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Endometrial CarcinomaPhase 3NCT05712941

Comparison of Letrozole With Lerociclib Versus Letrozole With Placebo Control in Patients With Advanced/Metastatic or Recurrent, Grade 1 or Grade 2 Endometrial Cancer

A Phase 3 study testing Lerociclib and Letrozole 2.5mg in people with Endometrial Carcinoma, run by EQRx International, Inc..

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This is a randomized, double-blinded, placebo-controlled Phase 3 clinical trial to compare the combination of lerociclib (administered at 150 mg twice a day (BID) with letrozole (administered at 2.5 mg once a day (QD) to that of placebo with letrozole (2.5 mg QD) in female participants with Grade 1 or Grade 2 (ie… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Endometrial Carcinoma
What is being tested?
Lerociclib and Letrozole 2.5mg
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
No sites listed yet
Study dates
18 Apr 2023to Mar 2025
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants are eligible to be included in the study only if they meet all of the following criteria, as applicable:
  • Applicable to All Participants
  • Is capable of providing signed informed consent as described in Section 10.1.1, which includes compliance with the requirements and restrictions listed in the study informed consent form (ICF) and in this protocol.
  • Is at least 18 years of age, or the legal age of consent in the jurisdiction in which the study is taking place, at the time of providing signed informed consent.
  • Has confirmed Grade 1 or Grade 2 (ie, low-grade histology) endometrioid endometrial adenocarcinoma.
  • Note: Mixed tumor histology is permitted, provided that the non-endometrioid component is < 5%.
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  • Is treatment-naïve for Endometrial Cancer (EC) in the advanced/metastatic setting.
  • Is naïve to prior endocrine therapy for EC.
  • Has an Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1.
  • Has adequate organ function, as defined by all of the following:
  • Absolute neutrophil count ≥ 1.5 × 10^9/L
  • Platelets ≥ 100 × 10^9/L
  • Hemoglobin ≥ 8.0 g/dL
  • International Normalized Ratio (INR) ≤ 1.5, unless participant is receiving chronic anti-coagulation therapy as noted below.
  • Note: Therapeutic INR is higher in individuals on chronic anti-coagulation treatment. Any such participant whose INR exceeds 1.5 may be considered eligible per Investigator judgment if otherwise meeting the study entry criteria.
  • Creatinine clearance (CLcr) ≥ 45/mL/min, as estimated by Cockcroft-Gault equation
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) both < 2.5 × the upper limit of normal (ULN)
  • Total bilirubin ≤ 1.5 × ULN, in participants with well-documented absence of Gilbert's Syndrome
  • Has QTc interval with Fridericia's correction (QTcF) of < 480 ms
  • Is able to swallow oral medications (or, for selected participants, to receive them by PEG tube as noted below).
  • Note: At the discretion of the Investigator, selected participants with a percutaneous endoscopic gastrostomy (PEG) tube may be eligible. For any such participant, the PEG must allow for the safe and adequate administration of tablets (ie, without crushing or otherwise damaging them).
  • Has a life expectancy of at least 12 weeks.
  • Is medically postmenopausal, as confirmed by the Investigator by meeting one or more of the following criteria:
  • Has undergone bilateral oophorectomy.
  • Is ≥ 60 years of age.
  • Is < 60 years of age and without menses for ≥ 1 year, in the absence of ovarian suppression agents, chemotherapy, tamoxifen, or other agents which may interfere with ovarian function, with laboratory confirmation by Follicle Stimulating Hormone (FSH).
  • If Screening pregnancy testing is clinically indicated per judgment of the Investigator, must have a negative pregnancy test at Screening
  • Must adhere to contraceptive use consistent with local regulations regarding the methods of contraception for those participating in clinical studies
  • Agrees not to donate ova (as applicable) from the time of the first administration of any study intervention until 28 days after the last dose of any study intervention.
  • Applicable to Participants with Recurrent Disease
  • Participants with recurrent disease should meet all of the following criteria:
  • Has disease that is measurable according to RECIST v1.1 and outside an irradiated field.
  • Is not eligible for curative intent therapy.
  • Has not received prior anticancer therapy in the recurrent setting.
  • Note:
  • Participants are permitted to have received prior adjuvant chemotherapy and/or radiation therapy, provided that such therapy was completed ≥ 6 months before study enrollment
  • Applicable to Participants with Advanced/Metastatic Disease
  • Participants with advanced/metastatic disease should meet all of the following criteria:
  • Has disease that is either:
  • FIGO Stage III/IV, measurable according to RECIST v1.1, and outside an irradiated field (as applicable), or
  • FIGO Stage IVB (either measurable or nonmeasurable).
  • Is not eligible for curative intent therapy.
  • Is considered eligible for hormonal therapy.

