Study Stopped
Sponsor decision to prematurely stop the study, not linked to any safety concern.
Phase 2 Study of Amcenestrant (SAR439859) Versus Physician's Choice in Locally Advanced or Metastatic ER-positive Breast Cancer
AMEERA-3
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
3 other identifiers
interventional
367
23 countries
109
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
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Oct 2019
Longer than P75 for phase_2
109 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
August 9, 2019
CompletedFirst Posted
Study publicly available on registry
August 16, 2019
CompletedStudy Start
First participant enrolled
October 22, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 15, 2022
CompletedResults Posted
Study results publicly available
March 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
January 2, 2025
CompletedFebruary 24, 2026
February 1, 2026
2.3 years
August 9, 2019
February 14, 2023
February 5, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
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.
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)
Chinese Cohort: Progression Free Survival
PFS is 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. PD as per RECIST 1.1: at least a 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions. Analysis was performed by Kaplan-Meier method.
From randomization to the date of first documented tumor progression or death due to any cause or data cut-off date whichever comes first, up to primary completion date of 15-Feb-2022, a maximum of 121 weeks
Secondary Outcomes (25)
Overall Survival (OS)
From randomization to the death due to any cause or data cut-off date whichever comes first (maximum duration: 116 weeks)
Percentage of Participants With Objective Response
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)
Percentage of Participants With Disease Control
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)
Percentage of Participants With Clinical Benefit
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)
Duration of Response (DOR)
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)
- +20 more secondary outcomes
Study Arms (2)
Amcenestrant
EXPERIMENTALDaily amcenestrant dose administered orally under fed or fast condition
Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator
ACTIVE COMPARATORControl 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)
Interventions
Pharmaceutical form: Solution for injection Route of administration: Intramuscular
Pharmaceutical form:Tablets or capsules Route of administration: Oral
Pharmaceutical form: Tablets or capsules Route of administration: Oral
Pharmaceutical form: Tablets or capsules Route of administration: Oral
Pharmaceutical form: Tablets or capsules Route of administration: Oral
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Sanofilead
Study Sites (109)
Alabama Oncology - St. Vincent's Birmingham- Site Number : 8400008
Birmingham, Alabama, 35205, United States
Comprehensive Blood and Cancer Center Site Number : 8400018
Bakersfield, California, 93309, United States
UCLA Santa Monica - Parkside- Site Number : 8400024
Santa Monica, California, 90404, United States
University of Kansas Clinical Research Center- Site Number : 8400027
Fairway, Kansas, 66205, United States
Hematology Oncology Clinic Site Number : 8400020
Baton Rouge, Louisiana, 70809, United States
Dana-Farber Cancer Institute- Site Number : 8400015
Boston, Massachusetts, 02215, United States
Saint Luke's Hospital of Kansas City- Site Number : 8400032
Kansas City, Missouri, 64111, United States
Dartmouth-Hitchcock Medical Center - Lebanon - 1 Medical Center Drive- Site Number : 8400013
Lebanon, New Hampshire, 03756, United States
Hackensack Meridian Health - Hackensack University Medical Center- Site Number : 8400025
Hackensack, New Jersey, 07601, United States
Gabrail Cancer Center- Site Number : 8400006
Canton, Ohio, 44718, United States
The Center for Cancer & Blood Disorders - Fort Worth- Site Number : 8400022
Fort Worth, Texas, 76104, United States
