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Trial · NCT03284957

Phase 1/2 Study of Amcenestrant (SAR439859) Single Agent and in Combination With Other Anti-cancer Therapies in Postmenopausal Women With Estrogen Receptor Positive Advanced Breast Cancer

NCT03284957, Phase 1, Phase 2, Terminated, Sanofi; results first posted 2025-11-24

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Phase 1/2 Study of Amcenestrant (SAR439859) Single Agent and in Combination With Other Anti-cancer Therapies in Postmenopausal Women With Estrogen Receptor Positive Advanced Breast Cancer. Trials, record NCT03284957. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03284957

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Phase 1/2 Study of Amcenestrant (SAR439859) Single Agent and in Combination With Other Anti-cancer Therapies in Postmenopausal Women With Estrogen Receptor Positive Advanced Breast Cancer
NCT number
NCT03284957
Status
Terminated
Phases
Phase 1, Phase 2
Enrollment
136 participants, actual
Lead sponsor
Sanofi
Conditions
Breast Cancer
Interventions
Amcenestrant, Palbociclib, Alpelisib, Everolimus, Abemaciclib
First posted
2017-09-15
Last updated
2025-11-24
Other registries' IDs
eudract:2017-000690-36
Results first posted
2025-11-24
Limitations and caveats
Sponsor decision to prematurely stop the study, it was not linked to any safety concern.

Source ClinicalTrials.gov

Registered outcomes40

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryParts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Cycle 1 Day 1 to Cycle 1 Day 28 (cycle duration=28 days)
DLTs: any treatment-emergent adverse event(TEAE) related to study treatment per National Cancer Institute Common Terminology Criteria for AE scale version (v) 4.03:Grade(G)≥3 nonhematological toxicity except:G3 nausea/vomiting resolved to G≤1 in 48 hours(h),G3 diarrhea with therapy and lasting\<48h,G3 hyperglycemia resolved to G≤1 in 48h(Part H);G≥3 hematological toxicity except:G3 anemia,G4 neutropenia\<7days(d),G3 neutropenia without fever/infection,G3 thrombocytopenia without bleeding;elevated total serum bilirubin(BL)\>2xupper limit of normal(except Part F),Part F:G3 hyperglycemia not resolved to G≤2 in 7d after antidiabetic treatment,G2 hyperglycemia not resolved to G≤1 in 21d,G2 alanine aminotransferase(ALT) increase in conjunction with total blood BL G≥2 without liver metastases,G≥3 ALT/aspartate aminotransferase increase for\>4d,G3 rash/maculopapular rash not resolved to G≤1 in 7d;treatment related toxicity causing≥7d omission in Cycle 1 or \>2 weeks delay in Cycle 2 in Part C.
PrimaryPart B: Objective Response Rate (ORR) as Determined by Independent Central Review (ICR)From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 278 weeks
ORR was determined by dividing the number of participants who achieved confirmed complete response (CR) or partial response (PR) by the number of participants from the analysis population. ORR was assessed by ICR according to response evaluation criteria in solid tumors (RECIST) v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had a reduction in short axis to \<10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
PrimaryParts D, I: Number of Participants With Treatment-Emergent Adverse Events and Treatment-Emergent Serious Adverse Events (TESAEs)From first dose of study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration; approximately 232 weeks for Part D and 11 weeks for Part I
AE was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product and which did not necessarily had a causal relationship with the treatment. SAE was any untoward medical occurrence that at any dose, resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was a medically important event. TEAEs were AEs that developed or worsened or became serious during the treatment period.
SecondaryParts A, B, C, F, H, J: Number of Participants With Treatment-Emergent Adverse Events and Treatment-Emergent Serious Adverse Events
From first dose of study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration; approximately 94, 282, 144, 96, 59, 130 weeks for Parts A, B, C, F, H, J respectively
AE was any untoward medical occurrence in a participant or clinical investigation participant administered with a pharmaceutical product and which did not necessarily had a causal relationship with the treatment. SAE was any untoward medical occurrence that at any dose, resulted in death, was life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, or was a medically important event. TEAEs were AEs that developed or worsened or became serious during the treatment period.
SecondaryParts A, B, C, D, F, H, I, J: Objective Response Rate as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
ORR was determined by dividing the number of participants who achieved confirmed CR or PR by the number of participants from the analysis population. ORR was assessed by investigators/local radiologists according to RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.
SecondaryParts A, B, C, D, F, H, I, J: Clinical Benefit Rate (CBR) as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
CBR was determined by dividing the number of participants who achieved confirmed CR, PR as best overall response (BOR) or stable disease (SD) for ≥24 weeks by the number of participants from the analysis population. CBR was assessed by investigators/local radiologists according to RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study.
SecondaryPart B: Clinical Benefit Rate as Determined by Independent Central ReviewFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 278 weeks
CBR was determined by dividing the number of participants who achieved confirmed CR, PR as BOR or SD for ≥24 weeks by the number of participants from the analysis population. CBR was assessed by ICR according to RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.
SecondaryParts A, B, C, D, F, H, I, J: Duration of Response (DOR) as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
DOR was defined as the time interval from the date of the first occurrence of confirmed CR or PR to the date of the first documentation of disease progression or death due to disease progression, whichever occurred first. DOR was assessed by investigators/local radiologists according to RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, an absolute increase of at least 5 mm in the sum. Appearance of 1 or more new lesions was also considered progression.
SecondaryPart B: Duration of Response as Determined by Independent Central ReviewFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 278 weeks
DOR was defined as the time interval from the date of the first occurrence of confirmed CR or PR to the date of the first documentation of disease progression or death due to disease progression, whichever occurred first. DOR was assessed by ICR according to RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) had a reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, an absolute increase of at least 5 mm in the sum. Appearance of 1 or more new lesions was also considered progression.
SecondaryParts A, B, C, D, F, H, I, J: Progression-Free Survival (PFS) as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
PFS was defined as time from the date of the first treatment intake to the date of the first documentation of objective PD according to RECIST v1.1, clinical PD or death due to any cause, whichever occurred first. PFS was assessed by investigators/local radiologists. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, an absolute increase of at least 5 mm in the sum. Appearance of 1 or more new lesions was also considered progression.

