Phase III Study to Evaluate the Safety, Efficacy, and Impact on Quality of Life of Capivasertib Alongside Standard-of-care Endocrine Treatment in Patients With HR+/HER2- Advanced Breast Cancer and Progression on Prior Endocrine-based Treatment
This study is looking at a new treatment called capivasertib for a specific type of advanced breast cancer. This is for breast cancer that is hormone receptor positive (HR+) and HER2 negative (HER2-) and has progressed on previous hormone-based treatments. Researchers want to understand how effective capivasertib is at keeping the cancer under control (measured by how long patients stay on treatment) and how it affects their quality of life. Participants will take capivasertib along with their usual hormone therapy and complete questionnaires. There isn't a direct comparison group in this study, but findings will be compared with information from a previous study.
At a glance
What is this study about?
This study is focused on a specific type of advanced breast cancer that has already been treated with hormone-based medicines but has unfortunately started to grow again. This type of cancer is called HR-positive and HER2-negative. The main goal is to see how well a new investigational drug, capivasertib, works when given alongside standard hormone therapy.
Researchers will be looking at two key things. Firstly, they want to measure how long patients can stay on the capivasertib treatment before their cancer progresses further or they need a different treatment. This gives an idea of how effective the drug is. Secondly, they will assess the impact of the treatment on a patient's daily life and well-being using questionnaires. This helps understand if the treatment helps maintain or improve their quality of life.
About 250 patients from different medical centres will take part. There won't be a group receiving a dummy treatment or a different active drug for direct comparison in this study. Instead, the results will be compared with information from patients who participated in a similar study before, to understand the benefits of capivasertib.
Key takeaways
- New drug (capivasertib) for HR+/HER2- advanced breast cancer.
- For breast cancer that has progressed on previous hormone treatments.
- Aims to see how long patients stay on treatment and impact on quality of life.
- Involves taking daily oral medication and standard hormone therapy.
- Participation includes regular check-ups and quality of life surveys.
Who may be eligible?
This study is looking for both women and men, aged 18 or older, who have been diagnosed with advanced breast cancer that is HR-positive and HER2-negative. This means your cancer responds to hormones and doesn't have too much of the HER2 protein.
For women, this includes those who are pre-menopausal, peri-menopausal, or post-menopausal. If you are pre- or peri-menopausal, you'll need to be receiving hormone-blocking treatment (called a GnRH agonist) at the start of and throughout the study. Post-menopausal women are defined by certain age or time since last period criteria, or if they've had their ovaries removed.
Your most recent tumour sample must show that your cancer is HR-positive (meaning it has estrogen receptors) and HER2-negative (meaning it does not have an excess of the HER2 protein). A medical expert will check these details from your biopsy results.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years or older?
- Do you have HR-positive and HER2-negative advanced breast cancer?
- Has your breast cancer recently progressed after previous hormone treatment?
- Are you willing to take study medication and fill out questionnaires?
- If you are pre- or peri-menopausal, are you willing to receive hormone-blocking injections if needed?
What does participation involve?
If you decide to take part, you will be taking the study drug, capivasertib, by mouth, four days a week with three days off. You will also continue with your regular hormone therapy, which might be an injection (fulvestrant) every 28 days or another type of hormone treatment. You will also be asked to regularly fill out questionnaires about your quality of life, which some patients may choose to do using their smartphone.
There will be regular follow-up appointments with your study team. The capivasertib treatment will continue as long as it is working for you, you are tolerating it well, or until the study officially ends. You will be monitored from the time you join until the end of the entire study, which could be several years, or until your death, whichever comes first. The total study is expected to run until early 2030, with individual participation in treatment varying based on your response.
Potential risks and benefits
Locations (7)
- Institut Jules BordetVerified postcodeAnderlecht, Belgium· Not yet recruiting
- CHC MontLegiaVerified postcodeLiège, Belgium· Not yet recruiting
- St. Elisabeth-Krankenhaus GmbH, Brustzentrum - SenologieVerified postcodeCologne, Germany· Not yet recruiting
- Universitätsklinikum EssenVerified postcodeEssen, Germany· Not yet recruiting
- Brustzentrum Niederrhein, Johanniter Bethesda KrankenhausVerified postcodeMönchengladbach, Germany· Recruiting
- Universitätsklinikum Münster AöR BrustzentrumVerified postcodeMünster, Germany· Not yet recruiting
- Champalimaud Clinical CentreVerified postcodeLisbon, Portugal· Not yet recruiting
Common questions
What is advanced breast cancer?
Advanced breast cancer is when the cancer has spread from the breast to other parts of the body.
What does HR+/HER2- mean?
HR+ means the cancer grows in response to hormones, and HER2- means it does not have high levels of another protein called HER2.
What is capivasertib?
Capivasertib is a new drug being tested to treat advanced breast cancer that has stopped responding to older hormone treatments.
Will I get a placebo (dummy drug)?
No, there is no placebo group in this study. All participants will receive capivasertib along with their standard hormone therapy.
How long will I be in the study?
You will be followed from the start of the study until it officially ends (expected Q1 2030) or if you unfortunately pass away sooner. The treatment part will continue as long as it's effective and you tolerate it well.
How to find out more
Rico Laage, Dr.
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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