A Study of Abemaciclib (LY2835219) Plus Hormone Therapy in Participants With Early Breast Cancer (eMonarcHER)
eMonarcHER: A Randomized, Double Blind, Placebo-Controlled Phase 3 Study of Abemaciclib Plus Standard Adjuvant Endocrine Therapy in Participants With High-Risk, Node-Positive, HR+, HER2+ Early Breast Cancer Who Have Completed Adjuvant HER2-Targeted Therapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Expanded Access
Expanded Access
Approved
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
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La Rioja, Argentina, F5300COE
- Fundación CORI para la Investigación y Prevención del Cáncer
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Salta, Argentina, 4400
- Sanatorio Parque
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San Juan, Argentina, 5400
- CER San Juan
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Buenos Aires
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Mar del Plata, Buenos Aires, Argentina, 7600
- Instituto de Investigaciones Clinicas Mar del Plata
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Ciudad Autónoma De Buenos Aires
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Caba, Ciudad Autónoma De Buenos Aires, Argentina, 1125
- Fundación CENIT para la Investigación en Neurociencias
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Córdoba
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Capital, Córdoba, Argentina, X5008HHW
- Centro Medico Privado CEMAIC
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Tucumán
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San Miguel de Tucumán, Tucumán, Argentina, 4000
- Centro Medico San Roque
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New South Wales
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Waratah, New South Wales, Australia, 2298
- Calvary Mater Newcastle
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Victoria
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Melbourne, Victoria, Australia, 3000
- Peter MacCallum Cancer Centre
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Oberösterreich
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Linz, Oberösterreich, Austria, 4020
- Ordensklinikum Linz
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Wien
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Vienna, Wien, Austria, 1090
- Medizinische Universität Wien
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Oost-Vlaanderen
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Gent, Oost-Vlaanderen, Belgium, 9000
- AZ Maria Middelares
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Wallonne, Région
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Ottignies, Wallonne, Région, Belgium, 1340
- Clinique Saint Pierre
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West-Vlaanderen
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Ieper, West-Vlaanderen, Belgium, 8900
- Jan Yperman Ziekenhuis
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Kortrijk, West-Vlaanderen, Belgium, 8500
- AZ Groeninge Campus Kennedylaan
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Rio de Janeiro, Brazil, 22775-001
- Instituto de Educacao, Pesquisa e Gestao em Saude
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São Paulo, Brazil, 04014-002
- Núcleo de Pesquisa Clínica da Rede São Camilo
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São Paulo, Brazil, 04543-000
- Instituto D'Or de Pesquisa e Ensino (IDOR)
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São Paulo, Brazil, 01229-010
- NotreDame Intermedica Saude S.A
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São Paulo, Brazil, 1236030
- Instituto de Ensino e Pesquisa São Lucas
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Anhui
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Bengbu, Anhui, China, 233004
- Afflilated Hospital of Bengbu Medical College
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Beijing
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Beijing, Beijing, China, 100142
- Beijing Cancer Hospital
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Beijing, Beijing, China, 100034
- Peking University People's Hospital
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Fujian
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Fuzhou Fujian, Fujian, China, 350001
- Fujian Medical University Union Hospital-1 Bingfanglou
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Guangdong
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Guangzhou, Guangdong, China, 510120
- Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University
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Hainan
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Haikou, Hainan, China, 570000
- Hainan Cancer Hospital
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Hubei
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Wuhan, Hubei, China, 430079
- Hubei Cancer Hospital
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Wuhan, Hubei, China, 430022
- Tongji Medical College of Huazhong University of Science and Technology
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Hunan
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Changsha, Hunan, China, 410013
- Hunan Cancer Hospital
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Changsha, Hunan, China, 410008
- Xiangya Hospital Central South University
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Jiangsu
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Nanjing, Jiangsu, China, 210000
- Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
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Jiangxi
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Nanchang, Jiangxi, China, 330009
- The Third Hospital of Nanchang
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Jilin
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Changchun, Jilin, China
- The Second Hospital of Jilin University
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Shandong
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Linyi, Shandong, China, 276000
- Linyi Cancer Hospital
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Shanghai
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Shanghai, Shanghai, China, 200032
- Fudan University Shanghai Cancer Center
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Sichuan
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Cheng Du, Sichuan, China, 610041
- West China Hospital of Sichuan University
