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Arimidex

Phase 4FDA approved 2008

Breast Cancer | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Nov 18, 2021

Arimidex development status

FDA approval Dec 5, 2008
Approval holderAstrazeneca
ApplicationNDA022214
Highest phase Phase 4 (NCT00323479)
Phase scored for AZNPhase 3
Registered trials 102 across 40 sponsors since Jan 2003

Arimidex target and mechanism

ModalitySmall molecule

Also known as Arimidex tablet, ARIMIDEX (anastrazole), Anastrozole, ZD1033, Anastrazole (Arimidex), Anastrozole (Arimidex), Anastrazole, Anastozole (Arimidex)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials17
Total Enrollment17,049

FDA Designations

No designations recorded

Arimidex clinical trials

Arimidex · 17 trials · 6 indications

Phase 3 9Phase 2 8
NCT00295620Secondary Adjuvant Long Term Study With ArimidexBreast Cancer
COMPLETED3,484 Analytics
NCT00637182Gynecomastia Extension StudyGynecomastia
COMPLETED- Analytics
NCT00232661PROACT - Pre-Operative Arimidex Compared To TamoxifenBreast Cancer
COMPLETED452 Analytics
NCT00784862ATAC - Pharmacokinetics (PK) Sub-ProtocolBreast Cancer
COMPLETED9,358 Analytics
NCT00784940ATAC - Bone Density Sub-ProtocolBone Density
COMPLETED308 Analytics
NCT00784680ATAC - Quality of Life Sub-ProtocolQuality of Life
COMPLETED308 Analytics
NCT00286117ITA - Clinical Study Comparing ARIMIDEX™ With NOLVADEX™ in Women With Breast Cancer Treated With NOLVADEX for at Least 2 YearsBreast Cancer
COMPLETED448 Analytics
NCT00814125ATAC - Endometrial Sub-ProtocolBreast Cancer
COMPLETED285 Analytics
NCT003005083 Years of Anastrozole vs. no Treatment as Extended Adjuvant Therapy for Postmenopausal Women With Breast CancerBreast Neoplasms
COMPLETED856 Analytics
PHASE3COMPLETED
Secondary Adjuvant Long Term Study With Arimidex
Breast CancerUnlock trial analytics
PHASE3COMPLETED
Gynecomastia Extension Study
GynecomastiaUnlock trial analytics
PHASE3COMPLETED
PROACT - Pre-Operative Arimidex Compared To Tamoxifen
Breast CancerUnlock trial analytics
PHASE3COMPLETED
ATAC - Pharmacokinetics (PK) Sub-Protocol
Breast CancerUnlock trial analytics
PHASE3COMPLETED
ATAC - Bone Density Sub-Protocol
Bone DensityUnlock trial analytics
PHASE3COMPLETED
ATAC - Quality of Life Sub-Protocol
Quality of LifeUnlock trial analytics
PHASE3COMPLETED
ITA - Clinical Study Comparing ARIMIDEX™ With NOLVADEX™ in Women With Breast Cancer Treated With NOLVADEX for at Least 2 Years
Breast CancerUnlock trial analytics
PHASE3COMPLETED
ATAC - Endometrial Sub-Protocol
Breast CancerUnlock trial analytics
PHASE3COMPLETED
3 Years of Anastrozole vs. no Treatment as Extended Adjuvant Therapy for Postmenopausal Women With Breast Cancer
Breast NeoplasmsUnlock trial analytics

Study Endpoints

Primary Endpoints

Disease-free Survival After Prolonged Endocrine Treatment
DFS was defined as the time from two years after randomization to the earliest occurrence of loco-regional recurrence, distant recurrence, contralateral new breast cancer, second cancer or death from any cause, assessed up to a maximum of 8.5 years

To determine whether 5 years of additional Anastrozole was more effective than 2 years of additional Anastrozole after 5 years of adjuvant endocrine therapy in terms of disease-free survival.

