Study Stopped
Strategic decision due to emerging new data for patients with HR+, HER2- metastatic breast cancer.
A Study of Abemaciclib (LY2835219) in Participants With HR+, HER2- Advanced Breast Cancer
proMONARCH
A Single-Arm, Global, Phase 4 Study of Abemaciclib, a CDK 4 & 6 Inhibitor, in Combination With Nonsteroidal Aromatase Inhibitors (Anastrozole or Letrozole) in Participants With Hormone Receptor Positive, Human Epidermal Growth Factor Receptor 2 Negative Advanced Breast Cancer With Poor Prognostic Factors
3 other identifiers
interventional
N/A
9 countries
119
Brief Summary
The reason for this study is to see if the drug abemaciclib in combination with nonsteroidal aromatase inhibitors (anastrozole or letrozole) is effective in participants with Hormone Receptor Positive (HR+), Human Epidermal Growth Factor Receptor 2 Negative (HER2-) advanced breast cancer that have certain disease characteristics.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
Started Sep 2019
Longer than P75 for phase_4
119 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 12, 2019
CompletedFirst Posted
Study publicly available on registry
June 17, 2019
CompletedStudy Start
First participant enrolled
September 16, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 23, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
March 23, 2023
CompletedSeptember 6, 2019
September 1, 2019
2.5 years
June 12, 2019
September 4, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Progression Free Survival (PFS)
PFS
Baseline to Progressive Disease or Death from Any Cause (Estimated up to 26 Months)
Objective Response Rate (ORR): Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR)
ORR
Baseline to Objective Disease Progression (Estimated up to 26 Months)
Secondary Outcomes (4)
Duration of Response (DoR)
Date of CR or PR to Date of Objective Disease Progression or Death from Any Cause (Estimated up to 26 Months)
Disease Control Rate (DCR): Percentage of Participants with a Best Overall Response of CR, PR, or Stable Disease (SD)
Baseline to Objective Disease Progression (Estimated up to 26 Months)
Clinical Benefit Rate (CBR): Proportion of Participants with Best Overall Response of CR, PR, or SD with Duration of SD for at Least 6 Months
Date of CR, PR or SD to 6 Months Post CR, PR or SD (Estimated up to 26 Months)
Time to Response (TTR)
Baseline to Date of CR or PR (Estimated up to 26 Months)
Study Arms (1)
Abemaciclib + NSAI
EXPERIMENTALAbemaciclib given orally and nonsteroidal aromatase inhibitor (NSAI) of physician's choice (anastrazole or letrozole) given orally.
Interventions
Letrozole administered orally or anastrozole administered orally (physician choice)
Eligibility Criteria
You may qualify if:
- Participants must have completed (neo) adjuvant endocrine therapy and have cancer return after at least 12 months or have de novo cancer that has spread to other organs at diagnosis
- Participants must have 1 or more of the following:
- A high grade tumor in tissue
- Negative progesterone receptor (PR) status
- Have cancer that has spread to the liver
- Have a treatment-free interval (TFI) \<36 months
- Participants must have HR+, HER2- breast cancer
- Participants must have adequate organ function
You may not qualify if:
- Participants must not have cancer that has spread to other organs that has severely affected their function
- Participants must not have cancer that has spread to the brain that is unstable or untreated
- Participants must not have received endocrine therapy in the metastatic setting
- Participants must not have known active infection
- Participants must not have received prior endocrine therapy and had disease return within 12 months from completion of treatment
- Participants must not have received prior treatment with any cyclin-dependent kinase (CDK) 4 \& 6 inhibitor or everolimus
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (119)
Southern Cancer Center, P.C.
Daphne, Alabama, 36526, United States
Arizona Oncology Associates, P.C.
