@ieo.it
- Recruiting
Humanitas Istituto Clinico Catanese
Misterbianco
Maria Vita Sanò, 09573390197, maria.vita_sano@ccocatania.it
- Recruiting
Azienda Ospedaliero-Universitaria di Modena
Modena
Luca Moscetti, +390594223244, moscetti.luca@aou.mo.it
- Recruiting
Istituto Nazionale Tumori IRCCS Fondazione G. Pascale
Naples
Michelino De Laurentiis, +3908117770442, delauren@breastunit.org; m.delaurentiis@istitutotumori.na.it
- Withdrawn
Azienda Ospedaliero Universitaria Maggiore Della Carita
Novara, 28100
- Recruiting
Istituto Oncologico Veneto-I.R.C.C.S. - Ospedale Busonera
Padova, 35128
Valentina Guarneri, valentina.guarneri@unipd.it
- Recruiting
Azienda Ospedaliero Universitaria di Parma
Parma
Benedetta Pellegrino, benedetta.pellegrino@unipr.it
bpellegrino@ao.pr.it
- Recruiting
Fondazione IRCCS Policlinico San Matteo
Pavia
Gianpiero Rizzo, g.rizzo@smatteo.pv.it
Gianpiero Rizzo
- Recruiting
Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
Roma
Emilio Bria, +390630155202, emiliobria@yahoo.it; emilio.bria@policlinicogemelli.it
- Completed
Azienda Ospedaliera Universitaria Integrata Verona-Ospedale Borgo Trento
Verona
France13 sites, 13 recruiting
- Recruiting
Institut Sainte Catherine
Avignon, 84000
Julien Grenier, j.grenier@isc84.org
- Recruiting
Service d'Oncologie Medicale - CHRU Besancon
Besançon
Laura Mansi, lmansi@chu-besancon.fr
- Recruiting
Institut Bergonie
Bordeaux
Marc Debled, +33 (0)5 56 33 04 77, M.Debled@bordeaux.unicancer.fr
- Recruiting
Centre Francois Baclesse
Caen
George Emile, g.emile@baclesse.unicancer.fr
- Recruiting
Groupement de Cooperation Sanitaire (GCS) ELSAN - Clinique Victor Hugo
Le Mans, 72015
Sophie Roche, essaisroche@ilcgroupe.fr
- Recruiting
Centre Oscar Lambret
Lille
Charlotte Bellier, +33 (0)3.20.29.59.59, investigation@o-lambret.fr;c-bellier@o-lambret.fr
- Recruiting
Centre Leon Berard
Lyon
Thomas Bachelot, +33 4 78 78 26 54, thomas.bachelot@lyon.unicancer.fr
- Recruiting
Institut Paoli-Calmettes
Marseille
Alexandre Tassin de Nonneville, +33491223789, tassindenonnevillea@ipc.unicancer.fr
- Recruiting
HCL Centre Hospitalier Lyon Sud
Pierre-Bénite, 69310
Julien Peron, julien.peron@chu-lyon.fr
- Recruiting
CHU Poitiers - Pole Regional de Cancerologie de Poitiers (PRC)
Poitiers
Nicolas Isambert, nicolas.isambert@chu-poitiers.fr
- Recruiting
Centre Henri Becquerel
Rouen
Marianne Leheurteur, marianne.leheurteur@chb.unicancer.fr
- Recruiting
Institut Claudius Regaud
Toulouse
Florence Dalenc, (+33) 5 31 15 51 22, dalenc.florence@iuct-oncopole.fr
- Recruiting
Institut Gustave Roussy
Villejuif, 94800
Alessandro Viansone, Alessandro.viansone@gustaveroussy.fr
Spain13 sites, 13 recruiting
- Recruiting
Hospital Clinic Barcelona
Barcelona
Tomas Pascual, topascual@clinic.cat
- Recruiting
Hospital Universitario Vall d'Hebron
Barcelona
Miriam Arumi de Dios, +34600240679, marumi@vhio.net
- Recruiting
Hospital Universitario Reina Sofia
Córdoba
Juan de la Haba, juahaba@gmail.com
- Recruiting
Hospital Universitario Ramon y Cajal
Madrid, 28034
Noelia Martinez Jañez, mjnoelia@hotmail.com
- Recruiting
Hospital Fundacion Jimenez Diaz
Madrid, 28040
Yann Izarzugaza, yizarzugaza@quironsalud.es
