A Study Evaluating the Efficacy and Safety of Giredestrant Plus Everolimus Compared With the Physician's Choice of Endocrine Therapy Plus Everolimus in Participants With Estrogen Receptor-Positive, HER2-Negative, Locally Advanced or Metastatic Breast Cancer (evERA Breast Cancer)

PHASE3Active, not recruitingINTERVENTIONAL
Enrollment

373

Participants

Timeline

Start Date

August 3, 2022

Primary Completion Date

July 16, 2025

Study Completion Date

October 15, 2026

Conditions
Estrogen Receptor (ER)-Positive, HER2-negative, Locally Advanced or Metastatic Breast Cancer
Interventions
DRUG

Giredestrant

Participants will receive treatment with giredestrant 30 milligrams (mg) orally once a day (QD) on Days 1-28 of each 28-day cycle until unacceptable toxicity or disease progression as determined by the investigator according to Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1).

DRUG

Exemestane

If exemestane is chosen as the physician's choice of endocrine therapy, the participant will receive exemestane at a dose of 25 mg orally once a day (QD) on Days 1-28 of each 28-day cycle or as per local label, until unacceptable toxicity or disease progression as determined by investigator according to RECIST v1.1.

DRUG

Fulvestrant

If fulvestrant is chosen as the physician's choice of endocrine therapy, the participant will receive fulvestrant in the clinic at a dose of 500 mg intramuscularly on Day 1 and Day 15 of Cycle 1, then Day 1 of each cycle thereafter (1 cycle is 28 days) or as per local prescribing information, until unacceptable toxicity or disease progression as determined by investigator according to RECIST v1.1.

DRUG

Tamoxifen

If tamoxifen is chosen as the physician's choice of endocrine therapy, the participant will receive tamoxifen at a dose of 20 mg orally QD on Days 1-28 of each 28-day cycle or as per local prescribing information, until unacceptable toxicity or disease progression as determined by investigator according to RECIST v1.1.

DRUG

Everolimus

Participants will receive treatment with everolimus 10 mg orally QD during each 28-day cycle until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

DRUG

LHRH Agonist

Only premenopausal/perimenopausal female participants and male participants will receive a luteinizing hormone-releasing hormone (LHRH) agonist on Day 1 of each 28-day treatment cycle. The investigator will determine and supply the appropriate LHRH agonist locally approved for use in breast cancer.

DRUG

Dexamethasone Mouth Rinse

A compounded alcohol-free mouthwash of dexamethasone (0.5 mg in 5 mL) will be supplied, where feasible. It is strongly recommended for prophylaxis or treatment of stomatitis/mucositis. Participants should use the alcohol-free mouthwash of dexamethasone four times QD for 8 weeks started concurrently with study treatment, and use it reactively thereafter with the first appearance of symptoms.

Trial Locations (171)

112

Koo Foundation Sun Yat-Sen Cancer Center, Taipei

500

Changhua Christian Hospital, Chang-hua

811

SAKARYA University Medical Faculty, Sakarya

833

Chang Gung Memorial Hospital, Kaohsiung Country

2196

Medical Oncology Centre of Rosebank, Johannesburg

3245

Hopelands Cancer Centre, Hilton

4126

Rainbow Oncology Private Practice, eManzimtoti

10011

The Blavatnik Family ? Chelsea Medical Center at Mount Sinai, New York

10019

Icahn School of Medicine at Mount Sinai, New York

10029

Icahn School of Medicine at Mount Sinai, New York

10065

Memorial Sloan-Kettering Cancer Center, New York

10408

National Cancer Center, Goyang-si

10604

Memorial Sloan Kettering Cancer Center at Westchester, Harrison

11104

Memorial Sloan Kettering Cancer Center, Long Island City

11553

Memorial Sloan Kettering Cancer Center at Nassau, Uniondale

11725

Memorial Sloan Kettering, Commack

11794

Stony Brook University Medical Center, Stony Brook

12464

Attikon University General Hospital, Athens

13620

Seoul National University Bundang Hospital, Seongnam-si

14004

C.H. Regional Reina Sofia - PPDS, Córdoba

15006

Complejo Hospitalario Universitario A Coruña (CHUAC, Materno Infantil), Oncología, A Coruña

