EMBER-2

  • Research type

    Research Study

  • Full title

    EMBER-2: A Phase 1, Open-Label, Preoperative Window Study evaluating the Biological Effects of LY3484356 in Post-menopausal Women with Stage I-III Estrogen Receptor-Positive, HER2-Negative Breast Cancer

  • IRAS ID

    289596

  • Contact name

    Peter Schmid

  • Contact email

    p.schmid@qmul.ac.uk

  • Sponsor organisation

    Eli Lilly and Company

  • Eudract number

    2020-002810-42

  • Duration of Study in the UK

    1 years, 6 months, 14 days

  • Research summary

    Summary of Research

    Breast cancer is the most frequent cancer among women and is a major cause of cancer-related
    deaths worldwide. It is estimated that more than 2 million new cases of breast cancer occurred
    worldwide in women in 2018. Treatment options for women with breast cancer are largely determined by tumour ER (estrogen Receptor) and HER2 (human epidermal growth factor receptor 2) status. Over two-thirds of breast cancers express ER, which is a key driver of breast cancer initiation and progression. Therapies aim to reduce ER activity and include drugs such as tamoxifen and anastrozole.

    LY3484356 belongs to a group of drugs called selective estrogen receptor degraders or SERD’s. SERDs work by blocking and degrading the ER. Currently the only approved SERD for the treatment of ER+ metastatic breast cancer is fulvestrant which is limited by the fact it is highly dose dependant and its intramuscular route of administration further limiting the amount that can be given to patients. Therefore, developing a SERD with better oral bioavailability that could overcome the dose limitation of fulvestrant is highly desired. LY3484356 is an oral SERD that works by binding to and blocking the ER. LY3484356 also works by stopping the growth of ER+ breast cancer cell lines.

    Study EMBER-2 is a Phase 1, open-label, randomized, pre-operative window study of
    LY3484356 in post-menopausal women with Stage I to III ER+, HER2- breast cancer who are
    scheduled for surgery with curative intent. Patients will receive LY3484356 for 15 days, up to and including the day of scheduled surgery or repeat biopsy. The study is designed to look at the movement of the drug within the body, how the body responds to the drug, biologic effects and safety of LY3484356.

    Summary of Results

    A lay summary of study results is not available at this time, but will be provided for publication when available.

  • REC name

    London - Central Research Ethics Committee

  • REC reference

    20/LO/1183

  • Date of REC Opinion

    4 Dec 2020

  • REC opinion

    Further Information Favourable Opinion