Abemaciclib (LY2835219) Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Previously Treated Breast Cancer

NCT ID: NCT05169567

Last Updated: 2026-01-16

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

368 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-11

Study Completion Date

2027-12-31

Brief Summary

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This study will evaluate the effect of adding abemaciclib to fulvestrant for the treatment of hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) breast cancer that progressed or recurred after previous treatment with a type of drug known as a CDK4/6 inhibitor and endocrine therapy. Participation could last up to 5 years, depending on how you and your tumor respond.

Detailed Description

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Conditions

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Breast Neoplasm Neoplasm Metastasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Arm A: Abemaciclib plus Fulvestrant

Abemaciclib 150 milligram (mg) administered orally twice daily (BID) on Days 1 to 28 of a 28-day cycle in combination with fulvestrant 500 mg administered intramuscularly (IM) on Days 1 and 15 of Cycle 1, then on Day 1 of Cycle 2 and beyond. Participants received treatment until discontinuation criteria were met.

Group Type EXPERIMENTAL

Abemaciclib

Intervention Type DRUG

Administered orally.

Fulvestrant

Intervention Type DRUG

Administered IM.

Arm B: Placebo plus Fulvestrant

Placebo administered orally BID on Days 1 to 28 of a 28-day cycle in combination with fulvestrant 500 mg administered IM on Days 1 and 15 of Cycle 1, then on Day 1 of Cycle 2 and beyond. Participants received treatment until discontinuation criteria were met.

Group Type ACTIVE_COMPARATOR

Fulvestrant

Intervention Type DRUG

Administered IM.

Placebo

Intervention Type DRUG

Administered orally.

Interventions

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Abemaciclib

Administered orally.

Intervention Type DRUG

Fulvestrant

Administered IM.

Intervention Type DRUG

Placebo

Administered orally.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have a diagnosis of HR+, HER2- locally advanced or metastatic breast cancer
* Have radiologic evidence of disease progression or recurrence either

* On treatment with a CDK4/6 inhibitor with aromatase inhibitor (AI) as initial therapy for advanced disease, or
* On/after treatment with a CDK4/6 inhibitor plus endocrine therapy (ET) administered as adjuvant therapy for early stage breast cancer
* Must be deemed appropriate for treatment with ET
* If female, have a postmenopausal status by natural or surgical means or by ovarian function suppression
* Have Response Evaluable Criteria in Solid Tumors (RECIST) evaluable disease (measurable disease and/or nonmeasurable disease)
* Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group scale (Oken et al. 1982)
* Have adequate renal, hematologic, and hepatic organ function
* Must be able to swallow capsules/tablets

Exclusion Criteria

* Have visceral crisis, lymphangitic spread, or leptomeningeal carcinomatosis
* Have symptomatic or untreated central nervous system metastasis
* Have received any systemic therapy between disease recurrence/progression and study screening
* Have received more than 1 line of therapy for advanced or metastatic disease.
* Have received prior chemotherapy for metastatic breast cancer (MBC)
* Have received prior treatment with fulvestrant, any investigational estrogen receptor (ER)-directed therapy (including selective ER degraders \[SERDs\] and non-SERDs), any phosphatidylinositol 3-kinase (PI3K)-, mammalian target of rapamycin (mTOR)-, or protein kinase B (AKT)-inhibitor
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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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)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States

Site Status

Highlands Oncology Group

Springdale, Arkansas, United States

Site Status

Providence Medical Foundation

Fullerton, California, United States

Site Status

Cancer and Blood Specialty Clinic

Los Alamitos, California, United States

Site Status

TRIO-US (Translational Research in Oncology-US)