15213

UPMC Hillman Cancer Center - Magee-Women?s Hospital, Pittsburgh

16132

Ospedale Policlinico San Martino, Genoa

19104

Abramson Cancer Center, Philadelphia

19380

Abramson Cancer Center Chester County Hospital, West Chester

19611

McGlinn Cancer Institute at Reading Hospital, West Reading

20162

Asst Grande Ospedale Metropolitano Niguarda, Milan

21201

University of Maryland Greenebaum Cancer Center, Baltimore

21202

Mercy Medical Center, Baltimore

21401

Anne Arundel Health System Research Institute, Annapolis

22031

Inova Fairfax Hospital, Fairfax

Virginia Cancer Specialists, Fairfax

23502

Virginia Oncology Associates, Norfolk

28007

Hospital General Universitario Gregorio Marañon, Madrid

28034

Hospital Universitario Ramón y Cajal, Madrid

28040

Hospital Clinico San Carlos, Madrid

28041

Hospital Universitario 12 de Octubre, Madrid

28644

Chungbuk National University Hospital, Cheongju-si

30008

Hospital General Universitario J.M Morales Meseguer, Murcia

30060

Northwest Georgia Oncology Centers PC - Marietta, Marietta

31151

Soon Chun Hyang University Cheonan Hospital, Dongnam-gu, Cheonan-si

31405

Summit Cancer Care PC, Savannah

32806

Orlando Health Cancer Institute, Orlando

32901

Cancer Care Centers of Brevard, Palm Bay

33140

Mount Sinai Medical Center, Miami Beach

33316

Broward Health Medical Center (BHMC) (Broward General Medical Center (BGMC)), Fort Lauderdale

33401

Florida Cancer Specialists, West Palm Beach

33606

Tampa General Hospital Cancer Institute, Tampa

35205

Alabama Oncology - Bruno Cancer Center, Birmingham

37124

"Azienda Ospedaliera Universitaria Integrata Verona Ospedale Borgo Trento", Verona