- Recruiting
Clinica Universidad de Navarra - Madrid
Madrid
Jaime Espinos Jimenez, jespinos@unav.es
- Recruiting
Hospital Beata Maria Ana
Madrid
Javier Cortes Castan, +34 935 460 139, javierr.cortes@maj3.health
- Recruiting
Hospital General Universitario Gregorio Maranon
Madrid
Sara Lopez- Tarruella Cobo, slopeztarruella@gmail.com
- Recruiting
Hospital Universitario 12 de Octubre
Madrid
Eva Ciruelos Gil, +34913908000, evaciruelos.h12o@gmail.com
- Recruiting
Hospital Universitario de La Princesa
Madrid
Ana Isabel Ballesteros, +34915202200, oncologiamedica.princesa@outlook.com
- Recruiting
Hospital Regional Universitario de Malaga
Málaga
Begoña Jimenez Rodríguez, bego.jimenez@ibima.eu
begojrodriguez@gmail.com
- Recruiting
Clinica Universidad de Navarra - Pamplona
Pamplona
Jaime Espinos Jimenez, jespinos@unav.es
- Recruiting
Instituto Valenciano de Oncologia
Valencia
Angel Guerrero Zotano, +34 96 111 4051, aguerrero@fivo.org
Israel10 sites, 10 recruiting
- Recruiting
Haemek Medical Center
Afula, 1834111
Gil Bar-Sela, gil_ba@clalit.org.il
- Recruiting
Soroka Medical Center
Beersheba, 8486614
Wael Hozaeel, waelhz@clalit.org.il
- Recruiting
Rambam Health Care Campus
Haifa
Ayelet Shai, A_SHAI@rambam.health.gov.il
- Recruiting
Hadassah Ein-Karem Medical Center
Jerusalem
Ofra Maimon, +972505172570, ofra406@hadassah.org.il
- Recruiting
Shaare Zedek Medical Center
Jerusalem
Ora Solange Rosengarten, rosengarten@szmc.org.il
- Recruiting
Meir Medical Center
Kfar Saba, 4428164
Iryna Kuchuk, iryna.kuchuk@clalit.org.il
- Recruiting
Rabin MC
Petah Tikva
Rinat Yerushalmi, rinaty@clalit.org.il
- Recruiting
Kaplan Medical Center
Rehovot
Adi Rasco, 972-524610814, adifar@clalit.org.il
- Recruiting
Tel Aviv Sourasky Medical Center
Tel Aviv
Amir Sonnenblick, amirson@tlvmc.gov.il
- Recruiting
Sheba Medical Center
Tel HaShomer
Einav Nili Gal-Yam, +972-3-5302243, Einav.NiliGal-Yam@sheba.health.gov.il
Turkey (Türkiye)10 sites, 10 recruiting
- Recruiting
Ankara University Medical Faculty Medical Oncology Department
Ankara
Arzu Yasar, hayasar@ankara.edu.tr
- Not yet recruiting
Ege University Medical Faculty Hospital
Bornova, İzmir
Burcu Cakar, burcu.cakar@gmail.com
- Recruiting
Uludag University Faculty of Medicine Hospital
Bursa
Turkkan Evrensel, evrensel@uludag.edu.tr
- Recruiting
Liv Hospital Ankara
Çankaya, Ankara
Saadettin Kilickap, skilickap@yahoo.com
- Recruiting
Istanbul University CAPA Medical Faculty
Çapa, Istanbul
Meltem Ekenel, meltemekenel@yahoo.com
- Recruiting
Trakya University Medical Faculty Hospital
Edirne
Sernaz Topaloglu, sernaz.uzunoglu@gmail.com
- Recruiting
Medical Point Izmir Hospital
Izmir
Cagatay Arslan, arslancagatay@yahoo.com
- Recruiting
Kocaeli University Research and Application Hospital
İzmit, Kocaeli
Devrim Cabuk, devrim.cabuk@kocaeli.edu.tr
devrimcabuk@yahoo.com
- Recruiting
Goztepe Prof. Dr. Suleyman Yalcin City Hospital
Kadiköy, Istanbul
Mahmut Gumus, mgumus@superonline.com
- Recruiting
Suat Seren Training and Research Hospital
Konak, İzmir
Sema Erturk, drsemaerturk@gmail.com
United Kingdom9 sites, 8 recruiting
- Recruiting
Velindre Cancer Center
Cardiff, CF14 2TL
Simon Waters, simon.waters@wales.nhs.uk
