NCT05392608Active, not recruitingPhase 2
SEQUence of Endocrine Therapy in Advanced Luminal Breast Cancer (SEQUEL-Breast)
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
Source: ClinicalTrials.gov · Last updated 22 May 2026
Brief summary (registry, in English)
The study is a nationwide, multicenter single-arm phase 2 study. The current phase 2 study investigates the efficacy of the combination of fulvestrant and alpelisib directly after progression on fulvestrant (either in first or second line, with or without previous use of CDK4/6-inhibitor) in patients with HR+ HER2- advanced breast cancer with PIK3CA mutated tumors. All eligible patients must have progressive disease on fulvestrant as latest treatment line. Previous treatment with a CDK4/6 inhibitor in first or second line is obligatory. After progressive disease is confirmed, it is important to continue fulvestrant (without CDK4/6 inhibition) during the screening period awaiting study enrollment. After study enrollment all participants will be treated with alpelisib and fulvestrant beyond progression. Follow-up time will be until progression or death or until a different oncolytic treatment has started (in case no progressive disease during previous fulvestrant and alpelisib treatment has been documented). Should participants discontinue due to reasons other than progression or death (e.g. toxicity), then they should still be evaluated for disease progression every 8 weeks as per protocol until progression, unless they do not wish to proceed with these screenings, or receive a different oncolytic treatment.
- Status (registry)
- Active, not recruiting
- Phase (registry)
- Phase 2
- Study type
- Interventional
- Enrollment
- 130 (estimated)
- First submitted
- 16 May 2022
- Start date
- 2 Jun 2022
- Primary completion date
- 7 May 2026
- Lead sponsor
- Borstkanker Onderzoek Groep
- Diseases
- Metastatic breast cancer
- NCT number
- NCT05392608
What you commit to
- Study type: Interventional · Phase 2
- Planned participants: 130
- From 2 Jun 2022 to the primary completion date, 7 May 2026
- 25 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Prior treatment
- Prior treatment with a PI3K /AKT/mTOR inhibitor
Other illness
- Clinically significant, uncontrolled heart disease and/or recent cardiac events
Lab values
- Type 1 diabetes or uncontrolled type 2 diabetes (Hba1C \> 68 mmol/mol)
Other
- Patients with advanced, symptomatic, visceral spread, who are at risk of life-threatening complications in theshort term
- Known active uncontrolled or symptomatic CNS metastases, carcinomatous meningitis, or leptomeningealdisease as indicated by clinical symptoms, cerebral edema, and/or progressive growth
Who the study is looking for
- Adult women and men (≥ 18 years of age) with proven diagnosis of adenocarcino-ma of the breast withlocoregional recurrent or metastatic disease not amenable to resection or radiation therapy with curative intent andfor whom chemotherapy is not clinically indicated
- Estrogen receptor (ER) expression \>10% and/or progesterone receptor (PR) expression \>10% breast cancerbased on local la-boratory results. Tumor must be HER2- as defined by ASCO-CAP guidelines
- Patients must have progressed on fulvestrant as a preceding treatment line (as first or second line therapy)
- Previous treatment with a CDK4/6 inhibitor in the advanced setting
- The presence of an activating PIK3CA mutation
- Evaluable disease\* as defined per RECIST v.1.1
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2
Age in the registry: 18 years to - · Sex: All · Accepts healthy volunteers
Sites (25)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Noordwest Ziekenhuisgroep Coordinator of this site? Confirm its status | Alkmaar | Netherlands | Unknown status |
| Ziekenhuisgroep Twente Coordinator of this site? Confirm its status | Almelo | Netherlands | Unknown status |
| Meander Medisch Centrum Coordinator of this site? Confirm its status | Amersfoort | Netherlands | Unknown status |
| Ziekenhuis Amstelland Coordinator of this site? Confirm its status | Amstelveen | Netherlands | Unknown status |
| Antoni van Leeuwenhoek Coordinator of this site? Confirm its status | Amsterdam | Netherlands | Unknown status |
| Amsterdam UMC Coordinator of this site? Confirm its status | Amsterdam | Netherlands | Unknown status |
| Gelre Ziekenhuizen Coordinator of this site? Confirm its status | Apeldoorn | Netherlands | Unknown status |
| Rijnstate Coordinator of this site? Confirm its status | Arnhem | Netherlands | Unknown status |
| Amphia Coordinator of this site? Confirm its status | Breda | Netherlands | Unknown status |
| Reinier de Graaf Gasthuis Coordinator of this site? Confirm its status | Delft | Netherlands | Unknown status |
| Deventer Ziekenhuis Coordinator of this site? Confirm its status | Deventer | Netherlands | Unknown status |
| Máxima Medisch Centrum Coordinator of this site? Confirm its status | Eindhoven | Netherlands | Unknown status |
| Medisch Spectrum Twente Coordinator of this site? Confirm its status | Enschede | Netherlands | Unknown status |
| Admiraal de Ruyter Ziekenhuis Coordinator of this site? Confirm its status | Goes | Netherlands | Unknown status |
| Martini Ziekenhuis Coordinator of this site? Confirm its status | Groningen | Netherlands | Unknown status |
| Spaarne Gasthuis Coordinator of this site? Confirm its status | Hoofddorp | Netherlands | Unknown status |
| Medisch Centrum Leeuwarden Coordinator of this site? Confirm its status | Leeuwarden | Netherlands | Unknown status |
| St. Antonius Ziekenhuis Coordinator of this site? Confirm its status | Nieuwegein | Netherlands | Unknown status |
| Canisius Wilhelmina Ziekenhuis Coordinator of this site? Confirm its status | Nijmegen | Netherlands | Unknown status |
| Maasstad Ziekenhuis Coordinator of this site? Confirm its status | Rotterdam | Netherlands | Unknown status |
| Franciscus Gasthuis & Vlietland Coordinator of this site? Confirm its status | Schiedam | Netherlands | Unknown status |
| Jeroen Bosch Ziekenhuis Coordinator of this site? Confirm its status | 's-Hertogenbosch | Netherlands | Unknown status |
| HagaZiekenhuis Coordinator of this site? Confirm its status | The Hague | Netherlands | Unknown status |
| Elisabeth-Tweesteden Ziekenhuis Coordinator of this site? Confirm its status | Tilburg | Netherlands | Unknown status |
| VieCuri Medisch Centrum Coordinator of this site? Confirm its status | Venlo | Netherlands | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.