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Phase 2 Study of Amcenestrant (SAR439859) Versus Physician's Choice in Locally Advanced or Metastatic ER-positive Breast Cancer (AMEERA-3)

Primary Purpose

Breast Cancer Metastatic

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Amcenestrant
Fulvestrant
Anastrozole
Letrozole
Exemestane
Tamoxifen
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer Metastatic

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria :

  • 18 years or older.
  • Histological or cytological diagnosis of adenocarcinoma of the breast.
  • Locally advanced not amenable to radiation therapy or surgery in a curative intent, and/or metastatic disease.
  • ER positive status.
  • HER2 negative status.
  • Participants must have received no more than 1 prior chemotherapeutic or 1 targeted therapy regimen for advanced/metastatic disease.
  • In the main study, a prior treatment with a CDK 4/6 inhibitor is mandatory if this treatment is approved and can be reimbursed for this participant. The percentage of participants without previous CDK 4/6 inhibitor will be capped to 20%. In the Chinese extension cohort, previous treatment with a CDK 4/6 inhibitor will not be mandatory, and there will be no limitation to the number of participants naïve to CDK4/6 inhibitor.
  • Participants must present a secondary endocrine resistance to endocrine therapy defined as: progression while on endocrine therapy after at least 6 months of treatment for advanced breast cancer, or relapse while on adjuvant endocrine therapy but after the first 2 years, or with a relapse within 12 months after completing adjuvant endocrine therapy.
  • Male or Female.

Exclusion criteria:

  • Eastern Cooperative Oncology Group performance status ≥2.
  • Medical history or ongoing gastrointestinal disorders potentially affecting the absorption of amcenestrant. Participants unable to swallow normally and to take capsules.
  • Participant with any other cancer. Adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer or any other cancer from which the participant has been disease free for >3 years are allowed.
  • Severe uncontrolled systemic disease at screening .
  • Participants with known brain metastases that are untreated, symptomatic or require therapy to control symptoms.
  • Prior treatment with mammalian target of rapamycin inhibitors or any other selective estrogen receptor degrader (SERD) compound, except fulvestrant if stopped for at least 3 months before randomization.
  • Treatment with drugs that have the potential to inhibit UGT less than 2 weeks before randomization.
  • Treatment with strong CYP3A inducers within 2 weeks before randomization.
  • Ongoing treatment with drugs that are sensitive substrate of organic anion transporting polypeptide 1B1/B3 (OATP1B1/B3) (asunaprevir, atorvastatin, bosentan, danoprevir, fexofenadine, glyburide, nateglinide, pitavastatin, pravastatin, replaglinide, rosuvastatin, and simvastatin acid).
  • Treatment with anticancer agents (including investigational drugs) less than 3 weeks before randomization.
  • Inadequate hematological, coagulation, renal and liver functions.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number :8400008
  • Investigational Site Number :8400018
  • Investigational Site Number :8400024
  • Investigational Site Number :8400027
  • Investigational Site Number :8400020
  • Investigational Site Number :8400015
  • Investigational Site Number :8400032
  • Investigational Site Number :8400013
  • Investigational Site Number :8400025
  • Investigational Site Number :8400006
  • Investigational Site Number :8400022
  • Investigational Site Number :8400026
  • Investigational Site Number :8400038
  • Investigational Site Number :8400016
  • Investigational Site Number :0320007
  • Investigational Site Number :0320001
  • Investigational Site Number :0320008
  • Investigational Site Number :0320006
  • Investigational Site Number :0320004
  • Investigational Site Number :0320005
  • Investigational Site Number :0320002
  • Investigational Site Number :0360003
  • Investigational Site Number :0360001
  • Investigational Site Number :0360002
  • Investigational Site Number :0560002
  • Investigational Site Number :0560001
  • Investigational Site Number :0560003
  • Investigational Site Number :0760003
  • Investigational Site Number :0760005
  • Investigational Site Number :0760001
  • Investigational Site Number :0760002
  • Investigational Site Number :0760006
  • Investigational Site Number :1240004
  • Investigational Site Number :1240003
  • Investigational Site Number :1240006
  • Investigational Site Number :1560015
  • Investigational Site Number :1560023
  • Investigational Site Number :1560002
  • Investigational Site Number :1560005
  • Investigational Site Number :1560013
  • Investigational Site Number :1560016
  • Investigational Site Number :2030002
  • Investigational Site Number :2030003
  • Investigational Site Number :2030004
  • Investigational Site Number :2500008
  • Investigational Site Number :2500006
  • Investigational Site Number :2500007
  • Investigational Site Number :2500005
  • Investigational Site Number :2500001
  • Investigational Site Number :3000001
  • Investigational Site Number :3000002
  • Investigational Site Number :3000004
  • Investigational Site Number :3760002
  • Investigational Site Number :3760001
  • Investigational Site Number :3760003
  • Investigational Site Number :3760004
  • Investigational Site Number :3800001
  • Investigational Site Number :3800002
  • Investigational Site Number :3800003
  • Investigational Site Number :3920002
  • Investigational Site Number :3920001
  • Investigational Site Number :3920009
  • Investigational Site Number :3920006
  • Investigational Site Number :3920005
  • Investigational Site Number :3920004
  • Investigational Site Number :3920008
  • Investigational Site Number :3920003
  • Investigational Site Number :4100001
  • Investigational Site Number :4100004
  • Investigational Site Number :4100003
  • Investigational Site Number :4100002
  • Investigational Site Number :4280002
  • Investigational Site Number :4280001
  • Investigational Site Number :4840005
  • Investigational Site Number :4840002
  • Investigational Site Number :4840006
  • Investigational Site Number :6160003
  • Investigational Site Number :6160001
  • Investigational Site Number :8400028
  • Investigational Site Number :6430003
  • Investigational Site Number :6430005
  • Investigational Site Number :6430002
  • Investigational Site Number :7240006
  • Investigational Site Number :7240003
  • Investigational Site Number :7240001
  • Investigational Site Number :7240008
  • Investigational Site Number :1580002
  • Investigational Site Number :1580003
  • Investigational Site Number :1580001
  • Investigational Site Number :1580005
  • Investigational Site Number :1580004
  • Investigational Site Number :7920004
  • Investigational Site Number :7920002
  • Investigational Site Number :7920003
  • Investigational Site Number :8040001
  • Investigational Site Number :8040004
  • Investigational Site Number :8040005