Los Angeles, California, United States

Site Status

Keck School of Medicine of USC

Los Angeles, California, United States

Site Status

UCLA Hematology/Oncology - Parkside

Santa Monica, California, United States

Site Status

Olive View-UCLA Medical Center

Sylmar, California, United States

Site Status

Torrance Memorial Physician Network / Cancer Care

Torrance, California, United States

Site Status

PIH Health Hematology Medical Oncology

Whittier, California, United States

Site Status

Rocky Mountain Cancer Center - Hale Parkway

Denver, Colorado, United States

Site Status

Florida Cancer Specialists SOUTH/Sarah Cannon Research Institute/SCRI

Fort Myers, Florida, United States

Site Status

Millennium Oncology Research Clinic

Hollywood, Florida, United States

Site Status

University of Miami Hospital and Clinics, Sylvester Cancer Center

Miami, Florida, United States

Site Status

Woodlands Medical Specialists, PA

Pensacola, Florida, United States

Site Status

Florida Cancer Specialists SOUTH/Sarah Cannon Research Institute/SCRI

Sarasota, Florida, United States

Site Status

Florida Cancer Specialists EAST/Sarah Cannon Research Institute/SCRI

West Palm Beach, Florida, United States

Site Status

Winship Cancer Institute, Emory University

Atlanta, Georgia, United States

Site Status

Northeast Georgia Medical Center

Gainesville, Georgia, United States

Site Status

Central Georgia Cancer Care

Macon, Georgia, United States

Site Status

Kapiolani Medical Center for Women and Children

Honolulu, Hawaii, United States

Site Status

Ingalls Memorial Hospital

Harvey, Illinois, United States

Site Status

Hematology Oncology Clinic- Baton Rouge/Sarah Cannon Research Institute/SCRI

Baton Rouge, Louisiana, United States

Site Status

Clinical Trials of SWLA

Lake Charles, Louisiana, United States

Site Status

Central Maine Medical Center

Lewiston, Maine, United States

Site Status

Mfsmc-Hjwci

Baltimore, Maryland, United States

Site Status

Maryland Oncology Hematology, P.A. - Clinton

Clinton, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

MGH Northshore Cancer Center

Danvers, Massachusetts, United States

Site Status

Southcoast Centers for Cancer Care

Fairhaven, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute - Foxborough

Foxborough, Massachusetts, United States

Site Status

Dana Farber Cancer Center Merrimack Valley

Methuen, Massachusetts, United States

Site Status

Dana Farber Cancer Institute

Milford, Massachusetts, United States

Site Status

Mass General Cancer Center

Newton, Massachusetts, United States

Site Status

Dana Farber Cancer Institute

South Weymouth, Massachusetts, United States

Site Status

Reliant Medical Group

Worcester, Massachusetts, United States

Site Status

St. Vincent Frontier Cancer Center

Billings, Montana, United States

Site Status

Dana Farber Cancer Center Londonderry

Londonderry, New Hampshire, United States

Site Status

University of New Mexico Comprehensive Cancer Center

Albuquerque, New Mexico, United States

Site Status

Lifespan Cancer Institute

Providence, Rhode Island, United States

Site Status

Tennessee Oncology-Chattanooga /Sarah Cannon Research Institute/SCRI

Chattanooga, Tennessee, United States

Site Status

Sarah Cannon Research Institute/SCRI

Nashville, Tennessee, United States

Site Status

Tennessee Oncology-Nashville/Sarah Cannon Research Institute/SCRI

Nashville, Tennessee, United States

Site Status

Texas Oncology - Bedford

Bedford, Texas, United States

Site Status

Texas Oncology - Denton

Denton, Texas, United States

Site Status

Texas Oncology, P.A.

El Paso, Texas, United States

Site Status

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Texas Oncology - McKinney

McKinney, Texas, United States

Site Status

Woodlands Medical Specialists, PA

McKinney, Texas, United States

Site Status

Woodlands Medical Specialists, PA

Mesquite, Texas, United States

Site Status

Texas Oncology - Plano East

Plano, Texas, United States

Site Status

Texas Oncology-Plano West

Plano, Texas, United States

Site Status

Mays Cancer Center

San Antonio, Texas, United States

Site Status

US Oncology

The Woodlands, Texas, United States

Site Status

Texas Oncology - Tyler Cancer Center

Tyler, Texas, United States

Site Status

Intermountain Medical Center

Murray, Utah, United States

Site Status

Intermountain Healthcare - St. George

St. George, Utah, United States

Site Status

The University of Vermont Medical Center Inc.

Burlington, Vermont, United States

Site Status

Shenandoah Oncology, P.C.

