Breast CancerPhase 3EMERALDNCT03778931
Phase 3 Trial of Elacestrant Versus Standard of Care for the Treatment of ER+/HER2- Advanced Breast Cancer
A Phase 3 study testing Elacestrant in people with Breast Cancer, run by Stemline Therapeutics, Inc. at 244 sites in 17 countries.
Trial summary
This Phase 3 clinical study compares the efficacy and safety of elacestrant to the standard of care (SoC) options of fulvestrant or an aromatase inhibitor (AI) in women and men with breast cancer whose disease has advanced on at least one endocrine therapy including a CDK4/6 inhibitor in combination with fulvestrant… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Elacestrant
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 478 participants
- Where
- 244 sitesin 17 countries
- Study dates
- 10 May 2019to 22 Aug 2024
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Critical Inclusion Criteria:
- Participants with 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.
- Participants must be appropriate candidates for endocrine monotherapy
- Participants must have measurable disease or bone only disease with evaluable lesions
- Female or male participants age ≥ 18 years; female participants must be postmenopausal women, and male participants must not allow pregnancy with their sperm (abstain, do not donate sperm, et cetera).
- Participants must have ER+ and HER2- tumor status
- Participants must have previously received at least one and no more than two lines of endocrine therapy for advanced/metastatic breast cancer and meet additional previous treatment criteria.
- Participants must have received prior treatment with a CDK4/6 inhibitor in combination with either fulvestrant or an aromatase inhibitor (AI) for advanced/metastatic breast cancer (mBC).
- Participants may have received no more than one line of chemotherapy in the advanced/metastatic setting.
Critical Exclusion Criteria:
- Prior treatment with elacestrant or other investigational selective estrogen receptor degrader (SERD) or ER antagonist (D-0502, GDC-0810, GDC-0927, GDC-9545, G1T-48, LSZ102, AZD9496, SAR439859, ZN-c5, H3B-6545, bazedoxifene, lasofoxifene).
- Prior anticancer or investigational drug treatment within the following windows:
- Fulvestrant treatment < 42 days before first dose of study drug
- Any endocrine therapy < 14 days before first dose of study drug
- Chemotherapy < 21 days before first dose of study drug
- Any investigational anti-cancer drug therapy < 28 days or five half-lives (whichever is shorter) before the first dose of study drug. Enrollment of participants whose most recent therapy was an investigational agent should be discussed with the Sponsor
- Bisphosphonates or RANKL inhibitors initiated or dose changed < 3 months prior to first dose of study drug
- Presence of symptomatic visceral disease as defined in protocol.
Trial locations and contacts
244 sites in 17 countries.
244 sites in 17 countries
United States104 sites
New York Oncology Hematology
Albany, New York, 12206
New Mexico Oncology Hematology Consultants - Oncology
Albuquerque, New Mexico, 87109
New Mexico Cancer Care Alliance
Albuquerque, New Mexico, 87131
Piedmont Cancer Institute, P.C. - Oncology
Atlanta, Georgia, 30318
Anschutz Cancer Center Pavilion
Aurora, Colorado, 80045
Texas Oncology - Central Austin Cancer Center
Austin, Texas, 78731
Austin Cancer Centers
Austin, Texas, 78759
Elligo Health Research
Austin, Texas, 78759
The Gynecologic Oncology Center at Mercy