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Amcenestrant

Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator

Arm Description

Daily amcenestrant dose administered orally under fed or fast condition

Control treatment of the choice of the physician depending on each participant's medical condition and in accordance with the approved label may include 1 of the following treatments used as monotherapy. Fulvestrant Aromatase inhibitors (anastrozole, letrozole, exemestane) Selective estrogen receptor modulator (Tamoxifen)

Outcomes

Primary Outcome Measures

Progression Free Survival (PFS)
PFS is defined as the time in months interval from the date of randomization to the date of first documented tumor progression as per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) assessed by independent central review (ICR) or death (due to any cause), whichever comes first. Progressive Disease (PD) as per RECIST 1.1: at least a 20 percent (%) increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions. Analysis was performed by Kaplan-Meier method.

Secondary Outcome Measures

Overall Survival (OS)
OS is defined as the time interval from the date of randomization to the date of documented death (due to any cause). In the absence of observation of death, survival time was censored to last date the participant is known to be alive or at the cut-off date, whichever comes first. Analysis was performed by Kaplan-Meier method.
Percentage of Participants With Objective Response
Objective response is defined as percentage of participants having a partial response (PR) or complete response (CR) according to the RECIST version 1.1 assessed by ICR. As per RECIST 1.1, CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Percentage of Participants With Disease Control
Disease control is defined as percentage of participants having a confirmed CR, PR, or stable disease (SD) or Non-CR/Non-PD as BOR determined by ICR as per RECIST 1.1 from the date of randomization to the date of end of treatment. As per RECIST 1.1, CR: disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters. Non-CR/Non-PD: persistence of one or more nontarget lesion(s) and/or maintenance of tumor marker level above the normal limits. PD: at least 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions.
Percentage of Participants With Clinical Benefit
Clinical Benefit is defined as percentage of participants having a confirmed CR, PR, SD, or Non-CR/Non-PD for at least 24 weeks determined by ICR as per RECIST 1.1 from the date of randomization to the date of end of treatment. As per RECIST 1.1, CR: disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters. Non-CR/Non-PD: persistence of one or more nontarget lesion(s) and/or maintenance of tumor marker level above the normal limits. PD: at least 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions.
Duration of Response (DOR)
DOR is defined as time (in months) from first documented evidence of CR or PR until progressive disease (PD) determined by ICR as per RECIST 1.1 or death from any cause, whichever occurs first. For participants with ongoing response at the time of the analysis, DOR was censored at the date of the last valid disease assessment not showing documented progression performed before the initiation of a new anticancer treatment (if any). As per RECIST 1.1, CR: disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD: at least 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions.
Progression Free Survival (PFS) According to Estrogen Receptor 1 Gene (ESR1) Mutation Status
PFS defined as the time (in months) interval from the date of randomization to the date of first documented tumor progression as per RECIST 1.1 assessed by ICR or death (due to any cause), whichever comes first. Progression as per RECIST 1.1: at least a 20 percent (%) increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions. The mutation status (wild type, mutant) of twelve specific mutations of the ESR1 gene was determined by multiplex droplet digital polymerase chain reaction (ddPCR), including their mutant frequency and concentration. Here, PFS is reported based on the ESR1 mutation status of participants: wild type and mutants. ESR1 was the gene encoding estrogen receptor alpha. ESR1 mutant type breast cancer was a disease where the ESR1 gene had a mutation (i.e., a type of error). ESR1 wild type breast cancer was a disease where the ESR1 gene was normal without a mutation. Analysis was performed by Kaplan-Meier method.
Pharmacokinetics: Plasma Concentrations of Amcenestrant
Amcenestrant plasma concentrations at specified time points are reported.
Within-Participant Steady State Ctrough of Amcenestrant
Within-participant Steady state Ctrough was defined as the median value of the Ctrough across study using plasma concentration of predose samples at Cycle 1 Day 15 and Day 1 of Cycle 2, 3, 4 and 6 for each individual participant. Average (mean) of all calculated Ctrough values for all participants across study (Cycle 1 Day 15 and Day 1 of Cycle 2, 3, 4 and 6 ) was derived and reported in this outcome measure.
Change From Baseline in European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC-QLQ-C30) Domain Scores
EORTC-QLQ-C30: cancer-specific instrument with 30 questions for evaluation of new chemotherapy & assessment of participant reported outcome. These include 5 functional scales, 9 symptom scales, & Global Health Status/quality of life scale (GHS/QoL). All 14 items/domains were scored on scale of 1 (not at all) to 4 (very much) and GHS/QoL, scored on scale of 1 (very poor) to 7 (excellent). All scales are transformed from raw scores to linear scales ranging 0 to 100. Higher score for functional & GHS/QoL = higher level of functioning, & higher score for symptoms scales = higher symptom burden. Least Square (LS) mean and Standard Error (SE) are derived from MMRM model with change from Baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from baseline values of overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported in this outcome measure.
