Clinical Trials

Numerous clinical trials evaluate the efficacy and safety of elacestrant both as monotherapy and in combination regimens with CDK4/6 inhibitors across Early Phase 1 through Phase 3 studies. Sponsored by various academic and research institutions, these investigations target oncology indications including estrogen receptor-positive, HER2-negative, and HER2-positive breast carcinomas, as well as advanced uterine sarcomas. Across this clinical portfolio, recruitment statuses range from actively recruiting and active not recruiting to completed, terminated, and withdrawn.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07242352 RECRUITING
Breast Cancer; HR+/HER2- Breast Cancer
Women's Cancer Study Group GmbH
2026-04-29 PHASE3
NCT05512364 RECRUITING
ER-positive Breast Cancer; HER2-negative Breast Cancer; Stage IIB Breast Cancer; Stage III Breast Cancer
European Organisation for Research and Treatment of Cancer - EORTC
2023-12-15 PHASE3
NCT07753954 NOT_YET_RECRUITING
ER+ / HER2- Advanced Breast Cancer
Jules Bordet Institute
2026-09-13 PHASE2
NCT07222215 RECRUITING
Estrogen-receptor-positive Breast Cancer; Metastatic Breast Cancer; Breast Cancer; Hormone Receptor Positive Breast Cancer; Human Epidermal Growth Factor 2 Negative Carcinoma of Breast; HER2- Breast Cancer; ESR1 Gene Mutation; ER Wildtype; Breast Neoplasms
Kristina A. Fanucci
2026-01-16 PHASE2
NCT06120283 RECRUITING
Advanced Solid Tumor; Advanced Breast Cancer; Metastatic Breast Cancer; Hormone-receptor-positive Breast Cancer; Hormone Receptor Positive Breast Carcinoma; Hormone Receptor Positive Malignant Neoplasm of Breast; HER2-negative Breast Cancer; Hormone Receptor Positive HER-2 Negative Breast Cancer
BeOne Medicines
2023-12-01 PHASE1
NCT06492616 RECRUITING
Breast Cancer
Stemline Therapeutics, Inc.
2024-09-27 PHASE3
NCT07612215 RECRUITING
ER Positive, HER2 Positive Breast Cancer
NYU Langone Health
2026-05-13 PHASE1; PHASE2
NCT06201234 RECRUITING
Hormone Receptor Positive HER-2 Negative Breast Cancer; Advanced or Metastatic Breast Cancer; BRCA1 Mutation; BRCA2 Mutation
GBG Forschungs GmbH
2024-12-13 PHASE2
NCT07634601 NOT_YET_RECRUITING
Advanced Endometrial Carcinoma; Metastatic Endometrial Carcinoma; Recurrent Endometrial Carcinoma; Stage III Endometrial Cancer; Stage IV Endometrial Cancer
Jonsson Comprehensive Cancer Center
2026-12-18 PHASE2
NCT07395336 RECRUITING
Breast Cancer
European Institute of Oncology
2026-05-11 PHASE2
NCT06075953 RECRUITING
Ductal Carcinoma in Situ
QuantumLeap Healthcare Collaborative
2024-02-17 PHASE2
NCT07209449 RECRUITING
Endometrial Cancer
Memorial Sloan Kettering Cancer Center
2025-10-01 PHASE2
NCT07766018 RECRUITING
Breast Cancer
Stemline Therapeutics, Inc.
2026-08 PHASE2
NCT06062498 RECRUITING
Estrogen-receptor-positive Breast Cancer; HER2/Neu-Negative Breast Cancer; Advanced Breast Cancerv; Metastatic Breast Cancer
Northwestern University
2023-09-29 PHASE2
NCT07198724 RECRUITING
Metastatic Breast Cancer; HER2 Low Breast Carcinoma; HER2-negative Breast Cancer; Breast Cancer; Breast Cancer Female
Kristina A. Fanucci
2025-11-17 PHASE1; PHASE2
NCT05573126 RECRUITING
Hormone Receptor-positive Breast Cancer; Hormone Receptor Positive HER-2 Negative Breast Cancer; Metastatic Breast Cancer
Ellipses Pharma
2023-01-11 PHASE1; PHASE2
NCT06638307 RECRUITING
Advanced Breast Cancer
Stemline Therapeutics, Inc.
2024-10-25 PHASE1
NCT06382948 RECRUITING
