ClinicalTrials.gg
TerminatedNCT03322215PASIPHAEUpdated Mar 8, 2024

HR+/HER2- Advanced Breast Cancer and Endocrine Resistance

A Phase 2 interventional study of Palbociclib and Fulvestrant in Breast Cancer Metastatic, sponsored by Theodoros Foukakis. Terminated at 9 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-08.

Sponsored by Theodoros Foukakis · Phase 2, Interventional, and Treatment

Why this study was terminated
Slow accrual

From the registry’s dates

  • Primary completion was Apr 2021, 5 years 6 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 111 studies testing palbociclib in Breast Neoplasms — 19 open to participants now, 43 under way, 9 of them phase 3. palbociclib · Breast Neoplasms.

Enrollment
83rd of 111
42 · median 100
Started
2017
with 11 others
Phase 2
62 of 111
8 open now
Registered
54th of 111
by date

Among the 111 studies testing palbociclib in Breast Neoplasms, this one is the 83rd largest by enrollment, is one of 12 that started in 2017, is one of 62 in phase 2, and was the 54th registered.

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

19 of the 111 studies testing palbociclib in Breast Neoplasms are open now, in 12 countries. Recruiting first, the newest first:

14 more — sign in →

By country, each count listing its studies:

All 19 open studies →

About palbociclib

palbociclib: first FDA approval 2015 (IBRANCE), first EMA approval 2016. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 2,400 Breast Neoplasms studies recruiting now, 1,572 (66%) set no upper age limit and 591 (25%) stop at 75 or younger; 103 take children under 18; 214 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 111 studies testing palbociclib in Breast Neoplasms, or all of them as a file.
02

Study summary

This is a randomized, 2-arm, open-label, multicenter, international phase II trial. A total of 196 patients will be included.

The study will include patients with metastatic Hormone Receptor positive / Human Epidermal Growth Factor Receptor (HER2) negative breast cancer with progressive disease after endocrine treatment.

Patients will be randomized (1:1) between two treatment arms: A. palbociclib + fulvestrant and b. capecitabine.

03

Conditions studied

  • Breast Cancer Metastatic

Browse trials for

Keywords

  • palbociclib
  • fulvestrant
  • capecitabine
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Women 18 years or older.
  2. , defined by at least one of the following criteria:

    1. Prior bilateral oophorectomy
    2. Age ≥60
    3. Age \<60 and amenorrhea for 12 or more months (in the absence of chemotherapy, tamoxifen, toremifene, or ovarian suppression) and FSH and estradiol in the postmenopausal range according to the local laboratory reference. Note: For women with therapy-induced amenorrhea, serial measurements of FSH and/or estradiol are needed to ensure postmenopausal status. OR Pre/perimenopausal if treated with goserelin that was initiated at least 4 weeks prior to randomization.
  3. Locally advanced or breast cancer deemed not amenable to curative surgery or curative radiation therapy.
  4. (ECOG) performance status 0 or 1.
  5. Known estrogen-receptor positive and/or progesterone receptor positive breast cancer reported by local laboratory.
  6. Known -negative breast cancer defined as a negative in situ hybridization test or an IHC status of 0, 1+ or 2+. If IHC is 2+, a negative in situ hybridization (FISH, CISH, or SISH) test is required by local laboratory testing.
  7. Documented resistance to endocrine therapy (tamoxifen or aromatase inhibitors) defined as:

    1. Recurrence while on or within 12 months after the end of endocrine treatment OR
    2. Progression while on or within 1 month after the end of endocrine treatment for advanced disease
  8. Previous chemotherapy for breast cancer including an anthracycline and a taxane (only one line for metastatic disease) is permitted.
  9. Radiological or other objective evidence (eg. new skin lesions or new lymph node lesions) of recurrence during or after the most recent systemic therapy for recurrent / metastatic disease prior to randomization.
  10. At least one tumor lesion accessible for that is a non-bone lesion or a predominantly lytic bone lesion, and that measures at least 10 mm in largest diameter. This lesion must not have been treated previously with irradiation (although the area may have been irradiated before the occurrence of the lesion).
  11. Patient is interested to participate in the trial, including the obligatory biopsies at a metastatic site/site before the start of study treatment.
  12. Clinically and/or radiographically documented according to v1.1 criteria or bone-only disease with at least one predominantly lytic or mixed bone lesion. For measurable disease, at least one site of disease must have largest tumor diameter of at least:

    1. 10 mm if measured by CT-scan, ultrasound, or physical exam
    2. 20 mm if measured by Chest X-ray
    3. 15 mm if suspiciously enlarged lymph node (short axis) see Eisenhauer et al. for more details All radiology studies must be performed within 28 days prior to registration (35 days if negative).
  13. Adequate bone-marrow, hepatic and renal function defined as laboratory tests within 7 days prior to enrollment:

    1. Hematology: Absolute granulocytes > 1.5 x 109/L, > 100 x 109/L
    2. Biochemistry: ≤ 1.5 x (ULN), Serum creatinine ≤ 1.5 x ULN.
    1. and INR ≤ 1.5 x ULN or institution accepted values for biopsy within 7 days prior to enrollment.
  14. Signed written provided by the patient.