Winchester, Virginia, United States

Site Status

Fundación Cenit Para La Investigación En Neurociencias

CABA, Buenos Aires F.D., Argentina

Site Status

Fundación Respirar

Buenos Aires, Buenos Air, Argentina

Site Status

Centro de Investigaciones Metabólicas (CINME)

Ciudad Autónoma de Buenos Aire, Buenos Air, Argentina

Site Status

Instituto Médico Río Cuarto

Río Cuarto, Córdoba Province, Argentina

Site Status

Centro Medico San Roque

San Miguel de Tucumán, Tucumán Province, Argentina

Site Status

CER San Juan

San Juan, , Argentina

Site Status

Algemeen Ziekenhuis klina

Brasschaat, Antwerpen, Belgium

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Jessa Ziekenhuis

Hasselt, Limburg, Belgium

Site Status

CHU UCL Namur/Site Sainte Elisabeth

Namur, , Belgium

Site Status

Multiscan

Pardubice, Pardubický kraj, Czechia

Site Status

Fakultni nemocnice Hradec Kralove

Hradec Králové, , Czechia

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Herlev and Gentofte Hospital

Copenhagen, Capital Region, Denmark

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Regionshospitalet Gødstrup

Herning, Central Jutland, Denmark

Site Status

Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest

Bordeaux, Aquitaine, France

Site Status

CHRU de Brest

Brest, Finistère, France

Site Status

Hôpital privé du Confluent SAS

Nantes, Loire-Atlantique, France

Site Status

CHD Vendee

La Roche-sur-Yon, Vendée, France

Site Status

University Hospital of Patras

Pátrai, Achaḯa, Greece

Site Status

Alexandra Hospital

Athens, Attikí, Greece

Site Status

University General Hospital of Heraklion

Heraklion, Irakleío, Greece

Site Status

Euromedica General Clinic of Thessaloniki

Thessaloniki, , Greece

Site Status

Bacs-Kiskun Megyei Korhaz

Kecskemét, Bács-Kiskun county, Hungary

Site Status

Petz Aladar Egyetemi Oktato Korhaz

Győr, Győr-Moson-Sopron, Hungary

Site Status

Magyar Honvedseg Egeszsegugyi Kozpont

Budapest, , Hungary

Site Status

Országos Onkológiai Intézet

Budapest, , Hungary

Site Status

Meir Medical Center

Kfar Saba, Central District, Israel

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Rabin Medical Center

Petah Tikva, Central District, Israel

Site Status

Sheba Medical Center

Ramat Gan, Central District, Israel

Site Status

Hadassah Medical Center

Jerusalem, Jerusalem, Israel

Site Status

Soroka Medical Center

Beersheba, Southern District, Israel

Site Status

Sourasky Medical Center

Tel Aviv, Tell Abīb, Israel

Site Status

Humanitas Istituto Clinico Catanese

Misterbianco, Catania, Italy

Site Status

IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"

Meldola, Emilia-Romagna, Italy

Site Status

P.O. "S. Maria della Misericordia" Azienda Sanitaria Universitaria Friuli Centrale

Udine, Friuli Venezia Giulia, Italy

Site Status

Instituto Tumori Giovanni Paolo II

Bari, , Italy

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Ospedale Misericordia di Grosseto

Grosseto, , Italy

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Ospedale San Raffaele

Milan, , Italy

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ASL Viterbo Ospedale Belcolle

Viterbo, , Italy

Site Status

Centro de Investigacion en Artritis y Osteoporosis SC

Mexicali, Estado de Baja California, Mexico

Site Status

COI Tijuana - Centro Oncológico Internacional

Tijuana, Estado de Baja California, Mexico

Site Status

Centro Oncológico Internacional (COI)

Guadalajara, Jalisco, Mexico

Site Status

Centro Regiomontano de Investigación

Monterrey, Nuevo León, Mexico

Site Status

Oncologico Potosino, S.C.

San Luis Potosí City, San Luis Potosí, Mexico

Site Status

Europejskie Centrum Zdrowia - Oddzial Onkologii

Otwock, Masovian Voivodeship, Poland

Site Status

Opolskie Centrum Onkologii w Opolu im. prof. Tadeusza Koszarowskiego

Opole, Opole Voivodeship, Poland

Site Status

Seoul National University Bundang Hospital

Seongnam, Kyǒnggi-do, South Korea

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Korea University Anam Hospital

