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DRUG CLASS:

Estrogen receptor modulator

16d
SR-16234, a Unique Selective Estrogen Receptor Modulator, Suppressed Proliferation and Pain-Related Factor Expression by Inhibition of the Nuclear Factor-kappa B Pathway in Endometriotic Stromal Cells. (PubMed, Am J Reprod Immunol)
SR appears to be a potential therapeutic agent for endometriosis by suppressing inflammatory and pain-related factor expressions by inhibiting the nuclear factor-kappa B pathway.
Journal • Stroma
|
ER (Estrogen receptor) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • TRPV1 (Transient Receptor Potential Cation Channel Subfamily V Member 1) • NFKBIA (NFKB Inhibitor Alpha 2)
|
CXCL8 expression
|
TAS-108
17d
GULP1 as a Downstream Effector of the Estrogen Receptor-β Modulates Cisplatin Sensitivity in Bladder Cancer. (PubMed, Cancer Genomics Proteomics)
ERβ activation was found to reduce the expression of GULP1 as a direct downstream target in bladder cancer cells, resulting in the induction of cisplatin resistance.
Journal
|
ER (Estrogen receptor)
|
ER positive
|
cisplatin • gemcitabine • tamoxifen • doxorubicin hydrochloride • methotrexate • vinblastine
1m
Using Reporter Gene Assays to Screen and Identify Chemical Compounds that Modulate Estrogen Receptor Activity. (PubMed, Curr Protoc)
Current Protocols published by Wiley Periodicals LLC. Basic Protocol 1: Establishment of a high-throughput ERα reporter gene assay with luminescence readout to identify activators and inhibitors of estrogen receptor α Basic Protocol 2: Use of an orthogonal assay with fluorescence readout to confirm potential estrogen receptor activators or inhibitors.
Preclinical • Journal
|
ER (Estrogen receptor)
2ms
Identification of biomarkers of response and the mechanism of action of a selective androgen receptor modulator in estrogen receptor-positive breast cancer patient-derived xenografts (EORTC-NCI-AACR 2024)
Adding the CDK4/6 inhibitor palbociclib enhanced the antitumor activity of EP0062 or fulvestrant in ESR1-mutant models but not in HER2-enriched or PTEN-mutant PDX models...EP0062 triggers an E2F1 downmodulation which mediates a potent antiproliferative activity. For EP0062-resistant tumors that remain ER-driven, the addition of palbociclib displays a potent antitumor effect.
Clinical
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PIK3CA (Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) • PTEN (Phosphatase and tensin homolog) • AR (Androgen receptor) • FOXA1 (Forkhead Box A1) • HDAC2 (Histone deacetylase 2) • GATA3 (GATA binding protein 3) • E2F1 (E2F transcription factor 1)
|
ER positive • PIK3CA mutation • PTEN mutation • ESR1 mutation • AR expression • ER expression • GATA3 mutation
|
MSK-IMPACT
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Ibrance (palbociclib) • fulvestrant • vosilasarm (EP0062) • Undisclosed CDK4/6 inhibitor
2ms
Trial completion date
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 positive • HER-2 negative • PGR positive
|
letrozole • anastrozole • exemestane • Soltamox (tamoxifen citrate)
3ms
Selective Estrogen Receptor Modulators' (SERMs) Influence on TET3 Expression in Breast Cancer Cell Lines with Distinct Biological Subtypes. (PubMed, Int J Mol Sci)
These findings underscore the influence of tamoxifen derivatives on DNA methylation patterns, particularly through modulating TET3 expression, which appears to be contingent on the presence of estrogen receptors. This study highlights the potential of targeting epigenetic modifications for personalized anti-cancer therapy, offering a novel avenue to improve treatment outcomes.
