Table 3.
Phase II and III oral SERD trials in metastatic breast cancer
Trial | Oral SERD | Phase | N | ET line | Investigational Arm | Comparator Arm | Randomization | Primary Endpoint | Design | ClinicalTrials.gov |
---|---|---|---|---|---|---|---|---|---|---|
AMEERA-3 | Amcenestrant | II | 367b | 1–2 | Amcenestrant 400mg | Physician’s choice ET (Fulvestrant, AI, Tamoxifen) | 1:1 | PFS | Open-label | NCT04059484 |
AMEERA-5 | Amcenestrant | III | 1068b | 1 | Amcenestrant 200mg + Palbocicliba | Letrozole + Palbocicliba | 1:1 | PFS | Double-blind, placebo controlled | NCT04478266 |
persevERA | Giredestrant | III | 978 | 1 | Giredestrant 30mg + Palbocicliba | Letrozole + Palbocicliba | 1:1 | PFS | Double-blind, placebo controlled | NCT04546009 |
SERENA-4 | Camizestrant | III | 1342 | 1 | Camizestrant 75mg + Palbocicliba | Anastrozole + Palbocicliba | 1:1 | PFS | Double-blind, placebo controlled | NCT04711252 |
SERENA-6 | Camizestrant | III | 302 | 1 (ESR1mut ctDNA) | Camizestrant 75mg + Palbociclib/Abemacicliba | AI (letrozole/ anastrozole) + Palbociclib/Abemacicliba | 1:1 | PFS | Double-blind, placebo controlled | NCT04964934 |
EMBER-3 | Imlunestrant | III | 800 | 2 (prior AI alone or with CDK4/6i) | Imlunestrant 400mg vs Imlunestrant + Abemacicliba | Physician’s choice ET (fulvestrant/ exemestane)a | 1:1:1 | PFS | Open-label | NCT04975308 |
SERENA-2 | Camizestrant | II | 240b | 2 | Camizestrant75/150/300mg | Fulvestrant | 1:1:1:1 | PFS | Open-label | NCT04214288 |
EMERALD | Elacestrant | III | 477b | 2–3, post CDK4/6i | Elacestrant 400mg | Physician’s choice ET (Fulvestrant/AI) | 1:1 | PFS in all patients and in ESR1mut | Open-label | NCT03778931 |
acelERA | Giredestrant | II | 303 b | 2-3 | Giredestrant 30mg | Physician’s choice ET (Fulvestrant/AI) | 1:1 | PFS | Open-label | NCT04576455 |
Notes: aAlso with luteinizing hormone releasing hormone agonist if premenopausal (or male in EMBER-3). bRecruitment completed.
Abbreviations: AI, aromatase inhibitor; ET, endocrine therapy; N, target enrolment; PFS, progression free survival; SERD, selective estrogen receptor degrader.