University of Vermont Medical Center- Site Number : 8400026
Burlington, Vermont, 05401, United States
Northwest Medical Specialties Tacoma- Site Number : 8400038
Tacoma, Washington, 98405, United States
University of Wisconsin Hospitals and Clinics- Site Number : 8400016
Madison, Wisconsin, 53792, United States
Investigational Site Number : 0320005
Rosario, Santa Fe Province, 2000, Argentina
Investigational Site Number : 0320007
Buenos Aires, 1012, Argentina
Investigational Site Number : 0320008
Buenos Aires, 1019, Argentina
Investigational Site Number : 0320006
Buenos Aires, 1125, Argentina
Investigational Site Number : 0320001
Buenos Aires, 1426, Argentina
Investigational Site Number : 0320004
La Rioja, 5300, Argentina
Investigational Site Number : 0320002
Salta, 4400, Argentina
Investigational Site Number : 0360003
South Brisbane, Queensland, 4101, Australia
Investigational Site Number : 0360002
Woolloongabba, Queensland, 4102, Australia
Investigational Site Number : 0360001
Nedlands, Western Australia, 6009, Australia
Investigational Site Number : 0560002
Charleroi, 6000, Belgium
Investigational Site Number : 0560001
Leuven, 3000, Belgium
Investigational Site Number : 0560003
Namur, 5000, Belgium
Associacao de Combate ao Cancer em Goias Hospital Araujo Jorge- Site Number : 0760005
Goiânia, Goiás, 74605-070, Brazil
Hospital de Clinicas de Porto Alegre- Site Number : 0760001
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
Hospital Mae de Deus Site Number : 0760002
Porto Alegre, Rio Grande do Sul, 90880-480, Brazil
Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760003
São José do Rio Preto, São Paulo, 15090-000, Brazil
IBCC - Núcleo de Pesquisa e Ensino- Site Number : 0760006
São Paulo, 04014-002, Brazil
Investigational Site Number : 1240004
Calgary, Alberta, T2N 4N2, Canada
Investigational Site Number : 1240003
London, Ontario, N6A 5W9, Canada
Investigational Site Number : 1240006
Montreal, Quebec, H3T 1E2, Canada
Investigational Site Number : 1560024
Chongqing, Maryland, 400030, China
Investigational Site Number : 1560003
Kunming, Michigan, 650106, China
Investigational Site Number : 1560001
Beijing, 100021, China
Investigational Site Number : 1560015
Changchun, 130021, China
Investigational Site Number : 1560014
Changsha, 410005, China
Investigational Site Number : 1560025
Chengdu, 610041, China
Investigational Site Number : 1560023
Hangzhou, 310016, China
Investigational Site Number : 1560002
Hangzhou, 310022, China
Investigational Site Number : 1560005
Harbin, 150081, China
Investigational Site Number : 1560010
Hefei, 230001, China
Investigational Site Number : 1560018
Hefei, 230022, China
Investigational Site Number : 1560026
Jinan, 250013, China
Investigational Site Number : 1560008
Linyi, 276000, China
Investigational Site Number : 1560011
Nanjing, 210029, China
Investigational Site Number : 1560013
Tianjin, 300060, China
Investigational Site Number : 1560021
Ürümqi, 830000, China
Investigational Site Number : 1560016
Wuhan, 430079, China
Investigational Site Number : 1560031
Xuzhou, 221018, China
Investigational Site Number : 2030002
Brno, 656 53, Czechia
Investigational Site Number : 2030003
Nový Jičín, 741 01, Czechia
Investigational Site Number : 2030004
Prague, 140 59, Czechia
Investigational Site Number : 2500008
Angers, 49055, France
Investigational Site Number : 2500006
Créteil, 94010, France
Investigational Site Number : 2500007
Marseille, 13273, France
Investigational Site Number : 2500005
Paris, 75010, France
Investigational Site Number : 2500001
Villejuif, 94805, France
Investigational Site Number : 3000004
Thessaloniki, Quebec, 546 45, Greece
Investigational Site Number : 3000001
Heraklion, 711 10, Greece
Investigational Site Number : 3000002
Larissa, 411 10, Greece
Investigational Site Number : 3760002
Jerusalem, 9103102, Israel
Investigational Site Number : 3760001
Petah Tikva, 4941492, Israel
Investigational Site Number : 3760004
Ramat Gan, 5262100, Israel
Investigational Site Number : 3760003
Tel Aviv, 6423906, Israel
Investigational Site Number : 3800002
Milan, Milano, 20141, Italy
