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Taxane

Phase 2

Early Breast Cancer | Small molecule | Oncology |Eli Lilly and Company|Last Updated: Mar 12, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment200
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04293393Neoadjuvant Study Chemotherapy vs Letrozole + Abemaciclib in HR+/HER2- High/Intermediate Risk Breast Cancer PatientsPHASE2 ACTIVE NOT_RECRUITING 200Oct 2, 2020Feb 28, 2033Mar 12, 202628 Spain
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Study Endpoints
Primary Endpoints
Residual Cancer Burden (RCB) 0-I Rate
Through study treatment, and average of 12 months

Evaluation of the number of patients with a RCB 0-I index as a measure of efficacy. RCB is a continuous variable derived from the primary tumor dimensions, cellularity of the tumor bed, and axillary nodal burden. It is estimated from routine pathological sections of the primary breast tumor site and the regional lymph nodes after the completion of Neoadjuvant therapy. The pathological variables include bidimensional diameters of the primary tumor bed, the proportion of primary tumor area containing invasive carcinoma, the number of positive lymph nodes, and the diameter of the largest nodal metastasis

Secondary Endpoints
Changes in Percentage of KI67 Dyed Cells
2 weeks of treatment
RCB 0+I Versus RCB-II Versus RCB-III
24 weeks
Number of Participants With Preoperative Endocrine Prognostic Index (PEPI) Score of 0 at Surgery
24 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm A: Doxorubicin plus cyclophosphamide and taxaneACTIVE_COMPARATORDoxorubicin 60mg/m2 and cyclophosphamide 600mg/m2 (AC) every 21 days for 4 cycles followed by weekly paclitaxel 80mg/m2 for 12 weeks or 3-weekly docetaxel 100mg/m2 for 4 cycles. Approximately duration of 24 weeks (6 months).
Arm B: Letrozole plus abemaciclib +/- LHRHEXPERIMENTALLetrozole 2.5mg orally daily + abemaciclib 150mg orally every 12 hours on a continuous dosing schedule, +/- luteinizing hormone-releasing hormone (LHRH) analogs in premenopausal women, up to 12 months, in 28-day cycles.
Interventions
NameTypeDescription
DoxorubicinDRUGDoxorubicin 60mg/m2 and cyclophosphamide 600mg/m2 (AC) every 21 days for 4 cycles followed by weekly paclitaxel 80mg/m2 for 12 weeks or 3-weekly docetaxel 100mg/m2 for 4 cycles.
CyclophosphamideDRUGDoxorubicin 60mg/m2 and cyclophosphamide 600mg/m2 (AC) every 21 days for 4 cycles followed by weekly paclitaxel 80mg/m2 for 12 weeks or 3-weekly docetaxel 100mg/m2 for 4 cycles.
TaxaneDRUGDoxorubicin 60mg/m2 and cyclophosphamide 600mg/m2 (AC) every 21 days for 4 cycles followed by weekly paclitaxel 80mg/m2 for 12 weeks or 3-weekly docetaxel 100mg/m2 for 4 cycles.
LetrozoleDRUGLetrozole 2.5mg orally daily + abemaciclib 150mg orally every 12 hours on a continuous dosing schedule, +/- LHRH analogs in premenopausal women, up to 12 months, in 28-day cycles
AbemaciclibDRUGLetrozole 2.5mg orally daily + abemaciclib 150mg orally every 12 hours on a continuous dosing schedule, +/- LHRH analogs in premenopausal women, up to 12 months, in 28-day cycles
LHRH AnalogueDRUGLetrozole 2.5mg orally daily + abemaciclib 150mg orally every 12 hours on a continuous dosing schedule, +/- LHRH analogs in premenopausal women, up to 12 months, in 28-day cycles
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Eligibility Criteria
Age Range18 Years — N/A
SexFEMALE
Healthy VolunteersNo
Study Sites28

Inclusion Criteria: Patients are eligible to be enrolled in the study only if they meet all of the following criteria: 1. Written informed consent prior to any specific study procedures. 2. Women ≥ 18 years of age. 3. Documentation of histologically confirmed primary invasive adenocarcinoma of the...

Countries:Spain
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04293393primaryCompletionDate: changed
LOWMay 24, 2026NCT04293393studyFirstPostDate: changed