New hope for Hard-to-Treat breast cancer: experimental drug ARV-471 shows promise
NCT ID NCT04072952
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial tests an experimental drug called ARV-471, alone or with another drug (palbociclib), in 217 people with advanced ER+/HER2- breast cancer that has stopped responding to standard treatments. The goal is to see if it is safe and can shrink tumors or slow the disease. The study is completed, but results are not yet widely available.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ARV-471 (a drug that breaks down estrogen receptors) and palbociclib (a targeted cancer drug)
- What this could lead to
- If it works, this could offer a new treatment option for people with advanced ER+/HER2- breast cancer who have run out of standard therapies.
- What could go wrong
- This is an early-phase trial (Phase 1/2) with a small number of participants, so safety and effectiveness are not yet proven. Side effects or lack of benefit could limit its use.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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217 people
The number who actually took part.
- Started
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Aug 2019
- Finished
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Mar 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Part A, Part B, and Part C: * Patients at least 18 years of age at the time of signing the informed consent. * Patients must have histologically or cytologically confirmed ER+ and HER2- advanced breast cancer for which standard curative therapy is no longer effective or does not exist. * Patients must have measurable or non-measurable disease by RECIST criteria (version1.1), with radiologic tumor assessments performed within 28 days of the first dose of therapy. * Patients must be willing to undergo a core biopsy of accessible tumor within 4 weeks prior to the initiation of study treatment and a follow-up biopsy on treatment for ER immunohistochemistry (IHC) testing and pharmacodynamics (PD) studies. (Patients without accessible tumor tissue may be eligible after discussion with the Medical Monitor.) * Women must be postmenopausal due to surgical or natural menopause. Part A: \- Patients must have received at least 2 prior endocrine regimens in any setting (neoadjuvant, adjuvant or advanced/metastatic) a CDK4/6 inhibitor and up to 3 prior regimens of cytotoxic chemotherapy in the locally advanced or metastatic setting. Part B: * Patients must have received at least 1 prior endocrine regimen for a minimum of 6 months in the locally advanced or metastatic setting; if more than 1 prior endocrine regimen has been administered, only one of the regimens must have been administered for a minimum of 6 months in the locally advanced or metastatic setting * Patients must have received a CDK4/6 inhibitor * Patients must have received up to 1 prior regimen of cytotoxic chemotherapy in the locally advanced or metastatic setting * Women must be postmenopausal due to surgical or natural menopause. Part C: * Patients must have received at least one prior endocrine regimen. * Patients must have received no more than two prior chemotherapy regimens for advanced disease. * Women must be postmenopausal due to surgical or natural menopause. Exclusion Criteria: Part A, Part B, and Part C: * Patients with known symptomatic brain metastases requiring steroids (above physiologic replacement doses). Patients with previously diagnosed brain metastases are eligible if they have completed their treatment and have recovered from the acute effects of radiation therapy or surgery prior to first dose of study drug, have discontinued high-dose corticosteroid treatment for these metastases for at least 4 weeks and are neurologically stable as judged by the Investigator. * Receipt of prior anti-cancer or other investigational therapy within 14 days prior to the first administration of study drug. * Radiation therapy within 4 weeks of first dose of study drug or prior irradiation to \>25% of the bone marrow. Palliative radiation for the alleviation of pain due to bone metastasis will be allowed during the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Clinical Trial Site
Palo Alto, California, 94304, United States
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Clinical Trial Site
San Francisco, California, 94158, United States
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Clinical Trial Site
Santa Monica, California, 90404, United States
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Clinical Trial Site
Norwalk, Connecticut, 06856, United States
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Clinical Trial Site
Fort Myers, Florida, 33901, United States
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Clinical Trial Site
Tampa, Florida, 33612, United States
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Clinical Trial Site
Chicago, Illinois, 60637, United States
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Clinical Trial Site
Boston, Massachusetts, 02114, United States
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Clinical Trial Site
Boston, Massachusetts, 02215, United States
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Clinical Trial Site
Ann Arbor, Michigan, 48109, United States
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Clinical Trial Site
St Louis, Missouri, 63110, United States
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Clinical Trial Site
East Brunswick, New Jersey, 08816, United States
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Clinical Trial Site
The Bronx, New York, 10461, United States
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Clinical Trial Site
Charlotte, North Carolina, 28204, United States
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Clinical Trial Site
Nashville, Tennessee, 37203, United States
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Clinical Trial Site
Seattle, Washington, 98109, United States
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