Change From Baseline in European Quality of Life Working Group Health Status Measure 5 Dimensions (5D), 5 Levels (5L) (EQ-5D-5L) Score: Visual Analog Scale (VAS) Score
EQ-5D-5L is a standardized measure of health status, provides a simple, generic measure of health for clinical and economic appraisal, and consists of 2 sections: the EQ-5D-5L health state utility index (descriptive system) and the EQ-5D-5L VAS. The Visual Analogue Scale is designed to rate the participant's current health state on a scale from 0 to 100, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state. LS mean and SE are derived from MMRM model with change from baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from Baseline values of overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported in this outcome measure.
Change From Baseline in European Quality of Life Working Group Health Status Measure 5 Dimensions (5D), 5 Levels (5L) (EQ-5D-5L) Score: Health Utility Index Value
EQ-5D-5L: consists of 2 sections: EQ-5D-5L health state utility index (descriptive system) & VAS. The EQ-5D descriptive system consists of 5 dimensions: mobility, self-care, usual activities, pain/discomfort & anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, & extreme problems. Response options are measured with 5-point Likert scale (for 5L version). The EQ-5D-5L responses are converted into single index utility score between 0 to 1, where higher score indicates better health state & lower score indicate worse health state. LS mean and SE are derived from MMRM model with change from Baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from baseline values overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported in this outcome measure.
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Breast Cancer Specific Module (EORTC-QLQ-BR23) Domain Scores
QLQ-BR23: disease-specific Health-related QOL assesses impact of breast cancer & side effects of treatment. EORTC-QLQ-BR23 contains 23 items: multi-item scales & single-item measures. 4 functional scales (body image, sexual functioning, sexual enjoyment, future perspective) & 4 scales related to symptoms of disease or treatment (arm symptoms, breast symptoms, systemic therapy side effects, & upset by hair loss). All items scored 1 (not at all) to 4 (very much). Scores of all scales transformed from raw scores to linear scales ranging 0 to 100. Higher score for functional scales = better outcome; higher score for symptoms scales = higher symptom burden. LS mean and SE are derived from MMRM model with change from Baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from baseline values of overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported.

Full Information

First Posted
August 9, 2019
Last Updated
September 22, 2023
Sponsor
Sanofi
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1. Study Identification

Unique Protocol Identification Number
NCT04059484
Brief Title
Phase 2 Study of Amcenestrant (SAR439859) Versus Physician's Choice in Locally Advanced or Metastatic ER-positive Breast Cancer
Acronym
AMEERA-3
Official Title
An Open Label Randomized Phase 2 Trial of Amcenestrant (SAR439859), Versus Endocrine Monotherapy as Per Physician's Choice in Patients With Estrogen Receptor-positive, HER2-Negative Locally Advanced or Metastatic Breast Cancer With Prior Exposure to Hormonal Therapies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 22, 2019 (Actual)
Primary Completion Date
February 15, 2022 (Actual)
Study Completion Date
December 29, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Primary Objective: To determine whether amcenestrant per overall survival (os) improves progression free survival (PFS) when compared with an endocrine monotherapy of the choice of the physician, in participants with metastatic or locally advanced breast cancer Secondary Objectives: To compare the overall survival in the 2 treatment arms To assess the objective response rate in the 2 treatment arms To evaluate the disease control rate in the 2 treatment arms To evaluate the clinical benefit rate in the 2 treatment arms To evaluate the duration of response in the 2 treatment arms To evaluate the PFS according to the estrogen receptor 1 gene (ESR1) mutation status in the 2 treatment arms To evaluate the pharmacokinetics of amcenestrant as single agent To evaluate health-related quality of life in the 2 treatment arms To compare the overall safety profile in the 2 treatment arms
Detailed Description
The duration of the study for an individual participant will include a period to assess eligibility (screening period) of up to 4 weeks (28 days), a treatment period of at least 1 cycle (28 days of study treatment), and an end of treatment (EOT) visit at least 30 days (or until the participant receive another anticancer therapy, whichever is earlier) following the last administration of study treatment. Study treatment may continue until precluded by unacceptable toxicity, disease progression, death or upon participant's request to stop treatment, or Investigator decision, whichever occurs first. An extension of recruitment for Chinese participants is planned in this study: After completion of randomization in the global part of the study, randomization will continue in China until approximately 90 Chinese participants are randomized.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer Metastatic

