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NCT05909397Active, not recruitingPhase 3

Vepdegestrant (ARV-471/PF-07850327) + Palbociclib vs Letrozole + Palbociclib in ER(+)/HER2(-) Advanced Breast Cancer

A PHASE 3, RANDOMIZED, OPEN-LABEL, MULTICENTER STUDY OF VEPDEGESTRANT (ARV-471/PF-07850327) PLUS PALBOCICLIB VERSUS LETROZOLE PLUS PALBOCICLIB FOR THE TREATMENT OF PARTICIPANTS WITH ESTROGEN RECEPTOR POSITIVE, HER2 NEGATIVE BREAST CANCER WHO HAVE NOT RECEIVED ANY PRIOR SYSTEMIC ANTI CANCER TREATMENT FOR ADVANCED DISEASE (VERITAC-3)

Source: ClinicalTrials.gov · Last updated 10 Feb 2026

Brief summary (registry, in English)

The purpose of this study is to understand the safety and effects of the study medicine vepdegestrant (ARV-471/PF-07850327) given together with palbociclib in advanced breast cancer. In particular, the study will compare the combination of vepdegestrant plus palbociclib to standard of care therapy (letrozole plus palbociclib). Both letrozole and palbociclib are medicines already used for treatment of breast cancer. Vepdegestrant is a new medicine under study. This study is seeking participants who have breast cancer that: * Have a locally advanced or metastatic disease and cannot be fully cured by surgery or radiation therapy. A metastatic disease is when disease has spread to other parts of the body. * Is sensitive to hormonal therapy such as tamoxifen. This is called estrogen receptor positive disease. * Have not received any prior medicine for advanced disease. Example medications include tamoxifen or letrozole or exemestane. The study will have an open-label SLI (study lead-in) before initiation of Phase 3 trial. During SLI, two dose levels of palbociclib in combination with vepdegestrant will be explored in parallel. Assignment to the palbociclib dose is by chance. Half of the participant will receive one dose and the other half another palbociclib dose. The purpose of SLI is to determine the recommended Phase 3 dose of palbociclib to be administered in combination with vepdegestrant. In the Phase 3, half of the participants will take vepdegestrant plus palbociclib while the other half will take letrozole plus palbociclib. In both SLI and Phase 3, participants will take the study medicines by mouth, with food, once a day. Participants will take the study medicines until breast cancer increase in size or side effects become too severe. Side effects refer to unwanted reactions to medications. Participants will visit the study clinic about once every 4 weeks.

Status (registry)
Active, not recruiting
Phase (registry)
Phase 3
Study type
Interventional
Enrollment
59 (actual)
First submitted
25 May 2023
Start date
9 Aug 2023
Primary completion date
30 Dec 2026
Lead sponsor
Pfizer
NCT number
NCT05909397
EU CT number
2022-500545-24-00

What you commit to

  • Study type: Interventional · Phase 3
  • Participants enrolled: 59
  • From 9 Aug 2023 to the primary completion date, 30 Dec 2026
  • 29 sites in 10 countries
  • 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 cyclin dependent kinase 4/6 inhibitors (CDK4/6i), vepdegestrant, fulvestrant, elacestrant and other investigational drugs including novel endocrine therapies, any selective estrogen receptor degraders (SERDs), covalent antagonists (SERCAs) and complete ER antagonists (CERANs).
  • Current use or anticipated need for food, herbal supplements or drugs that are known strong CYP3A4 inhibitors or inducers.

Other illness

  • Disease recurrence while on, or within 12 months of completion of adjuvant endocrine therapy
  • Impaired cardiovascular function or clinically significant cardiovascular diseases
  • Refractory nausea and vomiting, inability to swallow capsules and tablets whole, chronic gastrointestinal diseases, significant gastric (total or partial) or bowel resection that would preclude adequate absorption of study interventions.

Other

  • Inadequate liver, kidney and bone marrow function

Who the study is looking for

  • Adult participants with loco-regional recurrent or metastatic disease not amenable to curative treatment
  • Confirmed diagnosis of ER+/HER2- breast cancer
  • No prior systemic treatment for loco-regional recurrent or metastatic disease
  • Measurable disease evaluable per Response Evaluation Criterion in Solid Tumors (RECIST) v.1.1 or non-measurable bone-only disease
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2
  • Phase 3 only: Participants should be willing to provide blood and tumor tissue

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (29)

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

SiteCityCountrySite status
Cancer Research SA
Coordinator of this site? Confirm its status
AdelaideAustraliaUnknown status
Barwon Health
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GeelongAustraliaUnknown status
Centro Gaucho Integrado de Oncologia, Hematologia, Ensino e Pesquisa
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Porto AlegreBrazilUnknown status
Hospital Mae de Deus
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Porto AlegreBrazilUnknown status
Centro de Pesquisa Clínica - Área Administrativa
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Porto AlegreBrazilUnknown status
Hospital Santa Rita de Cassia
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VitóriaBrazilUnknown status
Tumor Zentrum Aarau
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AarauSwitzerlandUnknown status
Cancer Hospital Chinese Academy of Medical Science
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BeijingChinaUnknown status
Sun Yat-sen University Cancer Center
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GuangzhouChinaUnknown status
Hubei Cancer Hospital
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WuhanChinaUnknown status
The First Affiliated Hospital of Xi'an Jiaotong University
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Xi’anChinaUnknown status
Institut Catala d'Oncologia
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BadalonaSpainActive, not recruiting
Hospital Universitari Dexeus Grupo Quironsalud
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BarcelonaSpainActive, not recruiting
Hospital Universitario Virgen de las Nieves
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GranadaSpainActive, not recruiting
Hospital Universitario de Jaén
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JaénSpainActive, not recruiting
Hospital Clínico San Carlos
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MadridSpainActive, not recruiting
Hospital Universitario Virgen de la Victoria
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MálagaSpainActive, not recruiting
University of Debrecen
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DebrecenHungaryActive, not recruiting
Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST S.r.l
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MeldolaItalyActive, not recruiting
Fondazione IRCCS San Gerardo dei Tintori
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MonzaItalyActive, not recruiting
IRCCS Istituto Nazionale Tumori Fondazione Pascale
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NaplesItalyActive, not recruiting
National Cancer Center Hospital
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Chuo KuJapanUnknown status
National Cancer Center Hospital East
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KashiwaJapanUnknown status
Aichi Cancer Center Hospital
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NagoyaJapanUnknown status
Nemocnica na okraji mesta, n.o.
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PartizánskeSlovakiaActive, not recruiting
Fakultna nemocnica s poliklinikou J.A. Reimana Presov
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PrešovSlovakiaActive, not recruiting
Virginia Oncology Associates
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NorfolkUnited StatesUnknown status
BRCR Medical Center Inc
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PlantationUnited StatesUnknown status
BRCR global
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PlantationUnited StatesUnknown status

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