Advanced Breast Cancer; ER-positive Breast Cancer; HER2-negative Breast Cancer; ESR1 Gene Mutation
MedSIR
2024-12-05 PHASE3
NCT06923527 RECRUITING
ER+ Breast Cancer
Yale University
2025-09-30 PHASE2
NCT07467772 RECRUITING
Uterine Sarcoma; Uterine Leiomyosarcoma; Endometrial Stromal Sarcoma; ESS; Perivascular Epithelioid Cell Tumors; Uterine Adenosarcoma; Uterine PEComa; Estrogen Receptor Positive Tumor; uLMS
Dana-Farber Cancer Institute
2026-03-25 PHASE2
NCT04757688 WITHDRAWN
Ventricular Tachycardia
John Stahl
2022-11
NCT07005882 NOT_YET_RECRUITING
Breast Cancer Patients; Breast Cancer Early Stage Breast Cancer (Stage 1-3); HR+/HER2- Breast Cancer; Radiation Therapy
Azienda Ospedaliero-Universitaria Careggi
2025-09-01 PHASE2
NCT07159451 RECRUITING
Breast Cancer
Gustave Roussy, Cancer Campus, Grand Paris
2025-10-06 PHASE2
NCT05563220 ACTIVE_NOT_RECRUITING
Breast Cancer; Metastatic Breast Cancer
Stemline Therapeutics, Inc.
2023-01-24 PHASE1; PHASE2
NCT05982093 RECRUITING
Breast Cancer; HER2-negative Breast Cancer; Hormone Receptor Positive Tumor; Premenopausal Breast Cancer
SOLTI Breast Cancer Research Group
2023-02-03 PHASE2
NCT05386108 RECRUITING
Breast Neoplasms; Brain Neoplasms; Neoplasms by Site; Neoplasms; Breast Diseases; Central Nervous System Neoplasms; Brain Diseases; Central Nervous System Diseases
Stemline Therapeutics, Inc.
2022-08-31 PHASE1; PHASE2
NCT05596409 ACTIVE_NOT_RECRUITING
Metastatic Breast Cancer
Stemline Therapeutics, Inc.
2023-05-19 PHASE2
NCT06691035 ACTIVE_NOT_RECRUITING
Breast Cancer Metastatic Breast Cancer; HER2-negative Breast Cancer
H. Lee Moffitt Cancer Center and Research Institute
2024-11-04 PHASE1
NCT05963997 COMPLETED
Metastatic Breast Cancer; Locally Advanced Breast Cancer; Breast Cancer
Carrick Therapeutics Limited
2023-10-09 PHASE1; PHASE2
NCT06126575 COMPLETED
Hepatic Impairment
Stemline Therapeutics, Inc.
2023-03-13 PHASE1
NCT04791384 TERMINATED
Breast Cancer
Criterium, Inc.
2022-04-21 PHASE1; PHASE2
NCT06938711 WITHDRAWN
Breast Cancer
Context Therapeutics Inc.
2023-06 PHASE1; PHASE2
NCT05618613 TERMINATED
Breast Cancer
Context Therapeutics Inc.
2022-12-02 PHASE1; PHASE2
NCT04797728 COMPLETED
Breast Cancer; Hormone Receptor Positive Breast Carcinoma
SOLTI Breast Cancer Research Group
2021-02-09 EARLY_PHASE1
NCT03778931 COMPLETED
Breast Cancer
Stemline Therapeutics, Inc.
2019-05-10 PHASE3
NCT02338349 COMPLETED
Advanced ER+, HER2-Negative Breast Cancer
Stemline Therapeutics, Inc.
2015-01 PHASE1
NCT02650817 COMPLETED
Metastatic Breast Cancer
Stemline Therapeutics, Inc.
2016-04-01 PHASE1
NCT02653417 TERMINATED
Vasomotor Symptoms; Hot Flashes
Radius Pharmaceuticals, Inc.
2015-12 PHASE2
NCT00875420 COMPLETED
Hot Flashes
Radius Pharmaceuticals, Inc.
2009-03 PHASE2

(data from https://clinicaltrials.gov, updated on 2026-08-07)

Check the Elacestrant (RAD1901) Dihydrochloride product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Elacestrant Dihydrochloride is an orally available selective estrogen receptor degrader that binds to estrogen receptor alpha (ERα) and ERβ with IC50 values of 48 nM and 870 nM, respectively, inducing receptor degradation and inhibiting downstream signaling transcription. This loss of receptor function suppresses estrogen-driven cell proliferation, thereby arresting tumor growth in clinical trial conditions such as estrogen receptor-positive breast cancers and uterine sarcomas.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.