Preclinical • Journal
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TET3 (Tet Methylcytosine Dioxygenase 3)
3ms
New trial
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tamoxifen
3ms
ERASE: Estetrol/Drospirenone to Reduce the Average Size of Endometriomas (clinicaltrials.gov)
P4, N=21, Not yet recruiting, McGill University Health Centre/Research Institute of the McGill University Health Centre | Trial primary completion date: Jul 2026 --> Oct 2026
Trial primary completion date
4ms
Umbrella Trial Testing Integrative Subtype Targeted Therapeutics in Estrogen Receptor Positive, HER2-Negative Breast Cancer (clinicaltrials.gov)
P2, N=19, Active, not recruiting, Stanford University | Recruiting --> Active, not recruiting | N=150 --> 19
Enrollment closed • Enrollment change
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
Piqray (alpelisib) • fulvestrant • zotatifin (eFT226) • Soltamox (tamoxifen citrate)
5ms
Trial initiation date
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Soltamox (tamoxifen citrate)
6ms
ERASE: Estetrol/Drospirenone to Reduce the Average Size of Endometriomas (clinicaltrials.gov)
P4, N=21, Not yet recruiting, McGill University Health Centre/Research Institute of the McGill University Health Centre | Trial completion date: Aug 2026 --> Dec 2026 | Trial primary completion date: Feb 2026 --> Jul 2026
Trial completion date • Trial primary completion date
6ms
Antitumor effects of co-treatment of resveratrol with antitumor drugs in ER- and HER2-positive breast cancer cells are due to induction of apoptosis and modulation of estrogen receptor expression. (PubMed, Breast Cancer)
Resveratrol increasead the in vitro cytotoxic effect of conventional therapy in breast cancer cells. However, it was necessary to block resveratrol-induced autophagy to improve the therapeutic response.
Journal • PARP Biomarker • IO biomarker
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HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • BCL2 (B-cell CLL/lymphoma 2) • BCL2L1 (BCL2-like 1) • SQSTM1 (Sequestosome 1) • CASP7 (Caspase 7)
|
Herceptin (trastuzumab) • tamoxifen
6ms
Journal
|
ER (Estrogen receptor)
6ms
The Effects of Short-term Preoperative Treatment With Hormonal Therapy on Gene Profiles in Breast Cancer (clinicaltrials.gov)
P2, N=30, Completed, Johns Hopkins University | Active, not recruiting --> Completed
Trial completion
|
ER (Estrogen receptor) • PGR (Progesterone receptor)
|
ER positive • PGR positive
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letrozole • exemestane • Soltamox (tamoxifen citrate)
8ms
New P2 trial
|
HER-2 (Human epidermal growth factor receptor 2)
|
HER-2 positive
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docetaxel • Perjeta (pertuzumab) • Kadcyla (ado-trastuzumab emtansine) • letrozole • goserelin acetate • Soltamox (tamoxifen citrate)
8ms
Exploration and biological evaluation of 20-vinyl pregnenes: A step forward toward selective modulators of the estrogen receptor α signaling for breast cancer treatment. (PubMed, Arch Pharm (Weinheim))
The lead compound was found to have a significant effect on the signaling pathways in parental and 4-hydroxytamoxifen-resistant cells...Accumulation of cleaved poly(ADP-ribose) polymerase in cells treated with compound 2f indicated induction of apoptosis. The selectivity analysis showed that lead compound 2f produces no significant effects on cytochromes P450, CYP19A1, CYP21A2, and CYP7B1.
