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NCT05654623 · FLOW

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A Study to Learn About a New Medicine Called Vepdegestrant (ARV-471, PF-07850327) in People Who Have Advanced Metastatic Breast Cancer · Source last updated 2026-03-18

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

groups
  1. description
    Participants were randomized to receive vepdegestrant 200 milligrams (mg) orally, once daily on Days 1 to 28 of each 28-day cycle. Participants continued to receive assigned treatment until objective disease progression, unacceptable toxicity, death, participant refused further treatment, or one of the other reasons for treatment discontinuation per protocol was met.
    id
    FG000
    title
    Vepdegestrant (ARV-471)
  2. description
    Participants were randomized to receive fulvestrant 500 mg, intramuscularly (injection) on Days 1 and 15 of Cycle 1 and then on Day 1 of each cycle starting from Cycle 2 Day 1, where 1 cycle = 28 days. Participants continued to receive assigned treatment until objective disease progression, unacceptable toxicity, death, participant refused further treatment, or one of the other reasons for treatment discontinuation per protocol was met.
    id
    FG001
    title
    Fulvestrant
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        4
      type
      Randomized but not treated
    2. reasons
      1. group Id
        FG000
        num Subjects
        7
      2. group Id
        FG001
        num Subjects
        2
      type
      Adverse Event
    3. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        0
      type
      Death
    4. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        3
      type
      Physician Decision
    5. reasons
      1. group Id
        FG000
        num Subjects
        189
      2. group Id
        FG001
        num Subjects
        209
      type
      Progressive disease
    6. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        0
      type
      Protocol Violation
    7. reasons
      1. group Id
        FG000
        num Subjects
        9
      2. group Id
        FG001
        num Subjects
        7
      type
      Withdrawal by Subject
    8. reasons
      1. group Id
        FG000
        num Subjects
        5
      2. group Id
        FG001
        num Subjects
        9
      type
      Global deterioration of health status
    9. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        1
      type
      Other
    10. reasons
      1. group Id
        FG000
        num Subjects
        96
      2. group Id
        FG001
        num Subjects
        76
      type
      Ongoing
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        313
      2. group Id
        FG001
        num Subjects
        311
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        312
      2. group Id
        FG001
        num Subjects
        307
      type
      Treated
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        313
      2. group Id
        FG001
        num Subjects
        311
      type
      NOT COMPLETED
    title
    Treatment
  2. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        43
      2. group Id
        FG001
        num Subjects
        35
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        1
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        2
      type
      Withdrawal by Subject
    4. reasons
      1. group Id
        FG000
        num Subjects
        161
      2. group Id
        FG001
        num Subjects
        186
      type
      Ongoing
    milestones
    1. achievements
      1. comment
        Participants who discontinued treatment could enter the follow-up.
        group Id
        FG000
        num Subjects
        205
      2. comment
        Participants who discontinued treatment could enter the follow-up.
        group Id
        FG001
        num Subjects
        224
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    3. achievements
      1. group Id
        FG000
        num Subjects
        205
      2. group Id
        FG001
        num Subjects
        224
      type
      NOT COMPLETED
    title
    Follow-up
pre Assignment Details
Results are reported at primary completion date (31 January 2025). Remaining results will be reported on completion of analysis at study completion date.
recruitment Details
Participants with estrogen receptor (ER) positive, human epidermal growth factor receptor 2 negative (HER2-) unresectable locoregional recurrent or metastatic breast cancer (mBC) not amenable to radiotherapy with curative intent who progressed after prior endocrine based treatment(s) for advanced disease were included in this study.
Complete source fields
groups
  1. description
    Participants were randomized to receive vepdegestrant 200 milligrams (mg) orally, once daily on Days 1 to 28 of each 28-day cycle. Participants continued to receive assigned treatment until objective disease progression, unacceptable toxicity, death, participant refused further treatment, or one of the other reasons for treatment discontinuation per protocol was met.
    id
    FG000
    title
    Vepdegestrant (ARV-471)
  2. description
    Participants were randomized to receive fulvestrant 500 mg, intramuscularly (injection) on Days 1 and 15 of Cycle 1 and then on Day 1 of each cycle starting from Cycle 2 Day 1, where 1 cycle = 28 days. Participants continued to receive assigned treatment until objective disease progression, unacceptable toxicity, death, participant refused further treatment, or one of the other reasons for treatment discontinuation per protocol was met.
    id
    FG001
    title
    Fulvestrant
periods
  1. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        4
      type
      Randomized but not treated
    2. reasons
      1. group Id
        FG000
        num Subjects
        7
      2. group Id
        FG001
        num Subjects
        2
      type
      Adverse Event
    3. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        0
      type
      Death
    4. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        3
      type
      Physician Decision
    5. reasons
      1. group Id
        FG000
        num Subjects
        189
      2. group Id
        FG001
        num Subjects
        209
      type
      Progressive disease
    6. reasons
      1. group Id
        FG000
        num Subjects
        2
      2. group Id
        FG001
        num Subjects
        0
      type
      Protocol Violation
    7. reasons
      1. group Id
        FG000
        num Subjects
        9
      2. group Id
        FG001
        num Subjects
        7
      type
      Withdrawal by Subject
    8. reasons
      1. group Id
        FG000
        num Subjects
        5
      2. group Id
        FG001
        num Subjects
        9
      type
      Global deterioration of health status
    9. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        1
      type
      Other
    10. reasons
      1. group Id
        FG000
        num Subjects
        96
      2. group Id
        FG001
        num Subjects
        76
      type
      Ongoing
    milestones
    1. achievements
      1. group Id
        FG000
        num Subjects
        313
      2. group Id
        FG001
        num Subjects
        311
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        312
      2. group Id
        FG001
        num Subjects
        307
      type
      Treated
    3. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    4. achievements
      1. group Id
        FG000
        num Subjects
        313
      2. group Id
        FG001
        num Subjects
        311
      type
      NOT COMPLETED
    title
    Treatment
  2. drop Withdraws
    1. reasons
      1. group Id
        FG000
        num Subjects
        43
      2. group Id
        FG001
        num Subjects
        35
      type
      Death
    2. reasons
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        1
      type
      Lost to Follow-up
    3. reasons
      1. group Id
        FG000
        num Subjects
        1
      2. group Id
        FG001
        num Subjects
        2
      type
      Withdrawal by Subject
    4. reasons
      1. group Id
        FG000
        num Subjects
        161
      2. group Id
        FG001
        num Subjects
        186
      type
      Ongoing
    milestones
    1. achievements
      1. comment
        Participants who discontinued treatment could enter the follow-up.
        group Id
        FG000
        num Subjects
        205
      2. comment
        Participants who discontinued treatment could enter the follow-up.
        group Id
        FG001
        num Subjects
        224
      type
      STARTED
    2. achievements
      1. group Id
        FG000
        num Subjects
        0
      2. group Id
        FG001
        num Subjects
        0
      type
      COMPLETED
    3. achievements
      1. group Id
        FG000
        num Subjects
        205
      2. group Id
        FG001
        num Subjects
        224
      type
      NOT COMPLETED
    title
    Follow-up
pre Assignment Details
Results are reported at primary completion date (31 January 2025). Remaining results will be reported on completion of analysis at study completion date.
recruitment Details
Participants with estrogen receptor (ER) positive, human epidermal growth factor receptor 2 negative (HER2-) unresectable locoregional recurrent or metastatic breast cancer (mBC) not amenable to radiotherapy with curative intent who progressed after prior endocrine based treatment(s) for advanced disease were included in this study.

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Preserved source evidence · Not medical advice