- Recruiting
Princess Alexandra Hospital - Harlow
Harlow, CM20 1QX
Apostolos Konstantis, a.konstantis@nhs.net
- Recruiting
Leeds Teaching Hospitals NHS Trust
Leeds
Chris Twelves, C.J.Twelves@leeds.ac.uk
- Recruiting
Royal Free London NHS Foundation Trust
London, NW3 2
Judy King, judy.king@nhs.net
- Recruiting
Charing Cross Hospital
London
Farah Rehman, f.rehman@nhs.net
- Recruiting
The Christie NHS Foundation Trust
Manchester
Anne Armstrong, anne.armstrong3@nhs.net
- Recruiting
Milton Keynes Hospital
Milton Keynes, MK6 5LD
Azhar Rizvi, azhar.rizvi@mkuh.nhs.net
- Recruiting
Nottingham City Hospital
Nottingham
Sarah Khan, sarah.khan69@nhs.net
- Withdrawn
University Hospital of North Tees
Stockton-on-Tees, TS198PE
Poland8 sites, 5 recruiting
- Withdrawn
KO - MED Centra Kliniczne Sp. z o.o., Wojewodzki Szpital Specjalistyczny w Bialej Podlaskiej
Biała Podlaska
- Withdrawn
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Oddzial w Gliwicach, I Klinika Radioterapii i Chemioterapii
Gliwice
- Recruiting
SP ZOZ Szpital Uniwersytecki w Krakowie, Oddzial Onkologii Klinicznej
Krakow
Piotr Wysocki, 48 12 424-89-12, piotr.wysocki@uj.edu.pl; klinikaonkologii@su.krakow.pl
- Recruiting
Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie - Oddzial Onkologii Klinicznej z Pododdzialem Dziennym
Krakow
Anna Kowalczyk-Tekiela, +48 502 315 790, atekiela@interia.pl
- Completed
Instytut Centrum Zdrowia Matki Polki - Klinika Onkologii
Lodz
- Recruiting
Uniwersytecki Szpital Kliniczny w Poznaniu, Oddzial Chemioterapii
Poznan
Rodryg Ramlau, +48513155613, rramlau@gmail.com
- Recruiting
Wielkopolskie Centrum Onkologii (WCO) / The Greater Poland Cancer Center
Poznan
Anna Szafryna-Kliwicka, +48618850620, anna.szafryna-kliwicka@wco.pl
- Recruiting
Mazowiecki Szpital Onkologiczny
Wieliszew
Sylwina Socha, +48 22 766 15 00 ext. 134, s.socha@szpitalonkologiczny.pl
Romania7 sites, 5 recruiting
- Withdrawn
Centrul Medical Focus
Bucharest
- Recruiting
Memorial Healthcare International SRL
Bucharest
Ingrid Iordan, 0721298677, mireliordan@yahoo.com
- Recruiting
Radiotherapy Center Cluj
Cluj-Napoca
Andrei Ungureanu, +40742206212, andreiungureanu.oncolog@yahoo.com
- Completed
Onco Clinic Consult SA
Craiova
- Recruiting
Oncology Center Sfantul Nectarie
Craiova
Michael Schenker, +40351401336, mike_schenker@yahoo.com
- Recruiting
Gral Medical SRL
Piteşti
Adela-Luiza Chirila, +40766442720, dr.adela_chirila@yahoo.com
- Recruiting
OncoMed Oncology Center
Timișoara
Daniela Sirbu, +40 0744571617, desirbu@yahoo.com
Taiwan7 sites, 7 recruiting
- Recruiting
Changhua Christian Hospital (CCH)
Changhua
Shou-Tung Chen, 1886@cch.org.tw
- Recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital (KMUH)
Kaohsiung City
Ming-Feng Hou, mifeho@kmu.edu.tw
- Recruiting
National Cheng Kung University Hospital
Tainan
Wei-Pang Chung, +886975014242, edgarbun@gmail.com
- Recruiting
Koo Foundation Sun Yat-Sen Cancer Center
Taipei
Chi-Feng Chung, cheh@kfsyscc.org
- Recruiting
National Taiwan University Hospital
Taipei
Chiun-Sheng Huang, huangcs@ntu.edu.tw
- Recruiting
Tri-Service General Hospital
Taipei
Ming-Shen Dai, +886-2-87927208, dms1201@gmail.com