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Chengdu, Sichuan, China, 610042
- Sichuan Cancer Hospital
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Tianjin
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Tianjin, Tianjin, China
- Tianjin Medical University Cancer Institute and Hospital
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Xinjiang
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Urumqi, Xinjiang, China, 830011
- Xinjiang Medical University Cancer Hospital - Urumqi
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Zhejiang
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Hangzhou, Zhejiang, China, 310003
- The First Affiliated Hospital, Zhejiang University
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Hangzhou, Zhejiang, China, 310006
- The First People's Hospital of Hangzhou
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Doubs
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Besançon, Doubs, France, 25000
- CHU Besançon
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Meurthe-et-Moselle
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Vandoeuvre-lès-Nancy, Meurthe-et-Moselle, France, 54519
- Institut de Cancérologie de Lorraine ALEXIS VAUTRIN
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Nord
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Lille, Nord, France, 59020
- Centre Oscar Lambret
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Pays-de-la-Loire
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Le Mans, Pays-de-la-Loire, France, 72000
- Clinique Victor Hugo Le Mans
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Baden-Württemberg
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Ludwigsburg, Baden-Württemberg, Germany, 71640
- Klinikum Ludwigsburg
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Mannheim, Baden-Württemberg, Germany, 68135
- Universitätsmedizin Mannheim
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Ulm, Baden-Württemberg, Germany, 89075
- Universitaetsklinikum Ulm
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Nordrhein-Westfalen
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Paderborn, Nordrhein-Westfalen, Germany, 33098
- St. Vincenz-Krankenhaus Frauen- und Kinderklinik
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Thessaloniki, Greece, 570 01
- European Interbalkan Medical Center
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Attikí
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Athina, Attikí, Greece, 115 28
- Alexandra Hospital
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Nea Kifissia, Attikí, Greece, 14564
- General Oncology Hospital of Kifissia "Agioi Anargiroi"
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Thessaloníki
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Thessaloniki, Thessaloníki, Greece, 546 45
- Euromedica General Clinic of Thessaloniki
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Győr-Moson-Sopron
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Gyor, Győr-Moson-Sopron, Hungary, 9024
- Petz Aladar Egyetemi Oktato Korhaz
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Tell Abīb
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Tel Aviv, Tell Abīb, Israel, 6423906
- Sourasky Medical Center
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Macerata, Italy, 62100
- Ospedale Generale Provinciale Macerata
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Taranto
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Statte, Taranto, Italy, 74100
- Ospedale San Giovanni Moscati
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Verona
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Legnago, Verona, Italy, 37045
- Ospedale Mater Salutis
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Fukuoka, Japan, 811-1395
- National Hospital Organization Kyushu Cancer Center
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Hiroshima, Japan, 734-8551
- Hiroshima University Hospital
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Kagoshima, Japan, 892-0833
- Sagara Hospital
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Kumamoto, Japan, 862-8655
- Kumamoto Shinto General Hospital
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Osaka, Japan, 541-8567
- Osaka International Cancer Institute
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Osaka, Japan, 540-0006
- National Hospital Organization Osaka Medical Center
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Shizuoka, Japan, 420-8527
- Shizuoka General Hospital
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Tokyo, Japan, 104-8560
- St. Luke's International Hospital
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Aichi
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Nagoya, Aichi, Japan, 467-8602
- Nagoya City University Hospital
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Chiba
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Chiba-shi, Chiba, Japan, 260-8717
- Chiba Cancer Center
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Ehime
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Matsuyama, Ehime, Japan, 791-0280
- National Hospital Organization Shikoku Cancer Center
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Gunma
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Ota, Gunma, Japan, 373-0828
- Gunma Prefectural Cancer Center
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Ibaraki
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Tsukuba, Ibaraki, Japan, 305-8576
- Tsukuba University Hospital
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Ishikawa
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Kanazawa, Ishikawa, Japan, 920-8201
- Ishikawa Prefectural Central Hospital
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Kanagawa
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Kawasaki, Kanagawa, Japan, 216-8511
- St. Marianna University Hospital
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Tokyo
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Bunkyo-ku, Tokyo, Japan, 113-8431
- Juntendo University Hospital
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Chuo-ku, Tokyo, Japan, 104-0045
- National Cancer Center Hospital
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Koto, Tokyo, Japan, 135-8550
- Japanese Foundation for Cancer Research
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Shinagawa, Tokyo, Japan, 142-8555
- Showa University Hospital