Baltimore, Maryland, 21202
Weinberg Cancer Institute at Franklin Square
Baltimore, Maryland, 21237
Texas Oncology-Beaumont
Beaumont, Texas, 77702
Boston Medical Center
Boston, Massachusetts, 02111
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, 02114
Mass General Cancer Center at Newton Wellesley - Oncology
Boston, Massachusetts, 02462
Charleston Oncology
Charleston, South Carolina, 29414
MUSC Hollings Cancer Center
Charleston, South Carolina, 29425
University of Virginia Cancer Center
Charlottesville, Virginia, 22908
Chicago Association for Research and Education in Science
Chicago, Illinois, 60141
Rush University Cancer Center
Chicago, Illinois, 60612
US Oncology Network
Cincinnati, Ohio, 45242
University Hospitals of Cleveland
Cleveland, Ohio, 44106
Texas Oncology-Methodist Dallas Cancer Center
Dallas, Texas, 75203
Texas Oncology-Medical City Dallas
Dallas, Texas, 75230
Texas Oncology-Presbyterian Cancer Center Dallas
Dallas, Texas, 75231
Mass General North Shore Cancer Center - Oncology
Danvers, Massachusetts, 01923
Cancer Care Center of Decatur
Decatur, Illinois, 62526
US Oncology - Rocky Mountain Cancer Centers - Midtown
Denver, Colorado, 80218
Karmanos Cancer Institute
Detroit, Michigan, 48201
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
Carolina Institute For Clinical Research
Fayetteville, North Carolina, 28304
Fort Belvoir Community Hospital
Fort Belvoir, Virginia, 22060
Poudre Valley Health Care, Inc. d/b/a Poudre Valley Health System
Fort Collins, Colorado, 80528
UCHealth Cancer Center
Fort Collins, Colorado, 80528
Fort Wayne Medical Oncology And Hematology
Fort Wayne, Indiana, 46815
Maryland Oncology Hematology
Frederick, Maryland, 21702
Precision Cancer Research
Freehold, New Jersey, 07728
St. Jude Heritage Healthcare
Fullerton, California, 92835
West Cancer Center
Germantown, Tennessee, 38138
Gettysburg Cancer Center
Gettysburg, Pennsylvania, 17325
Adventist Health Glendale
Glendale, California, 91206
Goshen Center for Cancer Care
Goshen, Indiana, 46526
Pinnacle Health Cancer Institute
Harrisburg, Pennsylvania, 17109
Texas Oncology - Willowbrook
Houston, Texas, 77070
Hematology Oncology Of Indiana
Indianapolis, Indiana, 46260
Jackson Oncology Associates, PLLC.
Jackson, Mississippi, 39202
Joliet Oncology-Hematology Associates
Joliet, Illinois, 60435
St Bernard's Cancer Care
Jonesboro, Arkansas, 72401
Dayton Oncology & Hematology
Kettering, Ohio, 45409
Brig Center For Cancer Care And Survivorship
Knoxville, Tennessee, 37909
Moores Cancer Center at UC San Diego Health
La Jolla, California, 92093
Suburban Hematology-Oncology Associates
Lawrenceville, Georgia, 30046
Saint Barnabas Medical Center - Cancer Center
Livingston, New Jersey, 07039
Keck Hospital of USC-Norris Healthcare (HC3), Investigational Drug Service (IDS)
Los Angeles, California, 90033
Keck Medical Center of USC
Los Angeles, California, 90033
USC IDS Pharmacy
Los Angeles, California, 90033
UCLA Hematology/Oncology
Los Angeles, California, 90095
UCLA West Medical Pharmacy 159
Los Angeles, California, 90095
Norton Cancer Institute
Louisville, Kentucky, 40207
University of Wisconsin Carbone Cancer Center
Madison, Wisconsin, 53705
Northwest Georgia Oncology Centers
Marietta, Georgia, 30060
Texas Oncology - McAllen
McAllen, Texas, 78053
Texas Oncology-Mesquite
Mesquite, Texas, 75150
Colombia St. Mary's Medical Oncology
Milwaukee, Wisconsin, 53211
Minnesota Oncology
Minneapolis, Minnesota, 55404
Northern Westchester Hospital Cancer Center
