Asset profile

Letrozole

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: Reliable signal

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Competitive landscape

62 competitors in this universe: 2 direct rivals (same mechanism and indication), 0 same-class, 60 same-indication.

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DrugStageModalityMechanismEvidence signalReported efficacygraded featured trials
Letrozole: this drugApprovedSmall moleculeAromatase
AnastrozoleApprovedSmall moleculeAromatase
ExemestaneApprovedSmall moleculeAromatase
Abemaciclib (Verzenio)ApprovedSmall moleculeCDK4 and CDK6
Alpelisib (BYL719)ApprovedSmall moleculePI3K-alpha
CapecitabineApprovedSmall moleculeFluoropyrimidine (antimetabolite)
CapivasertibApprovedSmall moleculeAKT (inhibitor)
Datopotamab DeruxtecanApprovedAntibody–drug conjugateTROP2
DenosumabApprovedMonoclonal antibodyRANKL
DocetaxelApprovedSmall moleculeMicrotubules (tubulin)
ElacestrantApprovedSmall moleculeEstrogen receptor
Eribulin MesylateApprovedSmall moleculeTubulin / microtubules
EverolimusApprovedSmall moleculemTOR kinase, mTOR (mTORC1) (inhibitor)
Fulvestrant (Faslodex)ApprovedSmall moleculeEstrogen receptor
GedatolisibApprovedSmall moleculePI3K (class I isoforms) and mTORC1/mTORC2
GemcitabineApprovedSmall moleculeribonucleotide reductase / DNA polymerase (dCTP competition)

…and 47 more. Research shows the complete landscape.

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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

(101 total)

