BGB-43395 plus letrozole vs standard CDK4/6 inhibitor with letrozole for advanced HR+/HER2- breast cancer
Official title: An Open-Label, Randomized, Multicenter Phase 3 Study Investigating the Efficacy and Safety of BGB-43395 Plus Letrozole Versus CDK4/6 Inhibitors (Abemaciclib, Palbociclib, Ribociclib) Plus Letrozole in Patients With Advanced or Metastatic HR+/HER2- Breast Cancer Who Have Not Received Prior Systemic Anticancer Treatment for Advanced or Metastatic Disease
Run by BeOne Medicines · NCT07492641 · Data updated 2026-11-12
A phase 3 trial tests whether adding BGB-43395 to letrozole works better than the usual CDK4/6 inhibitor plus letrozole in adults with advanced or metastatic HR+/HER2- breast cancer who have not yet received treatment for advanced disease.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1056 (estimated) |
| Sponsor | BeOne Medicines Industry-sponsored |
| Locations | 241 sites (Birmingham, Alabama and 240 other locations) |
| Status | Recruiting |
| Started | May 22, 2026 |
| Main results expected | April 2029 |
| Study ends | August 7, 2037 |
| Registry record updated | October 26, 2026 |
| Trial ID | NCT07492641 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with untreated advanced or metastatic HR+/HER2- breast cancer, good performance status (ECOG 0-1), and adequate organ function who have not had prior systemic therapy for advanced disease.
✕Probably not a fit
Patients whose cancer progresses quickly on therapy or who experience intolerable side effects may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized phase 3 study compares the combination of BGB-43395 and letrozole to the investigator’s choice of a CDK4/6 inhibitor plus letrozole in patients with newly diagnosed advanced or metastatic HR+/HER2- breast cancer. Eligible participants are adults with good performance status and adequate organ function who have not received prior systemic therapy for advanced disease. The trial evaluates efficacy and safety of the two regimens, with investigators free to select among abemaciclib, palbociclib, or ribociclib as the comparator. Primary endpoints typically include progression-free survival and safety profiles, with secondary measures such as overall response and quality of life. The study is sponsored by BeOne Medicines and is conducted at select sites in the United States.
Why it matters
Potential benefit: If successful, patients could receive a treatment regimen that may improve how long their cancer stays under control with manageable safety.
How similar studies have gone: Previous studies using CDK4/6 inhibitors with letrozole have shown benefit; this trial explores a novel partner (BGB-43395) in a similar combination approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants must be 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 signing the informed consent. * Participants with histologically confirmed locally advanced or metastatic HR+ HER2- breast cancer. * Participants must have a stable Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1. * Adequate organ function. Exclusion Criteria: * Participants who have received prior systemic treatment in the advanced or metastatic setting. * Participants who have received prior treatment with any selective cyclin-dependent kinase 4 (CDK4) or cyclin-dependent kinase 2 (CDK2) targeting agent, or any other investigational anticancer drug in any disease setting, except for prior investigational or approved SERDs in the adjuvant setting, provided that disease recurrence occurred more than 12 months after the last dose of endocrine-based therapy. * Participants with active leptomeningeal disease or uncontrolled, untreated brain metastasis. Note: Other protocol-defined inclusion/exclusion criteria may apply.
Where it's running
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Alabama Oncology Princeton
Birmingham, Alabama, United States Recruiting -
Alaska Oncology and Hematology, Llc
Anchorage, Alaska, United States Recruiting -
Fairbanks Cancer Care Physicians Pc
Fairbanks, Alaska, United States Recruiting -
Pioneer Research Center
Bullhead City, Arizona, United States Recruiting -
Ironwood Cancer and Research Centers Chandler Ii
Chandler, Arizona, United States Recruiting -
City of Hope Phoenix Cancer Center
Goodyear, Arizona, United States Recruiting
Show 44 more locations
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Genesis Cancer and Blood Institute Hot Springs (Harmony Park)
Hot Springs, Arkansas, United States Recruiting -
City of Hope National Medical Center
Duarte, California, United States Recruiting -
Helios Clinical Research the Oncology Institute Fountain Valley
Fountain Valley, California, United States Recruiting -
California Research Institute
Los Angeles, California, United States Recruiting -
Ventura County Hematology Oncology Specialists
Oxnard, California, United States Recruiting -
Kaiser Permanente San Marcos Medical Offices
San Marcos, California, United States Recruiting -
Providence Saint Johns Health Center
Santa Monica, California, United States Recruiting -