Mount Kisco, New York, 10549
Cancer Resource Centre
Munster, Indiana, 46321
Yale Cancer Center
New Haven, Connecticut, 06511
Ochsner Medical Center
New Orleans, Louisiana, 70121
New York University Clinical Cancer Center
New York, New York, 10016
The Fred & Pamela Buffett Cancer Center
Omaha, Nebraska, 68105
Orlando Health Cancer Institute
Orlando, Florida, 32806
Texas Oncology-Paris
Paris, Texas, 76022
Pikeville Medical Center - Oncology/Hematology
Pikeville, Kentucky, 41501
Texas Oncology-Plano West
Plano, Texas, 75093
Texas Oncology-Plano East
Plano, Texas, 80211
Oregon Health and Science University
Portland, Oregon, 97239
TMPN Cancer Care
Redondo Beach, California, 90277
Mayo Clinic
Rochester, Minnesota, 55905
UC Davis Medical Center, Investigational Drug Service
Sacramento, California, 95817
Utah Cancer Specialists
Salt Lake City, Utah, 84124
Cancer Therapy and Research Center at UTHSCSA
San Antonio, Texas, 78229
UCSF Medical Center
San Francisco, California, 94115
Ridley-Tree Cancer Center
Santa Barbara, California, 93105
New England Cancer Specialists
Scarborough, Maine, 04074
Benaroya Research Institute at Virginia Mason
Seattle, Washington, 98101
Highland Clinic
Shreveport, Louisiana, 71105
Presence Medical Group Hematology Oncology
Skokie, Illinois, 60077
The Steeplechase Cancer Center
Somerville, New Jersey, 08876
Simmons Cancer Institute
Springfield, Illinois, 62702
Chub O'Reilly Cancer Center
Springfield, Missouri, 65807
Stony Brook University
Stony Brook, New York, 11794
Moffitt Cancer Center
Tampa, Florida, 33612
Montefiore Medical Center
The Bronx, New York, 10461
Renovatio Medical The Woodlands
The Woodlands, Texas, 77380
Texas Oncology - The Woodlands, Gynecologic Oncology
The Woodlands, Texas, 77380
Healthcare Research Network II
Tinley Park, Illinois, 60487
Toledo Clinic Cancer Center
Toledo, Ohio, 43623
The University of Arizona Cancer Center
Tucson, Arizona, 85724
USO Texas Oncology - Tyler
Tyler, Texas, 75702
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
University of Kansas Cancer Center
Westwood, Kansas, 66205
Oncology and Hematology of White Plains
White Plains, New York, 10601
Abington Hematology Oncology Associates
Willow Grove, Pennsylvania, 19090
Lankenau Medical Center
Wynnewood, Pennsylvania, 19096
Belgium19 sites
Onze-Lieve-Vrouwziekenhuis Aalst
Aalst, Oost-Vlaanderen, 9300
AZ Klina
Brasschaat, Antwerpen, 2930
AZ Sint-Jan Brugge - Oostende AV - Campus Sint-Jan - Oncology
Bruges, West-Vlaanderen, 8000
Institut Jules Bordet - Oncologie Médicale
Brussels, Brussels Capital, 1000
CHU Brugmann
Brussels, Brussels Capital, 1020
UZ Brussel - Campus Jette
Brussels, Brussels Capital, 1090
Cliniques Universitaires Saint-Luc - Oncology
Brussels, Brussels Capital, 1200
Grand Hôpital de Charleroi - Site Notre-Dame
Charleroi, Hainaut, 6000
UZ Antwerpen - Oncologie
Edegem, Antwerpen, 2650
INDC Entité Jolimontoise - CH de Jolimont-Lobbes
Haine-Saint-Paul, Hainaut, 7100
AZ Groeninge
Kortrijk, West-Vlaanderen, 8500
AZ Groeninge - Campus Kennedylaan
Kortrijk, 8500
Universitaire Ziekenhuizen (UZ) - Leuven Cancer Institute
Leuven, Vlaams Brabant, 3000
Centre Hospitalier de l'Ardenne - Site de Libramont
Libramont, Luxembourg, 6800
CHU UCL Namur - Site Sainte-Elisabeth
Namur, 5000
CHU UCL Namur Campus Sainte-Elisabeth
Namur, 5000
Clinique Saint Pierre
Ottignies, 1340
AZ Nikolaas - Campus Sint-Niklaas Moerland
Sint-Niklaas, Oost-Vlaanderen, 9100
AZ Turnhout
Turnhout, Antwerpen, 2300
Italy16 sites