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

2026 (14)
November 2026 (1)
Phase 3HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-11-30 · NCT04906395 · CT.gov ↗
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December 2026 (13)
Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12 · NCT05307705 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12 · NCT06974929 · CT.gov ↗
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Phase 2Endometrial Cancer, Endometrioid Tumor, Cancer, Tumor, Recurrent Endometrial Carcinoma, Endometrioid Endometrial CancerRecruiting
Est. primary completion 2026-12 · NCT05997017 · CT.gov ↗
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Phase 3HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-12 · NCT05780567 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-12-01 · NCT04486911 · CT.gov ↗
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Phase 2Endometrial CancerActive not recruiting
Est. primary completion 2026-12-01 · NCT04393285 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12-22 · NCT04886531 · CT.gov ↗
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Phase 1HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-12-31 · NCT03006172 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2026-12-31 · NCT07492394 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-12-31 · NCT04553133 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2026-12-31 · NCT05286437 · CT.gov ↗
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Phase 4Ectopic PregnancyRecruiting
Est. primary completion 2026-12-31 · NCT06354439 · CT.gov ↗
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Early phase / not applicableEndometriotic Cyst of OvaryRecruiting
Est. primary completion 2026-12-31 · NCT05487092 · CT.gov ↗
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2027 (33)
January 2027 (2)
Phase 1/2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2027-01 · NCT02562118 · CT.gov ↗
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Phase 1/2Abortion Induced Complicated, AbortionNot yet recruiting
Est. primary completion 2027-01-01 · NCT07767435 · CT.gov ↗
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February 2027 (4)
Early phase / not applicableInfertility Female, Frozen Embryo Transfer (FET)Recruiting
Est. primary completion 2027-02 · NCT07425990 · CT.gov ↗
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Phase 3Low Grade Fallopian Tube Serous Adenocarcinoma, Ovarian Low Grade Serous Adenocarcinoma …Active not recruiting
Est. primary completion 2027-02-01 · NCT04095364 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2027-02-26 · NCT05262400 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2027-02-26 · NCT01872260 · CT.gov ↗
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March 2027 (4)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2027-03 · NCT07305246 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-03-01 · NCT06179303 · CT.gov ↗
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Early phase / not applicableLetrozoleNot yet recruiting
Est. primary completion 2027-03-01 · NCT07753655 · CT.gov ↗
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Phase 2Endometrial Neoplasm Malignant Stage IRecruiting
Est. primary completion 2027-03-10 · NCT05247268 · CT.gov ↗
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April 2027 (4)
Phase 2Low-Grade Serous Ovarian CancerRecruiting
Est. primary completion 2027-04 · NCT06394804 · CT.gov ↗
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Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-04-15 · NCT05464810 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-04-15 · NCT04614194 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-04-30 · NCT05900206 · CT.gov ↗
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May 2027 (1)
Early phase / not applicableAdenomyosis of Uterus, Frozen Embryo Transfer (FET)Not yet recruiting
Est. primary completion 2027-05 · NCT07065539 · CT.gov ↗
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June 2027 (1)
Phase 2Ectopic PregnancyNot yet recruiting
Est. primary completion 2027-06 · NCT07624903 · CT.gov ↗
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July 2027 (5)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2027-07 · NCT07394946 · CT.gov ↗
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Phase 2Recurrent Endometrial Carcinoma, Recurrent Fallopian Tube Carcinoma, Recurrent Ovarian Carcinoma, Recurrent Primary Peritoneal CarcinomaRecruiting
Est. primary completion 2027-07-01 · NCT04469764 · CT.gov ↗
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Phase 3Ovarian Neoplasm Epithelial, Fallopian Tube Neoplasms, Peritoneal Neoplasms, High-grade Serous Ovarian Carcinoma (HGSOC) …Recruiting
Est. primary completion 2027-07-01 · NCT04111978 · CT.gov ↗
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Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-07-31 · NCT07029399 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-07-31 · NCT07054190 · CT.gov ↗
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August 2027 (1)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-08 · NCT05181033 · CT.gov ↗
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September 2027 (2)
Phase 1Brain TumorRecruiting
Est. primary completion 2027-09-01 · NCT03122197 · CT.gov ↗
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Phase 2Endometrial Cancer, Recurrent Endometrial Cancer, TP53Recruiting
Est. primary completion 2027-09-01 · NCT06366347 · CT.gov ↗
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October 2027 (2)
Phase 2HR+/HER2- Metastatic Breast CancerEnrolling by invitation
Est. primary completion 2027-10-01 · NCT06650748 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-10-31 · NCT04563507 · CT.gov ↗
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November 2027 (1)
Phase 2Malignant NeoplasmRecruiting
Est. primary completion 2027-11-04 · NCT06979596 · CT.gov ↗
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December 2027 (6)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-12 · NCT06555068 · CT.gov ↗
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Early phase / not applicableSilent MiscarriageNot yet recruiting
Est. primary completion 2027-12-05 · NCT06733727 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-12-31 · NCT05582499 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-12-31 · NCT07014410 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2027-12-31 · NCT07285382 · CT.gov ↗
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Phase 2/3Endometrial Cancer, FertilityRecruiting
Est. primary completion 2027-12-31 · NCT07319429 · CT.gov ↗
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2028 (20)
January 2028 (3)
Phase 2Low Grade Serous Ovarian Carcinoma, Adult Type Granulosa Cell TumorRecruiting
Est. primary completion 2028-01 · NCT05872204 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-01-30 · NCT07691333 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-01-31 · NCT05867251 · CT.gov ↗
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February 2028 (1)
Phase 2Ovarian CancerActive not recruiting
Est. primary completion 2028-02-28 · NCT04931342 · CT.gov ↗
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March 2028 (3)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-03-01 · NCT07676331 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-03-30 · NCT07795424 · CT.gov ↗
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Phase 3InfertilityRecruiting