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status

Korea University Guro Hospital

Seoul, Seoul-teukbyeolsi [Seoul], South Korea

Site Status

Kyungpook National University Chilgok Hospital

Daegu, Taegu-Kwangyǒkshi, South Korea

Site Status

CHUAC-Hospital Teresa Herrera

A Coruña, A Coruña [La Coruña], Spain

Site Status

Hospital Universitari Son Espases

Palma, Balears [Baleares], Spain

Site Status

Parc de Salut Mar - Hospital del Mar

Barcelona, Barcelona [Barcelona], Spain

Site Status

Hospital Clínic de Barcelona

Barcelona, Catalunya [Cataluña], Spain

Site Status

Hospital Clínico Universitario Virgen de la Arrixaca

El Palmar, Murcia, Región de, Spain

Site Status

H.R.U Málaga - Hospital Materno-infantil

Málaga, Málaga, Spain

Site Status

Complejo Hospitalario de Navarra

Pamplona, Navarre, Spain

Site Status

Hospital Universitari Sant Joan de Reus

Reus, Tarragona [Tarragona], Spain

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Hospital Universitario Doctor Peset

Valencia, Valenciana, Comunitat, Spain

Site Status

Hospital Infanta Cristina

Badajoz, , Spain

Site Status

Hospital General Universitario Gregorio Marañon

Madrid, , Spain

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Hospital Universitario de Toledo

Toledo, , Spain

Site Status

Karolinska Universitetssjukhuset Solna

Stockholm, Stockholms, Sweden

Site Status

Universitetssjukhuset Örebro

Örebro, Örebro Län [se-18], Sweden

Site Status

Chi Mei Medical Center

Tainan, Tainan, Taiwan

Site Status

Kaohsiung Medical University Hospital

Kaohsiung City, , Taiwan

Site Status

Taipei Tzu Chi General Hospital

New Taipei City, , Taiwan

Site Status

Mackay Memorial Hospital

Taipei, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Chang Gung Medical Foundation-Linkou Branch

Taoyuan District, , Taiwan

Site Status

Izmir Medical Park Hospital

Cordaleo, İzmir, Turkey (Türkiye)

Site Status

Necmettin Erbakan Meram Medical Fac.

Meram, Konya, Turkey (Türkiye)

Site Status

Adana City Hospital

Adana, , Turkey (Türkiye)

Site Status

Ankara Gülhane Eitim ve Aratrma Hastanesi

Ankara, , Turkey (Türkiye)

Site Status

Memorial Ankara Hastanesi

Ankara, , Turkey (Türkiye)

Site Status

Dicle Üniversitesi

Diyarbakır, , Turkey (Türkiye)

Site Status

Trakya University

Edirne, , Turkey (Türkiye)

Site Status

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi

Istanbul, , Turkey (Türkiye)

Site Status

İnönü Üniversitesi Turgut Özal Tıp Merkezi Eğitim ve Araştırma Hastanesi

Malatya, , Turkey (Türkiye)

Site Status

Countries

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United States Argentina Belgium Czechia Denmark France Greece Hungary Israel Italy Mexico Poland South Korea Spain Sweden Taiwan Turkey (Türkiye)

References

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Zapatero-Solana E, Ding Y, Pulliam N, de Dios A, Ortiz-Ruiz MJ, Lallena MJ. Models of Early Resistance to CDK4/6 Inhibitors Unveil Potential Therapeutic Treatment Sequencing. Int J Mol Sci. 2025 Mar 14;26(6):2643. doi: 10.3390/ijms26062643.

Reference Type DERIVED
PMID: 40141282 (View on PubMed)

Kalinsky K, Bianchini G, Hamilton E, Graff SL, Park KH, Jeselsohn R, Demirci U, Martin M, Layman RM, Hurvitz SA, Sammons S, Kaufman PA, Munoz M, Lai JI, Knoderer H, Sandoval C, Chawla AR, Nguyen B, Zhou Y, Ravenberg E, Litchfield LM, Smyth L, Wander SA. Abemaciclib Plus Fulvestrant in Advanced Breast Cancer After Progression on CDK4/6 Inhibition: Results From the Phase III postMONARCH Trial. J Clin Oncol. 2025 Mar 20;43(9):1101-1112. doi: 10.1200/JCO-24-02086. Epub 2024 Dec 18.

Reference Type DERIVED
PMID: 39693591 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://trials.lillytrialguide.com/en-US/trial/3dpA0zpCRcFApMyAER3V1o

Abemaciclib (LY2835219) Plus Fulvestrant Compared to Placebo Plus Fulvestrant in Previously Treated Breast Cancer (postMONARCH)

Other Identifiers

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I3Y-MC-JPEF

Identifier Type: OTHER

Identifier Source: secondary_id

2021-002301-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-506771-10-00

Identifier Type: OTHER

Identifier Source: secondary_id

18238

Identifier Type: -

Identifier Source: org_study_id

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