Exclusion criteria

Exclusion Criteria:

  1. Previous treatment with a CDK4/6 inhibitor, mTOR or PI3K inhibitor, fulvestrant or capecitabine. Short-term (\<28 days) exposure to mTOR or PI3K inhibitor in the (neo) setting is allowed.
  2. More than one prior chemotherapy lines for breast cancer. Previous (neo)adjuvant chemotherapy or for radically treated local or regional relapse is allowed in addition to one prior chemotherapy line for metastatic breast cancer Note: A chemotherapy line in advanced disease is an anticancer regimen that contains at least one chemotherapy agent and is given for 21 days or longer. If a cytotoxic chemotherapy regimen was discontinued for a reason other than disease progression and the decision for its discontinuation was taken within 21 days after starting it, then this regimen does not count as a "". Chemotherapy regimens composed of more than one drug are considered as one line of therapy.
  3. No amenable to (e.g. pleural effusion, ascites, skin rash, sclerotic bone etc).
  4. unless asymptomatic and adequately controlled with surgery or radiotherapy. Stable CNS disease is defined as CNS metastases or cord compression that have been definitively treated and the patient is clinically stable off anticonvulsants and for at least 4 weeks before randomization.
  5. Advanced, symptomatic visceral spread (visceral crisis) with risk of life-threatening complications in the short term.
  6. Concurrent of any site, except adequately controlled limited basal cell carcinoma or squamous-cell carcinoma of the skin, in situ melanoma or carcinoma in situ of the cervix.
  7. Active cardiac disease or a history of cardiac dysfunction including any of the following:

    1. History of angina pectoris, symptomatic pericarditis, or myocardial infarction within 12 months prior to study entry
    2. History of documented congestive heart failure ( functional classification III-IV)
    3. Documented cardiomyopathy
    4. > 480 msec as measured by Bazett's formula, family or personal history of long or short QT syndrome, Brugada syndrome or known history of QTc prolongation or Torsade de Pointes.
    5. Uncontrolled hypertension.
  8. Patients being treated with drugs recognized as strong inhibitors or inducers of the isoenzyme (including, but not limited, to - see table 6 - Rifabutin, Rifampicin, Clarithromycin, Ketoconazole, Itraconazole, Voriconazole, Ritonavir, Telithromycin) continuously for at least 7 days during any time period in the last 2 weeks prior to randomization.
  9. Subjects with known dihydropyrimidine dehydrogenase (DHPD) deficiency or previous severe reactions to a fluoropyrimidine.
  10. Known abnormalities in coagulation such as bleeding diathesis or ongoing treatment with anticoagulants that preclude intramuscular administration of drugs.
  11. Ongoing pregnancy or lactation.
  12. Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial.
  13. A previous metastatic tumor biopsy reported to be negative for both estrogen receptor and progesterone receptor (i.e. \<1% for both), or positive for status (amplified ERBB2).
Terms in these criteria, in plain language(21)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    Palbociclib and fulvestrant

    Combination of palbociclib and fulvestrant Palbociclib: 125 mg capsule administered orally once daily for 21 consecutive days followed by 7 days off treatment. Dose modification is recommended based on individual safety and tolerability. Fulvestrant: 500 mg administered intramuscularly on days 1 and 15 of cycle 1, and then on day 1 of each subsequent 28-day cycle.

    Drug: Palbociclib · Drug: Fulvestrant

  • Active comparator
    Capecitabine

    1,000 mg/m2 tablet administered orally twice daily for 2 weeks followed by one week of rest. Depending on adverse reactions, both dose escalation and dose reductions will be performed.

    Drug: Capecitabine

Interventions

  • 75-125 mg capsule orally once daily for 21 consecutive Days followed by 7 Days of treatment.

    Also known as: Ibrance

  • 500 mg intramuscularly Days 1 and 15 of cycle 1, and then on Day 1 of each subsequent 28-days cycle.

    Also known as: Faslodex

  • Oral tablet 500 - 1,250 mg/m2 twice Daily, for 2 weeks followed by 1 week of rest.

    Also known as: Xeloda

06

What researchers measure

Primary outcomes

  1. Progression free survival (PFS), as assessed locally by the investigator.

    Time to progression will be measured according to the RECIST criteria (version 1.1). Response criteria are essentially based on a set of measurable lesions identified at baseline as target lesions, and - together with other lesions that are denoted as non-target lesions - followed until disease progression.

    Time frame: Time from the date of randomization to the date of progression, assessed up to 5 years.

