New drug combo aims to slow advanced breast cancer growth
NCT ID NCT04650581
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether adding the experimental drug ipatasertib to standard hormone therapy (fulvestrant) can slow the growth of advanced ER-positive, HER2-negative breast cancer. The study enrolls 250 postmenopausal women whose cancer worsened after initial treatment with a CDK 4/6 inhibitor and an aromatase inhibitor. Participants are randomly assigned to receive either fulvestrant plus ipatasertib or fulvestrant plus a placebo, and researchers track how long the cancer stays under control.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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250 people
The number who actually took part.
- Started
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Jan 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically and/or cytologically confirmed ER positive, HER-2 negative breast cancer * Female patients must be post-menopausal; female patients who are pre-menopausal must have ovarian suppression using LHRH agonist while on study * Clinical and/or radiographic progression during treatment with or within 28 days after discontinuation of first line of treatment with a CDK 4/6 inhibitor and an aromatase inhibitor (AI) for advanced/metastatic disease * Evidence of clinically and/or radiologically documented disease * ≥ 18 years of age * ECOG performance status of 0 or 1 * No concurrent anti-cancer therapy and must satisfy the following criteria for previous therapy * Must not have received more than one prior line of treatment with a CDK 4/6 inhibitor and an AI in the advanced disease setting. * Treatment with CDK 4/6 inhibitor and AI must have been the most recent treatment prior to registration for this study * Adequate hematology and organ function, in the absence of growth factors * Absolute neutrophils \> 1.5 x 10\^9/L * Platelets ≥ 100 x 10\^9/L * Hemoglobin \> 90 g/L * Total Bilirubin ≤ 1.5 x ULN (upper limit of normal) or ≤ 3 x ULN if confirmed Gilbert's Syndrome * ALT and AST ≤ 2.5 x ULN (or ≤ 5.0 x ULN if liver or bone metastasis) * Alkaline phosphatase ≤ 2.0 x ULN (or ≤ 5.0 x ULN if liver metastases, ≤ 7.0 x ULN if bone metastasis) * Fasting glucose ≤ 8.3 mmol/L * HbA1c ≤ 7.5% * Serum albumin ≥ 30 g/L * INR ≤ 1.2 * Serum Creatinine or Creatinine clearance ≤ 1.5 x ULN or ≥ 50 mL/min; measured directly by 24-hour urine sampling or as calculated by Crockcroft and Gault equation Exclusion Criteria: * Untreated or symptomatic CNS metastases, radiation treatment for CNS metastases within 28 days * Active inflammatory bowel disease, bowel inflammation, inability to swallow oral medication or GI condition that alters oral absorption * Prior treatment with fulvestrant, selective estrogen receptor degraders (SERDs) or known inhibitors of the PI3K pathway including PI3K inhibitors, AKT inhibitors, or mTOR inhibitors * Mean QT interval corrected for heart rate (QTc) ≥ 480 msec by ECG or history of familial long QT syndrome * Active or uncontrolled infections or serious illnesses or medical conditions * Clinically significant liver diseases * History of lung disease or history of opportunistic infections * Type 1 or Type 2 diabetes mellitus requiring insulin * Grade ≥ 2 uncontrolled hypercholesterolemia or hypertriglyceridemia * Known abnormalities in coagulation * History of hypersensitivity to the study drugs or components * Pregnant or lactating women
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Alfred Hospital
Melbourne, Victoria, 3004, Australia
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Algoma District Cancer Program
Sault Ste. Marie, Ontario, P6B 0A8, Canada
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Allan Blair Cancer Centre
Regina, Saskatchewan, S4T 7T1, Canada
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Auckland City Hospital
Auckland, 1023, New Zealand
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BCCA - Cancer Centre for the Southern Interior
Kelowna, British Columbia, V1Y 5L3, Canada
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BCCA - Fraser Valley Cancer Centre
Surrey, British Columbia, V3V 1Z2, Canada
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BCCA - Vancouver Cancer Centre
Vancouver, British Columbia, V5Z 4E6, Canada
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CHA-Hopital Du St-Sacrement
Québec, Quebec, G1S 4L8, Canada
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CHUM-Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2X 3E4, Canada
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Canberra Hospital
Garran, ACT 2605, Australia
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Centre Integre de Sante et de Services Sociaux
Greenfield Park, Quebec, J4V 2H1, Canada
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Fiona Stanley Hospital
Murdoch, Western Australia, 6150, Australia
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Frankston Hospital
Frankston, Victoria, 3199, Australia
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Gosford Hospital
Gosford, New South Wales, 2250, Australia
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Juravinski Cancer Centre at Hamilton Health Sciences
Hamilton, Ontario, L8V 5C2, Canada
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Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7, Canada
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Lake Macquarie Private Hospital
Gateshead, New South Wales, 2324, Australia
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London Regional Cancer Program
London, Ontario, N6A 5W9, Canada
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Macquarie University Hospital
Macquarie University, New South Wales, 2109, Australia
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Ottawa Hospital Research Institute
Ottawa, Ontario, K1H 8L6, Canada
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QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 1V7, Canada
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Regional Health Authority B, Zone 2
Saint John, New Brunswick, E2L 4L2, Canada
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Royal Brisbane and Womens Hospital
Herston, 4029, Australia
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Royal Victoria Regional Health Centre
Barrie, Ontario, L4M 6M2, Canada
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Saskatoon Cancer Centre
Saskatoon, Saskatchewan, S7N 4H4, Canada
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Shoalhaven Cancer Care Centre
Nowra, New South Wales, 2541, Australia
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Southern Highlands Cancer Centre
Bowral, New South Wales, 2576, Australia
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St John of God Bunbury
Bunbury, Western Australia, 6230, Australia
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Stronach Regional Health Centre at Southlake
Newmarket, Ontario, L3Y 2P9, Canada
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Sunshine Coast University Hospital
Birtinya, Queensland, 4575, Australia
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Sunshine Hospital
St Albans, Victoria, 3021, Australia
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The Northern Hospital
Epping, Victoria, 3076, Australia
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Thunder Bay Regional Health Sciences Centre/
Thunder Bay, Ontario, P7B 6V4, Canada
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Toowoomba Hospital
Toowoomba, Queensland, 4350, Australia
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University Health Network
Toronto, Ontario, M5G 2M9, Canada
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Victorian Breast and Oncology Care
East Melbourne, Victoria, 3002, Australia
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Wellington Cancer Centre, Wellington Hospital
Wellington, 2, New Zealand
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William Osler Health System
Brampton, Ontario, L6R 3J7, Canada
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Windsor Regional Cancer Centre
Windsor, Ontario, N8W 2X3, Canada
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