Who cannot join

  • Participants are excluded from this study if they meet any of the following criteria, as applicable:
  • Applicable to All Participants
  • Tumor histology includes any non-endometrioid component of ≥ 5%.
  • Has EC that meets either of the following criteria:
  • Is amenable to curative intent therapy (ie, surgery, radiation, etc).
  • Was previously treated with systemic therapy (eg, chemotherapy) in the advanced/metastatic setting.
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  • Note: Prior adjuvant chemotherapy is allowed, provided that it was completed ≥ 6 months before study enrollment.
  • Has leptomeningeal carcinomatosis or central nervous system (CNS) metastases, unless the participant meets all of the following criteria:
  • Has completed prior therapy for CNS tumor at least 4 weeks before initiating study treatment.
  • Has stable CNS tumor at Screening.
  • Is not receiving steroids and/or enzyme-inducing anti-epileptic medications for brain metastases.
  • Is known to exhibit loss of retinoblastoma protein (Rb) on genetic testing of tumor tissue, if identified per one of the following methods prior to enrollment (note that Rb testing is not an enrollment requirement):
  • PCR
  • Next-generation sequencing
  • Peripheral blood testing
  • Currently has, or has had within the past 3 years, any invasive cancer, except the following:
  • Any prior in situ cancer treated with curative intent
  • Non-melanoma skin cancer, including basal cell carcinoma of the skin
  • Has undergone major surgical intervention within 21 days prior to study entry or minor surgical intervention within 14 days prior to study entry, or is expected to undergo either at any time during the study.
  • Has received within 21 days prior to study entry, is currently receiving, or is expected to receive at any time during the study any radiation therapy, except as palliative therapy for a solitary nontarget lesion.
  • Has received within the 6 months prior to study entry any anti-PD-1/anti-PD-L1 checkpoint inhibitor therapy for any disease.
  • Is currently receiving any of the following substances, and the substance cannot be discontinued within 14 days prior to the first administration of any study intervention:
  • Known strong or moderate CYP3A inducer or strong inhibitor of CYP3A, with the following exception:
  • Note: Participants may receive strong/moderate CYP3A inducers/inhibitors for short periods of time (ie, ritonavir-based treatments for SARS-CoV-2), but the study drug dosing plan during that period of time must be discussed with the Sponsor Medical Monitor.
  • Substances with a narrow therapeutic window that are predominantly metabolized through CYP3A4/5
  • Is currently receiving, is expected to receive at any time during the study, or has discontinued within 14 days prior to study entry any exogenous reproductive hormone therapy (eg, hormone replacement therapy).
  • Has experienced within the 3 months prior to study entry any thromboembolic event or event of intracranial hemorrhage.
  • Has an ejection fraction (EF) of ≤ 45% on any echocardiogram performed within the past 12 months, or has a documented history of congestive heart failure with reduced EF.
  • Has any clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality.
  • Has a history of prolonged QT syndrome or Torsades de Pointes.
  • Has a history of any of the following:
  • Syncope of cardiovascular etiology
  • Ventricular arrhythmia of pathological origin
  • Sudden cardiac arrest
  • Unprovoked venous thromboembolism or known underlying hypercoagulability, with the following additional consideration:
  • Note: Participants with prior deep vein thrombosis may be eligible, provided that they are currently on a stable dose of an anticoagulant and do not pose a bleeding risk in the opinion of the Investigator.
  • Has evidence of active bacterial infection, fungal infection, or viral infection (including SARS-CoV-2 or uncontrolled human immunodeficiency virus [HIV], as noted below) which would preclude safe enrollment in the judgment of the Investigator.
  • Notes:
  • The study SARS-CoV-2 requirements are determined by institutional standards (and local/country regulations, as applicable).
  • At Investigator discretion, any participant who tests positive and/or is symptomatic for SARS-CoV-2 during Screening may either be excluded from the study or delay enrollment until active infection has been excluded per institutional standards.
  • During the study, any SARS-CoV-2 testing is to be performed as clinically indicated for the individual participant. The Investigator must document the results of all tests performed. Any confirmed infection is to be recorded as an AE or, in the event that clinical manifestation warrants such, recorded and handled as an SAE
  • Participants with uncontrolled HIV may be eligible for re-screening after initiating highly active antiretroviral therapy (HAART).
  • Has interstitial pneumonia, or has severe impairment of lung function as defined by either of the following:
  • Vital capacity and diffusing capacity of the lung for carbon monoxide (DLCO) are
  • ≤ 50% of the normal predicted values.
  • Oxygen (O2) saturation at rest in ambient environment is ≤ 88%.
  • Has, or shows evidence of, any other active infection, significant medical illness, serious underlying medical condition, abnormal laboratory finding, or psychiatric illness/social situation that might, in the Investigator's judgment, prevent the participant from receiving study treatment or being followed in this study; or which otherwise renders the participant inappropriate for the study as judged by the Investigator.

