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IEV407

Phase 1

Advanced HR+/HER2- Breast Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Jun 5, 2026

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment194
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07604571Study of IEV407 as Single Agent or in Combination in Patients With Advanced HR+/HER2- Breast CancerPHASE1 RECRUITING 194May 28, 2026Jun 8, 2032Jun 5, 20262 United States, Singapore
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Study Endpoints
Primary Endpoints
Incidence and severity of dose-limiting toxicities (DLTs)
28 days

Number of participants with DLTs. A DLT is defined as an adverse event or abnormal laboratory value of Common Terminology Criteria for Adverse Events (CTCAE) grade 3 or higher, including death, unless clearly and incontrovertibly assessed as due to disease, disease progression, inter-current illness/injury, concomitant medications, or extraneous causes, that occurs within the first 28 days of treatment with IEV407 in the dose escalation parts or in the expansion part of IEV407 in combination with fulvestrant with the exceptions described in the study protocol.

Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to approximately 2 years

Number of participants with AEs and SAEs, including changes in laboratory values, vital signs and echocardiograms (ECGs) qualifying and reported as AEs.

Frequency of dose interruptions, reductions and discontinuations
Up to approximately 2 years

Number of participants with dose adjustments (interruptions, reductions, or permanent discontinuation) as a measure of tolerability.

Dose intensity
Up to approximately 2 years

Dose intensity defined as the ratio of actual cumulative dose received and actual duration of exposure.

Secondary Endpoints
Best Overall Response (BOR)
Up to approximately 2 years
Overall Response Rate (ORR)
Up to approximately 2 years
Disease Control Rate (DCR)
Up to approximately 2 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Dose escalation: IEV407 single agentEXPERIMENTALIEV407 single agent
Dose escalation: IEV407 + fulvestrantEXPERIMENTALIEV407 in combination with fulvestrant
Dose escalation: IEV407 + letrozoleEXPERIMENTALIEV407 in combination with letrozole
Dose expansion, recommended dose (RD)-1: IEV407 + fulvestrantEXPERIMENTALIEV407 in combination with fulvestrant
Dose expansion, RD-2 (optional dose optimization): IEV407 + fulvestrantEXPERIMENTALIEV407 in combination with fulvestrant
Interventions
NameTypeDescription
IEV407DRUGOral administration
FulvestrantDRUGIntramuscular injection. Approved medication.
LetrozoleDRUGOral administration. Approved medication.
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Eligibility Criteria
Age Range18 Years — 100 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Age ≥ 18 years old * Patients with one of the following indications: * Dose escalation (IEV407 single agent and in combination with fulvestrant or letrozole): HR+/HER2- aBC with disease progression on or following, or have been intolerant to, at least one line of endocrine...

Countries:United StatesSingapore
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Competitive Landscape -Breast Cancer 408 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib, Trastuzumab Deruxtecan, Paclitaxel, Trastuzumab
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy, Imlunestrant, Tamoxifen, Anastrozole
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1, Capecitabine, Paclitaxel, Nab-paclitaxel
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib, Alpelisib, Fulvestrant, Trastuzumab, Pertuzumab
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant, PF-07220060, letrozole, abemaciclib
BeOne Medicines Ltd. Sponsored ADRONC6PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib, Arm A: Gedatolisib + Palbociclib + Fulvestrant
Relay Therapeutics, Inc.RLAY2PHASE3RLY-2608, Capivasertib, Fulvestrant, Palbociclib, Ribociclib
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX2PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib, Pembrolizumab, Axatilimab
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam, Alisertib, Endocrine therapy
Immutep Ltd Sponsored ADRIMMP1PHASE2eftilagimod alpha, Paclitaxel
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Recent Changes (Last 90 Days)
LOWJun 5, 2026NCT07604571lastUpdatePostDate: changed
LOWJun 5, 2026NCT07604571lastUpdatePostDate: changed
LOWJun 5, 2026NCT07604571lastUpdatePostDate: changed
LOWJun 5, 2026NCT07604571lastUpdatePostDate: changed
LOWJun 2, 2026NCT07604571startDate: changed
LOWJun 2, 2026NCT07604571startDate: changed
LOWJun 2, 2026NCT07604571startDate: changed
LOWMay 28, 2026NCT07604571Status: NOT_YET_RECRUITING → RECRUITING
LOWMay 28, 2026NCT07604571Status: NOT_YET_RECRUITING → RECRUITING