Policlinico S.Orsola Malpighi, AOU di Bologna - SSD Oncol.Med. Addarii-Zamagni
Bologna, 40138
PO di Cremona, ASST di Cremona - Patologia Mammaria e Breast Unit - Cremona
Cremona, 26100
DiMI, Dipartimento di Medicina interna e Specialità mediche,
Genova, 16132
Regional Cancer Center
Meldola, Forli-Cesena, 47014
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, 47014
Azienda Ospedaliero-Universitaria Policlinico di Modena
Modena, 41100
Ospedale San Gerardo-ASST Monza
Monza, Monza E Brianza, 20900
AOU Maggiore della Carità - SC Oncologia
Novara, 28100
Azienda Ospedaliero-Universitaria di Parma
Parma, 43126
IRCCS Policlinico San Matteo
Pavia, 27100
Via G. Dottore, 1 Sc Oncologia Medica Azienda Ospedaliera di Perugia
Perugia, 06132
SO S.Chiara, AOU Pisana - Oncologia 2
Pisa, 56126
Policlinico Universitario Campus Bio-medico, Università Campus Bio-medico di Roma,
Roma, 00128
Policlinico A. Gemelli
Roma, 00168
IRCCS Istituto Clinico Humanitas Humanitas Cancer Center
Rozzano, Milano, 20089
Azienda Sanitaria Universitaria Integrata di Udine
Udine, 33100
Spain16 sites
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital General Universitario de Elche
Elche, Alicante, 03202
Hospital Universitario de Fuenlabrada. Servicio de Oncología
Fuenlabrada, Madrid, 28942
M.D Anderson Center Madrid
Madrid, 28033
IOB Ruber Internacional
Madrid, 28034
Hospital Clínico San Carlos
Madrid, 28040
Servicio de Oncología Médica Edificio Materno
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Universitario Son Espases, Servicio de Oncología
Palma de Mallorca, Balearic Islands, 07010
Hospital de Navarra
Pamplona, Navarre, 31008
Hospital de Dia de Oncología
San Cristóbal de La Laguna, Canary Islands, 38320
Hospital Universitario de Canarias
Santa Cruz de Tenerife, Canary Islands, 38320
Hospital Universitario Virgen del Rocio
Seville, Andalusia, 41013
Hospital Universitario Virgen de la Macarena
Seville, 41009
Hospital Clínico Universitario de Valencia
Valencia, 46010
Hospital Xeral Álvaro Cunqueiro
Vigo, Pontevedra, 36312
France14 sites
Centre de Lutte Contre le Cancer (CLCC)
Caen, Calvados, 14076
Centre François Baclesse Service Pharmacie
Caen, 14076
Centre Jean Perrin
Clermont-Ferrand, Puy-de-Dôme, 63011
Centre Georges Francois Leclerc
Dijon, 21079
Centre Oscar Lambret, Department de Cancérologie Sénologique
Lille, Nord, 59020
Centre Leon Berard Oncologie Médical
Lyon, Rhône, 69008
Hôpital Privé Jean Mermoz Département Pharmacie
Lyon, Rhône, 69008
Institut régional du Cancer Montpellier Service pharmacie-Essais cliniques
Montpellier, 34298
Centre DeLutte Contre Le Cancer - Institut Curie - Departement d'Oncologie Medica
Paris, 75005
Institut Curie Saint-Cloud
Saint-Cloud, Île-de-France Region, 92210
Institut de Cancérologie Lucien Neuwirth Service pharmacie-Essais cliniques
Saint-Priest-en-Jarez, 42270
Strasbourg Oncologie Libérale Centre de Radiothérapie
Strasbourg, Bas-Rhin, 67000
IUCT-Oncopole Pharmacie-Essais Cliniques
Toulouse, Haute-Garonne, 31059
Hopital Trousseau - Service d'Oncologie Medicale
Tours, Indre-et-Loire, 37044
Argentina9 sites
Fundacion CENIT para la Investigación en Neurociencias - Clinic
Buenos Aires, Buenos Aires F.D., C1025ABI
Oncología en Ciudad Autónoma de Buenos Aires
Buenos Aires, Buenos Aires F.D., C1280AEB
Centro Médico Austral
Buenos Aires, Ciudad Autónoma de Buenos Aire, 1019
Clínica Universitaria Reina Fabiola
Córdoba, 5004
Sanatorio del Salvador
Córdoba, 5004
Fundación CORI
La Rioja, 5300
Clínica Pergamino S.A.