Wellness Oncology and Hematology
West Hills, California, United States Recruiting -
Rocky Mountain Cancer Centers, Llp(Us Oncology Research)
Lone Tree, Colorado, United States Recruiting -
Danbury Hospital
Danbury, Connecticut, United States Recruiting -
Brcr Coral Springs
Coral Springs, Florida, United States Recruiting -
Mid Florida Hematology and Oncology Center
Orange City, Florida, United States Recruiting -
Cancer Care Centers of Brevard Palm Bay
Palm Bay, Florida, United States Recruiting -
Florida Clinical Trials Group Plantation
Plantation, Florida, United States Recruiting -
Hematology Oncology Associates of the Treasure Coast
Port Saint Lucie, Florida, United States Recruiting -
The Oncology Institute of Hope and Innovation South Miami
South Miami, Florida, United States Recruiting -
Florida Clinical Trials Group Tamarac
Tamarac, Florida, United States Recruiting -
Moffitt Cancer Center McKinley Campus Richard M Shulze Family Foundation Outpatient Center
Tampa, Florida, United States Recruiting -
University Cancer and Blood Center Athens Comprehensive Cancer Center
Athens, Georgia, United States Recruiting -
Central Georgia Cancer Care Macon Office
Macon, Georgia, United States Recruiting -
Hawaii Cancer Care
Honolulu, Hawaii, United States Recruiting -
Hope and Healing Cancer Services
Hinsdale, Illinois, United States Recruiting -
Cancer Care Specialists For Illinois
O'Fallon, Illinois, United States Recruiting -
City of Hope Chicago Cancer Center
Zion, Illinois, United States Recruiting -
Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana, United States Recruiting -
Hematology Oncology of Indiana
Indianapolis, Indiana, United States Recruiting -
Mercy Medical Center
Cedar Rapids, Iowa, United States Recruiting -
Owensboro Health Mitchell Memorial Cancer Center
Owensboro, Kentucky, United States Recruiting -
Karmanos Cancer Institute
Detroit, Michigan, United States Recruiting -
Aspirus St Lukes Hospital
Duluth, Minnesota, United States Recruiting -
Allina Health Cancer Institute Minneapolis
Minneapolis, Minnesota, United States Recruiting -
Metro Minnesota Community Oncology Research Consortium (Mmcorc)
Saint Paul, Minnesota, United States Recruiting -
Hattiesburg Hematology and Oncology Clinic
Hattiesburg, Mississippi, United States Recruiting -
Missouri Cancer Associates Columbia, Mo
Columbia, Missouri, United States Recruiting -
Oncology Hematology Associates
Springfield, Missouri, United States Recruiting -
Nebraska Cancer Specialists St Francis Grand Island
Grand Island, Nebraska, United States Recruiting -
Nebraska Hematology Oncology
Lincoln, Nebraska, United States Recruiting -
Cancer Partners of Nebraska April Sampson Cancer Center
Lincoln, Nebraska, United States Recruiting -
Nebraska Cancer Specialists
Omaha, Nebraska, United States Recruiting -
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, United States Recruiting -
Renown Regional Medical Center
Reno, Nevada, United States Recruiting -
Astera Cancer Care East Brunswick
East Brunswick, New Jersey, United States Recruiting -
Summit Medical Group
Florham Park, New Jersey, United States Recruiting -
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, United States Recruiting
+191 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Study Director
- Email: clinicaltrials@beonemed.com
- Phone: 877-828-5568
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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PRT13722 in advanced HR+/HER2- breast cancer
This early study tests PRT13722, by itself and with standard therapies, to see if it is safe and has any signs of activity in adults with HR+/HER2- breast cancer who have progressed on prior treatments.
-
AI-powered pre-treatment MRI to predict chemotherapy response in HR+/HER2- breast cancer
This study tests whether AI analysis of baseline DCE-MRI can forecast which HR+/HER2- breast cancer patients will benefit most from neoadjuvant chemotherapy.
-
Dalpiciclib plus hormone therapy for early HR+/HER2- breast cancer
This trial tests whether adding dalpiciclib at two different doses and durations to standard hormone therapy helps people with early HR+/HER2- breast cancer.
-
Marker-guided adjuvant elacestrant versus standard endocrine therapy for intermediate-to-high-risk HR+/HER2- early breast cancer
This trial will test whether giving elacestrant (with or without a CDK4/6 inhibitor) as initial adjuvant therapy for adults with gene-test or clinical intermediate-to-high-risk HR+/HER2- early breast cancer reduces recurrence compared with standard endocrine treatment.
-
Personalized chemo decisions for young HR+/HER2- breast cancer patients
This trial tests whether using a genomic test can safely spare some premenopausal patients from chemotherapy in favor of endocrine therapy alone.
-
AVZO-023 alone or with AVZO-021 and hormone therapy for advanced HR+/HER2- breast cancer
This will test whether the oral drug AVZO-023, given alone or with AVZO-021 and hormone therapy, is safe and can help control advanced HR+/HER2- breast cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.