About this study

Official title: A Multiregional, Randomized, Double-Blinded, Placebo-Controlled Phase 3 Study of Lerociclib With Letrozole, Versus Placebo in Combination With Letrozole, in Participants With Advanced/Metastatic or Recurrent, Grade 1 or Grade 2 Endometrioid Endometrial Carcinoma

This is a randomized, double-blinded, placebo-controlled Phase 3 clinical trial to compare the combination of lerociclib (administered at 150 mg twice a day (BID) with letrozole (administered at 2.5 mg once a day (QD) to that of placebo with letrozole (2.5 mg QD) in female participants with Grade 1 or Grade 2 (ie, low-grade histology) endometrioid endometrial cancer (EC) and advanced/metastatic or recurrent disease.

The study population will consist of female participants with endometrioid EC who are treatment-naïve in the advanced/metastatic setting (ie, the first-line [1L] population). Participants may have received prior adjuvant chemotherapy/chemoradiation for localized disease if the adjuvant therapy was administered ≥ 6 months prior. All participants must also be naïve to prior endocrine therapy for EC, and confirmed as medically postmenopausal to be eligible.

Read more

The study will comprise a Screening Period of up to 28 days in duration; a Study Treatment Phase; a Safety Follow-up Period spanning the time of study treatment discontinuation-including discontinuation due to confirmed disease progression, as applicable-through 28 days after the participant's last dose of any study intervention or the start of subsequent anticancer therapy (whichever occurs first); and a Survival Follow-up Period that will continue until the participant's death or until at least 50% of all study participants have died (whichever occurs first).

While receiving their randomized assigned study treatment, participants will undergo imaging assessments via computed tomography (CT) of the chest/abdomen/pelvis with contrast- or, if CT is medically contraindicated (eg, due to iodine allergy), via magnetic resonance imaging (MRI) with gadolinium-every 8 weeks for the first 12 months and then every 12 weeks thereafter.

Being tested
Lerociclib, Letrozole 2.5mg, Placebo
Medical subject headings
Endometrial Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LerociclibDrug

    All participants should be treated according to the best-current-practice guidelines and standard of care within each institution or country where the study is conducted.

    Participants will be randomized to receive either lerociclib (administered at 150 mg twice a day (BID) in combination with letrozole (administered at 2.5 mg once a day (QD), or placebo administered in combination with letrozole (2.5 mg QD).