Change in linear dimensions of the breast
Objective tumour response
Assessed at 3 months
Steady state plasma trough concentrations of tamoxifen, desmethyltamoxifen and anastrozole
24±4 hours after previous dose
Time to withdrawal
Time to recurrence
The primary objective of this analysis was to assess the difference in disease-free survival between post-menopausal women with hormone receptor-positive early breast cancer who switched from tamoxifen to anastrozole and those who continued on tamoxifen
Withdrawl
Death
Recurrence-free and overall survival
Progression Free Survival (PFS), the Length of Time, in Months, That Patients Were Alive From Their First Date of Protocol Treatment Until Worsening of Their Disease
18 months

Progression Free Survival (PFS) is defined as the interval, in months, from the date of first treatment to the date of disease progression or death, whichever occurred first.

Change in Ki-67 Levels From Baseline (Pre) to Day 28 (Post) Biopsy Samples
baseline (pre) to day 28 (post)

The primary endpoint is change in Ki-67 levels from baseline (pre) to day 28 (post) biopsy samples. Ki-67 levels were log-transformed to achieve approximately normally distributed data. The differences in these log-transformed values between post vs. pre biopsy samples were calculated. This difference represents the log of the ratio of post vs. pre Ki-67 levels in the original scale.

Assess anastrazole PK in boys aged 11-18 yrs. in pubertal boys with gynecomastia of less than 12 months duration
To determine and compare changes in proliferation marker at 16 weeks in the treatment groups
The efficacy of study treatment will be assessed based on the change from baseline measurements relating to vaginal bleeding, bone age, and growth velocity
12 months or until the subject demonstrates the lack of efficacy bases upon progression of primary endpoints or experiences serious drug-related toxicity requiring withdrawal
Determine the feasibility and efficacy of the combination of these 2 drugs in these patients
Objective Response Rate (ORR)
3 months

ORR was determined as the sum of the Complete Response (CR) rate + Partial Response (PR) rates. * CR = Complete disappearance of all clinically- or pathologically-detectable malignant disease for at least 4 weeks. * PR = ≥ 50% decrease in tumor size for at least 4 weeks, without any new lesion or any ≥ 25% increase in size of any lesion. All measurements by ruler or calipers.

To assess the difference in disease-free survival between post-menopausal women with hormone receptor-positive early breast cancer who switched from tamoxifen to anastrozole and those who continued to receive tamoxifen

Secondary Endpoints

Overall Survival After Prolonged Endocrine Treatment
Overall survival was defined as the time from two years after randomization to death due to any cause, assessed up to a maximum of 8.5 years
Time to First Clinical Fracture
Time to first clinical fracture was defined as time to first clinical fracture, in the period from 2 years until 5 years after randomization for each patient.
Time to Secondary Carcinoma
Risk of secondary carcinoma was defined as the time from two years after randomization to first occurrence of new secondary cancer without new breast cancer (local or contralateral), assessed up to a maximum of 8.5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: AnastrozolEXPERIMENTAL1 mg per day for 2 years
Arm B: AnastrozolEXPERIMENTAL1 mg per day for 5 years
1ACTIVE_COMPARATORArimidex 1mg + Nolvadex placebo
2ACTIVE_COMPARATORArimidex placebo + Nolvadex 20mg
3ACTIVE_COMPARATORArimidex 1mg + Nolvadex 20mg
Bevacizumab/anastrozoleEXPERIMENTALBevacizumab 10mg/kg IV every 2 weeks \[patients who are also receiving trastuzumab have the option to receive their bevacizumab at 15 mg/kg every 3 weeks instead of 10 mg/kg every 2 weeks (see Trastuzumab section below)\] and anastrozole (1 mg orally daily). Treatment will be given in 4-week cycles.
Bevacizumab/fulvestrantEXPERIMENTALBevacizumab/fulvestrant (with trastuzumab in HER2+ patients). Bevacizumab 10mg/kg IV every 2 weeks \[patients who are also receiving trastuzumab have the option to receive their bevacizumab at 15 mg/kg every 3 weeks instead of 10 mg/kg every 2 weeks (see Trastuzumab section below)\] fulvestrant (500 mg IM on Day 1 of Cycle 1, followed by 250 mg IM of fulvestrant on Day 15 of Cycle 1. On Day 1 of Cycle 2 and the first day of all subsequent cycles thereafter, patients in this treatment arm will receive 250 mg IM of fulvestrant). Treatment will be given in 4-week cycles.
ARM A / Arimidex with FaslodexACTIVE_COMPARATORArimidex with Faslodex in postmenopausal women
ARM B Arimidex without FaslodexACTIVE_COMPARATORArimidex without Faslodex in postmenopausal women.
Anastrozole + GoserelinEXPERIMENTALParticipants received goserelin 3.6 mg subcutaneously monthly. Beginning on Day 22 after the first dose of goserelin, participants began taking anastrozole 1 mg orally daily. No dose attenuation or escalation was allowed for either goserelin or anastrozole.