Est. primary completion 2028-03-31 · NCT03011684 · CT.gov ↗
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April 2028 (1)
Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2028-04-02 · NCT04568616 · CT.gov ↗
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May 2028 (2)
Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-05 · NCT07401381 · CT.gov ↗
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Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-05-31 · NCT05891093 · CT.gov ↗
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June 2028 (1)
Phase 3HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2028-06 · NCT02918084 · CT.gov ↗
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July 2028 (1)
Phase 2Uterine LeiomyosarcomaRecruiting
Est. primary completion 2028-07-30 · NCT05649956 · CT.gov ↗
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August 2028 (4)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-08 · NCT06998407 · CT.gov ↗
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Phase 2Endometrial CancerRecruiting
Est. primary completion 2028-08-01 · NCT03675893 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-08-15 · NCT05467891 · CT.gov ↗
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Phase 2Recurrent Endometrial Carcinoma, Recurrent Endometrial Endometrioid Adenocarcinoma, Refractory Endometrial Carcinoma …Active not recruiting
Est. primary completion 2028-08-31 · NCT03008408 · CT.gov ↗
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September 2028 (2)
Phase 4Leiomyoma, Uterine, Leiomyoma, Fibroid, Fibroid UterusRecruiting
Est. primary completion 2028-09-11 · NCT06143631 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2028-09-30 · NCT07801898 · CT.gov ↗
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December 2028 (2)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2028-12 · NCT07389733 · CT.gov ↗
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Phase 2Breast Cancer, HER2-positiveRecruiting
Est. primary completion 2028-12-29 · NCT05035836 · CT.gov ↗
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2029 (16)
January 2029 (1)
Phase 3HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2029-01-02 · NCT06760637 · CT.gov ↗
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February 2029 (1)
Phase 3HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2029-02 · NCT07340658 · CT.gov ↗
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March 2029 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-03-31 · NCT06757634 · CT.gov ↗
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April 2029 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-04 · NCT07492641 · CT.gov ↗
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May 2029 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-05 · NCT07174336 · CT.gov ↗
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June 2029 (2)
Phase 4InfertilityRecruiting
Est. primary completion 2029-06 · NCT07508657 · CT.gov ↗
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Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-06-30 · NCT06507618 · CT.gov ↗
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July 2029 (3)
Phase 3HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2029-07-01 · NCT07061717 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-07-13 · NCT04606446 · CT.gov ↗
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Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-07-31 · NCT07391774 · 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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September 2029 (2)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-09-07 · NCT05827081 · CT.gov ↗
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Phase 3Carcinoma, Ovarian Epithelial, Low Grade Serous Adenocarcinoma of OvaryRecruiting
Est. primary completion 2029-09-22 · NCT05601700 · CT.gov ↗
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December 2029 (3)
Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-12 · NCT06120283 · CT.gov ↗
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Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2029-12-18 · NCT06380751 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2029-12-31 · NCT05226871 · CT.gov ↗
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2030 (9)
March 2030 (1)
Phase 3HR+/HER2- Metastatic Breast CancerEnrolling by invitation
Est. primary completion 2030-03 · NCT05645536 · CT.gov ↗
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June 2030 (1)
Phase 4HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2030-06-28 · NCT05161195 · CT.gov ↗
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July 2030 (1)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2030-07 · NCT05768139 · CT.gov ↗
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August 2030 (1)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2030-08-31 · NCT07716046 · CT.gov ↗
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September 2030 (2)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2030-09 · NCT06953882 · CT.gov ↗
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Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2030-09-30 · NCT03424005 · CT.gov ↗
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October 2030 (1)
Phase 3HR+/HER2- Metastatic Breast CancerActive not recruiting
Est. primary completion 2030-10 · NCT04584853 · CT.gov ↗
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December 2030 (2)
Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2030-12 · NCT01042379 · CT.gov ↗
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Phase 2HER2-positive Breast CancerNot yet recruiting
Est. primary completion 2030-12-30 · NCT07179939 · CT.gov ↗
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2031 (4)
April 2031 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2031-04-08 · NCT04852887 · CT.gov ↗
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May 2031 (1)
Phase 1/2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2031-05-09 · NCT07288359 · CT.gov ↗
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December 2031 (2)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2031-12 · NCT07101159 · CT.gov ↗
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Phase 2HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2031-12-31 · NCT07581834 · CT.gov ↗
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2032 (4)
January 2032 (1)
Phase 3HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2032-01-31 · NCT06790693 · CT.gov ↗
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March 2032 (1)
Phase 2HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2032-03-23 · NCT07679269 · CT.gov ↗
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May 2032 (1)
Phase 3HR+/HER2- Metastatic Breast CancerNot yet recruiting
Est. primary completion 2032-05-02 · NCT06223698 · CT.gov ↗
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June 2032 (1)
Phase 1HR+/HER2- Metastatic Breast CancerRecruiting
Est. primary completion 2032-06-08 · NCT07604571 · CT.gov ↗
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2034 (1)
July 2034 (1)
Phase 2Human Epidermal Growth Factor 2 Negative Carcinoma of Breast, HER2-positive Breast Cancer, Breast CancerRecruiting
Est. primary completion 2034-07-01 · NCT06348134 · 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 (115)
Phase 2/3 (25)
Phase 2 (230)
Phase 1/2 (35)
Phase 1 (72)
Phase 4 (62)
Early phase / not applicable (77)
Used as active comparator (37)
Appears in other studies (15)