Secondary outcomes

  1. Health related quality of life score EuroQol (EQ-5D)

    Change from baseline to Health related quality of life score EuroQol (EQ-5D)

    Time frame: Baseline to progression up to 2 years

  2. Health related quality of life score EORTC QLQ-C30

    European Organisation for Research and Treatment of Cancer Quality of Life Instrument (EORTC QLQ-C30).

    Time frame: Baseline to progression up to 2 years

  3. Health related quality of life score EORTC QLQ-BR23

    European Organisation for Research and Treatment of Cancer Breast Cancer Module (EORTC QLQ-BR23).

    Time frame: Baseline to progression up to 2 years

  4. Correlation of efficacy measures with tumor Biomarkers

    PgR IHC status (10% cut-off), will be correlated with PFS

    Time frame: Correlative analyses will be performed after the end of the trial. PFS is defined as time from the date of randomization to the date of progression assessed up to 5 years..

  5. Correlation of efficacy measures with tumor Biomarkers

    Ki67 IHC status, will be correlated with PFS

    Time frame: Correlative analyses will be performed after the end of the trial. PFS is defined as time from the date of randomization to the date of progression assessed up to 5 years.

  6. Correlation of efficacy measures with tumor Biomarkers

    ESR1 DNA somatic mutation status, will be correlated with PFS

    Time frame: Correlative analyses will be performed after the end of the trial. PFS is defined as time from the date of randomization to the date of progression assessed up to 5 years.

  7. Correlation of efficacy measures with tumor Biomarkers

    Somatic mutations in cancer genes identified by sequencing, will be correlated with PFS

    Time frame: Correlative analyses will be performed after the end of the trial. PFS is defined as time from the date of randomization to the date of progression assessed up to 5 years.

  8. Correlation of efficacy measures with tumor Biomarkers

    SET index, will be correlated with PFS

    Time frame: Correlative analyses will be performed after the end of the trial. PFS is defined as time from the date of randomization to the date of progression assessed up to 5 years.

  9. Overall survival (OS)

    Overall survival from time of randomization to death from any cause.

    Time frame: Time from randomization to death from any cause, assessed up to 5 years.

  10. 1-year survival

    1-year survival rate from time of randomization to death from any cause.

    Time frame: Time from randomization to death from any cause, assessed up to 5 years.

  11. 2-year survival

    2-year survival rate from time of randomization to death from any cause.

    Time frame: Time from randomization to death from any cause, assessed up to 5 years.

  12. Objective response

    Objective tumor response will be measured according to the RECIST criteria (version 1.1). Response criteria are essentially based on a set of measurable lesions identified at baseline as target lesions, and - together with other lesions that are denoted as non-target lesions - followed until disease progression.

    Time frame: From randomization until end of treatment, assessed up to 5 years.

  13. Duration of response

    Response duration will be measured from the time measurement criteria for complete response (CR)/ partial response (PR) (whichever is first recorded) are first met until the first date that recurrent or progressive disease is objectively documented.

    Time frame: From randomization until end of treatment, up to 5 years.

  14. Clinical Benefit Rate

    Clinical Benefit Rate is defined as CR+PR+stable disease (SD) for \> 24 weeks

    Time frame: From randomization until end of treatment, up to 5 years.

  15. Frequency of adverse events (AE)

    Adverse events will be recorded and graded according to Common Terminology Criteria for Adverse Events (CTCAE) v. 4.0

    Time frame: From randomization until 28 days after the last dose of study medication, assessed up to 5 years.

07

Study locations

9 sites
  • Sahlgrenska University Hospital
    Göteborg, 413 45, Sweden
  • Skåne University Hospital
    Malmö, 205 02, Sweden
  • S:t Görans Hospital
    Stockholm, 112 19, Sweden
  • Karolinska University Hospital
    Stockholm, Sweden
  • Uppsala University Hospital
    Uppsala, 751 85, Sweden
  • NHS Grampian
    Aberdeen, AB15 6RE, United Kingdom
  • Western General Hospital
    Edinburgh, EH1 3EG, United Kingdom
  • Beatson
    Glasgow, G12 0XH, United Kingdom
  • NHS Ayshire and Arran
    Kilmarnock, KA2 OBE, United Kingdom
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2017 to primary completion in Apr 2021, 42 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 28, 2017
First posted
Oct 26, 2017
StartActual
Oct 24, 2017
Primary completionActual
Apr 30, 2021
CompletionActual
Oct 31, 2023
Last update
Mar 8, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03322215
Lead sponsor
Theodoros Foukakis
Responsible party
Theodoros Foukakis (Principal Investigator, Karolinska University Hospital) — Sponsor-investigator
First posted
Oct 26, 2017
Start date
Oct 24, 2017
Primary completion
Apr 30, 2021
Completion
Oct 31, 2023
Last update
Mar 8, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Palbociclib · Fulvestrant

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