Journal
|
ER (Estrogen receptor) • PGR (Progesterone receptor) • CCND1 (Cyclin D1) • CDK4 (Cyclin-dependent kinase 4) • CYP1A2 (Cytochrome P450, family 1, subfamily A, polypeptide 2)
|
PGR expression
|
tamoxifen
8ms
New P1 trial
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Soltamox (tamoxifen citrate)
8ms
New P4 trial
8ms
Development of a prognostic model for lung adenocarcinoma polarity-related genes and analysis of immune landscape. (PubMed, Biotechnol Appl Biochem)
XAV-939, Fulvestrant, and SR16157 may have potential value in the clinical use of LUAD. We revealed the potential linkage between PRGs and LUAD prognosis, and the application of these prognostic factors in risk stratification and prognosis prediction of LUAD patients may be of great significance.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden)
|
fulvestrant • SR16157 • XAV-939
9ms
Modulation of Estrogen Receptor Alpha (ERα) and Tumor Suppressor Gene BRCA1 in Breast Cancer Cells by Bazedoxifene Acetate (BZA). (PubMed, Cancers (Basel))
BZA treatment alone led to a tenfold reduction in cellular proliferation compared to estrogen-treated cells, suggesting antiproliferative effects. Understanding BZA's modulation of BRCA1 and ERα, along with their mechanistic interactions, is vital for comprehending its impact on breast cancer tumor suppressors and hormone receptors.
Journal • BRCA Biomarker
|
ER (Estrogen receptor) • BRCA1 (Breast cancer 1, early onset)
9ms
Selective Estrogen Receptor Modulators to Enhance the Efficacy of Viral Reactivation With Histone Deacetylase Inhibitors (clinicaltrials.gov)
P2, N=31, Completed, National Institute of Allergy and Infectious Diseases (NIAID) | Active, not recruiting --> Completed | Trial completion date: Oct 2023 --> Jul 2023
Trial completion • Trial completion date • Epigenetic controller
|
CD4 (CD4 Molecule)
|
tamoxifen • Zolinza (vorinostat)
9ms
Investigation of the potential effects of estrogen receptor modulators on immune checkpoint molecules. (PubMed, Sci Rep)
This study highlights the potential of SERMs as inhibitory ligands for immune checkpoint proteins, emphasizing the importance of considering PD-1 and CTLA-4 inhibition when evaluating SERMs as therapeutic agents. Our findings open new avenues for cancer immunotherapy by exploring the interaction between various SERMs and immune checkpoint pathways.
Journal
|
EGFR (Epidermal growth factor receptor) • IL6R (Interleukin 6 receptor) • CD80 (CD80 Molecule)
11ms
ERASE: Estetrol/Drospirenone to Reduce the Average Size of Endometriomas (clinicaltrials.gov)
P4, N=21, Not yet recruiting, McGill University Health Centre/Research Institute of the McGill University Health Centre | Phase classification: P=N/A --> P4 | Trial completion date: Nov 2025 --> Aug 2026 | Initiation date: Nov 2023 --> Feb 2024 | Trial primary completion date: Nov 2025 --> Feb 2026
Phase classification • Trial completion date • Trial initiation date • Trial primary completion date
12ms
Bazedoxifene -Treatment for Women With Schizophrenia (clinicaltrials.gov)
P4, N=160, Recruiting, The Alfred | Trial completion date: Dec 2023 --> Dec 2025 | Trial primary completion date: Dec 2022 --> Dec 2025
Trial completion date • Trial primary completion date
12ms
Trial completion • Enrollment change
|
raloxifene hydrochloride
1year
Estrogen Attenuates Diethylnitrosamine-Induced Hepatocellular Carcinoma in Female Rats via Modulation of Estrogen Receptor/FASN/CD36/IL-6 Axis. (PubMed, Biol Pharm Bull)
The levels of liver injury serum biomarkers, liver content of interleukin-6 (IL-6), relative liver weight and distortion of liver histological pictures were significantly increased in ovariectomized (OVX) rats and SHAM rats that received DEN alone and were further exaggerated when DEN was combined with fulvestrant (F) compared to non-DEN treated rats...The tapering impact on these parameters was clear in OVX rats that received estradiol benzoate (EB), silymarin (S) or orlistat (ORS)...In addition, ORS induced similar mitigating effect against DEN-induced HCC which could be attributed to FASN inhibition and anti-inflammatory effect. Furthermore, S alleviated DEN-induced HCC, independent of its estrogenic effect.