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
290 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Amcenestrant
Arm Type
Experimental
Arm Description
Daily amcenestrant dose administered orally under fed or fast condition
Arm Title
Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator
Arm Type
Active Comparator
Arm Description
Control treatment of the choice of the physician depending on each participant's medical condition and in accordance with the approved label may include 1 of the following treatments used as monotherapy. Fulvestrant Aromatase inhibitors (anastrozole, letrozole, exemestane) Selective estrogen receptor modulator (Tamoxifen)
Intervention Type
Drug
Intervention Name(s)
Amcenestrant
Intervention Description
Pharmaceutical form: Capsule Route of administration: Oral
Intervention Type
Drug
Intervention Name(s)
Fulvestrant
Other Intervention Name(s)
Faslodex®
Intervention Description
Pharmaceutical form: Solution for injection Route of administration: Intramuscular
Intervention Type
Drug
Intervention Name(s)
Anastrozole
Other Intervention Name(s)
Arimidex®/Anastrozole Generics
Intervention Description
Pharmaceutical form:Tablets or capsules Route of administration: Oral
Intervention Type
Drug
Intervention Name(s)
Letrozole
Other Intervention Name(s)
Femara®/Letrozole Generics
Intervention Description
Pharmaceutical form: Tablets or capsules Route of administration: Oral
Intervention Type
Drug
Intervention Name(s)
Exemestane
Other Intervention Name(s)
Aromasin®/Exemestane Generics
Intervention Description
Pharmaceutical form: Tablets or capsules Route of administration: Oral
Intervention Type
Drug
Intervention Name(s)
Tamoxifen
Other Intervention Name(s)
Nolvadex®/Tamoxifen Generics
Intervention Description
Pharmaceutical form: Tablets or capsules Route of administration: Oral
Primary Outcome Measure Information:
Title
Progression Free Survival (PFS)
Description
PFS is defined as the time in months interval from the date of randomization to the date of first documented tumor progression as per Response Evaluation Criteria in Solid Tumors (RECIST 1.1) assessed by independent central review (ICR) or death (due to any cause), whichever comes first. Progressive Disease (PD) as per RECIST 1.1: at least a 20 percent (%) increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions. Analysis was performed by Kaplan-Meier method.
Time Frame
From randomization to the date of first documented tumor progression or death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Secondary Outcome Measure Information:
Title
Overall Survival (OS)
Description
OS is defined as the time interval from the date of randomization to the date of documented death (due to any cause). In the absence of observation of death, survival time was censored to last date the participant is known to be alive or at the cut-off date, whichever comes first. Analysis was performed by Kaplan-Meier method.
Time Frame
From randomization to the death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Title
Percentage of Participants With Objective Response
Description
Objective response is defined as percentage of participants having a partial response (PR) or complete response (CR) according to the RECIST version 1.1 assessed by ICR. As per RECIST 1.1, CR was defined as disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
Time Frame
From randomization to the date of first documented tumor progression, death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Title
Percentage of Participants With Disease Control
Description
Disease control is defined as percentage of participants having a confirmed CR, PR, or stable disease (SD) or Non-CR/Non-PD as BOR determined by ICR as per RECIST 1.1 from the date of randomization to the date of end of treatment. As per RECIST 1.1, CR: disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in sum of diameters of target lesions, taking as reference baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters. Non-CR/Non-PD: persistence of one or more nontarget lesion(s) and/or maintenance of tumor marker level above the normal limits. PD: at least 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions.
Time Frame
From randomization to the date of first documented tumor progression, death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Title
Percentage of Participants With Clinical Benefit
Description
Clinical Benefit is defined as percentage of participants having a confirmed CR, PR, SD, or Non-CR/Non-PD for at least 24 weeks determined by ICR as per RECIST 1.1 from the date of randomization to the date of end of treatment. As per RECIST 1.1, CR: disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters. Non-CR/Non-PD: persistence of one or more nontarget lesion(s) and/or maintenance of tumor marker level above the normal limits. PD: at least 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions.
Time Frame
From randomization to the date of first documented tumor progression, death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Title
Duration of Response (DOR)
Description
DOR is defined as time (in months) from first documented evidence of CR or PR until progressive disease (PD) determined by ICR as per RECIST 1.1 or death from any cause, whichever occurs first. For participants with ongoing response at the time of the analysis, DOR was censored at the date of the last valid disease assessment not showing documented progression performed before the initiation of a new anticancer treatment (if any). As per RECIST 1.1, CR: disappearance of all target and non-target lesions and normalization of tumor marker level. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD: at least 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions.
Time Frame
From the date of first response to the date of first documented tumor progression, death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Title
Progression Free Survival (PFS) According to Estrogen Receptor 1 Gene (ESR1) Mutation Status
Description
