Table 1 Selected trials of novel estrogen receptor targeting drugs recruiting patients with HR + HER2− ABC (last updated August 2023).

From: Emerging systemic therapy options beyond CDK4/6 inhibitors for hormone receptor-positive HER2-negative advanced breast cancer

Clinicaltrials.gov identifier

Phase

Drug

Drug class

Treatment arm(s)

Study population

Study status

NCT04791384

Ib/II

Elacestrant

SERD

Elacestrant + abemaciclib

Postmenopausal, HR+/HER2− MBC with brain metastasis, up to 2 lines of prior CT

Recruiting

NCT05618613

(ELONA)

Ib/II

Elacestrant

SERD

Elacestrant + onapristone

Previously treated HR+/HER2− ABC with prior ET + CDK4/6i

Active, not recruiting

NCT04546009 (PersevERA)

III

Giredestrant

(GDC-9545)

SERD

Giredestrant + palbociclib

Letrozole + palbociclib

Previously untreated HR+/HER2− ABC

Active, not recruiting

NCT04802759

Ib/II

Giredestrant

SERD

Giredestrant

Giredestrant + abemaciclib

Giredestrant + ipasertib

Giredestrant + inavolisib

Giredestrant + ribociclib

Giredestrant + everolimus

Giredestrant + samuraciclib

Giredestrant + atezolizumab

Giredestrant + abemaciclib + atezolizumab

Cohort 1: Advanced/MBC HR+/HER2− with progression on 1-2L ET + CDK4/6i

Recruiting

NCT03616587

(SERENA-1)

I

Camizestrant

(AZD9833)

SERD

Camizestrant

Camizestrant + palbociclib

Camizestrant + everolimus

Camizestrant + abemaciclib

Camizestrant + capivasertib

Camizestrant + ribociclib

Camizestrant + anastrozole

Endocrine-resistant HR+/HER2− ABC

Recruiting

NCT04711252

(SERENA-4)

III

Camizestrant

SERD

Camizestrant + palbociclib

Anastrozole + palbociclib

Untreated HR+/HER2− ABC

Recruiting

NCT04964934

(SERENA-6)

III

Camizestrant

SERD

Camizestrant + CDK4/6i

AI + CDK4/6i

HR+/HER2− ABC on 1L AI + CDK4/6i with ctDNA detected ESR1 mutation

Recruiting

NCT04188548

(EMBER)

Ia/Ib

Imlunestrant

(LY3484356)

SERD

Imlunestrant

Imlunestrant + abemaciclib +/− AI

Imlunestrant + everolimus

Imlunestrant + alpelisib

Part A up to 1L therapy HR+/HER2− ABC, no CDK4/6i

Part B HR+/HER2 ABC with prior CDK4/6i

Active, not recruiting

NCT04975308

(EMBER-3)

III

Imlunestrant

SERD

Imlunestrant

Imlunestrant + abemaciclib Physician’s choice ET (fulvestrant/exemestane)

Postmenopausal HR+/HER2− ABC with prior AI ± CDK4/6i

Recruiting

NCT04568902

I

H3B-6545

SERCA

H3B-6545

HR+/HER2− MBC with at least 2 prior ET, or 1 prior ET and 1 prior CT, or 1 prior ET + CDK4/6i

Active, not recruiting

NCT04288089

I

H3B-6545

SERCA

H3B-6545 + palbociclib

Previously treated locally advanced/MBC HR+/HER2−

Active, not recruiting

NCT04505826

I/II

OP-1250

CERAN

OP-1250

Previously treated locally advanced/MBC HR+/HER2−

Active, not recruiting

NCT05266105

I

OP-1250

CERAN

OP-1250 + palbociclib

HR+/HER2− ABC

Recruiting

NCT05508906

Ib

OP-1250

CERAN

OP-1250 + ribociclib

OP-1250 + alpelisib

Previously treated HR+/HER2− ABC with no more than 2L ET and 1L CT (prior CDK4/6i allowed)

Recruiting

NCT04072952

I/II

ARV-471

PROTAC

ARV-471

ARV-471 + palbociclib

Previously treated (prior CDK4/6i allowed) postmenopausal MBC HR+/HER2−

Recruiting

NCT05501769

Ib

ARV-471

PROTAC

ARV-471 + everolimus

Previously treated HR+/HER2− ABC with prior CDK4/6i

Recruiting

NCT05654623

(VERITAC-2)

III

ARV-471

PROTAC

ARV-471

Fulvestrant

Advanced/MBC HR+/HER2- with progression on ET + CDK4/6i, with at least 6 months of ET prior to PD

Recruiting

NCT05573555

(TACTIVE-U)

Ib/II

ARV-471

PROTAC

ARV-471 + ribociclib

Previously treated HR+/HER2− ABC with prior CDK4/6i, up to 2L prior therapies

Recruiting

NCT05548127

(TACTIVE-U)

Ib/II

ARV-471

PROTAC

ARV-471 + abemaciclib

Previously treated HR+/HER2− ABC with prior CDK4/6i in any setting

Recruiting

  1. 1L 1 line of therapy, AI aromatase inhibitor, CDK4/6i cyclin-dependent kinase 4/6 inhibitor, CERAN complete estrogen receptor antagonist, CT chemotherapy, ET endocrine therapy, MBC metastatic breast cancer, PROTAC proteolysis targeting chimera, SERCA selective estrogen receptor covalent antagonist, SERD selective estrogen receptor degrader, AE adverse events.