Preclinical • Journal
|
ER (Estrogen receptor) • IL6 (Interleukin 6) • CD36 (thrombospondin receptor) • FAS (Fas cell surface death receptor) • FASN (Fatty acid synthase)
|
fulvestrant
1year
ETHAN - ET for Male BC (clinicaltrials.gov)
P2, N=60, Recruiting, Jose Pablo Leone | Not yet recruiting --> Recruiting
Enrollment open
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
ER positive • HR positive • HER-2 negative • HR positive + HER-2 negative
|
Verzenio (abemaciclib) • anastrozole • Firmagon (degarelix) • Soltamox (tamoxifen citrate)
over1year
Endogenous estrogen receptor modulating oxysterols and breast cancer prognosis: Results from the MARIE patient cohort. (PubMed, Br J Cancer)
Associations between 27-HC and breast cancer prognosis varied by circulating estradiol levels and endocrine therapy. Less consistent results were observed for 25-HC.
Journal
over1year
Trial completion date
|
HER-2 (Human epidermal growth factor receptor 2) • PGR (Progesterone receptor)
|
HER-2 positive • HER-2 negative • PGR positive
|
letrozole • anastrozole • exemestane • Soltamox (tamoxifen citrate)
over1year
Suppression of breast cancer: modulation of estrogen receptor and downregulation of gene expression using natural products. (PubMed, Nat Prod Res)
Tamoxifen, a popular selective estrogen receptor modulator, can treat breast cancer but also has unfavourable side effects due to its estrogenic activity in other tissues...Moreover, several of these compounds speed up cell death by supressing estrogen receptor gene expression. This opens wide avenue to introduce number of natural medicines with a revolutionary therapeutic impact and few side effects.
Review • Journal
|
ER (Estrogen receptor)
|
ER positive • ER expression
|
tamoxifen
over1year
Urolithin A: A promising selective estrogen receptor modulator and 27-hydroxycholesterol attenuator in breast cancer. (PubMed, Phytother Res)
UA is safe to consume and is very well tolerated. This study further opens up the potential of UA as ER modulator and its benefits in estrogen-dependent tissues.
Journal
over1year
ETHAN - ET for Male BC (clinicaltrials.gov)
P2, N=60, Not yet recruiting, Jose Pablo Leone | Initiation date: Feb 2023 --> Oct 2023
Trial initiation date
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
ER positive • HR positive • HER-2 negative • HR positive + HER-2 negative
|
Verzenio (abemaciclib) • anastrozole • Firmagon (degarelix) • Soltamox (tamoxifen citrate)
over1year
Treating genitourinary syndrome of menopause in breast cancer survivors: main challenges and promising strategies. (PubMed, Climacteric)
When facing moderate-severe GSM, the options for BCS are limited: local estrogen therapy, considered the 'gold standard' but with concerns about safety; vaginal androgens and prasterone, which seem to trigger an activation of estrogen and androgen receptors of the vaginal epithelium layers, without activating estrogen receptors on other tissues, being potentially safe but still without strong evidence in favor of BCS; vaginal lasers, which appear to improve vascularization of vaginal mucosa by stimulating the remodeling of the underlying connective tissue, but with contradictory results of efficacy in recent randomized clinical trials; and ospemifene, an oral selective estrogen receptor modulator presenting mild vaginal estrogenic potency and anti-estrogenic effect at the endometrial and breast level, but still not recommended for use in BCS in recent North American Menopause Society guidelines...On the other hand, sexuality must be seen as a multifactorial issue, where GSM is only part of the problem; evidence shows that sexual counseling improves the quality of life of BCS. Finally, there is a need to limit the underdiagnosis and undertreatment of GSM in BCS; the primary goal of physicians treating BCS regarding this issue has to be the provision of information of what to expect regarding genital and sexual symptoms to BCS and to counsel on early first-line treatments that may help prevent more severe GSM.
