NCT04059484

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

68
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
367

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Oct 2019

Longer than P75 for phase_2

Geographic Reach
23 countries

109 active sites

Status
terminated

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

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 16, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

October 22, 2019

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 15, 2022

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

March 30, 2023

Completed
1.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

January 2, 2025

Completed
Last Updated

February 24, 2026

Status Verified

February 1, 2026

Enrollment Period

2.3 years

First QC Date

August 9, 2019

Results QC Date

February 14, 2023

Last Update Submit

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

EXPERIMENTAL

Daily amcenestrant dose administered orally under fed or fast condition

Drug: Amcenestrant

Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator

ACTIVE COMPARATOR

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)

Drug: FulvestrantDrug: AnastrozoleDrug: LetrozoleDrug: ExemestaneDrug: Tamoxifen

Interventions

Pharmaceutical form: Capsule Route of administration: Oral

Amcenestrant

Pharmaceutical form: Solution for injection Route of administration: Intramuscular

Also known as: Faslodex®
Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator

Pharmaceutical form:Tablets or capsules Route of administration: Oral

Also known as: Arimidex®/Anastrozole Generics
Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator

Pharmaceutical form: Tablets or capsules Route of administration: Oral

Also known as: Femara®/Letrozole Generics
Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator

Pharmaceutical form: Tablets or capsules Route of administration: Oral

Also known as: Aromasin®/Exemestane Generics
Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator

Pharmaceutical form: Tablets or capsules Route of administration: Oral

Also known as: Nolvadex®/Tamoxifen Generics
Fulvestrant/Aromatase inhibitors/Estrogen receptor modulator

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (109)

Alabama Oncology - St. Vincent's Birmingham- Site Number : 8400008

Birmingham, Alabama, 35205, United States

Location

Comprehensive Blood and Cancer Center Site Number : 8400018

Bakersfield, California, 93309, United States

Location

UCLA Santa Monica - Parkside- Site Number : 8400024

Santa Monica, California, 90404, United States

Location

University of Kansas Clinical Research Center- Site Number : 8400027

Fairway, Kansas, 66205, United States

Location

Hematology Oncology Clinic Site Number : 8400020

Baton Rouge, Louisiana, 70809, United States

Location

Dana-Farber Cancer Institute- Site Number : 8400015

Boston, Massachusetts, 02215, United States

Location

Saint Luke's Hospital of Kansas City- Site Number : 8400032

Kansas City, Missouri, 64111, United States

Location

Dartmouth-Hitchcock Medical Center - Lebanon - 1 Medical Center Drive- Site Number : 8400013

Lebanon, New Hampshire, 03756, United States

Location

Hackensack Meridian Health - Hackensack University Medical Center- Site Number : 8400025

Hackensack, New Jersey, 07601, United States

Location

Gabrail Cancer Center- Site Number : 8400006

Canton, Ohio, 44718, United States

Location

The Center for Cancer & Blood Disorders - Fort Worth- Site Number : 8400022

Fort Worth, Texas, 76104, United States

Location

University of Vermont Medical Center- Site Number : 8400026

Burlington, Vermont, 05401, United States

Location

Northwest Medical Specialties Tacoma- Site Number : 8400038

Tacoma, Washington, 98405, United States

Location

University of Wisconsin Hospitals and Clinics- Site Number : 8400016

Madison, Wisconsin, 53792, United States

Location

Investigational Site Number : 0320005

Rosario, Santa Fe Province, 2000, Argentina

Location

Investigational Site Number : 0320007

Buenos Aires, 1012, Argentina

Location

Investigational Site Number : 0320008

Buenos Aires, 1019, Argentina

Location

Investigational Site Number : 0320006

Buenos Aires, 1125, Argentina

Location

Investigational Site Number : 0320001

Buenos Aires, 1426, Argentina

Location

Investigational Site Number : 0320004

La Rioja, 5300, Argentina

Location

Investigational Site Number : 0320002

Salta, 4400, Argentina

Location

Investigational Site Number : 0360003

South Brisbane, Queensland, 4101, Australia

Location

Investigational Site Number : 0360002

Woolloongabba, Queensland, 4102, Australia

Location

Investigational Site Number : 0360001

Nedlands, Western Australia, 6009, Australia

Location

Investigational Site Number : 0560002

Charleroi, 6000, Belgium

Location

Investigational Site Number : 0560001

Leuven, 3000, Belgium

Location

Investigational Site Number : 0560003

Namur, 5000, Belgium

Location

Associacao de Combate ao Cancer em Goias Hospital Araujo Jorge- Site Number : 0760005