- Recruiting
Linkou Chang Gung Memorial Hospital (CGMHLK)
Taoyuan City
Chi-Chang Yu, kenneth0609@cgmh.org.tw
Canada5 sites, 4 recruiting
- Recruiting
Hospital Maisonneuve-Rosemont
Montreal, Quebec
Jonathan Noujaim, jonathan.noujaim.med@ssss.gouv.qc.ca
- Recruiting
Lady Davis Institute for Medical Research Jewish General Hospital
Montreal, Quebec
Parvaneh Fallah, parvaneh.fallah@mail.mcgill.ca
- Recruiting
The Ottawa General Hospital
Ottawa, Ontario
Terry Ng, teng@toh.ca
- Withdrawn
CIUSSS du Saguenay-Lac-Saint-Jean
Saguenay, Quebec
- Recruiting
Sunnybrook Health Sciences Centre -Bayview Campus
Toronto, Ontario
Rossanna Pezo, 416-480-4757, rossanna.pezo@sunnybrook.ca
South Korea5 sites, 3 recruiting
- Recruiting
National Cancer Center
Gyeonggi-do
Keun Seok Lee, kslee@ncc.re.kr
- Recruiting
Chonnam National University Hwasun Hospital
Jeollanam-do, 58128
Hyun Jeong Shim, 82-61-379-7634, hjnhj@chonnam.ac.kr
- Withdrawn
Asan Medical Center
Seoul
- Recruiting
Korea University Anam Hospital
Seoul
Kyong Hwa Park, 82-2-920-6841, khpark@korea.ac.kr
- Withdrawn
Severance Hospital, Yonsei University Health System
Seoul
Belgium4 sites, 3 recruiting
- Recruiting
Cliniques Universitaires Saint-Luc
Brussels
Francois Duhoux, +32 2 764 51 06, francois.duhoux@saintluc.uclouvain.be
- Withdrawn
Antwerp University Hospital (UZA)
Edegem
- Recruiting
Universitaire Ziekenhuizen Leuven
Leuven
Patrick Neven, patrick.neven@uzleuven.be
- Recruiting
CHU UCL Namur - Site De Sainte-Elisabeth
Namur
Donatienne Taylor, 003281720524, donatienne.taylor@chuuclnamur.uclouvain.be; donatienne.taylor@uclouvain.be
Australia3 sites, 3 recruiting
- Recruiting
Blacktown Hospital
Blacktown
Jennifer Man, jennifer.man@health.nsw.gov.au
- Recruiting
Concord Repatriation General Hospital
Concord
Belinda Kiely, +61 02 9767 6354, belinda.kiely@health.nsw.gov.au
- Recruiting
Mater Misericordiae Ltd, South Brisbane
South Brisbane
Kathryn Middleton, +61 07 31632531, kathryn.middleton@mater.org.au
Germany2 sites, 2 recruiting
- Recruiting
Universitaetsklinikum Carl Gustav Carus Dresden
Dresden
Pauline Wimberger, +49 (0)351 458-6728, pauline.wimberger@uniklinikum-dresden.de
- Recruiting
Klinikum rechts der Isar der Technischen Universitaet Muenchen
München
Evelyn Klein, 089 4140 2433, evelyn.klein@tum.de
Singapore1 site, 1 recruiting
- Recruiting
Curie Oncology
Singapore, 329563
Su-Mien Lynette Ngo, +6562595538, lynettengo@curieoncology.com.sg
About this study
Official title: An Open Label, Randomized, Multicenter Study Comparing the Efficacy and Safety of the Combination of Lasofoxifene and Abemaciclib to the Combination of Fulvestrant and Abemaciclib for the Treatment of Pre- and Postmenopausal Women and Men With Locally Advanced or Metastatic ER+/HER2- Breast Cancer With an ESR1 Mutation
The goal of this clinical trial is to assess the efficacy, safety and tolerability of the combination of lasofoxifene and abemaciclib compared to fulvestrant and abemaciclib for the treatment of pre- and postmenopausal women and men who have previously received ribociclib or palbociclib-based treatment and have locally advanced or metastatic estrogen receptor positive (ER+)/human epidermal growth factor 2 negative (HER2-) breast cancer with an estrogen receptor 1 (ESR1) mutation.
