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SEQUence of Endocrine therapy in advanced Luminal Breast cancer (SEQUEL-Breast): A phase 2 study on fulvestrant beyond progression in combination with alpelisib for PIK3CA-mutated, hormone-receptor positive HER2 negative advanced breast cancer

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-514965-20-00
Acronym
BOOG 2021-01
Enrollment
130
Registered
2024-09-11
Start date
2022-06-02
Completion date
Unknown
Last updated
2024-09-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast cancer

Brief summary

To determine Progression-free survival (PFS), defined as time from study enrollment to disease progression or death from any cause, with censoring when fulvestrant and alpelisib are stopped and another treatment is initiated without confirmed disease progression.

Detailed description

To determine Progression-free survival (PFS) 'on treatment' defined as time from study enrollment to disease progression or death from any cause, with censoring when fulvestrant and alpelisib are stopped earlier than disease progression, to determine the Objective Response Rate (CR/PR), to determine the Clinical Benefit Rate (SD/CR/PR), to determine the Duration of Response (DoR), to evaluate safety and tolerability, to determine risk factors for alpelisib-induced hyperglycemia, to determine which management is needed in patients with alpelisib-induced hyperglycemia, and time till resolvement, to assess Quality of Life (QoL), to evaluate Patient Reported Outcome Measures (PROMs), to compare PFS in patients with the 11 most frequent activating PIK3CA mutations with PFS in patients with unselected activating PIK3CA mutations (including rare mutations), to determine Overall Survival (OS), to determine pharmacokinetics of alpelisib

Interventions

Sponsors

BOOG Study Center B.V.
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
To determine Progression-free survival (PFS), defined as time from study enrollment to disease progression or death from any cause, with censoring when fulvestrant and alpelisib are stopped and another treatment is initiated without confirmed disease progression.

Secondary

MeasureTime frame
To determine Progression-free survival (PFS) 'on treatment' defined as time from study enrollment to disease progression or death from any cause, with censoring when fulvestrant and alpelisib are stopped earlier than disease progression, to determine the Objective Response Rate (CR/PR), to determine the Clinical Benefit Rate (SD/CR/PR), to determine the Duration of Response (DoR), to evaluate safety and tolerability, to determine risk factors for alpelisib-induced hyperglycemia, to determine which management is needed in patients with alpelisib-induced hyperglycemia, and time till resolvement, to assess Quality of Life (QoL), to evaluate Patient Reported Outcome Measures (PROMs), to compare PFS in patients with the 11 most frequent activating PIK3CA mutations with PFS in patients with unselected activating PIK3CA mutations (including rare mutations), to determine Overall Survival (OS), to determine pharmacokinetics of alpelisib

Countries

Netherlands

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026