PFS defined as the time (in months) interval from the date of randomization to the date of first documented tumor progression as per RECIST 1.1 assessed by ICR or death (due to any cause), whichever comes first. Progression as per RECIST 1.1: at least a 20 percent (%) increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions. The mutation status (wild type, mutant) of twelve specific mutations of the ESR1 gene was determined by multiplex droplet digital polymerase chain reaction (ddPCR), including their mutant frequency and concentration. Here, PFS is reported based on the ESR1 mutation status of participants: wild type and mutants. ESR1 was the gene encoding estrogen receptor alpha. ESR1 mutant type breast cancer was a disease where the ESR1 gene had a mutation (i.e., a type of error). ESR1 wild type breast cancer was a disease where the ESR1 gene was normal without a mutation. Analysis was performed by Kaplan-Meier method.
Time Frame
From randomization to the date of first documented tumor progression, death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Title
Pharmacokinetics: Plasma Concentrations of Amcenestrant
Description
Amcenestrant plasma concentrations at specified time points are reported.
Time Frame
Cycle 1 Day 1: 1.5 hours(h), 4h post-dose, Day 15: pre-dose, Cycle 2 Day 1: pre-dose, 1.5h, 4h, 8h post-dose, Cycle 3 Day 1: pre-dose, Cycle 4 Day 1: pre-dose, Cycle 6 Day 1: pre-dose
Title
Within-Participant Steady State Ctrough of Amcenestrant
Description
Within-participant Steady state Ctrough was defined as the median value of the Ctrough across study using plasma concentration of predose samples at Cycle 1 Day 15 and Day 1 of Cycle 2, 3, 4 and 6 for each individual participant. Average (mean) of all calculated Ctrough values for all participants across study (Cycle 1 Day 15 and Day 1 of Cycle 2, 3, 4 and 6 ) was derived and reported in this outcome measure.
Time Frame
Predose on Cycle 1 Day 15; Cycle 2 Day 1; Cycle 3 Day 1; Cycle 4 Day 1; Cycle 6 Day 1
Title
Change From Baseline in European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC-QLQ-C30) Domain Scores
Description
EORTC-QLQ-C30: cancer-specific instrument with 30 questions for evaluation of new chemotherapy & assessment of participant reported outcome. These include 5 functional scales, 9 symptom scales, & Global Health Status/quality of life scale (GHS/QoL). All 14 items/domains were scored on scale of 1 (not at all) to 4 (very much) and GHS/QoL, scored on scale of 1 (very poor) to 7 (excellent). All scales are transformed from raw scores to linear scales ranging 0 to 100. Higher score for functional & GHS/QoL = higher level of functioning, & higher score for symptoms scales = higher symptom burden. Least Square (LS) mean and Standard Error (SE) are derived from MMRM model with change from Baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from baseline values of overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported in this outcome measure.
Time Frame
Baseline, overall treatment duration (Cycle 1 up to Cycle 30 [i.e.,116 weeks])
Title
Change From Baseline in European Quality of Life Working Group Health Status Measure 5 Dimensions (5D), 5 Levels (5L) (EQ-5D-5L) Score: Visual Analog Scale (VAS) Score
Description
EQ-5D-5L is a standardized measure of health status, provides a simple, generic measure of health for clinical and economic appraisal, and consists of 2 sections: the EQ-5D-5L health state utility index (descriptive system) and the EQ-5D-5L VAS. The Visual Analogue Scale is designed to rate the participant's current health state on a scale from 0 to 100, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state. LS mean and SE are derived from MMRM model with change from baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from Baseline values of overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported in this outcome measure.
Time Frame
Baseline, overall treatment duration (Cycle 1 up to Cycle 30 [i.e.,116 weeks])
Title
Change From Baseline in European Quality of Life Working Group Health Status Measure 5 Dimensions (5D), 5 Levels (5L) (EQ-5D-5L) Score: Health Utility Index Value
Description
EQ-5D-5L: consists of 2 sections: EQ-5D-5L health state utility index (descriptive system) & VAS. The EQ-5D descriptive system consists of 5 dimensions: mobility, self-care, usual activities, pain/discomfort & anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, & extreme problems. Response options are measured with 5-point Likert scale (for 5L version). The EQ-5D-5L responses are converted into single index utility score between 0 to 1, where higher score indicates better health state & lower score indicate worse health state. LS mean and SE are derived from MMRM model with change from Baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from baseline values overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported in this outcome measure.
Time Frame
Baseline, overall treatment duration (Cycle 1 up to Cycle 30 [i.e.,116 weeks])
Title
Change From Baseline in European Organization for Research and Treatment of Cancer Quality of Life Breast Cancer Specific Module (EORTC-QLQ-BR23) Domain Scores
Description
QLQ-BR23: disease-specific Health-related QOL assesses impact of breast cancer & side effects of treatment. EORTC-QLQ-BR23 contains 23 items: multi-item scales & single-item measures. 4 functional scales (body image, sexual functioning, sexual enjoyment, future perspective) & 4 scales related to symptoms of disease or treatment (arm symptoms, breast symptoms, systemic therapy side effects, & upset by hair loss). All items scored 1 (not at all) to 4 (very much). Scores of all scales transformed from raw scores to linear scales ranging 0 to 100. Higher score for functional scales = better outcome; higher score for symptoms scales = higher symptom burden. LS mean and SE are derived from MMRM model with change from Baseline values as response variable, treatment, time, treatment-by-time interaction, Baseline value and stratifications factors as fixed effect. Average of LS mean change from baseline values of overall treatment (i.e., each cycle [Cycle 1 up to Cycle 30]) was reported.
Time Frame
Baseline, overall treatment duration (Cycle 1 up to Cycle 30 [i.e.,116 weeks])