    Participants will also be stratified, using interactive response technology (IRT), by the following randomization strata:

    • Endometrial Cancer (EC) tumor staging (Federation Internationale de Gynecologie et d'Obstetrique [FIGO] Stage III versus FIGO Stage IV versus recurrent)
    • EC tumor grade (Grade 1 versus Grade 2)
    • Geographic location (US versus Europe versus Rest of World)
  • Letrozole 2.5mgDrug

    All participants should be treated according to the best-current-practice guidelines and standard of care within each institution or country where the study is conducted.

    Participants will be randomized to receive either lerociclib (administered at 150 mg twice daily (BID) in combination with letrozole (administered at 2.5 mg once a day (QD), or placebo administered in combination with letrozole (2.5 mg QD).

    Participants will also be stratified, using interactive response technology (IRT), by the following randomization strata:

    • Endometrial Cancer (EC) tumor staging (Federation Internationale de Gynecologie et d'Obstetrique [FIGO] Stage III versus FIGO Stage IV versus recurrent)
    • EC tumor grade (Grade 1 versus Grade 2)
    • Geographic location (US versus Europe versus Rest of World)
  • PlaceboDrug

    All participants should be treated according to the best-current-practice guidelines and standard of care within each institution or country where the study is conducted.

    Participants will be randomized to receive either lerociclib (administered at 150 mg twice day (BID) in combination with letrozole (administered at 2.5 mg once a day (QD), or placebo administered in combination with letrozole (2.5 mg QD).

    Participants will also be stratified, using interactive response technology (IRT), by the following randomization strata:

    • Endometrial Cancer (EC) tumor staging (Federation Internationale de Gynecologie et d'Obstetrique [FIGO] Stage III versus FIGO Stage IV versus recurrent)
    • EC tumor grade (Grade 1 versus Grade 2)
    • Geographic location (US versus Europe versus Rest of World)
Study groups in NCT05712941
Study groupRoleWhat they receive
Letrozole 2.5mg by mouth once a day (QD) + Lerociclib 150mg by mouth twice a day (BID)ExperimentalNot described
Receives: Drug: Lerociclib; Drug: Letrozole 2.5mg
Letrozole 2.5mg by mouth once a day (QD) + PlaceboPlacebo comparatorNot described
Receives: Drug: Letrozole 2.5mg; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS)

    PFS is defined as the time from randomization until the date of document disease progression (per RECIST v1.1) or death

    Measured: Through study completion, an average of 27 months

Secondary outcomes (4)
  1. Overall Survival (OS)

    OS is measured from the date of randomization until death

    Measured: Through study completion, an average of 27 months

  2. Progression Free Survival (PFS) by Investigator

    PFS based on RECIST v1.1 and assessed by the Investigator Grade 1 or Grade 2 endometrioid EC.

    Measured: Through study completion, an average of 27 months

  3. Patient Reported Outcomes/Quality of Life

    Defined as the change from baseline

    Measured: Through study completion, an average of 27 months

  4. Safety/Tolerability

    Defined as the incidence of adverse events, serious adverse events, clinically significant laboratory abnormalities, clinically significant findings on vital signs, ECGs and physical examinations

    Measured: Through study completion, an average of 27 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2023
  2. Study start18 Apr 2023 (estimated)
  3. Primary completionMar 2024 (estimated)
  4. Study completionMar 2025 (estimated)

Why it stopped: The study is being closed based on corporate changes at EQRx and is not related to any efficacy or safety issues with lerociclib.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05712941
Sponsor's protocol ID
EQ132-303
Other IDs
GOG-3075, ENGOT-EN17
Status last verified
Nov 2023
First submitted
31 Oct 2022
Last updated
3 Nov 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lerociclib and Letrozole 2.5mg in people with Endometrial Carcinoma, run by EQRx International, Inc..

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 43 inclusion and 47 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 3 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression Free Survival (PFS) (time frame: Through study completion, an average of 27 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2023.

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