Pergamino, Buenos Aires, B2700KMP
Oncología Médica
Rosario, Santa Fe Province, 2000
Clínica Caipo
San Miguel de Tucumán, Tucumán Province, T4000GTB
Israel9 sites
Sharett Institute of Oncology - Hadassah Medical Center
Jerusalem, Central District, 9103102
Shaare Zedek Medical Center
Jerusalem, 9103102
Hadassah MO - Oncology
Jerusalem, 9112001
Meir Medical Center
Kfar Saba, 4428164
Galilee Medical Center
Nahariya, 2210001
Rabin Medical Center - Beilinson Hospital - Davidoff Cancer
Petah Tikva, 4941492
Tel Aviv Sourasky Medical Center - Oncology
Tel Aviv, 6423906
The Chaim Sheba Medical Center
Tel-Hashomer, Central District, 5265601
Assaf Harofeh Medical Center
Tsrifin, 7030000
Hungary8 sites
Uzsoki Utcai Kórház
Budapest, 1145
Semmelweis Egyetem, Onkológiai Központ,
Budapest, H-1083
Országos Onkológiai Intézet
Budapest, H-1122
Bács-Kiskun Megyei Kórház
Debrecen, Hajdú-Bihar, 4032
Debreceni Egyetem Klinikai Központ
Debrecen, Hajdú-Bihar, 7032
Szabolcs-Szatmár-Bereg Megyei Kórházak és Egyetemi Oktatókór
Nyíregyháza, Szabolcs-Szatmár-Bereg, 4400
Pécsi Tudományegyetem Klinikai Központ
Pécs, Baranya, 7623
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz - Rendeloint
Szolnok, Jász-Nagykun-Szolnok, 5004
South Korea8 sites
National Cancer Center
Goyang, 10408
Gachon University Gil Medical Center
Incheon, 21565
Seoul National University Bundang Hospital
Seongnam-si, 13620
Seoul National University Hospital
Seoul, Seoul Teugbyeolsi, 03080
Korea University Anam Hospital
Seoul, 02841
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center
Seoul, 06351
Ireland7 sites
Bon Secours Hospital [Oncology]
Cork, Cork
Clinical Research Facility, St. James's Hospital
Dublin, D8
Beaumont Hospital Cancer Clinical Trials Unit
Dublin, D9
St Vincent's University Hospital
Dublin, DUBLIN 4
Pharmacy Aseptic Compounding Unit Level 4, Sligo University Hospital
Sligo, F91 H684
Sligo University Hospital
Sligo, F91 H684
Pharmacy, UHW
Waterford, X91 ER8E
United Kingdom7 sites
Velindre Cancer Centre - Oncology
Cardiff, CF14 2TL
University College London Hospitals
London, NW1 2PG
Sarah Cannon Research Institute
London, W1G 6AD
Kent Oncology Centre, Maidstone Hospital
Maidstone, Kent, ME16 9QQ
Mount Vernon Cancer Centre
Northwood, England, HA6 2RN
University Hospital Southampton NHS Foundation Trust
Southampton, Hampshire, SO16 6YD
Taunton and Somerset NHS Trust
Taunton, Somerset, TA1 5DA
Austria5 sites
Universitätsklinik Innsbruck
Innsbruck, Tyrol, 6020
Department für Hämato-Onkologie - LKH Hochsteiermark
Leoben, Styria, 8700
Landeskrankenhaus (LKH) Leoben-Eisenerz
Leoben, Styria, 8700
Abteilung für Innere Medizin IV
Wels, Upper Austria, 4600
Klinikum Wels-Grieskirchen GmbH
Wels, Upper Austria, 4600
Denmark5 sites
Aalborg Universitetshospital
Aalborg, 9100
Næstved Sygehus
Næstved, Region Sjælland, 4700
Onkologisk Afdeling, Lillebælt Hospital, Vejle
Næstved, Region Sjælland, 4700
Odense Universitetshospital - Oncology
Odense, 5000
Vejle Sygehus
Vejle, Region Syddanmark, 7100
Portugal5 sites
Instituto Português de Oncologia de Coimbra
Coimbra, 3000-075
Hospital Senhora da Oliveira - Guimarães, E.P.E.
Guimarães, 4835-044
Hospital da Luz
Lisbon, 1500-650
Instituto Português de Oncologia do Porto
Porto, 4200-072
Instituto Português Oncologia Francisco Gentil do Porto
Porto, 4200-072
Australia4 sites
Sunshine Coast University Hospital
Birtinya, 4575
Mater Misericordiae Ltd Mater Cancer Care Centre
Brisbane, Queensland, 4101
Macarthur Cancer Therapy
Campbelltown, 2560
St Vincent's Hospital Melbourne
Fitzroy, Victoria, 3065
Canada4 sites
Oncology and Haematology Clinic - Michael Garron Hospital
East York, Ontario, M4C 3E7
Pharmacie du CRCHUM
Montreal, Quebec, H2X 1R9
McGill University Health Centre - Cedars Cancer Center - Oncology
Montreal, Quebec, H4A-3J1
CHU de Quebec - Hopital du Saint Sacrement
Québec, G1S 4L8
Greece4 sites
Metropolitan Hospital - Oncology Unit
Athens, Attica, 18547
University General Hospital of Larissa
Larissa, Larisa, 41110
University General Hospital Of Patras - Dpt Of Medicine, Division Oncology
Pátrai, Achaïa, 26504
Bioclinic Thessaloniki
Thessaloniki, 54622
About this study
Official title: Elacestrant Monotherapy vs. Standard of Care for the Treatment of Patients With ER+/HER2- Advanced Breast Cancer Following CDK4/6 Inhibitor Therapy: A Phase 3 Randomized, Open-label, Active-controlled, Multicenter Trial
This Phase 3 clinical study compares the efficacy and safety of elacestrant to the standard of care (SoC) options of fulvestrant or an aromatase inhibitor (AI) in women and men with breast cancer whose disease has advanced on at least one endocrine therapy including a CDK4/6 inhibitor in combination with fulvestrant or an aromatase inhibitor (AI).
