New injection aims to halt ovarian function in breast cancer fight
NCT ID NCT04906395
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 study tests a 3-month injection (TOL2506) to temporarily stop ovarian function in premenopausal women with HR+, HER2-negative breast cancer. The goal is to see if it works well with hormone therapy (tamoxifen or aromatase inhibitors) to control the cancer. About 250 participants will receive the injection and be monitored for 48 weeks. The study also checks safety in men with the same cancer type.
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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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About 250 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2021
- Expected to finish
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Apr 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 to 49 years
- 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: Female 1. Able to understand the investigational nature of this study and provide written informed consent prior to the participation in the trial 2. Age 18 to 49, inclusive 3. Diagnosis of Stage I, II, or III HR+, HER2-negative breast cancer (ER\>1% and/or, PR\>1%, HER2-negative per ASCO CAP guidelines) 4. Is a candidate for endocrine therapy + ovarian suppression LH \> 4 IU/L within 28 days prior to Day 1 5. Is premenopausal as defined by: * E2 \> 30 pg/mL * follicle stimulating hormone (FSH) \< 40 IU/L * regular menses (eg, menstrual cycle length of 21 to 35 days) Note: premenopausal status must be determined before neo/adjuvant chemotherapy in patients for which it is planned or prior to Day 1 in patients who did not have prior chemotherapy. If premenopausal status was not determined prior to chemotherapy, E2 and FSH must meet the above criteria when measured 2 weeks or more after the end of the final cycle of chemotherapy. Exclusion Criteria: 1. Body mass index (BMI) \< 18.00 kg/m2 or \> 35.00 kg/m2 2. Breastfeeding 3. Life expectancy \< 12 months 4. Eastern Cooperative Oncology Group (ECOG) performance status ≥ 3 5. Unacceptable hepatic function as determined by any of the following: 1. Alanine aminotransferase (ALT) ≥ 2X upper limit of normal (ULN) 2. Aspartate aminotransferase (AST) ≥ 2X ULN 3. Bilirubin ≥ 2X ULN 4. Alkaline phosphatase ≥ 2X ULN 5. Severe hepatic impairment (Child-Pugh Class C) 6. Unacceptable renal function as determined by any of the following: 1. Creatinine ≥ 3X ULN 2. Creatinine clearance ≤ 30 mL/minute 3. Creatinine clearance ≤ 60 mL/minute in subjects with bone density 1.5 standard deviations below the young adult normal mean 7. History of significantly abnormal ECG or screening 12-lead ECG demonstrating any of the following: 1. HR \> 100 BPM 2. QRS \> 120 msec 3. QTc \> 450 msec 4. PR \> 220 msec 8. Prior (within 28 days prior to Day 1) and/or concomitant use of medications known to prolong the QT/QTc interval 9. Prior use of tamoxifen, other SERMs (eg, raloxifene) or antagonists (eg, fulvestrant), aromatase inhibitor, mammalian target of rapamycin (mTOR) inhibitors, or hormone replacement therapy within 3 months before breast cancer diagnosis 10. Concomitant use of anticancer mediations other than those specified for use by the protocol 11. Prior neoadjuvant or adjuvant endocrine therapy since diagnosis of breast cancer 12. History of treatment for osteopenia/osteoporosis or baseline bone mineral density Z-score ≤ -2.0 13. Prior (within 6 months prior to Day 1) or current use of drugs known to increase bone mineral density (ie, bisphosphonates, denosumab, teriparatide, abaloparatide, romosozumab) or use of supplements known to increase bone mineral density (ie, calcitonin, fluoride, strontium) within 28 days prior to Day 1 14. Low trauma fracture(s) occurring within 12 months prior to subject's first visit (defined as a fracture that results from a fall from a standing height or less, excluding fingers, toes, face and skull) 15. Conditions that preclude bone mineral density measurement (lumbar spine/bilateral hip surgery with hardware in place, abdominal clips, umbilical ring \[not willing to remove\] or weight that exceeds the DEXA machine limitation) 16. Any other medical condition or serious illness, presence of a second malignancy under current treatment or follow-up, or the presence of clinically significant findings on the physical exam, laboratory testing, medical history (including conditions that may be associated with low bone mass), that in the opinion of the Investigator may interfere with trial conduct, subject safety, or interpretation of study results 17. Already receiving and/or previously received GnRH analogs within 1 year before breast cancer diagnosis 18. Psychiatric, addictive, or other disorders that would preclude study compliance 19. Use of medications that may impact subject safety and/or affect the PK of the drug and hormonal assessments including but not limited to: 1. Oral or transdermal hormonal therapy within 30 days prior to subject's first visit 2. Estrogen, progesterone, or androgens within 30 days prior to subject's first visit 3. Hormonal contraceptives within 30 days prior to subject's first visit 4. Medications known to result in clinically important decreases in bone mass taken within 6 months prior to subject's first visit 20. Known hypersensitivity, idiosyncratic, or allergic reactions to GnRH, GnRH agonist/analogs or to any of the components of the IP 21. Sexually active with a male partner and not willing to use non-hormonal contraceptive methods throughout the study 22. Is of childbearing potential with a positive serum pregnancy test at Screening or urine pregnancy test at Day 1 23. Exposure to any investigational agent within 30 days prior to the first dose of TOL2506 See contact information to obtain inclusion/exclusion criteria for males
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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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Amiisto Atencion Medica Integral, Investigacion Y Terapia Oncologica S.A De C.V.
