Fact CheckerSign in

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
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

Full criteria on ClinicalTrials.gov

Sites (25)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Noordwest Ziekenhuisgroep
Coordinator of this site? Confirm its status
AlkmaarNetherlandsUnknown status
Ziekenhuisgroep Twente
Coordinator of this site? Confirm its status
AlmeloNetherlandsUnknown status
Meander Medisch Centrum
Coordinator of this site? Confirm its status
AmersfoortNetherlandsUnknown status
Ziekenhuis Amstelland
Coordinator of this site? Confirm its status
AmstelveenNetherlandsUnknown status
Antoni van Leeuwenhoek
Coordinator of this site? Confirm its status
AmsterdamNetherlandsUnknown status
Amsterdam UMC
Coordinator of this site? Confirm its status
AmsterdamNetherlandsUnknown status
Gelre Ziekenhuizen
Coordinator of this site? Confirm its status
ApeldoornNetherlandsUnknown status
Rijnstate
Coordinator of this site? Confirm its status
ArnhemNetherlandsUnknown status
Amphia
Coordinator of this site? Confirm its status
BredaNetherlandsUnknown status
Reinier de Graaf Gasthuis
Coordinator of this site? Confirm its status
DelftNetherlandsUnknown status
Deventer Ziekenhuis
Coordinator of this site? Confirm its status
DeventerNetherlandsUnknown status
Máxima Medisch Centrum
Coordinator of this site? Confirm its status
EindhovenNetherlandsUnknown status
Medisch Spectrum Twente
Coordinator of this site? Confirm its status
EnschedeNetherlandsUnknown status
Admiraal de Ruyter Ziekenhuis
Coordinator of this site? Confirm its status
GoesNetherlandsUnknown status
Martini Ziekenhuis
Coordinator of this site? Confirm its status
GroningenNetherlandsUnknown status
Spaarne Gasthuis
Coordinator of this site? Confirm its status
HoofddorpNetherlandsUnknown status
Medisch Centrum Leeuwarden
Coordinator of this site? Confirm its status
LeeuwardenNetherlandsUnknown status
St. Antonius Ziekenhuis
Coordinator of this site? Confirm its status
NieuwegeinNetherlandsUnknown status
Canisius Wilhelmina Ziekenhuis
Coordinator of this site? Confirm its status
NijmegenNetherlandsUnknown status
Maasstad Ziekenhuis
Coordinator of this site? Confirm its status
RotterdamNetherlandsUnknown status
Franciscus Gasthuis & Vlietland
Coordinator of this site? Confirm its status
SchiedamNetherlandsUnknown status
Jeroen Bosch Ziekenhuis
Coordinator of this site? Confirm its status
's-HertogenboschNetherlandsUnknown status
HagaZiekenhuis
Coordinator of this site? Confirm its status
The HagueNetherlandsUnknown status
Elisabeth-Tweesteden Ziekenhuis
Coordinator of this site? Confirm its status
TilburgNetherlandsUnknown status
VieCuri Medisch Centrum
Coordinator of this site? Confirm its status
VenloNetherlandsUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.