Read the detailed description
This is an international, multicenter, randomized, open-label, active-controlled, event-driven, Phase 3 clinical study comparing the efficacy and safety of elacestrant to the SoC options of fulvestrant or an aromatase inhibitor (AI) in postmenopausal women and in men with advanced or metastatic ER+/HER2- breast cancer, either in participants with tumors that harbor mutations in the ligand binding domain (LBD) of the estrogen receptor 1 (ESR1) gene (ESR1-mut participants) or in all participants regardless of ESR1 status (ESR1-mut and ESR1 wild type [ESR1-wt]) and whose disease has relapsed or progressed on at least one and no more than two prior lines of endocrine therapy (with documented progression), which must have included prior CDK4/6 inhibitor therapy in combination with fulvestrant or an aromatase inhibitor (AI) and for whom hormonal monotherapy with one of the SoC drugs (fulvestrant, anastrozole, letrozole, exemestane) is an appropriate treatment option.
- Conditions
- Breast Cancer
- Being tested
- Elacestrant, Standard of Care
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ElacestrantDrug
Also called RAD1901, ORSERDU
400 mg/day once daily oral dosing
Standard of CareDrug
Also called Faslodex, Arimidex, Femara, Aromasin
- Fulvestrant: 500 mg administered intramuscularly (IM) into the buttocks as two 5 mL injections on C1D1, C1D15 and C2D1 and Day 1 of every subsequent 28-day cycle
- Anastrozole 1 mg/day on a continuous dosing schedule
- Letrozole: 2.5 mg/day on a continuous dosing schedule
- Exemestane: 25 mg/day on a continuous dosing schedule
| Study group | Role | What they receive |
|---|---|---|
| Elacestrant | Experimental | Participants in Arm 1 will receive elacestrant. Receives: Drug: Elacestrant |
| Standard of Care (SoC) | Active comparator | Participants in Arm 2 will receive investigator's choice of one of the standard-of-care drugs (fulvestrant, anastrozole, letrozole, or exemestane). Receives: Drug: Standard of Care |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival in ESR1-mut Participants
Progression-free survival based on blinded IRC assessment in ESR1-mut participants defined as the length of time from randomization until the date of objective disease progression per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as assessed by the blinded IRC or death from any cause. Progression is defined per RECIST v1.1 as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Measured: From Date of Randomization until Disease Progression or Death Due to Any Cause (up to 12 Months)
Progression-free Survival in All Participants
Progression-free survival based on blinded imaging review committee (IRC) assessment in all (ESR1-mut and ESR1-wt) participants.
Measured: From Date of Randomization until Disease Progression or Death Due to Any Cause (up to 12 Months)
Secondary outcomes (2)
Overall Survival in ESR1-mut Participants
Overall survival in ESR1-mut participants, where overall survival is defined as the length of time from randomization until the date of death from any cause.
Measured: From Date of Randomization until Death Due to Any Cause (Estimated up to 24 Months)
Overall Survival in All Participants
Overall survival in all (ESR1-mut and ESR1-wt) participants.
Measured: From Date of Randomization until Death Due to Any Cause (Estimated up to 24 Months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2018
- Study start10 May 2019
- Primary completion24 Aug 2021
- Study completion22 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Stemline Therapeutics, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 478 participants (actual)
Sponsor and investigators
- Lead sponsor
- Stemline Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03778931
- Sponsor's protocol ID
- RAD1901-308
- Acronym
- EMERALD
- Status last verified
- Aug 2025
- First submitted
- 3 Dec 2018
- Last updated
- 15 Sep 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Shah M, Lingam H, Gao X, Gittleman H, Fiero MH, Krol D, Biel N, Ricks TK, Fu W, Hamed S, Li F, Sun JJ, Fan J, Schuck R, Grimstein M, Tang L, Kalavar S, Abukhdeir A, Pathak A, Ghosh S, Bulatao I, Tilley A, Pierce WF, Mixter BD, Tang S, Pazdur R, Kluetz P, Amiri-Kordestani L. US Food and Drug Administration Approval Summary: Elacestrant for Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative, ESR1-Mutated Advanced or Metastatic Breast Cancer. J Clin Oncol. 2024 Apr 1;42(10):1193-1201. doi: 10.1200/JCO.23.02112. Epub 2024 Feb 21.
