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ARV-471

Phase 3

Advanced Breast Cancer | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Jun 2, 2026

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Trial Design
RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment624
FDA Designations
No designations recorded
Clinical trial landscape

ARV-471 · 7 trials · 3 indications

Phase 3 1Phase 1 6
NCT05654623A Study to Learn About a New Medicine Called Vepdegestrant (ARV-471, PF-07850327) in People Who Have Advanced Metastatic Breast CancerAdvanced Breast Cancer
ACTIVE NOT_RECRUITING624 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Learn About a New Medicine Called Vepdegestrant (ARV-471, PF-07850327) in People Who Have Advanced Metastatic Breast Cancer
Advanced Breast CancerUnlock trial analytics
Study Endpoints
Primary Endpoints
Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) Assessment Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1- All Randomized Participants
From date of randomization to date of first documentation of objective PD or death (any cause) or censoring date, whichever occurred first (up to 18.56 months and 19.38 months of treatment exposure for vepdegestrant and fulvestrant arms respectively)

PFS assessed by BICR was defined as the time from the date of randomization to the date of the first documentation of objective progression of disease (PD) per RECIST v1.1, or death due to any cause, whichever occurred first. PD as per RECIST v1.1 was defined as at least a 20% increase in the sum of diameters of target measurable lesions above nadir (smallest sum observed considering baseline and all assessments prior to the timepoint under evaluation), with a minimum absolute increase of 5 millimeters (mm) relative to nadir or unequivocal progression of existing non-target lesions or the presence of new lesions. PFS was censored on the date of last adequate disease assessment for those who did not have a PFS event, discontinued the study treatment due to withdrawal of consent prior to an event, started a new anticancer therapy prior to an event, had an event after a gap of 2 or more missing disease assessments, or lost to follow-up. Kaplan-Meier method was used.

PFS by BICR Assessment Per RECIST v1.1-Participants With ESR1 Mutation
From date of randomization to date of first documentation of objective PD or death (any cause) or censoring date, whichever occurred first (up to 18.56 months and 19.38 months of treatment exposure for vepdegestrant and fulvestrant arms respectively)

PFS assessed by BICR was defined as the time from the date of randomization to the date of the first documentation of objective PD per RECIST v1.1, or death due to any cause, whichever occurred first. PD as per RECIST v1.1 was defined as at least a 20% increase in the sum of diameters of target measurable lesions above nadir (smallest sum observed considering baseline and all assessments prior to the timepoint under evaluation), with a minimum absolute increase of 5 mm relative to nadir or unequivocal progression of existing non-target lesions or the presence of new lesions. PFS was censored on the date of last adequate disease assessment for those who did not have a PFS event, discontinued the study treatment due to withdrawal of consent prior to an event, started a new anticancer therapy prior to an event, had an event after a gap of 2 or more missing disease assessments, or lost to follow-up. Kaplan-Meier method was used.

Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of ARV-471 and ARV-473 (an epimer of ARV-471)
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Maximum Observed Plasma Concentration (Cmax) of ARV-471 and ARV-473 (an epimer of ARV-471)
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of ARV-471 and ARV-473 (an epimer of ARV-471)
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Time to Reach Maximum Observed Plasma Concentration (Tmax) of ARV-471 and ARV-473 (an epimer of ARV-471)
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Plasma Decay Half-Life (t1/2) of ARV-471 and ARV-473 (an epimer of ARV-471)
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Apparent Oral Clearance (CL/F) of ARV-471
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Apparent Volume of Distribution (Vz/F) of ARV-471
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Renal Clearance (CLr) of ARV-471 and ARV-473 (an epimer of ARV-471)
Day 1 at intervals of 0-6 hours, 6-12 hours, 12-24 hours, and at each subsequent 24-hour interval starting on Day 2 until Day 12 or the discharge day
Cumulative Amount of Drug Recovered Unchanged in Urine (Ae) of ARV-471 and ARV-473 (an epimer of ARV-471) and the Total Amounts Expressed as a Percent of Dose (Ae(%))
Day 1 at intervals of 0-6 hours, 6-12 hours, 12-24 hours, and at each subsequent 24-hour interval starting on Day 2 until Day 12 or the discharge day
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)] of Total Radioactivity
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Maximum Observed Plasma Concentration (Cmax) of Total Radioactivity
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) of Total Radioactivity
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Time to Reach Maximum Observed Plasma Concentration (Tmax) of Total Radioactivity
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Plasma Decay Half-Life (t1/2) of Total Radioactivity
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Apparent Oral Clearance (CL/F) of Total Radioactivity
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Apparent Volume of Distribution (Vz/F) of Total Radioactivity
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Cumulative recovery (%) of radioactivity in urine and feces
Starting on Day 1 to Day 12 or the discharge day
Metabolite identification/profiling in feces, plasma and urine
Day 1 pre-dose, 1, 2, 4, 6, 8, 12, 24, 36, 48, 72, 96, 120, 144, 168, 192, 216, 240, 264 hours post-dose
Phase 1b: Number of Participants With Dose Limiting Toxicities
Cycle 1 (28 days)

Dose Limiting Toxicities rate for ARV-471 in combination with Ribociclib, estimated based on data from DLT-evaluable participants during the DLT observation period (Cycle 1 \[28 days\]).