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Incheon-gwangyeoksi [Incheon]
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Incheon, Incheon-gwangyeoksi [Incheon], Korea, Republic of, 22332
- Inha University Hospital
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Kyǒnggi-do
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Seongnam, Kyǒnggi-do, Korea, Republic of, 13620
- Seoul National University Bundang Hospital
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Seongnam-si, Kyǒnggi-do, Korea, Republic of, 13496
- CHA Bundang Medical Center, CHA University
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Seoul-teukbyeolsi [Seoul]
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Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of, 3722
- Severance Hospital, Yonsei University Health System
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Seoul, Seoul-teukbyeolsi [Seoul], Korea, Republic of, 2841
- Korea University Anam Hospital
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Distrito Federal
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Mexico City, Distrito Federal, Mexico, 3310
- Grupo Medico Camino Sc
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Jalisco
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Guadalajara, Jalisco, Mexico, 45647
- Centro Oncológico Internacional (COI)
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Madrid, Spain, 28040
- Hospital Clinico San Carlos
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Valencia, Spain, 46010
- Hospital Quironsalud Valencia
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A Coruña [La Coruña]
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A Coruña, A Coruña [La Coruña], Spain, 15006
- CHUAC-Hospital Teresa Herrera
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Madrid, Comunidad De
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Madrid, Madrid, Comunidad De, Spain, 28041
- Hospital Universitario 12 de Octubre
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Málaga
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Malaga, Málaga, Spain, 29011
- H.R.U Málaga - Hospital Materno-infantil
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Santa Cruz De Tenerife
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San Cristobal de La laguna, Santa Cruz De Tenerife, Spain, 38320
- Hospital Universitario de Canarias
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Sankt Gallen
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St.Gallen, Sankt Gallen, Switzerland, 9016
- Brustzentrum Ostschweiz
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Zürich
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Winterthur, Zürich, Switzerland, 8401
- Kantonsspital Winterthur
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Taipei, Taiwan, 10002
- National Taiwan University Hospital
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Taipei, Taiwan, 112
- Koo Foundation Sun Yat-Sen Cancer Center
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Taoyuan, Taiwan, 333
- Chang Gung Medical Foundation-Linkou Branch
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Manchester, United Kingdom, M20 4BX
- The Christie
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Bristol, City Of
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Bristol, Bristol, City Of, United Kingdom, BS2 8ED
- Bristol Haematology and Oncology Centre
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Essex
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Colchester, Essex, United Kingdom, CO4 5JL
- Colchester General Hospital
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Hammersmith And Fulham
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London, Hammersmith And Fulham, United Kingdom, W6 8RF
- Charing Cross Hospital
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London
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Chelsea, London, United Kingdom, SW3 6JJ
- Royal Marsden Hospital
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Suffolk
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Ipswich, Suffolk, United Kingdom, IP4 5PD
- Ipswich Hospital
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Sutton
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London, Sutton, United Kingdom, SM2 5PT
- Royal Marsden Hospital (Sutton)
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Arizona
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Glendale, Arizona, United States, 85304
- Palo Verde Cancer Specialists
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California
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Los Angeles, California, United States, 90024
- TRIO-US (Translational Research in Oncology-US)
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Florida
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Hollywood, Florida, United States, 33024
- Millennium Oncology - Hollywood
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Saint Petersburg, Florida, United States, 33705
- Florida Cancer Specialists - North
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Illinois
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Chicago, Illinois, United States, 60608
- Mt. Sinai Hospital PRiSMS
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Missouri
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Joplin, Missouri, United States, 64804
- Cornell-Beshore Cancer Institute
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New Jersey
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Ridgewood, New Jersey, United States, 07450
- The Valley Hospital
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Tennessee
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Nashville, Tennessee, United States, 37203
- Sarah Cannon Research Institute SCRI
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Texas
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Dallas, Texas, United States, 75230
- Texas Oncology - Medical City Dallas
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The Woodlands, Texas, United States, 77380
- US Oncology
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The Woodlands, Texas, United States, 77380
- Northwest Cancer Specialists PC
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The Woodlands, Texas, United States, 77380
- Texas Oncology - Medical City Dallas
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The Woodlands, Texas, United States, 77380
- USO-Southern Cancer Center, P.C.