PubMed 38381994Bidard FC, Kaklamani VG, Neven P, Streich G, Montero AJ, Forget F, Mouret-Reynier MA, Sohn JH, Taylor D, Harnden KK, Khong H, Kocsis J, Dalenc F, Dillon PM, Babu S, Waters S, Deleu I, Garcia Saenz JA, Bria E, Cazzaniga M, Lu J, Aftimos P, Cortes J, Liu S, Tonini G, Laurent D, Habboubi N, Conlan MG, Bardia A. Elacestrant (oral selective estrogen receptor degrader) Versus Standard Endocrine Therapy for Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: Results From the Randomized Phase III EMERALD Trial. J Clin Oncol. 2022 Oct 1;40(28):3246-3256. doi: 10.1200/JCO.22.00338. Epub 2022 May 18.
PubMed 35584336Bardia A, Aftimos P, Bihani T, Anderson-Villaluz AT, Jung J, Conlan MG, Kaklamani VG. EMERALD: Phase III trial of elacestrant (RAD1901) vs endocrine therapy for previously treated ER+ advanced breast cancer. Future Oncol. 2019 Oct;15(28):3209-3218. doi: 10.2217/fon-2019-0370. Epub 2019 Aug 20.
PubMed 31426673
Study at a glance
From the registry record, last updated by the sponsor on 15 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Elacestrant Monotherapy vs. Standard of Care for the Treatment of Patients With ER+/HER2- Advanced Breast Cancer Following CDK4/6 Inhibitor Therapy: A Phase 3 Randomized, Open-label, Active-controlled, Multicenter Trial
- ClinicalTrials.gov ID
- NCT03778931
- Acronym / sponsor ID
- EMERALD / RAD1901-308
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 478 participants (actual)
- Lead sponsor
- Stemline Therapeutics, Inc.Industry (pharma, biotech, devices)
- Study start
- 10 May 2019 (actual)
- Primary completion
- 24 Aug 2021 (actual)
- Study completion
- 22 Aug 2024 (actual)
- First posted
- 19 Dec 2018 (actual)
- Results
- Posted 5 Dec 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This Phase 3 clinical study compares the efficacy and safety of elacestrant to the standard of care (SoC) options of fulvestrant or an aromatase inhibitor (AI) in women and men with breast cancer whose disease has advanced on at least one endocrine therapy including a CDK4/6 inhibitor in combination with fulvestrant or an aromatase inhibitor (AI).
Detailed description
This is an international, multicenter, randomized, open-label, active-controlled, event-driven, Phase 3 clinical study comparing the efficacy and safety of elacestrant to the SoC options of fulvestrant or an aromatase inhibitor (AI) in postmenopausal women and in men with advanced or metastatic ER+/HER2- breast cancer, either in participants with tumors that harbor mutations in the ligand binding domain (LBD) of the estrogen receptor 1 (ESR1) gene (ESR1-mut participants) or in all participants regardless of ESR1 status (ESR1-mut and ESR1 wild type [ESR1-wt]) and whose disease has relapsed or progressed on at least one and no more than two prior lines of endocrine therapy (with documented progression), which must have included prior CDK4/6 inhibitor therapy in combination with fulvestrant or an aromatase inhibitor (AI) and for whom hormonal monotherapy with one of the SoC drugs (fulvestrant, anastrozole, letrozole, exemestane) is an appropriate treatment option.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Elacestrant | Experimental | Drug: ElacestrantParticipants in Arm 1 will receive elacestrant. |
| Standard of Care (SoC) | Active comparator | Drug: Standard of CareParticipants in Arm 2 will receive investigator's choice of one of the standard-of-care drugs (fulvestrant, anastrozole, letrozole, or exemestane). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ElacestrantAlso: RAD1901, ORSERDU400 mg/day once daily oral dosing | Drug | Elacestrant |
| Standard of CareAlso: Faslodex, Arimidex, Femara, Aromasin* Fulvestrant: 500 mg administered intramuscularly (IM) into the buttocks as two 5 mL injections on C1D1, C1D15 and C2D1 and Day 1 of every subsequent 28-day cycle * Anastrozole 1 mg/day on a continuous dosing schedule * Letrozole: 2.5 mg/day on a continuous dosing schedule * Exemestane: 25 mg/day on a continuous dosing schedule | Drug | Standard of Care (SoC) |
Primary outcome
Progression-free Survival in ESR1-mut Participants
Time frame: From Date of Randomization until Disease Progression or Death Due to Any Cause (up to 12 Months)
Progression-free survival based on blinded IRC assessment in ESR1-mut participants defined as the length of time from randomization until the date of objective disease progression per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as assessed by the blinded IRC or death from any cause. Progression is defined per RECIST v1.1 as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
Progression-free Survival in All Participants
Time frame: From Date of Randomization until Disease Progression or Death Due to Any Cause (up to 12 Months)
Progression-free survival based on blinded imaging review committee (IRC) assessment in all (ESR1-mut and ESR1-wt) participants.