The main question the study aims to answer is:
- To compare the efficacy of the combination of lasofoxifene and abemaciclib with that of fulvestrant and abemaciclib Participants will receive either receive 5 mg/d of oral lasofoxifene plus oral abemaciclib 150 mg twice a day or the combination of fulvestrant 500 mg intramuscular (IM) on Days 1, 15, and 29 and then once monthly thereafter plus oral abemaciclib 150 mg twice a day.
- Conditions
- Metastatic Breast Cancer
- Being tested
- Lasofoxifene in combination with abemaciclib, Fulvestrant in combination with abemaciclib
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lasofoxifene in combination with abemaciclibDrug
5 mg/d of oral lasofoxifene plus oral abemaciclib 150 mg twice a day
Fulvestrant in combination with abemaciclibDrug
Fulvestrant 500 mg intramuscular (IM) on Days 1, 15, and 29 and then once monthly thereafter plus oral abemaciclib 150 mg twice a day
| Study group | Role | What they receive |
|---|---|---|
| Treatment | Experimental | Pre- and Postmenopausal Women and Men with locally advanced or metastatic ER+/HER2- breast cancer who have disease progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease and who have an ESR1 mutation. Receives: Drug: Lasofoxifene in combination with abemaciclib |
| Reference Therapy | Active comparator | Pre- and Postmenopausal Women and Men with locally advanced or metastatic ER+/HER2- breast cancer who have disease progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease and who have an ESR1 mutation. Receives: Drug: Fulvestrant in combination with abemaciclib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression free survival (PFS)
PFS is defined as the time from the date of randomization [Visit 0 (Day 1)] to the earliest date of first documented progression per RECIST 1.1 as determined by BICR or death due to any cause.
Measured: Within approximately 3 years
Secondary outcomes (8)
Objective response rate (ORR)
ORR is defined as the percentage of subjects with measurable disease at baseline whose best overall response is either a confirmed CR or a confirmed PR according to RECIST 1.1.
Measured: Within approximately 3 years
Overall survival (OS)
Overall survival is defined as time from the date of Visit 0 (Day 1) to death due to any cause.
Measured: Within approximately 3 years
Clinical benefit rate (CBR)
CBR is defined as the percentage of subjects with best overall response of confirmed CR, confirmed PR, or stable disease (SD) with a duration of 24 weeks or longer according to RECIST 1.1. As used in this calculation, stable disease is defined as stable disease in those subjects with measurable disease plus nonPR/non progressive disease (PD) in subjects with non-measurable disease.
Measured: Within approximately 3 years
Duration of response (DoR) in subjects with an objective response
DoR is from the date of first documented confirmed response (CR or PR) to the date of first documented progression of disease or death due to any cause, whichever is earlier.