Tempe, Arizona, 85284, United States
Compassionate Cancer Care Medical Group Inc
Fountain Valley, California, 92708, United States
California Cancer Associates Research and Excellence (cCARE)
Fresno, California, 93720, United States
Beaver Medical Group
Highland, California, 92346, United States
Pacific Cancer Care
Monterey, California, 93940, United States
St. Joseph Hospital
Orange, California, 92868, United States
Comprehensive Cancer Centers of the Desert
Palm Springs, California, 92262, United States
California Cancer Associates in Research and Excellence
San Marcos, California, 92069, United States
Cancer Center of Santa Barbara with Sansum Clinic
Santa Barbara, California, 93105, United States
UCLA Medical Center
Torrance, California, 90502, United States
Memorial Hospital
Colorado Springs, Colorado, 80909, United States
Rocky Mountain Cancer Center
Lone Tree, Colorado, 80124, United States
Medical Oncology Hematology Consultants, PA
Newark, Delaware, 19713, United States
BayCare Medical Group
Clearwater, Florida, 33756, United States
Florida Cancer Specialists
Fort Myers, Florida, 33901, United States
Woodlands Medical Specialists
Pensacola, Florida, 32503, United States
Cancer Specialists of North Florida -St Augustine
Saint Augustine, Florida, 32086, United States
Florida Cancer Specialists
St. Petersburg, Florida, 33705, United States
Florida Cancer Specialists
Tallahassee, Florida, 32308, United States
Florida Cancer Specialists
West Palm Beach, Florida, 33401, United States
Cleveland Clinic of Florida
Weston, Florida, 33331, United States
Summit Cancer Care
Savannah, Georgia, 31404, United States
Ingalls Memorial Hospital
Harvey, Illinois, 60426, United States
Illinois Cancer Specialists-Niles
Niles, Illinois, 60714, United States
Community Health Network
Indianapolis, Indiana, 46219, United States
Central Maine Medical Center
Lewiston, Maine, 04240, United States
York Hospital
York Village, Maine, 03909, United States
HCA Midwest
Kansas City, Missouri, 64132, United States
Oncology Hematology West
Omaha, Nebraska, 68130, United States
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, 89052, United States
Valley Health System
Paramus, New Jersey, 07652, United States
Broome Oncology LLC
Johnson City, New York, 13790, United States
Abington Hematology Oncology Associates
Horsham, Pennsylvania, 19044, United States
Charleston Hematology Oncology Associates
Charleston, South Carolina, 29414, United States
Sarah Cannon Research Institute SCRI
Nashville, Tennessee, 37203, United States
Tennessee Oncology PLLC
Nashville, Tennessee, 37203, United States
Texas Oncology - Abilene
Abilene, Texas, 79606, United States
Texas Oncology - Amarillo
Amarillo, Texas, 79106, United States
Texas Oncology-Arlington South
Arlington, Texas, 76014, United States
Texas Oncology Cancer Center
Austin, Texas, 78731, United States
Texas Oncology - Bedford
Bedford, Texas, 76022, United States
Texas Oncology P.A.
Dallas, Texas, 75203, United States
Texas Oncology - Medical City Dallas
Dallas, Texas, 75230, United States
Texas Oncology - Dallas Presbyterian Hospital
Dallas, Texas, 75231, United States
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246, United States
Texas Oncology - Marnie McFadden Ward Cancer Center
Dallas, Texas, 77702, United States
Texas Oncology P.A.
El Paso, Texas, 79902, United States
Texas Oncology Flower Mound
Flower Mound, Texas, 75028, United States
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104, United States
Texas Oncology-Memorial City
Houston, Texas, 77024, United States
Renovatio Clinical
Houston, Texas, 77056, United States
Texas Oncology - McAllen
McAllen, Texas, 78503, United States
Texas Oncology-McKinney
McKinney, Texas, 75771, United States
Texas Oncology- Mesquite
Mesquite, Texas, 75150, United States
Texas Oncology - Midland Allison Cancer Center
Midland, Texas, 79701, United States
Texas Oncology - Paris
Paris, Texas, 75460, United States
Texas Oncology-Plano East
Plano, Texas, 75075, United States
Texas Oncology-Plano West
Plano, Texas, 75093, United States
Texas Oncology - San Antonio Medical Center
San Antonio, Texas, 78217, United States
Texas Oncology-Sherman
Sherman, Texas, 75090-0504, United States
US Oncology
The Woodlands, Texas, 77380, United States
Tyler Cancer Center
Tyler, Texas, 75702, United States
Texas Oncology-Deke Slayton Cancer Center
Webster, Texas, 77598-4219, United States
Texas Oncology-Wichital Falls Texoma Cancer Center
Wichita Falls, Texas, 76310, United States
Intermountain Medical Center
St. George, Utah, 84790, United States
Hematology Oncology Associates of Fredericksburg Inc.
Fredericksburg, Virginia, 22408, United States
Virginia Oncology Associates
Norfolk, Virginia, 23502, United States
Oncology and Hematology Associates of Southwest Virginia Inc
Salem, Virginia, 24153, United States
Shenandoah Oncology, P.C.