2 secondary outcomes
Overall Survival in ESR1-mut Participants
Time frame: From Date of Randomization until Death Due to Any Cause (Estimated up to 24 Months)
Overall Survival in All Participants
Time frame: From Date of Randomization until Death Due to Any Cause (Estimated up to 24 Months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Sep 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 38381994Shah M, Lingam H, Gao X, Gittleman H, Fiero MH, Krol D, Biel N, Ricks TK, Fu W, Hamed S, Li F, Sun JJ, Fan J, Schuck R, Grimstein M, Tang L, Kalavar S, Abukhdeir A, Pathak A, Ghosh S, Bulatao I, Tilley A, Pierce WF, Mixter BD, Tang S, Pazdur R, Kluetz P, Amiri-Kordestani L. US Food and Drug Administration Approval Summary: Elacestrant for Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative, ESR1-Mutated Advanced or Metastatic Breast Cancer. J Clin Oncol. 2024 Apr 1;42(10):1193-1201. doi: 10.1200/JCO.23.02112. Epub 2024 Feb 21.
- Derived from this study: PubMed 35584336Bidard FC, Kaklamani VG, Neven P, Streich G, Montero AJ, Forget F, Mouret-Reynier MA, Sohn JH, Taylor D, Harnden KK, Khong H, Kocsis J, Dalenc F, Dillon PM, Babu S, Waters S, Deleu I, Garcia Saenz JA, Bria E, Cazzaniga M, Lu J, Aftimos P, Cortes J, Liu S, Tonini G, Laurent D, Habboubi N, Conlan MG, Bardia A. Elacestrant (oral selective estrogen receptor degrader) Versus Standard Endocrine Therapy for Estrogen Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: Results From the Randomized Phase III EMERALD Trial. J Clin Oncol. 2022 Oct 1;40(28):3246-3256. doi: 10.1200/JCO.22.00338. Epub 2022 May 18.
- Derived from this study: PubMed 31426673Bardia A, Aftimos P, Bihani T, Anderson-Villaluz AT, Jung J, Conlan MG, Kaklamani VG. EMERALD: Phase III trial of elacestrant (RAD1901) vs endocrine therapy for previously treated ER+ advanced breast cancer. Future Oncol. 2019 Oct;15(28):3209-3218. doi: 10.2217/fon-2019-0370. Epub 2019 Aug 20.
- Individual participant dataSharing planned: Yes
Related trials for Breast Cancer
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
RecruitingPhase 2
Gene Signatures to Guide HR+MBC Therapy in a Diverse Cohort
Invasive Mammary Carcinoma, Metastatic Breast Cancer
Not yet recruitingObservational study
Comparison of Reliability, Time Cost, and Participant Comfort of Lymphedema Assessments in Upper Extremity
Lymphedema, Upper Extremity Lymphedema
RecruitingPhase 3
A Study of Camrelizumab Plus Chemotherapy in Combination With or Without Famitinib as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (BCTOP-T-N01)
TNBC - Triple-Negative Breast Cancer
RecruitingPhase 3
Testing Whether Hormone Therapy With Ribociclib is as Effective as Chemotherapy Followed by Hormone Therapy With Ribociclib for the Treatment of High Anatomic Stage Breast Cancer With Low Recurrence Risk, The RxFINE-Low Trial
Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
244 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Elacestrant in people with Breast Cancer, run by Stemline Therapeutics, Inc. at 244 sites in 17 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 244 sites in United States, Belgium, Italy, Spain, France and 12 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival in ESR1-mut Participants (time frame: From Date of Randomization until Disease Progression or Death Due to Any Cause (up to 12 Months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03778931, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Sep 2025.