Goiânia, Goiás, 74605-070, Brazil

Location

Hospital de Clinicas de Porto Alegre- Site Number : 0760001

Porto Alegre, Rio Grande do Sul, 90035-903, Brazil

Location

Hospital Mae de Deus Site Number : 0760002

Porto Alegre, Rio Grande do Sul, 90880-480, Brazil

Location

Fundação Faculdade Regional de Medicina de São José do Rio Preto- Site Number : 0760003

São José do Rio Preto, São Paulo, 15090-000, Brazil

Location

IBCC - Núcleo de Pesquisa e Ensino- Site Number : 0760006

São Paulo, 04014-002, Brazil

Location

Investigational Site Number : 1240004

Calgary, Alberta, T2N 4N2, Canada

Location

Investigational Site Number : 1240003

London, Ontario, N6A 5W9, Canada

Location

Investigational Site Number : 1240006

Montreal, Quebec, H3T 1E2, Canada

Location

Investigational Site Number : 1560024

Chongqing, Maryland, 400030, China

Location

Investigational Site Number : 1560003

Kunming, Michigan, 650106, China

Location

Investigational Site Number : 1560001

Beijing, 100021, China

Location

Investigational Site Number : 1560015

Changchun, 130021, China

Location

Investigational Site Number : 1560014

Changsha, 410005, China

Location

Investigational Site Number : 1560025

Chengdu, 610041, China

Location

Investigational Site Number : 1560023

Hangzhou, 310016, China

Location

Investigational Site Number : 1560002

Hangzhou, 310022, China

Location

Investigational Site Number : 1560005

Harbin, 150081, China

Location

Investigational Site Number : 1560010

Hefei, 230001, China

Location

Investigational Site Number : 1560018

Hefei, 230022, China

Location

Investigational Site Number : 1560026

Jinan, 250013, China

Location

Investigational Site Number : 1560008

Linyi, 276000, China

Location

Investigational Site Number : 1560011

Nanjing, 210029, China

Location

Investigational Site Number : 1560013

Tianjin, 300060, China

Location

Investigational Site Number : 1560021

Ürümqi, 830000, China

Location

Investigational Site Number : 1560016

Wuhan, 430079, China

Location

Investigational Site Number : 1560031

Xuzhou, 221018, China

Location

Investigational Site Number : 2030002

Brno, 656 53, Czechia

Location

Investigational Site Number : 2030003

Nový Jičín, 741 01, Czechia

Location

Investigational Site Number : 2030004

Prague, 140 59, Czechia

Location

Investigational Site Number : 2500008

Angers, 49055, France

Location

Investigational Site Number : 2500006

Créteil, 94010, France

Location

Investigational Site Number : 2500007

Marseille, 13273, France

Location

Investigational Site Number : 2500005

Paris, 75010, France

Location

Investigational Site Number : 2500001

Villejuif, 94805, France

Location

Investigational Site Number : 3000004

Thessaloniki, Quebec, 546 45, Greece

Location

Investigational Site Number : 3000001

Heraklion, 711 10, Greece

Location

Investigational Site Number : 3000002

Larissa, 411 10, Greece

Location

Investigational Site Number : 3760002

Jerusalem, 9103102, Israel

Location

Investigational Site Number : 3760001

Petah Tikva, 4941492, Israel

Location

Investigational Site Number : 3760004

Ramat Gan, 5262100, Israel

Location

Investigational Site Number : 3760003

Tel Aviv, 6423906, Israel

Location

Investigational Site Number : 3800002

Milan, Milano, 20141, Italy

Location

Investigational Site Number : 3800001

Candiolo, Torino, 10060, Italy

Location

Investigational Site Number : 3800003

Prato, 59100, Italy

Location

Investigational Site Number : 3920002

Nagoya, Aichi-ken, 464-8681, Japan

Location

Investigational Site Number : 3920001

Kashiwa, Chiba, 277-8577, Japan

Location

Investigational Site Number : 3920009

