Can a new pill outsmart resistant breast cancer?
NCT ID NCT07766018
First seen Aug 14, 2026 · Last updated Sep 11, 2026 · Updated 4 times
Summary
This trial is testing an oral drug called elacestrant in Japanese patients with a specific type of advanced breast cancer (ER+/HER2-) that has a mutation in the ESR1 gene and has progressed after prior endocrine therapy including a CDK4/6 inhibitor. The study aims to see if elacestrant can slow down the cancer's growth and to assess its safety. Participants will take elacestrant as a tablet, and the trial will monitor their response and any side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- elacestrant (an oral drug taken as a tablet)
- What this could lead to
- If successful, this could provide a new treatment option for Japanese patients with a specific type of advanced breast cancer that has stopped responding to prior therapies.
- What could go wrong
- This is a phase 2 trial with a small number of participants, so results may not be conclusive. The drug may not be effective or could cause side effects.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 70 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Oct 2028
An estimate. End dates often move.
- 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.
Key Inclusion Criteria: * Must have a histologically or cytologically proven diagnosis of adenocarcinoma of the breast with evidence of either locally advanced disease not amenable to resection or radiation therapy with curative intent or metastatic disease not amenable to curative therapy * Female participants must be post-menopausal (as defined by the protocol) * Must have ER+ and HER2- tumor status confirmed per local laboratory testing * Participants must be ESR1-mutant positive determined via testing with the Guardant360 Companion Diagnostic panel test prior to enrollment * Must have disease progression during or within 28 days of completion of prior treatment with a CDK4/6 inhibitor in combination with either fulvestrant or an aromatase inhibitor (this counts as a line of prior endocrine therapy) for metastatic breast cancer Key Exclusion Criteria: * Prior treatment with: elacestrant or investigational or approved selective estrogen receptor degrader or ER antagonist; antibody-drug conjugate therapy for advanced/metastatic breast cancer; anti-cancer or investigational drug treatment * Radiation therapy within 14 days (28 days for brain lesions) before the first dose of study drug * Intact uterus with a history of endometrial intraepithelial neoplasia (atypical endometrial hyperplasia or higher-grade lesion) * Diagnosis of any other malignancy within 5 years before enrollment, except for adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or second primary breast cancer Note: Other protocol-defined inclusion/exclusion criteria may apply.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
11 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Chiba Cancer Center
RECRUITINGChiba, Japan
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Juntendo University Hospital
RECRUITINGTokyo, Japan
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Kumamoto Shinto General Hospital
RECRUITINGKumamoto, Japan
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Kumamoto University Hospital
RECRUITINGKumamoto, Japan
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Kyushu University Hospital
RECRUITINGFukuoka, Japan
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National Hospital Organization - Hokkaido Cancer Center
RECRUITINGSapporo, Japan
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National Hospital Organization - Kyushu Medical Center
RECRUITINGFukuoka, Japan
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National Hospital Organization - Osaka National Hospital
RECRUITINGOsaka, Japan
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Saitama Cancer Center
RECRUITINGIna, Japan
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The Cancer Institute Hospital of JFCR (Japanese Foundation For Cancer Research)
RECRUITINGKōtō City, Japan
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Tokai University Hospital
RECRUITINGIsehara, Japan
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