Asset profile

Elacestrant

Small molecule

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Approvedregulatory verdict

Evidence outlook

Approved: HR+/HER2- Metastatic Breast Cancer

Regulatory approval supersedes design-level evidence grading; the trials behind approval are preserved below as the drug's evidence history.

track record: Partial signal

How the evidence outlook works ↗

Competitive landscape

67 competitors in this universe: 7 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Elacestrant: this drugApprovedSmall moleculeEstrogen receptor
Fulvestrant (Faslodex)ApprovedSmall moleculeEstrogen receptor
ImlunestrantApprovedSmall moleculeEstrogen receptor
TamoxifenApprovedSmall moleculeEstrogen receptor
VepdegestrantApprovedSmall moleculeEstrogen receptor
CamizestrantPhase 3Small moleculeEstrogen receptor
GiredestrantPhase 3Small moleculeEstrogen receptor
PalazestrantPhase 3Small moleculeEstrogen receptor
Abemaciclib (Verzenio)ApprovedSmall moleculeCDK4 and CDK6
Alpelisib (BYL719)ApprovedSmall moleculePI3K-alpha
AnastrozoleApprovedSmall moleculeAromatase
CapecitabineApprovedSmall moleculeFluoropyrimidine (antimetabolite)
CapivasertibApprovedSmall moleculeAKT (inhibitor)
Datopotamab DeruxtecanApprovedAntibody–drug conjugateTROP2
DenosumabApprovedMonoclonal antibodyRANKL
DocetaxelApprovedSmall moleculeMicrotubules (tubulin)

…and 52 more. Research shows the complete landscape.

Research

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Research adds each competitor's evidence grade and sourced trial results, aligned per race, so you can see who actually has the data.

Upcoming events

(27 total)

Estimated primary-completion dates from ClinicalTrials.gov. These are registry estimates, never confirmed readout dates; they can move as trials progress.

2026 (5)
November 2026 (2)
Phase 1HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-11 · NCT06691035 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-11 · NCT05596409 · CT.gov ↗
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December 2026 (3)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12 · NCT05386108 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12 · NCT05982093 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-12-27 · NCT05563220 · CT.gov ↗
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2027 (6)
January 2027 (1)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-01-29 · NCT07159451 · CT.gov ↗
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March 2027 (1)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2027-03-01 · NCT07005882 · CT.gov ↗
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July 2027 (1)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-07 · NCT07467772 · CT.gov ↗
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September 2027 (2)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-09 · NCT06923527 · CT.gov ↗
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Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-09 · NCT06382948 · CT.gov ↗
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October 2027 (1)
Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-10-24 · NCT06638307 · CT.gov ↗
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2028 (9)
February 2028 (1)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-02 · NCT05573126 · CT.gov ↗
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June 2028 (1)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-06-01 · NCT07198724 · CT.gov ↗
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July 2028 (1)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-07-01 · NCT06062498 · CT.gov ↗
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October 2028 (2)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-10 · NCT07766018 · CT.gov ↗
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Phase 2Endometrial CancerRecruiting
Est. primary completion 2028-10-01 · NCT07209449 · CT.gov ↗
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November 2028 (1)
Phase 2Ductal Carcinoma in SituRecruiting
Est. primary completion 2028-11 · NCT06075953 · CT.gov ↗
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December 2028 (3)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-12 · NCT07395336 · CT.gov ↗
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Phase 2Advanced Endometrial Carcinoma, Metastatic Endometrial Carcinoma, Recurrent Endometrial Carcinoma, Stage III Endometrial Cancer …Not yet recruiting
Est. primary completion 2028-12-18 · NCT07634601 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-12-31 · NCT06201234 · CT.gov ↗
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2029 (4)
May 2029 (1)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-05 · NCT07612215 · CT.gov ↗
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August 2029 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-08 · NCT06492616 · CT.gov ↗
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December 2029 (2)
Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-12 · NCT06120283 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-12-01 · NCT07222215 · CT.gov ↗
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2031 (1)
August 2031 (1)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2031-08-19 · NCT07753954 · CT.gov ↗
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2032 (1)
November 2032 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2032-11-01 · NCT05512364 · CT.gov ↗
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2033 (1)
September 2033 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2033-09-30 · NCT07242352 · CT.gov ↗
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See the full readout calendar ↗

All registered studies

Every ClinicalTrials.gov study of this drug's own program, grouped by indication and phase. Research unlocks the studies themselves: titles, statuses, dates and featured-trial cross-links.

Phase 3 (5)
Phase 2 (17)
Phase 1/2 (9)
Phase 1 (7)