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Have confirmed HR+, HER2+ early invasive breast cancer without evidence of disease recurrence or distant metastases
- Have undergone definitive surgery of the primary breast tumor(s)
- Have tumor tissue from breast (preferred) or lymph node
- Have received a minimum of four cycles of chemotherapy in either the neoadjuvant or adjuvant setting per standard of care
- Have completed approximately nine to 20 months of standard HER2-targeted therapy (neoadjuvant/adjuvant combined duration)
Have received one of the following eligible HER2-targeted adjuvant regimens AND be randomized within 12 weeks of completing the regimen:
- For participants treated with neoadjuvant therapy and HER2-targeted therapy: A minimum of 4 cycles of T-DM1 in the adjuvant setting. NOTE: Participants may have received up to approximately 6 cycles of adjuvant trastuzumab prior to initiation of T-DM1. Additionally, participants may have switched to trastuzumab-based therapy (monotherapy or in combination with other HER2-targeted therapies) after 4 cycles of T-DM1
- For participants who had definitive surgery prior to systemic therapy, a minimum of 4 cycles of adjuvant pertuzumab with trastuzumab.
Have high risk disease, defined by one of the following criteria:
Those who received neoadjuvant chemotherapy along with HER2-targeted treatment must have:
- residual disease in at least one axillary lymph node, or
- a residual tumor ≥ 5 cm, or
- a residual tumor of any size that has direct extension to the chest wall and/or skin (ulceration or skin nodules).
Those who had definitive surgery prior to systemic therapy and completed adjuvant chemotherapy along with HER2-targeted therapies (trastuzumab and pertuzumab) must have
- tumor involvement in ≥4 ipsilateral axillary lymph nodes, or
- tumor involvement in 1 to 3 ipsilateral axillary lymph node(s) and histological Grade 3, or
- primary invasive tumor size of ≥ 5 cm on pathological evaluation.
Exclusion Criteria:
Have breast cancer with any of the following features:
- Disease recurrence or distant metastatic disease (including contralateral axillary lymph nodes)
- Pathological complete response from any prior early breast cancer treatments. Participants are required to have residual primary tumor and/or lymph node disease at the time of definitive surgery as indicated in inclusion criteria.
- Inflammatory breast cancer
Have other medical conditions including:
- Previous breast cancer (Exceptions: Ipsilateral ductal carcinoma in situ [DCIS] treated by locoregional therapy alone ≥5 years ago; contralateral DCIS treated by locoregional therapy at any time)
- Other cancer being treated and/or not in complete remission within the last 5 years (Exceptions: Appropriately treated non-melanomatous skin cancer or carcinoma in situ of cervix, bladder, or colon)
- Females who are pregnant or lactating
- History of venous thromboembolism
- Other serious medical conditions
Have previously received treatment with:
- Any cyclin-dependent kinase (CDK)4 and CDK6 inhibitor
- Prior adjuvant treatment with immunotherapy, tucatinib, neratinib, any investigational HER2 directed therapy, or T-DXd (DS8201) for treatment of breast cancer
- Endocrine therapy (ET) (i.e., tamoxifen, raloxifene or aromatase inhibitor) for breast cancer prevention (without diagnosis of breast cancer)
- Additional chemotherapy, anti-cancer ET, or HER2-targeted therapy beyond standard of care at study enrollment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: 150 mg Abemaciclib + Endocrine Therapy (ET)
Participants received 150 milligrams (mg) of abemaciclib administered twice daily (BID) orally along with standard adjuvant endocrine therapy (ET).