Outcomes40

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYParts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Cycle 1 Day 1 to Cycle 1 Day 28 (cycle duration=28 days)
The DLT-evaluable population included participants who received 1 cycle (28 days, oral administration), with intake of at least 75% of intended doses, unless they discontinued study treatment before Cycle 1 completion due to a DLT, and in Part A had an evaluable 18F-fluorestradiol (18F-FES) positron emission tomography (PET) scan at baseline and between Days 11 and 15 of first cycle. Any participant who developed a DLT in Part A despite absence of evaluable 18F-FES-PET scan was also included.
ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYPart B: Objective Response Rate (ORR) as Determined by Independent Central Review (ICR)From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 278 weeks
The efficacy population included all treated participants with measurable disease at study entry who provided a baseline and at least 1 post-baseline evaluable tumor assessment. Participants with an early progression as per RECIST v1.1 or who died from disease progression were also included in this set.
percentage of participantsNUMBER
PRIMARYParts D, I: Number of Participants With Treatment-Emergent Adverse Events and Treatment-Emergent Serious Adverse Events (TESAEs)From first dose of study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration; approximately 232 weeks for Part D and 11 weeks for Part IThe safety population included all registered participants exposed to the study treatment, regardless of the amount of treatment administered.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYParts A, B, C, F, H, J: Number of Participants With Treatment-Emergent Adverse Events and Treatment-Emergent Serious Adverse Events
From first dose of study treatment administration (Day 1) up to 30 days after the last dose of study treatment administration; approximately 94, 282, 144, 96, 59, 130 weeks for Parts A, B, C, F, H, J respectively
The safety population included all registered participants exposed to the study treatment, regardless of the amount of treatment administered.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYParts A, B, C, D, F, H, I, J: Objective Response Rate as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
The efficacy population included all treated participants with measurable disease at study entry who provided a baseline and at least 1 post-baseline evaluable tumor assessment. Participants with an early progression as per RECIST v1.1 or who died from disease progression were also included in this set.
percentage of participantsNUMBER
SECONDARYParts A, B, C, D, F, H, I, J: Clinical Benefit Rate (CBR) as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
The efficacy population included all treated participants with measurable disease at study entry who provided a baseline and at least 1 post-baseline evaluable tumor assessment. Participants with an early progression as per RECIST v1.1 or who died from disease progression were also included in this set.
percentage of participantsNUMBER
SECONDARYPart B: Clinical Benefit Rate as Determined by Independent Central ReviewFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 278 weeks
The efficacy population included all treated participants with measurable disease at study entry who provided a baseline and at least 1 post-baseline evaluable tumor assessment. Participants with an early progression as per RECIST v1.1 or who died from disease progression were also included in this set.
percentage of participantsNUMBER
SECONDARYParts A, B, C, D, F, H, I, J: Duration of Response (DOR) as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
The efficacy population included all treated participants with measurable disease at study entry who provided a baseline and at least 1 post-baseline evaluable tumor assessment. Participants with an early progression as per RECIST v1.1 or who died from disease progression were also included in this set. Only participants with CR or PR (responders) were included in the analysis.
weeksMEDIAN
SECONDARYPart B: Duration of Response as Determined by Independent Central ReviewFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 278 weeks
The efficacy population included all treated participants with measurable disease at study entry who provided a baseline and at least 1 post-baseline evaluable tumor assessment. Participants with an early progression as per RECIST v1.1 or who died from disease progression were also included in this set. Only participants with CR or PR (responders) were included in the analysis.
weeksMEDIAN
SECONDARYParts A, B, C, D, F, H, I, J: Progression-Free Survival (PFS) as Determined by Investigators/Local RadiologistsFrom first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 90, 278, 140, 228, 92, 55, 7, 126 weeks for Parts A, B, C, D, F, H, I, J respectively
The efficacy population included all treated participants with measurable disease at study entry who provided a baseline and at least 1 post-baseline evaluable tumor assessment. Participants with an early progression as per RECIST v1.1 or who died from disease progression were also included in this set.
weeksMEDIAN

