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Onapristone

Phase 2

Refractory Endometrial Adenocarcinoma | Small molecule | Oncology |Context Therapeutics Inc.|Last Updated: Jan 8, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment14
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04719273Onapristone and Anastrozole for the Treatment of Refractory Hormone Receptor Positive Endometrial CancerPHASE2 ACTIVE NOT_RECRUITING 14Jan 28, 2021Dec 31, 2025Jan 8, 20252 United States
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Study Endpoints
Primary Endpoints
Objective response rate (ORR)
Up to 1 year post-treatment

Defined by the percentage of patients with tumor response (complete response \[CR\] or partial response \[PR\]) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.

Progression-Free Survival (PFS)
At 4 months

4 month PFS is defined as a binary endpoint, from first dose of onapristone and anastrozole to 4 months of therapy as "confirmed progression-free" or "not progression-free" (including cancer progression or censored subjects). Will use the date of first documented disease progression or recurrence, as assessed by using RECIST 1.1 criteria, or death due to any cause, whichever occurs first.

Secondary Endpoints
Disease Control Rate
Up to 1 year post-treatment
Time to Response
From randomization to first documented response (CR or PR) in months, assessed up to 1 year post-treatment
Duration of Response
From the first date of documented response to progression or death due to endometrial cancer, assessed up to 1 year post-treatment
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (onapristone, anastrozole)EXPERIMENTALPatients receive onapristone PO BID and anastrozole PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles (24 months) until November 30, 2023 or in the absence of disease progression or unacceptable toxicity.
Interventions
NameTypeDescription
Extended-release OnapristoneDRUGGiven PO
AnastrozoleDRUGGiven PO
Quality-of-Life AssessmentOTHERAncillary studies
Questionnaire AdministrationOTHERAncillary studies
Estrogen Receptor Positive (Positive Estrogen Receptor; ESR Positive; ESR1 Positive; ER Positive; Estrogen Receptor Alpha Positive)DIAGNOSTIC_TESTImmunohistochemistry (IHC):Integral : Tissue
Progesterone Receptor Positive ( PGR Positive; PR Positive)DIAGNOSTIC_TESTImmunohistochemistry (IHC)
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Eligibility Criteria
Age Range18 Years — N/A
SexFEMALE
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Age greater than or equal to 18 years old * Histologically confirmed diagnosis of endometrial cancer with ER and/or PR expression \>= 1% by IHC on archival tissue taken within the prior 3 years or new biopsy if no archival tissue is available. IHC results do not have to be fro...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04719273primaryCompletionDate: changed
LOWMay 24, 2026NCT04719273studyFirstPostDate: changed