Investigational Site Number : 3800001
Candiolo, Torino, 10060, Italy
Investigational Site Number : 3800003
Prato, 59100, Italy
Investigational Site Number : 3920002
Nagoya, Aichi-ken, 464-8681, Japan
Investigational Site Number : 3920001
Kashiwa, Chiba, 277-8577, Japan
Investigational Site Number : 3920009
Ōta, Gunma, 373-8550, Japan
Investigational Site Number : 3920006
Yokohama, Kanagawa, 241-0815, Japan
Investigational Site Number : 3920005
Ina, Nagano, 362-0806, Japan
Investigational Site Number : 3920004
Chūō, Tokyo, 104-0045, Japan
Investigational Site Number : 3920003
Osaka, 540-0006, Japan
Investigational Site Number : 3920008
Tokyo, 135-8550, Japan
Investigational Site Number : 4280002
Riga, LV-1002, Latvia
Investigational Site Number : 4280001
Riga, LV-1038, Latvia
Investigational Site Number : 4840002
Monterrey, Nuevo León, 64460, Mexico
Investigational Site Number : 4840005
Mexico City, 03100, Mexico
Investigational Site Number : 4840006
Veracruz, 91900, Mexico
Investigational Site Number : 6160003
Poznan, Greater Poland Voivodeship, 61-866, Poland
Investigational Site Number : 6160001
Warsaw, Masovian Voivodeship, 02-781, Poland
Hospital Auxilio Mutuo- Site Number : 8400028
San Juan, 00918, Puerto Rico
Investigational Site Number : 6430002
Saint Petersburg, Georgia, 197758, Russia
Investigational Site Number : 6430005
Moscow, 105005, Russia
Investigational Site Number : 6430003
Moscow, 115478, Russia
Investigational Site Number : 4100001
Seoul, Seoul-teukbyeolsi, 03080, South Korea
Investigational Site Number : 4100004
Seoul, Seoul-teukbyeolsi, 03722, South Korea
Investigational Site Number : 4100003
Seoul, Seoul-teukbyeolsi, 05505, South Korea
Investigational Site Number : 4100002
Seoul, Seoul-teukbyeolsi, 06351, South Korea
Investigational Site Number : 7240006
Barcelona, Barcelona [Barcelona], 08035, Spain
Investigational Site Number : 7240003
Barcelona, Catalunya [Cataluña], 08036, Spain
Investigational Site Number : 7240001
L'Hospitalet de Llobregat, Catalunya [Cataluña], 08907, Spain
Investigational Site Number : 7240008
Málaga, 29010, Spain
Investigational Site Number : 1580002
Taichung, 404, Taiwan
Investigational Site Number : 1580003
Tainan, 704, Taiwan
Investigational Site Number : 1580001
Taipei, 100, Taiwan
Investigational Site Number : 1580005
Taipei, 104, Taiwan
Investigational Site Number : 1580004
Taipei, 114, Taiwan
Investigational Site Number : 7920004
Ankara, 06200, Turkey (Türkiye)
Investigational Site Number : 7920002
Edirne, 22030, Turkey (Türkiye)
Investigational Site Number : 7920003
Istanbul, 34722, Turkey (Türkiye)
Investigational Site Number : 8040001
Kryvyi Rih, 50048, Ukraine
Investigational Site Number : 8040004
Odesa, 65025, Ukraine
Investigational Site Number : 8040005
Uzhhorod, 88000, Ukraine
Related Publications (1)
Tolaney SM, Chan A, Petrakova K, Delaloge S, Campone M, Iwata H, Peddi PF, Kaufman PA, De Kermadec E, Liu Q, Cohen P, Paux G, Wang L, Ternes N, Boitier E, Im SA. AMEERA-3: Randomized Phase II Study of Amcenestrant (Oral Selective Estrogen Receptor Degrader) Versus Standard Endocrine Monotherapy in Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer. J Clin Oncol. 2023 Aug 20;41(24):4014-4024. doi: 10.1200/JCO.22.02746. Epub 2023 Jun 22.
PMID: 37348019RESULT
Related Links
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Limitations and Caveats
The study was terminated early because it did not meet its primary objective of improved PFS with amcenestrant versus endocrine treatment of physician's choice.
Results Point of Contact
- Title
- Trial Transparency Team
- Organization
- Sanofi aventis recherche & développement
Study Officials
- STUDY DIRECTOR
Clinical Sciences & Operations
Sanofi
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 9, 2019
First Posted
August 16, 2019
Study Start
October 22, 2019
Primary Completion
February 15, 2022
Study Completion
January 2, 2025
Last Updated
February 24, 2026
Results First Posted
March 30, 2023
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
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