Results by group391

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part A: Amcenestrant 20 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part A: Amcenestrant 150 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part A: Amcenestrant 200 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part A: Amcenestrant 400 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part A: Amcenestrant 600 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part A: Amcenestrant 300 mg BID0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part C: Amcenestrant 200 mg + Palbociclib 125 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part C: Amcenestrant 400 mg + Palbociclib 125 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part F: Amcenestrant 200 mg + Alpelisib 300 mg0Participants
Parts A, C, F, H, J: Number of Participants With Study Treatment-Related Dose-Limiting Toxicities (DLTs)Part H: Amcenestrant 200 mg + Everolimus 5 mg0Participants

Participant flow48

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPart A: Amcenestrant 20 mg3
Overall StudySTARTEDPart A: Amcenestrant 150 mg3
Overall StudySTARTEDPart A: Amcenestrant 200 mg4
Overall StudySTARTEDPart A: Amcenestrant 400 mg3
Overall StudySTARTEDPart A: Amcenestrant 600 mg3
Overall StudySTARTEDPart A: Amcenestrant 300 mg BID6
Overall StudySTARTEDPart B: Amcenestrant 400 mg49
Overall StudySTARTEDPart C: Amcenestrant 200 mg + Palbociclib 125 mg9
Overall StudySTARTEDPart C: Amcenestrant 400 mg + Palbociclib 125 mg6
Overall StudySTARTEDPart D: Amcenestrant 200 mg + Palbociclib 125 mg30

Adverse events3,904

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBronchitisInfections and infestationsPart A: Amcenestrant 20 mg030
otherBronchitisInfections and infestationsPart A: Amcenestrant 150 mg030
otherBronchitisInfections and infestationsPart A: Amcenestrant 200 mg040
otherBronchitisInfections and infestationsPart A: Amcenestrant 400 mg030
otherBronchitisInfections and infestationsPart A: Amcenestrant 600 mg030
otherBronchitisInfections and infestationsPart A: Amcenestrant 300 mg BID060
otherBronchitisInfections and infestationsPart B: Amcenestrant 400 mg0490
otherBronchitisInfections and infestationsPart C: Amcenestrant 200 mg + Palbociclib 125 mg090
otherBronchitisInfections and infestationsPart C: Amcenestrant 400 mg + Palbociclib 125 mg060
otherBronchitisInfections and infestationsPart D: Amcenestrant 200 mg + Palbociclib 125 mg0300

Adverse event totals48

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPart A: Amcenestrant 20 mg13
Total, all-cause mortalityPart A: Amcenestrant 150 mg13
Total, all-cause mortalityPart A: Amcenestrant 200 mg04
Total, all-cause mortalityPart A: Amcenestrant 400 mg03
Total, all-cause mortalityPart A: Amcenestrant 600 mg13
Total, all-cause mortalityPart A: Amcenestrant 300 mg BID06
Total, all-cause mortalityPart B: Amcenestrant 400 mg449
Total, all-cause mortalityPart C: Amcenestrant 200 mg + Palbociclib 125 mg19
Total, all-cause mortalityPart C: Amcenestrant 400 mg + Palbociclib 125 mg06
Total, all-cause mortalityPart D: Amcenestrant 200 mg + Palbociclib 125 mg030

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
35840573DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03284957

GET https://conductscience.org/api/trials/v1/NCT03284957/registered?page=2