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Not yet recruitingNCT07890597Updated Oct 22, 2026

A Study of a Medicine Called Atirmociclib in Combination With Giredestrant in Adult Participants With ER-positive, HER2-negative Early-stage Breast Cancer

A Phase 3 interventional study of Atirmociclib and giredestrant in Early Breast Cancer and Estrogen Receptor Positive (ER+), Human Epidermal Growth Factor Receptor 2 Negative (HER2-), sponsored by Pfizer. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Updated Oct 22, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
3,800
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This Phase 3 study will evaluate whether atirmociclib plus giredestrant improves invasive breast cancer-free survival compared with giredestrant alone in adults with ER-positive, HER2-negative early breast cancer at medium or high risk of recurrence.

This is a Phase 3, double blind, placebo controlled study of atirmociclib plus giredestrant vs. giredestrant monotherapy as adjuvant treatment in adult patients with ER+, HER2- early breast cancer. The study plans to enroll 3800 participants randomized 1:1 into one of two treatment arms (Arm A - investigational: atirmociclib plus giredestrant taken continuously in a 28-day cycle) or (Arm B - comparator: placebo plus giredestrant taken continuously in a 28-day cycle). Participants may be treated with atirmociclib/placebo up to 3 years and giredestrant up to 5 years followed by long term follow up for survival and evaluation of recurrence of disease.

02

Conditions studied

  • Early Breast Cancer
  • Estrogen Receptor Positive (ER+), Human Epidermal Growth Factor Receptor 2 Negative (HER2-)

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Keywords

  • ER+/HR-
  • Adjuvant
03

In context

Breast Neoplasms

12,815 studies on the registry are indexed under Breast Neoplasms; 2,920 are open to participants now.

This study's planned enrollment of 3,800 is above the median of 72 across 9,494 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Pfizer is the lead sponsor of 3,323 studies on the registry; 145 are open to participants now.

Of its 597 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Eligibility criteria

KEY INCLUSION CRITERIA

  1. Histologically confirmed unilateral primary adenocarcinoma of the breast

    • ER-positive by local assessment
    • documented HER2-negative
  2. Node positive or node negative as defined by:

    • Pathological node positive (microscopic and/or macroscopic tumor involvement >/=pN1)
    • pN0 and pT >1cm with at least one of the following:

      1. pT4N0 or
      2. histologically Grade 3 disease or
      3. high-risk classification based on genomic assay
  3. Randomization within 16 months of definitive breast surgery
  4. If indicated, completed adjuvant and/or neoadjuvant chemotherapy, adjuvant radiation therapy >/= 21 days prior to randomization

KEY EXCLUSION CRITERIA

  1. Distant metastases of breast cancer beyond regional lymph nodes
  2. Multicentric or multifocal breast cancer if any tumor foci meet pathologic criteria for ER(-) or HER2(+)
  3. Clinically significant cardiovascular disease or cardiac repolarization abnormality for 6 months prior to randomization; resting heart rate \<50bpm
  4. Has received the following prior systemic anti-cancer therapy for breast cancer

    • prior atirmociclib, giredestrant, other investigational anti-cancer agent
    • prior treatment with olaparib

    NOTES:

    • short course of prior neo/adjuvant CDK4/6 inhibitor treatment (\</=8 weeks) is permitted; 10-day washout period required
    • short course of prior neoadjuvant and/or adjuvant ET (\</=18 weeks) is permitted; 35-day washout period for tamoxifen is required
  5. Prior treatment with investigational product within 30 days or 5 half-lives
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
3,800 participants (estimated)

Study arms

  • Experimental
    Arm A : Atirmociclib + giredestrant

    Atirmociclib tablet given orally twice daily, plus giredestrant capsule given orally once per day

    Drug: Atirmociclib · Drug: giredestrant

  • Active comparator
    Arm B: Placebo for atirmociclib + giredestrant

    Placebo atirmociclib tablets given orally twice a day plus giredestrant capsule given once a day

    Drug: giredestrant · Other: Atirmociclib placebo

Interventions

  • Atirmociclib tablet given orally twice daily, plus giredestrant capsule given orally once per day

    Also known as: PF-07220060

  • giredestrant capsule given once a day

  • OtherAtirmociclib placebo

    Atirmociclib placebo tablet given twice a day

06

What researchers measure

Primary outcomes

  1. Invasive Breast Cancer Free Survival (iBCFS)

    iBCFS is defined as the time from the date of randomization to the date of first documented occurrence of invasive ipsilateral breast tumor recurrence, local-regional invasive breast cancer recurrence, invasive contralateral breast cancer, distant recurrence, or death from any cause, as determined by investigator assessment per STEEP v2.0 criteria

    Time frame: Baseline until recurrence up to 64 months

  2. Invasive Disease Free Survival (iDFS)

    iDFS defined as the time from the date of randomization to the date of first documented occurrence of invasive ipsilateral breast tumor recurrence, local-regional invasive breast cancer recurrence, invasive contralateral breast cancer, distant recurrence, second primary invasive non-breast cancer, or death from any cause, as determined by investigator assessment per STEEP v2.0 criteria

    Time frame: Baseline until recurrence up to 64 months

Secondary outcomes

  1. Disease Recurrence Free Survival (DRFS)

    DRFS as per investigator assessment, defined as the time from the date of randomization to the date of distant recurrence as determined by investigator assessment or death from any cause, whichever occurs first

    Time frame: Baseline until recurrence up to 64 months

  2. Overall survival (OS)

    OS is defined as the time from the date of randomization to the date of death due to any cause

    Time frame: Baseline until recurrence up to 64 months

  3. Number and percentage of Participants with Treatment-Emergent Adverse Events (AEs)

    Type, incidence, severity of AE graded by NCI CTCAE v 5.0, seriousness and relationship to study intervention

    Time frame: Baseline until recurrence up to 64 months

  4. Percentage of participants With Clinical Laboratory Abnormalities

    Time frame: Baseline until recurrence up to 64 months

  5. Percentage of Participants With ECG abnormalities

    Time frame: Baseline until recurrence up to 64 months

  6. Patient Reported Outcomes (PRO)

    Change from baseline in participant reported total score, well-being subscales and symptoms scores and TOI per FACT-ES

    Time frame: Baseline until recurrence up to 64 months

  7. Pre-dose Plasma Concentration (Ctrough) of atirmociclib

    Time frame: Cycle 1 Day 15, Cycle 2 Day 1, and Cycle 3 Day 1. Cycle is defined as 28 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Data sharing details ↗ · www.pfizer.com

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07890597
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Oct 22, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Apr 13, 2032 (estimated)
Completion
Aug 20, 2042 (estimated)
Last update
Oct 22, 2026

Study contacts

Pfizer CT.gov Call Center
Contact
ClinicalTrials.gov_Inquiries@pfizer.com
1-800-718-1021
Pfizer CT.gov Call Center
study director · Pfizer

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 not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Atirmociclib

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