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria : 18 years or older. Histological or cytological diagnosis of adenocarcinoma of the breast. Locally advanced not amenable to radiation therapy or surgery in a curative intent, and/or metastatic disease. Estrogen receptor(ER) positive status. Human epidermal growth factor receptor 2 negative status. Participants must have received no more than 1 prior chemotherapeutic or 1 targeted therapy regimen for advanced/metastatic disease. In the main study, a prior treatment with a Cyclin-dependent kinase 4 and 6(CDK 4/6) inhibitor is mandatory if this treatment is approved and can be reimbursed for this participant. The percentage of participants without previous CDK 4/6 inhibitor will be capped to 20%. In the Chinese extension cohort, previous treatment with a CDK 4/6 inhibitor will not be mandatory, and there will be no limitation to the number of participants naïve to CDK4/6 inhibitor. Participants must present a secondary endocrine resistance to endocrine therapy defined as: progression while on endocrine therapy after at least 6 months of treatment for advanced breast cancer, or relapse while on adjuvant endocrine therapy but after the first 2 years, or with a relapse within 12 months after completing adjuvant endocrine therapy. Male or Female. Exclusion criteria: Eastern Cooperative Oncology Group performance status =>2. Medical history or ongoing gastrointestinal disorders potentially affecting the absorption of amcenestrant. Participants unable to swallow normally and to take capsules. Participant with any other cancer. Adequately treated basal cell or squamous cell skin cancer or in situ cervical cancer or any other cancer from which the participant has been disease free for greater than 3 years are allowed. Severe uncontrolled systemic disease at screening . Participants with known brain metastases that are untreated, symptomatic or require therapy to control symptoms. Prior treatment with mammalian target of rapamycin inhibitors or any other selective estrogen receptor degrader(SERD) compound, except fulvestrant if stopped for at least 3 months before randomization. Treatment with drugs that have the potential to inhibit Uridine'5 Diphospho-Glucuronosyl Transferase(UGT) less than 2 weeks before randomization. Treatment with strong Cytochrome P450 (CYP)3A inducers within 2 weeks before randomization. Ongoing treatment with drugs that are sensitive substrate of organic anion transporting polypeptide 1B1/B3(OATP1B1/B3) (asunaprevir, atorvastatin, bosentan, danoprevir, fexofenadine, glyburide, nateglinide, pitavastatin, pravastatin, replaglinide, rosuvastatin, and simvastatin acid). Treatment with anticancer agents (including investigational drugs) less than 3 weeks before randomization. Inadequate hematological, coagulation, renal and liver functions. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number :8400008
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35205
Country
United States
Facility Name
Investigational Site Number :8400018
City
Bakersfield
State/Province
California
ZIP/Postal Code
93309
Country
United States
Facility Name
Investigational Site Number :8400024
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
Investigational Site Number :8400027
City
Fairway
State/Province
Kansas
ZIP/Postal Code
66205
Country
United States
Facility Name
Investigational Site Number :8400020
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
Investigational Site Number :8400015
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Investigational Site Number :8400032
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64111
Country
United States
Facility Name
Investigational Site Number :8400013
City
Lebanon
State/Province
New Hampshire
ZIP/Postal Code
03756
Country
United States
Facility Name
Investigational Site Number :8400025
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Investigational Site Number :8400006
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Investigational Site Number :8400022
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Investigational Site Number :8400026
City
Burlington
State/Province
Vermont
ZIP/Postal Code
05401
Country
United States
Facility Name
Investigational Site Number :8400038
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
Facility Name
Investigational Site Number :8400016
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53792
Country
United States
Facility Name
Investigational Site Number :0320007
City
Buenos Aires
ZIP/Postal Code
