Multiple Phase 1, 2, and 3 clinical trials, sponsored by Eli Lilly and Company alongside academic collaborators, evaluate the clinical efficacy and pharmacokinetic profile of imlunestrant. These studies target estrogen receptor-positive, HER2-negative breast cancers across early to metastatic stages, adult solid tumors, and healthy or hepatically impaired cohorts for drug interaction assessments. Recruitment status across this research portfolio ranges from completed pharmacokinetic evaluations to active, recruiting, and planned investigations.
| NCT Number | Recruitment | Conditions | Sponsor/Collaborators | Start Date | Phases |
|---|---|---|---|---|---|
| NCT05768139 | RECRUITING | Breast Cancer; Solid Tumors, Adult |
Eli Lilly and Company |
2023-04-17 | PHASE1; PHASE2 |
| NCT07191717 | RECRUITING | Anatomic Stage I Breast Cancer AJCC v8; Anatomic Stage II Breast Cancer AJCC v8; Anatomic Stage III Breast Cancer AJCC v8; Invasive Breast Carcinoma; Localized Estrogen Receptor-Positive Breast Carcinoma; Localized Human Epidermal Growth Factor Receptor (HER2)-Negative Breast Carcinoma |
Jonsson Comprehensive Cancer Center |
2026-05-18 | PHASE2 |
| NCT07410559 | NOT_YET_RECRUITING | Breast Cancer |
Fudan University |
2026-07-01 | PHASE2 |
| NCT07287098 | RECRUITING | Breast Neoplasms |
Eli Lilly and Company |
2026-05-13 | PHASE2 |
| NCT05514054 | ACTIVE_NOT_RECRUITING | Breast Neoplasms |
Eli Lilly and Company |
2022-10-04 | PHASE3 |
| NCT05307705 | RECRUITING | Breast Cancer |
Eli Lilly and Company |
2022-05-11 | PHASE1 |
| NCT04975308 | ACTIVE_NOT_RECRUITING | Breast Neoplasms; Neoplasm Metastasis |
Eli Lilly and Company |
2021-10-04 | PHASE3 |
| NCT05440344 | COMPLETED | Hepatic Insufficiency; Healthy |
Eli Lilly and Company |
2022-07-05 | PHASE1 |
| NCT05509816 | COMPLETED | Healthy |
Eli Lilly and Company |
2022-09-12 | PHASE1 |
| NCT05444556 | COMPLETED | Healthy |
Eli Lilly and Company |
2022-07-07 | PHASE1 |
(data from https://clinicaltrials.gov, updated on 2026-07-07)
Mechanism and Biochemical Profile
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>).