Clinical trial Recruiting at 241 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment1056 (estimated)
SponsorBeOne Medicines
Industry-sponsored
Locations241 sites (Birmingham, Alabama and 240 other locations)
StatusRecruiting
StartedMay 22, 2026
Main results expectedApril 2029
Study endsAugust 7, 2037
Registry record updatedOctober 26, 2026
Trial IDNCT07492641 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.