Winchester, Virginia, 22601, United States
Centro de Oncologia e Investigacion Buenos Aires
Berazategui, Buenos Aires, B1884BBF, Argentina
CEMEDIC
CABA, Buenos Aires, C1440CFD, Argentina
CENIT Centro de Neurociencias, Investigación y Tratamiento
CABA, Ciudad Autonoma Buenos Aires, C1125ABD, Argentina
Centro Medico San Roque
San Miguel de Tucumán, Tucumán Province, T4000IAK, Argentina
Clinica Adventista de Belgrano
Ciudad Autonoma Buenos Aires, C1430EGF, Argentina
Sanatorio Parque
Salta, 4400, Argentina
Centro Polivalente de Asistencia e Inv. Clinica CER-San Juan
San Juan, J5402DIL, Argentina
Centro para la Atencion Integral del Paciente Oncologico
Tucumain, 4000, Argentina
Universitätsklinikum Graz
Graz, Styria, 8036, Austria
Universitätsklinik Innsbruck
Innsbruck, Tyrol, 6020, Austria
Universitätsklinikum Salzburg
Salzburg, 5020, Austria
AKH
Vienna, 1090, Austria
Algemeen Ziekenhuis St Jan Brugge
Bruges, 8000, Belgium
Hopital De Jolimont
Haine-St.- Paul, 7100, Belgium
VZW REgional Ziekenhuis Jan Yperman
Ieper, 8900, Belgium
Clinique Saint Pierre Ottignies
Ottignies, 1340, Belgium
Núcleo de Oncologia da Bahia
Salvador, Estado de Bahia, 41170, Brazil
Instituto de Cancer de Londrina
Londrina, Paraná, 86015-520, Brazil
Instituto COI de Pesquisa Educação e Gestão
Rio de Janeiro, Rio de Janeiro, 22793-080, Brazil
Hospital de Caridade Ijui
Ijuí, Rio Grande do Sul, 98700 000, Brazil
Hospital Bruno Born de Lajeado
Lajeado, Rio Grande do Sul, 95900-000, Brazil
Hospital São Lucas - PUCRS - ONCOLOGY
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
Fundação PIO XII
Barretos, São Paulo, 14784700, Brazil
Hospital das Clinicas da FMRP
Ribeirão Preto, São Paulo, 14048-900, Brazil
Faculdade de Medicina do ABC
Santo André, São Paulo, 09060-020, Brazil
Hospital de Base Fac de Medicina de Sao Jose do Rio Preto
Sao Jose Rio Preto, São Paulo, 15090-000, Brazil
INCA - Instituto Nacional Do Cancer
Rio de Janeiro, 20231, Brazil
Soc. Beneficente de Senhoras Hospital Sirio Libanes-Oncology
São Paulo, 01246, Brazil
Clin. Pesq.e Centro Estudos Oncologia Ginecológica e Mamária
São Paulo, 01317-000, Brazil
Fundacao Antonio Prudente-Hosp. do Cancer AC Camargo
São Paulo, 01509-900, Brazil
Clinica Onco Star
São Paulo, 04501-000, Brazil
Hämatologisch-Onkologische Praxis Augsburg
Augsburg, Bavaria, 86150, Germany
Universität Leipzig - Universitätsklinikum
Leipzig, Saxony, 04103, Germany
St. Vincenz-Krankenhaus GmbH-Frauen- und Kinderklinik St. Louise
Paderborn, 33098, Germany
Istituto Tumori Fondazione G. Pascale IRCCS
Napoli, Naples, 80131, Italy
Fondazione Piemonte l'Oncologia-Istituto Ricerca Cura Cancro
Candiolo, Torino, 10060, Italy
Policlinico S. Orsola Malpighi - Universita di Bologna
Bologna, 40138, Italy
Azienda Ospedaliera Universitaria Ospedale San Martino di Genova
Genova, 16132, Italy
IRCCS Ospedale San Raffaele
Milan, 20132, Italy
Istituto Oncologico Veneto
Padua, 35128, Italy
Centro di Riferimento Oncologico
Udine, 33100, Italy
Puerto Rico Hematology/Oncology Group
Bayamón, PR, 00959, Puerto Rico
Ad-Vance Medical Research
Ponce, 00717, Puerto Rico
E-DA Cancer Hospital
Kaohsiung City, 82445, Taiwan
China Medical University Hospital
Taichung, 40447, Taiwan
Taichung Veterans General Hospital
Taichung, 40705, ROC, Taiwan
National Cheng Kung University Hospital
Tainan, 704, Taiwan
MacKay Memorial Hospital
Taipei, 10449, Taiwan
Koo Foundation Sun Yan-Sen Cancer Center
Taipei, 11259, Taiwan
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
- Expanded Access
- Yes
Study Record Dates
First Submitted
June 12, 2019
First Posted
June 17, 2019
Study Start
September 16, 2019
Primary Completion
March 23, 2022
Study Completion
March 23, 2023
Last Updated
September 6, 2019
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
- Access Criteria
- A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.