1012
Country
Argentina
Facility Name
Investigational Site Number :0320001
City
Buenos Aires
ZIP/Postal Code
1426ANZ
Country
Argentina
Facility Name
Investigational Site Number :0320008
City
Buenos Aires
ZIP/Postal Code
C1019ABS
Country
Argentina
Facility Name
Investigational Site Number :0320006
City
Buenos Aires
ZIP/Postal Code
C1125ABD
Country
Argentina
Facility Name
Investigational Site Number :0320004
City
La Rioja
ZIP/Postal Code
5300
Country
Argentina
Facility Name
Investigational Site Number :0320005
City
Rosario
ZIP/Postal Code
2000
Country
Argentina
Facility Name
Investigational Site Number :0320002
City
Salta
ZIP/Postal Code
4400
Country
Argentina
Facility Name
Investigational Site Number :0360003
City
South Brisbane
State/Province
Queensland
ZIP/Postal Code
4101
Country
Australia
Facility Name
Investigational Site Number :0360001
City
Nedlands
State/Province
Western Australia
ZIP/Postal Code
6009
Country
Australia
Facility Name
Investigational Site Number :0360002
City
Woolloongabba
ZIP/Postal Code
4102
Country
Australia
Facility Name
Investigational Site Number :0560002
City
Charleroi
ZIP/Postal Code
B-6000
Country
Belgium
Facility Name
Investigational Site Number :0560001
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Investigational Site Number :0560003
City
Namur
ZIP/Postal Code
5000
Country
Belgium
Facility Name
Investigational Site Number :0760003
City
Sao Jose do Rio Preto
State/Province
São Paulo
ZIP/Postal Code
15090-000
Country
Brazil
Facility Name
Investigational Site Number :0760005
City
Goiania
ZIP/Postal Code
74605-070
Country
Brazil
Facility Name
Investigational Site Number :0760001
City
Porto Alegre
ZIP/Postal Code
90035 003
Country
Brazil
Facility Name
Investigational Site Number :0760002
City
Porto Alegre
ZIP/Postal Code
90110-270
Country
Brazil
Facility Name
Investigational Site Number :0760006
City
Sao Paulo
ZIP/Postal Code
04014-002
Country
Brazil
Facility Name
Investigational Site Number :1240004
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4N2
Country
Canada
Facility Name
Investigational Site Number :1240003
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 5W9
Country
Canada
Facility Name
Investigational Site Number :1240006
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3T 1E2
Country
Canada
Facility Name
Investigational Site Number :1560015
City
Changchun
ZIP/Postal Code
130021
Country
China
Facility Name
Investigational Site Number :1560023
City
Hangzhou
ZIP/Postal Code
310016
Country
China
Facility Name
Investigational Site Number :1560002
City
Hangzhou
ZIP/Postal Code
310022
Country
China
Facility Name
Investigational Site Number :1560005
City
Harbin
ZIP/Postal Code
150081
Country
China
Facility Name
Investigational Site Number :1560013
City
Tianjin
ZIP/Postal Code
300060
Country
China
Facility Name
Investigational Site Number :1560016
City
Wuhan
ZIP/Postal Code
430079
Country
China
Facility Name
Investigational Site Number :2030002
City
Brno
ZIP/Postal Code
65653
Country
Czechia
Facility Name
Investigational Site Number :2030003
City
Novy Jicin
ZIP/Postal Code
741 01
Country
Czechia
Facility Name
Investigational Site Number :2030004
City
Praha 4
ZIP/Postal Code
14059
Country
Czechia
Facility Name
Investigational Site Number :2500008
City
Angers
ZIP/Postal Code
49055
Country
France
Facility Name
Investigational Site Number :2500006
City
Creteil
ZIP/Postal Code
94000
Country
France
Facility Name
Investigational Site Number :2500007
City
Marseille
ZIP/Postal Code
13009
Country
France
Facility Name
Investigational Site Number :2500005
City
Paris
ZIP/Postal Code
75010
Country
France
Facility Name
Investigational Site Number :2500001
City
Villejuif
ZIP/Postal Code
94800
Country
France
Facility Name
Investigational Site Number :3000001
City
Heraklion
ZIP/Postal Code
71110
Country
Greece
Facility Name
Investigational Site Number :3000002
City
Larissa
ZIP/Postal Code
41110
Country
Greece
Facility Name
Investigational Site Number :3000004
City
Thessaloniki
ZIP/Postal Code
54645
Country
Greece
Facility Name
Investigational Site Number :3760002
City
Jerusalem
ZIP/Postal Code
91031
Country
Israel
Facility Name
Investigational Site Number :3760001
City
Petah-Tikva
ZIP/Postal Code
49100
Country
Israel
Facility Name
Investigational Site Number :3760003
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
Facility Name
Investigational Site Number :3760004
City
Tel HaShomer
ZIP/Postal Code
52621
Country
Israel
Facility Name
Investigational Site Number :3800001
City
Candiolo
State/Province
Torino
ZIP/Postal Code
