A Randomized, Open-Label, Phase 3 Study of Abemaciclib Combined With Standard Adjuvant Endocrine Therapy Versus Standard Adjuvant Endocrine Therapy Alone in Patients With High-Risk, Node-Positive, Early-Stage, Hormone-Receptor-Positive, Human Epidermal Receptor 2-Negative Breast Cancera
Hormone-receptor-positive (HR+), HER2-negative, node-positive, early-stage resected invasive breast cancer without evidence of distant metastases
Underwent definitive surgery of the primary breast tumor(s) within 16 months of randomization
Availability of tumor tissue from breast or lymph node for biomarker analysis prior to randomization
Pathologic axillary lymph node involvement with at least one of the following:
Four or more positive axillary lymph nodes
Tumor size of at least 5 cm
Grade 3 tumor defined as at least 8 points on the Bloom-Richardson grading system
Ki-67 index by central analysis of ≥20% on untreated breast tissue
Up to 12 weeks of endocrine therapy following the last nonendocrine therapy
Recovery (Grade ≤1) from the acute effects of chemotherapy and radiotherapy, and surgical side effects following definitive breast surgery
Female (regardless of menopausal status) or male ≥18 years of age, or per local regulations
Negative blood pregnancy test and must agree to use highly effective contraceptive methods
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Adequate organ function
Able to swallow oral medications
Key Exclusion Criteria
Metastatic disease (including contralateral axillary lymph nodes) or lymph node-negative breast cancer
Inflammatory breast cancer
History of breast cancer (except ipsilateral ductal carcinoma in situ treated by locoregional therapy alone) ≥5 years prior to study entry
History of any other cancer (except nonmelanoma skin cancer or carcinoma in situ of the cervix) unless in complete remission with no therapy for a minimum of 5 years, or at low risk of recurrence if diagnosed within the last 5 years
Pregnant or breastfeeding
Previous treatment with any cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitor
Currently receiving concurrent exogenous hormone therapy
Previously received endocrine therapy for breast cancer prevention
Serious preexisting medical conditions as judged by the investigator
History of syncope of cardiovascular etiology, ventricular arrhythmia of pathological origin, or sudden cardiac arrest
History of venous thromboembolic event
Active systemic infections, or fungal or detectable viral infections requiring systemic therapy
Received an experimental treatment in a clinical trial within the last 30 days or 5 half-lives, whichever is longer
a
This clinical trial is being conducted globally.
b
Administered orally.
c
Administered according to label instructions.
For information on trial enrollment, locations, and more, call
1-877-285-4559.