Interventions

NameTypeDescription
AnastrozoleDRUG1mg tablet daily
ARIMIDEX (anastrazole)DRUG -
NOLVADEX (tamoxifen)DRUG -
TamoxifenDRUG20mg, orally, once daily
Anastrozole (Arimidex)DRUG1mg, orally, once daily
Tamoxifen (Nolvadex)DRUG20mg, orally, once daily
Nolvadex placeboDRUG -
Arimidex placeboDRUG -
BevacizumabDRUGBevacizumab 10mg/kg IV every 2 weeks
FulvestrantDRUGfulvestrant (500 mg IM on Day 1 of Cycle 1, followed by 250 mg IM of fulvestrant on Day 15 of Cycle 1. On Day 1 of Cycle 2 and the first day of all subsequent cycles thereafter, patients in this treatment arm will receive 250 mg IM of fulvestrant).
ArimidexDRUGAromatase inhibitors
FaslodexDRUGHormone Receptor
Anastrozole (ARIMIDEX™)DRUG -
AnastrazoleDRUG -
GefitinibDRUG -
Arimidex 1 mgDRUGArimidex (anastrozole) 1mg once daily by mouth
Anastrozole and goserelinDRUG -
Goserelin (Zoladex)DRUGGoserelin is a palliative treatment of advanced breast cancer in pre- and perimenopausal women
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Eligibility Criteria

Age Range18 Years to 80 Years
SexFEMALE
Healthy VolunteersNo
Study Sites60

Inclusion criteria: 1. Postmenopausal patients with histologically confirmed, local radically treated invasive or minimal-invasiv Mammacarcinom with or without previous chemotherapie and/or radiotherapie. 2. No distant metastasis at randomization 3. No relapse at randomization 4. TNM- classificatio...

Countries:AustriaUnited StatesBelgiumBrazilCanadaCzechiaFranceHungaryItalyJapanNetherlandsPortugalSpainSwedenUnited KingdomGermany
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Competitive Landscape -Breast Cancer 609 trials

Frequently asked questions about Arimidex

What is Arimidex?

Arimidex is a small molecule medicine developed by AstraZeneca PLC (ticker AZN) for breast cancer and McCune-Albright Syndrome. It is an oral tablet, including a 1 mg dose form. Arimidex has been studied in Phase 2 and Phase 3 clinical trials, including active-controlled and double-blind studies.

What is Arimidex used for in breast cancer?

Arimidex is used for breast cancer, including hormone receptor positive disease in postmenopausal women. It has been studied both alone and with Faslodex in HR positive breast cancer, and compared with tamoxifen in the pre-operative setting. Arimidex is also studied in McCune-Albright Syndrome.

Who makes Arimidex?

Arimidex is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is the company behind the Arimidex clinical development program in breast cancer and McCune-Albright Syndrome.

What phase is Arimidex in?

Arimidex has been studied in Phase 3 clinical development, with Phase 3 and Phase 2 trials completed. The Phase 3 PROACT trial compared pre-operative Arimidex with tamoxifen. Arimidex is an investigational therapy in the studies described here and is not stated to be approved for these uses.

What clinical trials is Arimidex in?

Arimidex has been evaluated in trials including NCT00570323, which tested Arimidex with or without Faslodex in postmenopausal women with HR positive breast cancer, NCT00232661 (PROACT), which compared pre-operative Arimidex with tamoxifen, and NCT00055302, which studied Arimidex in McCune-Albright Syndrome.

Is Arimidex the same as anastrazole?

Yes, Arimidex is also known as anastrazole, and is marketed in forms such as the Arimidex tablet and Arimidex 1 mg. Searches for Arimidex 1 mg or ARIMIDEX (anastrazole) refer to the same AstraZeneca product.