10060
Country
Italy
Facility Name
Investigational Site Number :3800002
City
Milano
ZIP/Postal Code
20141
Country
Italy
Facility Name
Investigational Site Number :3800003
City
Prato
ZIP/Postal Code
59100
Country
Italy
Facility Name
Investigational Site Number :3920002
City
Nagoya-shi
State/Province
Aichi
ZIP/Postal Code
464-8681
Country
Japan
Facility Name
Investigational Site Number :3920001
City
Kashiwa-shi
State/Province
Chiba
ZIP/Postal Code
277-8577
Country
Japan
Facility Name
Investigational Site Number :3920009
City
Ota-shi
State/Province
Gunma
ZIP/Postal Code
373-8550
Country
Japan
Facility Name
Investigational Site Number :3920006
City
Yokohama-shi
State/Province
Kanagawa
ZIP/Postal Code
241-8515
Country
Japan
Facility Name
Investigational Site Number :3920005
City
Kitaadachi-gun
State/Province
Saitama
ZIP/Postal Code
362-0806
Country
Japan
Facility Name
Investigational Site Number :3920004
City
Chuo-ku
State/Province
Tokyo
ZIP/Postal Code
104-0045
Country
Japan
Facility Name
Investigational Site Number :3920008
City
Koto-ku
State/Province
Tokyo
ZIP/Postal Code
135-8550
Country
Japan
Facility Name
Investigational Site Number :3920003
City
Osaka-shi
ZIP/Postal Code
540-0006
Country
Japan
Facility Name
Investigational Site Number :4100001
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Investigational Site Number :4100004
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Facility Name
Investigational Site Number :4100003
City
Seoul
ZIP/Postal Code
05505
Country
Korea, Republic of
Facility Name
Investigational Site Number :4100002
City
Seoul
ZIP/Postal Code
06351
Country
Korea, Republic of
Facility Name
Investigational Site Number :4280002
City
Riga
ZIP/Postal Code
LV-1002
Country
Latvia
Facility Name
Investigational Site Number :4280001
City
Riga
ZIP/Postal Code
LV-1038
Country
Latvia
Facility Name
Investigational Site Number :4840005
City
Mexico
ZIP/Postal Code
03100
Country
Mexico
Facility Name
Investigational Site Number :4840002
City
Monterrey
ZIP/Postal Code
64460
Country
Mexico
Facility Name
Investigational Site Number :4840006
City
Veracruz
ZIP/Postal Code
91910
Country
Mexico
Facility Name
Investigational Site Number :6160003
City
Poznan
ZIP/Postal Code
61-866
Country
Poland
Facility Name
Investigational Site Number :6160001
City
Warszawa
ZIP/Postal Code
02-781
Country
Poland
Facility Name
Investigational Site Number :8400028
City
Ponce De Leon
ZIP/Postal Code
00917
Country
Puerto Rico
Facility Name
Investigational Site Number :6430003
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation
Facility Name
Investigational Site Number :6430005
City
Moscow
ZIP/Postal Code
129090
Country
Russian Federation
Facility Name
Investigational Site Number :6430002
City
Saint -Petersburg
ZIP/Postal Code
197758
Country
Russian Federation
Facility Name
Investigational Site Number :7240006
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Investigational Site Number :7240003
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Investigational Site Number :7240001
City
Hospitalet de Llobregat
ZIP/Postal Code
08908
Country
Spain
Facility Name
Investigational Site Number :7240008
City
Málaga
ZIP/Postal Code
29010
Country
Spain
Facility Name
Investigational Site Number :1580002
City
Taichung
ZIP/Postal Code
40447
Country
Taiwan
Facility Name
Investigational Site Number :1580003
City
Tainan
ZIP/Postal Code
704
Country
Taiwan
Facility Name
Investigational Site Number :1580001
City
Taipei
ZIP/Postal Code
10018
Country
Taiwan
Facility Name
Investigational Site Number :1580005
City
Taipei
ZIP/Postal Code
104
Country
Taiwan
Facility Name
Investigational Site Number :1580004
City
Taipei
ZIP/Postal Code
114
Country
Taiwan
Facility Name
Investigational Site Number :7920004
City
Ankara
ZIP/Postal Code
06200
Country
Turkey
Facility Name
Investigational Site Number :7920002
City
Edirne
ZIP/Postal Code
22030
Country
Turkey
Facility Name
Investigational Site Number :7920003
City
Istanbul
ZIP/Postal Code
34722
Country
Turkey
Facility Name
Investigational Site Number :8040001
City
Kryvyi Rih
ZIP/Postal Code
50048
Country
Ukraine
Facility Name
Investigational Site Number :8040004
City
Odesa
ZIP/Postal Code
65025
Country
Ukraine
Facility Name
Investigational Site Number :8040005
City
Uzhgorod
ZIP/Postal Code
88000
Country
Ukraine

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

Phase 2 Study of Amcenestrant (SAR439859) Versus Physician's Choice in Locally Advanced or Metastatic ER-positive Breast Cancer

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