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Tamoxifen

Phase 4FDA approved

Breast Cancer | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Oct 19, 2020

Tamoxifen development status

FDA approval on record Oct 29, 1998 as Nolvadex
Approval holderAstrazeneca
ApplicationNDA017970
Highest phase Phase 4 (NCT00537771)
Phase scored for AZNPhase 3
Registered trials 65 across 33 sponsors since Apr 2002

Tamoxifen target and mechanism

Molecular targetESR1
Target classModulator
ModalitySmall molecule
ChEMBLCHEMBL83

Also known as Tamoxifen (Nolvadex), NOLVADEX

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDBiomarker
Total Trials4
Total Enrollment6,154

FDA Designations

No designations recorded

Tamoxifen clinical trials

Tamoxifen · 4 trials · 2 indications

Phase 3 3Phase 2 1
NCT00309491Randomized Study Comparing Tamoxifen vs. Tamoxifen + Aminoglutethimide in Postmenopausal Receptor-positive PatientsEarly-stage Breast Cancer
COMPLETED2,021 Analytics
NCT00605267Arimidex/Tamoxifen Neo Adjuvant Study in Premenopausal Patients With Breast Cancer Under Anti Hormonal TreatmentBreast Cancer
COMPLETED197 Analytics
NCT00291759ABCSG 8 - Adjuvant Treatment in Patients With Hormone Receptor-positive Breast Cancer With Good to Moderate Differentiation.Breast Cancer
COMPLETED3,858 Analytics
PHASE3COMPLETED
Randomized Study Comparing Tamoxifen vs. Tamoxifen + Aminoglutethimide in Postmenopausal Receptor-positive Patients
Early-stage Breast CancerUnlock trial analytics
PHASE3COMPLETED
Arimidex/Tamoxifen Neo Adjuvant Study in Premenopausal Patients With Breast Cancer Under Anti Hormonal Treatment
Breast CancerUnlock trial analytics
PHASE3COMPLETED
ABCSG 8 - Adjuvant Treatment in Patients With Hormone Receptor-positive Breast Cancer With Good to Moderate Differentiation.
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall survival
Best Overall Response Rate (BORR) (Calliper)
24 weeks

The BORR were defined as the percentage of patients with confirmed CR or PR in the ITT population during 24 weeks pre-operative treatment period (based on the data from calliper measurement). CR (or PR) criteria are met at 2 or more time in points every 4 weeks. Per RECIST Criteria (V1.0) and assessed by Calliper: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>= 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Best Overall Response Rate (BORR) (US)
24 weeks

The BORR were defined as the percentage of patients with confirmed CR or PR in the ITT population during 24 weeks pre-operative treatment period (based on the data from ultra sound (US) measurement). CR (or PR) criteria are met at 2 or more time in points every 4 weeks. Per RECIST Criteria (V1.0) and assessed by US: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>= 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Best Overall Response Rate (BORR) (MRI/CT)
24 weeks

The BORR were defined as the percentage of patients with confirmed CR or PR in the ITT population during 24 weeks pre-operative treatment period(based on the data from magnetic resonance imaging (MRI) or computed tomography (CT) measurement). CR (or PR) criteria are met at either 12 weeks or 24 weeks. Per RECIST Criteria (V1.0) and assessed by MRI or CT: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>= 30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

To assess the difference in event free survival and overall survival (subject to stand-alone or combined/meta-analysis) between postmenopausal women with HR +ve early BC who switched from tamoxifen to anastrozole and those who continued on tamoxifen.
Breast Density

Secondary Endpoints

Recurrence-free survival
Side-effect profiles
Bone Mineral Density (BMD) Lumbar Spine
Assessed at baseline and after 24 weeks of treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group IEXPERIMENTALTamoxifen alone
Group IIEXPERIMENTALTamoxifen + Aminoglutethimide
1ACTIVE_COMPARATORTamoxifen
2EXPERIMENTALAnastrazole (Arimidex)

Interventions

NameTypeDescription
Tamoxifen aloneDRUG2 x 20 mg tamoxifen daily, start of therapy within 4 weeks after surgery; therapy duration 5 years
Tamoxifen + AminoglutethimideDRUG2 x 20 mg tamoxifen daily (5 years) plus Aminoglutethimide daily (first 2 years) * 1st therapy week:125mg/-/125mg Aminoglutethimide daily * 2nd therapy week: 125mg/-/250mg Aminoglutethimid daily * as of 3rd therapy week: 250mg/-/250mg Aminoglutethimid daily
TamoxifenDRUG20 mg once daily oral dose
Anastrazole (Arimidex)DRUG1 mg once daily oral dose
Goserelin acetate (Zoladex)DRUG3.6mg/month depot injection
AnastrozoleDRUG -
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Eligibility Criteria

Age Range50 Years to 80 Years
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * Postmenopausal patients with histologically verified, locoradically treated, invasive or minimally invasive breast cancer * Hormone receptor-positive status * More than 6 histologically examined lymph nodes * Laboratory parameters 1. hematopoiesis: \> 3500/µl leucocytes, \>...

Countries:JapanAustriaUnited StatesItaly
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Competitive Landscape -Breast Cancer 611 trials

Frequently asked questions about Tamoxifen

What is Tamoxifen used for?

Tamoxifen is used for the treatment of breast cancer, including early-stage breast cancer. It is an oncology therapy studied in hormone receptor-positive disease, and the clinical program includes biomarker-selected patients. Trials have enrolled premenopausal and postmenopausal women with breast cancer.

What does Tamoxifen target?

Tamoxifen targets ESR1, the estrogen receptor alpha gene. It is classified as a modulator, meaning it acts on estrogen receptor signaling. This target class underlies its use in hormone receptor-positive breast cancer, where the trials enrolled receptor-positive and biomarker-selected patients.

Who makes Tamoxifen?

Tamoxifen is developed by AstraZeneca PLC, which trades under the ticker AZN. The company is the sponsor associated with the drug's clinical development program in breast cancer.

What phase is Tamoxifen in?

Tamoxifen is in Phase 3 clinical development for breast cancer and early-stage breast cancer. The program includes completed Phase 3 and Phase 2 trials, with no active trials currently listed. It is an investigational small molecule in this development dataset.

What clinical trials is Tamoxifen in?

Tamoxifen has been studied in completed trials including NCT00605267, a Phase 3 neoadjuvant study in premenopausal breast cancer patients in Japan; NCT00309491, a Phase 3 comparison of Tamoxifen versus Tamoxifen plus aminoglutethimide in postmenopausal receptor-positive patients; NCT00295100, a Phase 2 MRI study; and NCT00291759, the Phase 3 ABCSG 8 adjuvant trial in Austria.

Is Tamoxifen the same as Nolvadex?

Tamoxifen is also known as Nolvadex. The alternative names associated with this asset include Tamoxifen (Nolvadex) and the combination regimens Tamoxifen + Aminoglutethimide and Tamoxifen+ Aminoglutethimide, which pair Tamoxifen with aminoglutethimide in studied treatment combinations.