Measured: Within approximately 3 years
Time to response (TTR) in subjects with an objective response
TTR is from the date of randomization to the date of first documented confirmed response (CR or PR).
Measured: Within approximately 3 years
Time to cytotoxic chemotherapy
From the date of randomization to the date of first documented use of cytotoxic chemotherapy.
Measured: Within approximately 3 years
Quality of Life (QoL) evaluated using the Functional Assessment of Cancer Therapy-Breast Cancer-Endocrine Subscale (FACT B-ES)
Scale ranges from 'Not at all' to 'Very much'
Measured: Within approximately 3 years
Incidence of Adverse Events (AEs) and Serious AEs
The type, severity (graded by Common Terminology Criteria for Adverse Events [CTCAE version 5.0]), course, duration, seriousness, and relationship to study treatment will be assessed at each visit
Measured: Within approximately 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jan 2023
- Study start31 Oct 2023
- Primary completionApr 2027 (estimated)
- Study completionApr 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metastatic Breast CancerStudies 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
- open label, randomized, parallel-group, multicenter study
- Masking
- None (open label)
- Enrolment
- 600 participants (estimated)
Sponsor and investigators
- Lead sponsor
- LeonaBio
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05696626
- Sponsor's protocol ID
- SMX 22-002
- Acronym
- ELAINEIII
- Status last verified
- Oct 2026
- First submitted
- 13 Jan 2023
- Last updated
- 29 Oct 2026
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Goetz MP, Wander SA, Bachelot T, de Nonneville A, Gal-Yam EN, Sammons SL, Shen S, Twelves C, Boruta G, Portman DJ, Damodaran S. ELAINE 3: phase 3 study of lasofoxifene plus abemaciclib to treat ER+/HER2-, ESR1-mutated, metastatic breast cancer. Future Oncol. 2025 May;21(11):1317-1324. doi: 10.1080/14796694.2025.2481825. Epub 2025 Apr 13.
PubMed 40222048
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open Label, Randomized, Multicenter Study Comparing the Efficacy and Safety of the Combination of Lasofoxifene and Abemaciclib to the Combination of Fulvestrant and Abemaciclib for the Treatment of Pre- and Postmenopausal Women and Men With Locally Advanced or Metastatic ER+/HER2- Breast Cancer With an ESR1 Mutation
- ClinicalTrials.gov ID
- NCT05696626
- Acronym / sponsor ID
- ELAINEIII / SMX 22-002
- Conditions
- Metastatic Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 600 participants (estimated)
- Lead sponsor
- LeonaBioIndustry (pharma, biotech, devices)
- Study start
- 31 Oct 2023 (actual)
- Primary completion
- Apr 2027 (estimated)
- Study completion
- Apr 2028 (estimated)
- First posted
- 25 Jan 2023 (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.
The goal of this clinical trial is to assess the efficacy, safety and tolerability of the combination of lasofoxifene and abemaciclib compared to fulvestrant and abemaciclib for the treatment of pre- and postmenopausal women and men who have previously received ribociclib or palbociclib-based treatment and have locally advanced or metastatic estrogen receptor positive (ER+)/human epidermal growth factor 2 negative (HER2-) breast cancer with an estrogen receptor 1 (ESR1) mutation.
The main question the study aims to answer is:
- To compare the efficacy of the combination of lasofoxifene and abemaciclib with that of fulvestrant and abemaciclib Participants will receive either receive 5 mg/d of oral lasofoxifene plus oral abemaciclib 150 mg twice a day or the combination of fulvestrant 500 mg intramuscular (IM) on Days 1, 15, and 29 and then once monthly thereafter plus oral abemaciclib 150 mg twice a day.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- open label, randomized, parallel-group, multicenter study
| Arm | Type | Receives |
|---|---|---|
| Treatment | Experimental | Drug: Lasofoxifene in combination with abemaciclibPre- and Postmenopausal Women and Men with locally advanced or metastatic ER+/HER2- breast cancer who have disease progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease and who have an ESR1 mutation. |
| Reference Therapy | Active comparator | Drug: Fulvestrant in combination with abemaciclibPre- and Postmenopausal Women and Men with locally advanced or metastatic ER+/HER2- breast cancer who have disease progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease and who have an ESR1 mutation. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Pre- or postmenopausal women or men.