Mexico City, Mexico City, 07300, Mexico
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Apollo Cancer Hospitals
Hyderabad, Telangana, 500096, India
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Apollo Hospitals
Visakhapatnam, Andhra Pradesh, 530040, India
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Baptist Health Louisville
Louisville, Kentucky, 40207, United States
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Centro Privado de RMI Rio Cuarto
Río Cuarto, Córdoba Province, 5800, Argentina
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Centro Regional Integrado de Oncologia
Fortaleza, Ceará, 60335-480, Brazil
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Centro de Estudos e Pesquisas de Hematologia e Oncologia da Faculdade de Medicina do ABC
Santo André, São Paulo, 09060-650, Brazil
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Clinica EMA
Mexico City, 03339, Mexico
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Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria
São Paulo, São Paulo, 01317-001, Brazil
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Cypress Hematology and Oncology
Parker, Colorado, 80138, United States
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Erode Cancer Centre Private Ltd.
Erode, Tamil Nadu, 638012, India
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FAICIC S. de R.L. de C.V.
Veracruz, 91900, Mexico
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FDI Clinical Research
San Juan, 00927, Puerto Rico
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Fundacao Pio XII
Barretos, São Paulo, 14784-400, Brazil
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Fundacion CENIT
CABA, C1125ABD, Argentina
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HCG Cancer Centre
Visakhapatnam, Andhra Pradesh, 530040, India
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HCG City Cancer Centre
Vijayawada, Andhra Pradesh, 520002, India
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HCG Manavata Cancer Centre
Nashik, Maharashtra, 42202, India
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Hemato Oncology Clinic Ahmedabad Pvt. Ltd.
Ahmedabad, Gujarat, 380054, India
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Hospital Aleman
Buenos Aires, C118AAT, Argentina
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Hospital Araujo Jorge
Goiânia, Goiás, 74605-070, Brazil
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Hospital Britanico de Buenos Aires
Buenos Aires, Buenos Aires F.D., C1480AEB, Argentina
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Hospital Provincial del Centenario
Rosario, Santa Fe Province, S2000KDS, Argentina
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Hospital Sao Rafael
Salvador, Estado de Bahia, 41253-190, Brazil
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Hospital de Amor Amazonia
Porto Velho, Rondônia, 76834-899, Brazil
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Hospital do Cancer de Londrina
Londrina, Paraná, 86015-520, Brazil
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Indrayani Hospital and Cancer Institute
Pune, Maharashtra, 412105, India
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Instituto Medico de la Fundacion Estudios Clinicos
Rosario, Santa Fe Province, S2000DEJ, Argentina
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Instituto Oncologico de Cordoba (IONC)
Córdoba, Córdoba Province, 5000, Argentina
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Instituto de Educacao, Pesquisa e Gestao em Saude
Rio de Janeiro, 22775-001, Brazil
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Irmamandade de Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90020-090, Brazil
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KIMS-Kingsway Hospitals, SPANV Medisearch Lifesciences
Nagpur, Maharashtra, 440001, India
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Lankenau Medical Center
Wynnewood, Pennsylvania, 19096, United States
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Marin Cancer Care, Inc
Greenbrae, California, 94904, United States
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Maryland Oncology Hematology, P.A.
Glenn Dale, Maryland, 20769, United States
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Montefiore - Einstein Center for Cancer Care at Montefiore Medical Park
The Bronx, New York, 10461, United States
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Mount Sinai Hospital
Chicago, Illinois, 60608, United States
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Mysore Medical College and Research Institute
Mysore, Karnataka, 570001, India
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Nebraska Cancer Specialists
Omaha, Nebraska, 68114, United States
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Oncocentro Servicos Medicos e Hospitalares Ltda
Fortaleza, Ceará, 60135-237, Brazil
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Oncology Hematology Care Clinical Trials
Cincinnati, Ohio, 45211, United States
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Onconeo
Campo Grande, Mato Grosso do Sul, 79002-061, Brazil
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Oncoville Cancer Hospital and Research Center
Bengaluru, Karnataka, 560072, India
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 1Z5, Canada
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SRV AGADI Hospital and Research Centre
Bengaluru, Karnataka, 560027, India
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Sanatorio Allende- Sede Nueva Cordoba
Córdoba, X5000JHQ, Argentina
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Seattle Cancer Center Alliance
Seattle, Washington, 98109, United States
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Sunnybrook Odette Cancer Centre Clinical Research Program
Toronto, Ontario, M4N 3M5, Canada
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Swami Harshankaranand Ji Hospital & Research Centre
Varanasi, Uttar Pradesh, 221004, India
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Tennessee Oncology, PLLC
Chattanooga, Tennessee, 37404, United States
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Tennessee Oncology, PLLC
Nashville, Tennessee, 37203, United States
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Texas Oncology- Dallas Presbyterian Hospital
Dallas, Texas, 75231, United States
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Texas Oncology- Deke Slayton Cancer Center
Webster, Texas, 77598, United States
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Texas Oncology- Northeast Texas
Tyler, Texas, 75702, United States
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Texas Oncology- San Antonio
New Braunfels, Texas, 78130, United States
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Texas Oncology-Austin
Austin, Texas, 78731, United States
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Uniao Brasileira de Educacao e Assistencia
Porto Alegre, Rio Grande do Sul, 90610-000, Brazil
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Unidad de Medicina Especializada SMA
San Juan del Río, Querétaro, 76800, Mexico
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Unique Hospital Multispecialty & Research Institute
Surat, Gujarat, 395002, India
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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