Hope for breast cancer patients: new drug combo may delay recurrence
NCT ID NCT03820830
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 2 times
Summary
This phase 3 trial tests whether adding the drug palbociclib to standard hormone therapy can help prevent breast cancer from coming back in people with a specific type of breast cancer (HR+/HER2-). About 405 participants who had surgery for a local or regional recurrence will receive either hormone therapy alone or hormone therapy plus palbociclib for 3 years. The study measures how long it takes for the cancer to return or for other health events to occur.
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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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405 people
The number who actually took part.
- Started
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Aug 2019
- Expected to finish
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Jan 2029
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: 1. Histologically confirmed invasive breast cancer, defined as first proven ipsilateral local and/or regional recurrence of a primary invasive breast cancer in at least one of these sites: * breast; * the chest wall including mastectomy scar and/or skin; * axillary or internal mammary lymph nodes. 2. Completion of locoregional therapy: * completion of gross excision of recurrence within 6 months prior to randomization; * completion of radiotherapy (if given) more than 2 weeks prior to randomization 3. Negative or microscopically involved margins 4. Female or male aged 18 years or older 5. ECOG performance status 0 or 1 6. Recurrent tumor must be hormone receptor positive: ER+ and/or PgR+ ≥1% by IHC 7. Recurrent tumor must be HER2-negative (0, 1+, 2+ by IHC and/or ISH/FISH not amplified).Tumor with HER2 status 2+ by IHC must also be negative (not amplified) by ISH/FISH 8.-10. Normal hematological, renal, and liver function 11. The patient agrees to make tumor (diagnostic core biopsy or surgical specimen of ipsilateral isolated locoregional recurrence) available for submission for central pathology review 12. Patients must either be planned to initiate, or have already started, endocrine therapy for ipsilateral isolated locoregional recurrence 13.) Written Informed Consent prior to randomization Exclusion Criteria: 1. Recurrence of any size with direct extension to the chest wall and/or to the skin (ulceration or skin nodules) not surgically removable 2. Evidence of distant metastasis as based on conventional staging examinations (physical, chest X-ray or CT, abdominal ultrasound or CT, bone scintigraphy or FDG-PET-CT). 3. Bilateral synchronous or metachronous invasive breast cancer (in situ carcinoma of the contralateral breast is allowed) 4. Inflammatory breast cancer 5. Patients with a history of malignancy, other than invasive breast cancer, with the following exceptions: * Patients diagnosed, treated and disease-free for at least 5 years and deemed by the investigator to be at low risk for recurrence of that malignancy are eligible. * Patients with the following malignancies are eligible, even if diagnosed and treated within the past 5 years: ductal carcinoma in situ of the breast; cervical cancer in situ; thyroid cancer in situ; non-metastatic, non-melanomatous skin cancers. 6. Previous treatment with palbociclib or any other CDK 4/6 inhibitors 7. Previous or planned chemotherapy or planned radiotherapy for the ipsilateral isolated locoregional recurrence (radiotherapy is allowed, but must be completed more than 2 weeks prior to randomization) 8. Concurrent disease or condition that would make the patient inappropriate for study participation or any serious medical disorder that would interfere with the patient's safety 9. Pregnant or lactating women; lactation has to stop before randomization 10. Patients with psychiatric illness/social situations that would limit compliance with study requirements 11. Contraindications or known hypersensitivity to the palbociclib or excipients 12. History of extensive disseminated/bilateral or known presence of interstitial fibrosis or interstitial lung disease, including a history of pneumonitis, hypersensitivity pneumonitis, interstitial pneumonia, obliterative bronchiolitis, and pulmonary fibrosis. A history of prior radiation pneumonitis is not considered an exclusion criterion.
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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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AOU Maggiore Della Carita, University of Eastern Piedmont
Novara, Italy
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ASST Papa Giovanni XXIII
Bergamo, Italy
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Azienda Ospedaliero-Universitaria di Parma
Parma, Italy
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BZ Bethanien
Zurich, 8001, Switzerland
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Brust-Zentrum AG Zürich
Zurich, Switzerland
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Brustzentrum Basel Bethesda Spital
Basel, Switzerland
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Centre Antoine Lacassagne
Nice, 06189, France
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Centre Francois Baclesse
Caen, 14000, France
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Centre Georges François Leclerc
Dijon, 21079, France
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Centre Hospitalier Universitaire de Limoges
Limoges, 87000, France
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Centre Leon Berard
Lyon, 69008, France
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Centre Paul Strauss
Strasbourg, France
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Centre du Sein Fribourg
Fribourg, Switzerland
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Cro Irccs
Aviano, Italy
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Cêntre Hospitaler de Cholet
Cholet, 49300, France
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Fondazione Oncologia Lago Maggiore
Locarno, Switzerland
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Groupe hospitalier de Bretagne Sud, Hôpital du Scorff
Lorient, France
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Gustave Roussy
Villejuif, 94800, France
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HU Ramón y Cajal
Madrid, Spain
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Hospital General Universitario de Alicante
Alicante, Spain
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Hospital Universitario 12 de Octubre
Madrid, Spain
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Hospital Universitario Miguel Servet
Zaragoza, Spain
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Hospital Universitario Río Hortega
Valladolid, Spain
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Hospital Universitario Vall d´Hebrón
Barcelona, Spain
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Hospital Universitario de Canarias
San Cristóbal de La Laguna, Tenerife, Spain
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Hospital Universitario de La Coruña
A Coruña, Spain
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Hospital Virgen de la Macarena
Seville, Spain
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Hospital Virgen de la Victoria
Málaga, Spain
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Hospital de Basurto
Bilbao, Spain
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ICM Val d'Aurelle
Montpellier, 34298, France
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Inselspital Bern
Bern, Switzerland
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Institut Bergonie
Bordeaux, 33076, France
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Institut Català d´Oncología (ICO)
Girona, Spain
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Institut Claudius Regaud
Toulouse, 31100, France
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Institut Sainte Catherine
Avignon, 84918, France
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Instituto Catalan de Oncologia L´Hospitalet
Barcelona, Spain
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Instituto Valenciano de Oncología (IVO)
Valencia, Spain
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Istituti Clinici Scientifici Maugeri
Pavia, Italy
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Istituto Europeo di Oncologia
Milan, Italy
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Istituto scientifico Romagnolo per lo studio e la cura
Meldola, Italy
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Kantonsspital Baden
Baden, Switzerland
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Kantonsspital Winterthur
Winterthur, Switzerland
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Kouros Moccia Oncologia
Locarno, Switzerland
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Luzerner Kantonsspital
Lucerne, Switzerland
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MUW - Universitätsklinik für Innere Medizin
Vienna, Austria
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Medizinische Universität Graz (MUG)
Graz, Austria
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Medizinische Universität Innsbruck - Univ.-Klinik f. Frauenheilkunde
Innsbruck, Austria
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National Institute of Oncology
Budapest, Hungary
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Ospedale S. Stefano
Prato, Italy
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PO Antonio Perrino Brindisi
Brindisi, Italy
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Polyclinique Bordeaux Nord
Bordeaux, 333000, France
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U.O. Oncologia, Ospedale Infermi
Rimini, Italy
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Uniklinikum Salzburg
Salzburg, Austria
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Second radiation for breast cancer recurrence: a new hope?
- Can Lab-Grown tumors stop breast cancer from coming back?
- New pill for Hard-to-Treat cancers shows early promise in small study
- Heat boost: new combo therapy aims to shrink incurable tumors
- New pill targets Hard-to-Treat cancers in early human trial
- One-Week radiation blasts recurrent breast cancer, spares healthy tissue