Clinical • Journal
|
AR (Androgen receptor)
over1year
Enrollment open
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
ER positive • HER-2 negative
|
Piqray (alpelisib) • fulvestrant • zotatifin (eFT226) • Soltamox (tamoxifen citrate)
over1year
Enrollment change
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
ER positive • HER-2 negative
|
Piqray (alpelisib) • fulvestrant • zotatifin (eFT226) • Soltamox (tamoxifen citrate)
over1year
(Trial in Progress) A phase 2, open-label, randomized multicenter trial to evaluate neoadjuvant lasofoxifene in molecularly-selected HR+/HER2− Clinical Stage 2/3 breast cancer (SG-BCC 2023)
Subjects will be followed yearly for 10 years post-surgery for recurrence free survival and overall survival. Initial results are expected 2024. Conclusion(s): This trial will assess the potential feasibility of lasofoxifene as NET among women with HR+, HER2-, locally advanced breast cancer.
P2 data • Clinical
|
HER-2 (Human epidermal growth factor receptor 2)
|
HR positive • HER-2 negative
|
MammaPrint
|
Fablyn (lasofoxifene)
over1year
Trial completion date • Enrollment change
|
HER-2 (Human epidermal growth factor receptor 2) • ER (Estrogen receptor) • PGR (Progesterone receptor)
|
HER-2 negative
|
Oncotype DX Breast Recurrence Score®Test
|
letrozole • anastrozole • exemestane • Soltamox (tamoxifen citrate)
over1year
Ormeloxifene, a selective estrogen receptor modulator, protects against pulmonary hypertension. (PubMed, Eur J Pharmacol)
This study demonstrates that ormeloxifene promoted pulmonary 17β-estradiol synthesis, alleviated inflammation, improved the NOX4/HO1/Nrf/PPARγ/PGC-1α axis, and attenuated pulmonary hypertension. It is evidently safe at tested concentrations and may be effectively repurposed for pulmonary hypertension treatment.
Journal
|
PPARG (Peroxisome Proliferator Activated Receptor Gamma) • NOX4 (NADPH Oxidase 4)
over1year
Oophorectomy in Premenopausal Patients with Estrogen Receptor-Positive Breast Cancer: New Insights into Long-Term Effects. (PubMed, Curr Oncol)
Since the introduction of tamoxifen for adjuvant endocrine therapy in women with non-metastatic ER+ breast cancer, subsequent trials have demonstrated an oncologic benefit with the addition of ovarian function suppression (OFS) to adjuvant endocrine therapy...The long-term sequelae of bilateral oophorectomy include cardiovascular and bone density morbidity along with sexual dysfunction, negatively impacting overall quality of life. As gynecologists are the providers consulted to perform bilateral oophorectomies in this population, careful consideration of each patient's oncologic prognosis, cardiovascular risk, and psychosocial factors should be included in the preoperative assessment to assist in shared decision-making and prevent the lifelong adverse effects that may result from overtreatment.
Review • Journal
|
ER (Estrogen receptor)
|
ER positive
|
tamoxifen
almost2years
Newly-identified phytocannabinoid with a unique structure, modulate estrogen receptor activity in a preclinical model of breast cancer (ACS-Sp 2023)
In an in-vivo mice model, treatment with CANN14 and low doses of tamoxifen reduced tumor volumes and weights. Treatment with 373.15b by itself reduced tumor volumes and weights, but the effect was more profound when combined with tamoxifen.
Preclinical
|
ER (Estrogen receptor) • AKT1 (V-akt murine thymoma viral oncogene homolog 1) • RASSF1 (Ras Association Domain Family Member 1)
|
ER positive • ER expression
|
tamoxifen
almost2years
Estrogen receptor targeting with genistein radiolabeled Technetium-99 as radiotracer of breast cancer: Its optimization, characterization, and predicting stability constants by DFT calculation. (PubMed, Heliyon)
The stability of the Tc(IV)-genistein complex was confirmed by DFT calculations at a value of 99.0822. As a result, [Tc]Tc-genistein could be a potential radiotracer kit for SPECT imaging of breast cancer.
Journal
|
ER (Estrogen receptor)