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Administered orally.
Other Names:
Administered according to label instructions.
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Active Comparator: Placebo + ET
Participants received placebo administered BID orally along with standard adjuvant ET.
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Administered orally.
Administered according to label instructions.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Invasive Disease Free Survival (IDFS)
Time Frame: Randomization to Recurrence or Death from Any Cause (up to 890 days)
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IDFS, as defined by the STEEP System, is measured from the date of randomization to the date of first occurrence of one of the following events: ipsilateral invasive breast tumor recurrence, regional invasive breast cancer recurrence, distant recurrence, contralateral invasive breast cancer, second primary non-breast invasive cancer, death attributable to any cause.
Study was terminated early.
Data was not collected for this outcome and outcome measures were not assessed.
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Randomization to Recurrence or Death from Any Cause (up to 890 days)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall Survival (OS)
Time Frame: Randomization to Death from Any Cause (up to 890 days)
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OS is defined as the time from randomization until death from any cause.
Study was terminated early.
Data was not collected for this outcome and outcome measures were not assessed.
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Randomization to Death from Any Cause (up to 890 days)
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Distant Relapse-Free Survival (DRFS)
Time Frame: Randomization to Distant Recurrence or Death from Any Cause (up to 890 days)
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DRFS is defined as the time from randomization to distant recurrence or death from any cause, whichever occurs first. Study was terminated early. Data was not collected for this outcome and outcome measures were not assessed. |
Randomization to Distant Recurrence or Death from Any Cause (up to 890 days)
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Percentage of Participants With Central Nervous System (CNS) Metastases as First Site of Disease Recurrence
Time Frame: Randomization to Distant Recurrence or Death from Any Cause (up to 890 days)
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Study was terminated early.
Data was not collected for this outcome and outcome measures were not assessed.
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Randomization to Distant Recurrence or Death from Any Cause (up to 890 days)
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Change From Baseline in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) Scale Score
Time Frame: Cycle 1 up to 390 days
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The EORTC QLQ-C30 (v.
3.0) is a self-administered, cancer-specific questionnaire with multidimensional scales assessing 15 domains (5 functional domains, 9 symptoms, and global health status).
A linear transformation will be applied to standardize the raw scores to range between 0 and 100 per developer guidelines.
For the functional domains and global health status scale, higher scores represent a better level of functioning.
For symptom scales, higher scores represent a greater degree of symptoms.
Study was terminated early.
Data was not collected for this outcome and outcome measures were not assessed.
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Cycle 1 up to 390 days
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Change From Baseline in the EuroQOL 5 Dimension 5 Level (EQ-5D 5L) Index Score
Time Frame: Cycle 1 up to 390 days
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The EQ-5D-5L is a standardized instrument for use as a measure of self-reported health status.
Participants completed the 5-level (no problem, slight problem, moderate problem, severe problem, and inability or extreme problem), 5-dimension (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) questionnaire concerning their current health state.
Five dimensions of health status are each assessed with 5 response options and scored as a composite index which are anchored on a scale of 0 to 1 with a higher score representing better health status.
Study was terminated early.
Data was not collected for this outcome and outcome measures were not assessed.
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Cycle 1 up to 390 days
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Pharmacokinetics (PK): Mean Steady State Concentrations of Abemaciclib
Time Frame: Day 1 of Cycles 1-3 (Cycle = 28 days)
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Study was terminated early.
Data was not collected for this outcome and outcome measures were not assessed.
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Day 1 of Cycles 1-3 (Cycle = 28 days)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- 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
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 17384
- I3Y-MC-JPCW (Other Identifier: Eli Lilly and Company)
- 2020-004035-24 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.