38138

West Cancer Center, Germantown

41110

Azienda Ospedaliero - Universitaria di Modena Policlinico, Modena

41501

Pikeville Medical Center, Pikeville

43219

SCRI Mark H. Zangmeister Center, Columbus

45136

Kliniken Essen-Mitte, Essen

46010

Hospital Clinico Universitario de Valencia, Valencia

46202

Indiana University Melvin and Bren Simon Cancer Center, Indianapolis

46236

Marienhospital Bottrop, Bottrop

48149

Universitatsklinikum Munster, Münster

50309

Mission Cancer + Blood - IMMC, Des Moines

55101

Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz, Mainz

55416

Metro-Minnesota Community Oncology Research Consortium, Saint Louis Park

57105

Avera Cancer Institute, Sioux Falls

60126

Azienda Ospedaliero Universitaria Ospedali Riuniti, Torrette Di Ancona

60611

Northwestern University, Chicago

62702

Springfield Clinic, Springfield

66205

University of Kansas Cancer Center, Westwood

68103

Oncology Hematology West, PC dba Nebraska Cancer Specialists, Omaha

68803

Oncology Hematology West PC, Grand Island

69120

Universitätsklinikum Heidelberg, Heidelberg

70433

Pontchartrain Cancer Center, Covington

70457

National Cheng Kung University Hospital, Tainan City

70809

Our Lady of the Lake Physicians Group, Baton Rouge

70817

Woman's Hospital, Baton Rouge

71913

Genesis Cancer Center, Hot Springs

73104

University of Oklahoma Health Sciences Center, Oklahoma City

74146

Oklahoma Cancer Specialists and Research Institute, Tulsa

75246

Texas Oncology - Baylor Charles A. Sammons Cancer Center, Dallas

76022

Texas Oncology - Baylor Charles A. Sammons Cancer Center, Bedford

76201

Texas Oncology-Denton South, Denton

77030

Houston Methodist Cancer Center, Houston

77090

Millennium Research & Clinical Development, Houston

77702

Texas Oncology P.A - Beaumont, Beaumont

78229

Texas Oncology P.A., San Antonio

79902

Texas Oncology, P.A. - El Paso, El Paso

83712

St Luke?s Cancer Institute, Boise

85004

The Dignity Health Cancer Institute, Phoenix

85711

Arizona Oncology Associates, PC-CASA, Tucson

87401

San Juan Oncology Associates, Farmington

89503

Renown Regional Medical Center, Reno

90017

Los Angeles Hematology Oncology Medical Group, Los Angeles

90211

Beverly Hills Cancer Center, Beverly Hills

90703

TOI Clinical Research, Cerritos

91054

Universitaetsklinikum Erlangen, Erlangen

92037

Scripps Health, La Jolla

92373

Emad Ibrahim, Md, Inc, Redlands

92627

Newport Beach UC Irvine Medical Center, Costa Mesa

92801

Pacific Cancer Medical Center, Anaheim

92868

University of California, Irvine Medical Center, Orange

93710

Women's Cancer Care, Fresno

94704

Alta Bates Summit Medical Center, Berkeley

97701

St Charles Medical Center Bend, Bend

98405

Northwest Medical Specialties, PLLC, Tacoma

99508

Alaska Oncology & Hematology, LLC, Anchorage

100229

National Taiwan University Hospital, Taipei

117599

National University Hospital, Singapore

258500

Oncocare Cancer Centre, Singapore

72205-7199

University of Arkansas for Medical Sciences, Little Rock

91790-3961

Brian LeBerthon, Med Corp, West Covina

06520

Yale Cancer Center, New Haven

Memorial Ankara Hastanesi, Ankara

04412

Eastern Maine Medical Center, Brewer

04074

New England Cancer Specialists, Scarborough

02215

Dana Farber Cancer Institute, Boston

01757

Dana-Farber/Brigham and Women's Cancer Center at Milford Regional Medical Center, Milford

07920

Memorial Sloan Kettering - Basking Ridge, Basking Ridge

07932

Summit Medical Group, Florham Park

07748

Memorial Sloan Kettering - Monmouth, Middletown

07645

Memorial Sloan-Kettering Cancer Center, Montvale

37916-2305

Thompson Cancer Survival Center, Knoxville

C1417DTB

Instituto de Oncología Ángel H. Roffo, Agronomía

C1125ABD

Fundación CENIT para la Investigación en Neurociencias, Recoleta

C1426ABP

Consultorios Médicos Dr. Doreski, Ciudad Autonoma Buenos Aires

X5008HHW

Centro Medico Privado CEMAIC, Córdoba

M5500AYB

Fundacion Centro Oncologico de Integracion Regional (COIR), Mendoza

S2000DEJ

Instituto Medico de la Fundacion Estudios Clinicos, Rosario

S2000QGB

Sanatorio Parque S.A., Rosario

S2002KDS

Hospital Provincial del Centenario, Rosario

S2013KZE

Instituto de Oncologia de Rosario, Rosario

J5402DIL

Centro Polivalente de Asistencia e Investigacion Clinica - CER San Juan, San Juan

C1015ABO

Organizacion Medica de Investigacion, San Nicolás

R8500ACE

Centro de Investigación Clínica ? Clínica Viedma, Viedma

115 27

University of Athens, Hematological Clinic,, Athens

155 62

Metropolitan General Hospital, Cholargós

711 10

University General Hospital of Heraklion, Heraklio

412 21

University General Hospital of Larissa, Larissa

151 23

IASO Obstetrics Gynecology Clinic, Marousi

552 36

Agios Loucas Clinic SA, Panórama

264 43

Olympion Clinic, Pátrai

265 04

University General Hospital of Patras, Pátrai

185 37

Metaxa Cancer Hospital of Piraeus, Piraeus

546 39

Interbalkan Medical Center of Thessaloniki, Thessaloniki

546 45

Euromedica PPDS, Thessaloniki

00144

Istituto Nazionale Tumori Regina Elena IRCCS, Rome

464-8681

Aichi Cancer Center, Aichi

466-8560

Nagoya University Hospital, Aichi

260-8717

Chiba Cancer Center, Chiba

277-8577

National Cancer Center Hospital East, Chiba

791-0280

Shikoku Cancer Center, Ehime

730-8518

Hiroshima City Hiroshima Citizens Hospital, Hiroshima

734-8551

Hiroshima University Hospital, Hiroshima

060-8648

Hokkaido University Hospital, Hokkaido

673-0021

Hyogo Cancer Center, Hyōgo

305-8576

University of Tsukuba Hospital, Ibaraki

241-8515

Kanagawa Cancer Center, Kanagawa

259-1193

Tokai University Hospital, Kanagawa

860-8556

Kumamoto University Hospital, Kumamoto

951-8566

Niigata Cancer Center Hospital, Niigata

540-0006

National Hospital Organization Osaka National Hospital, Osaka

113-8431

Juntendo University Hospital, Tokyo

135-8550

The Cancer Institute Hospital of JFCR, Tokyo

03080

Seoul National University Hospital, Seoul

03722

Severance Hospital Yonsei University Health System - PPDS, Seoul

08308

Korea University Guro Hospital, Seoul

08028

Hospital Dexeus, Barcelona

08036

Hospital Clinic de Barcelona, Barcelona

Unknown

Chang Gung Memorial Hospital - Linkou Branch, Taipei

DT1 2JY

Dorset County Hospital, Dorchester

N18 1QX

North Middlesex Uni Hospital, London

M20 4BX

The Christie NHS Foundation Trust, Manchester

NG5 1PB

Nottingham City Hospital, Nottingham

Sponsors

Lead Sponsor

All Listed Sponsors
lead

Genentech, Inc.

INDUSTRY