Ōta, Gunma, 373-8550, Japan

Location

Investigational Site Number : 3920006

Yokohama, Kanagawa, 241-0815, Japan

Location

Investigational Site Number : 3920005

Ina, Nagano, 362-0806, Japan

Location

Investigational Site Number : 3920004

Chūō, Tokyo, 104-0045, Japan

Location

Investigational Site Number : 3920003

Osaka, 540-0006, Japan

Location

Investigational Site Number : 3920008

Tokyo, 135-8550, Japan

Location

Investigational Site Number : 4280002

Riga, LV-1002, Latvia

Location

Investigational Site Number : 4280001

Riga, LV-1038, Latvia

Location

Investigational Site Number : 4840002

Monterrey, Nuevo León, 64460, Mexico

Location

Investigational Site Number : 4840005

Mexico City, 03100, Mexico

Location

Investigational Site Number : 4840006

Veracruz, 91900, Mexico

Location

Investigational Site Number : 6160003

Poznan, Greater Poland Voivodeship, 61-866, Poland

Location

Investigational Site Number : 6160001

Warsaw, Masovian Voivodeship, 02-781, Poland

Location

Hospital Auxilio Mutuo- Site Number : 8400028

San Juan, 00918, Puerto Rico

Location

Investigational Site Number : 6430002

Saint Petersburg, Georgia, 197758, Russia

Location

Investigational Site Number : 6430005

Moscow, 105005, Russia

Location

Investigational Site Number : 6430003

Moscow, 115478, Russia

Location

Investigational Site Number : 4100001

Seoul, Seoul-teukbyeolsi, 03080, South Korea

Location

Investigational Site Number : 4100004

Seoul, Seoul-teukbyeolsi, 03722, South Korea

Location

Investigational Site Number : 4100003

Seoul, Seoul-teukbyeolsi, 05505, South Korea

Location

Investigational Site Number : 4100002

Seoul, Seoul-teukbyeolsi, 06351, South Korea

Location

Investigational Site Number : 7240006

Barcelona, Barcelona [Barcelona], 08035, Spain

Location

Investigational Site Number : 7240003

Barcelona, Catalunya [Cataluña], 08036, Spain

Location

Investigational Site Number : 7240001

L'Hospitalet de Llobregat, Catalunya [Cataluña], 08907, Spain

Location

Investigational Site Number : 7240008

Málaga, 29010, Spain

Location

Investigational Site Number : 1580002

Taichung, 404, Taiwan

Location

Investigational Site Number : 1580003

Tainan, 704, Taiwan

Location

Investigational Site Number : 1580001

Taipei, 100, Taiwan

Location

Investigational Site Number : 1580005

Taipei, 104, Taiwan

Location

Investigational Site Number : 1580004

Taipei, 114, Taiwan

Location

Investigational Site Number : 7920004

Ankara, 06200, Turkey (Türkiye)

Location

Investigational Site Number : 7920002

Edirne, 22030, Turkey (Türkiye)

Location

Investigational Site Number : 7920003

Istanbul, 34722, Turkey (Türkiye)

Location

Investigational Site Number : 8040001

Kryvyi Rih, 50048, Ukraine

Location

Investigational Site Number : 8040004

Odesa, 65025, Ukraine

Location

Investigational Site Number : 8040005

Uzhhorod, 88000, Ukraine

Location

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.

Related Links

MeSH Terms

Interventions

FulvestrantAnastrozoleLetrozoleexemestaneTamoxifen

Intervention Hierarchy (Ancestors)

EstradiolEstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic CompoundsEstradiol CongenersGonadal Steroid HormonesGonadal HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsNitrilesOrganic ChemicalsTriazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsStilbenesBenzylidene CompoundsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbons

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

  • Clinical Sciences & Operations

    Sanofi

    STUDY DIRECTOR

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

Locations