- Locally advanced and/or metastatic ER+ breast cancer with radiological or clinical evidence of progression on an AI in combination with either palbociclib or ribociclib as their first hormonal treatment for metastatic disease.
- Histological or cytological confirmation of ER+/HER2 - disease
- No evidence of progression for at least 6 months on an AI/CDKi combination for advanced breast cancer.
- At least 1 or more ESR1 point mutations in the ESR1 ligand binding domain as assessed in cell- free ctDNA obtained from a blood or breast cancer tissue.
Key exclusion criteria (25 listed)
- Lymphangitic carcinomatosis involving the lung.
- History of Grade 3 or Grade 4 interstitial lung disease (ILD) on previous therapy.
- Visceral crisis in need of cytotoxic chemotherapy as assessed by the investigator.
- Prior progression of disease on abemaciclib, fulvestrant, or other selective estrogen receptor degrader (SERD) therapy.
- Subjects with a known hypersensitivity to fulvestrant or to any of the excipients
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 |
|---|---|---|
| Lasofoxifene in combination with abemaciclib5 mg/d of oral lasofoxifene plus oral abemaciclib 150 mg twice a day | Drug | Treatment |
| Fulvestrant in combination with abemaciclibFulvestrant 500 mg intramuscular (IM) on Days 1, 15, and 29 and then once monthly thereafter plus oral abemaciclib 150 mg twice a day | Drug | Reference Therapy |
Primary outcome
Progression free survival (PFS)
Time frame: Within approximately 3 years
PFS is defined as the time from the date of randomization [Visit 0 (Day 1)] to the earliest date of first documented progression per RECIST 1.1 as determined by BICR or death due to any cause.
8 secondary outcomes
Objective response rate (ORR)
Time frame: Within approximately 3 years
Overall survival (OS)
Time frame: Within approximately 3 years
Clinical benefit rate (CBR)
Time frame: Within approximately 3 years
Duration of response (DoR) in subjects with an objective response
Time frame: Within approximately 3 years
Time to response (TTR) in subjects with an objective response
Time frame: Within approximately 3 years
Time to cytotoxic chemotherapy
Time frame: Within approximately 3 years
Quality of Life (QoL) evaluated using the Functional Assessment of Cancer Therapy-Breast Cancer-Endocrine Subscale (FACT B-ES)
Time frame: Within approximately 3 years
Incidence of Adverse Events (AEs) and Serious AEs
Time frame: Within approximately 3 years
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 29 Oct 2026.
- Derived from this study: PubMed 40222048Goetz MP, Wander SA, Bachelot T, de Nonneville A, Gal-Yam EN, Sammons SL, Shen S, Twelves C, Boruta G, Portman DJ, Damodaran S. ELAINE 3: phase 3 study of lasofoxifene plus abemaciclib to treat ER+/HER2-, ESR1-mutated, metastatic breast cancer. Future Oncol. 2025 May;21(11):1317-1324. doi: 10.1080/14796694.2025.2481825. Epub 2025 Apr 13.
- 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.
Simon Daggett - Senior Vice President, Clinical Operations contact
224 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Lasofoxifene in combination with abemaciclib and Fulvestrant in combination with abemaciclib in people with Metastatic Breast Cancer, run by LeonaBio at 224 sites in 17 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 17 inclusion and 25 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: looking for participants now, as of the sponsor's last update on 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 224 sites in China, United States, Italy, France, Spain and 12 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?
Contact Simon Daggett - Senior Vice President, Clinical Operations ((909) 374-3793 ext. (425) 620-8772, clinicaltrials@leonabio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression free survival (PFS) (time frame: Within approximately 3 years). 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 NCT05696626, 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 29 Oct 2026.