Phase 2: Percentage of Participants With Objective Response by investigator assessment
Up to approximately 1 year

Objective response (OR) refers to confirmed complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumor (RECIST) version 1.1. as determined by investigator assessment.

Drug Drug Interaction cohort: Area Under the Curve from Time Zero to end of dosing interval Evaluation of ribociclib with and without co-administration of ARV-471
pre-dose Day -1, 1, 8, 15, 29, 43, 57, 113, 169; 1, 2, 4, 6, 8 hours post dose on Day -1 and 15; post dose Day 8, 29 and 43

Exposure (AUCtau) of ribociclib with and without co-administration of ARV-471

Drug Drug Interaction cohort: Maximum Plasma Concentration (Cmax) of ribociclib with and without co-administration of ARV-471
pre-dose Day -1, 1, 8, 15, 29, 43, 57, 113, 169; 1, 2, 4, 6, 8 hours post dose on Day -1 and 15; post dose Day 8, 29 and 43

Concentration (Cmax) of ribociclib with and without co-administration of ARV-471

Single dose Cmax (Maximum plasma concentration)
0, 1, 2, 4, 6, 8, 12, 24 hours post-dose up to Day 2

Maximum plasma concentration

Single dose AUCtau
0, 1, 2, 4, 6, 8, 12, 24 hours post-dose Up to Day 2

Area under the concentration-time profile from time zero to time tau (τ), the dosing interval, where tau = 24 hours (QD dosing)

Multiple dose Cmax
0, 1, 2, 4, 6, 8, 12, 24 hours post-dose Up to Day 71

Maximum Observed Plasma Concentration (Cmax)

Multiple dose AUCtau
0, 1, 2, 4, 6, 8, 12, 24 hours post-dose Up to Day 71

Area under the concentration curve from time 0 to end of dosing interval (AUCtau), where dosing interval was 24 hours.

Maximum Observed Plasma Concentration (Cmax) of Total Dabigatran When Dabigatran Etexilate is Administered Alone Versus When Dabigatran Etexilate is Administered With ARV-471
Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1

Cmax was defined as maximum observed plasma concentration. Cmax for total dabigatran was observed directly from data.

Area Under the Plasma Concentration-time Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of Total Dabigatran When Dabigatran Etexilate is Administered Alone vs Dabigatran Etexilate is Administered With ARV-471
Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1

AUCinf was defined as area under the concentration-time curve from time 0 extrapolated to infinity. AUCinf was calculated by AUClast + (Clast/kel), where Clast was the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration time curve; AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration.

Maximum Plasma Concentration (Cmax) of Rosuvastatin
0 (predose), 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72 hours post dose on Day 1 in Periods 1 and 2

Cmax was defined as maximum plasma concentration. Cmax of rosuvastatin was observed directly from data.

Area Under the Plasma Concentration-Time Profile From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Rosuvastatin
0 (predose), 1, 2, 3, 4, 6, 8, 12, 24, 36, 48, 72 hours post dose on Day 1 in Periods 1 and 2

AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration. AUClast of rosuvastatin was determined using Linear/Log trapezoidal method.

Secondary Endpoints
Overall Survival (OS)-All Randomized Participants
From date of randomization to the date of death due to any cause or censoring date
OS-Participants With ESR1 Mutation
From date of randomization to the date of death due to any cause or censoring date
Percentage of Participants With Objective Response (OR) by BICR Assessment- Participants With Measurable Disease at Baseline
From randomization until PD, death or start of new anticancer therapy, whichever occurred first (up to 18.56 months and 19.38 months of treatment exposure for vepdegestrant and fulvestrant arms respectively)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ARV-471EXPERIMENTAL -
FulvestrantACTIVE_COMPARATOR -
[phenyl-14C]ARV-471EXPERIMENTAL\[phenyl-14C\]ARV-471 is administered as a single dose
[oxoisoindolin-14C]ARV-471EXPERIMENTAL\[oxoisoindolin-14C\]ARV-471 is administered as a single dose
ARV-471 in combination with RibociclibEXPERIMENTALARV-471 administered orally QD continuously and Ribociclib administered orally QD consecutively for 21 days followed by 7 days off treatment on 28-day cycles
ARV-471 in combination with AbemaciclibEXPERIMENTALARV-471 administered orally once daily (QD) and Abemaciclib orally twice daily (BID) on 28-day cycle
Dabigatran etexilate with and without ARV-471EXPERIMENTALDabigatran etexilate administered as a single dose in Period 1 and Period 2. ARV-471 administered as a single dose in Period 2.
Rosuvastatin with/without ARV-471EXPERIMENTALRosuvastatin administered as a single dose in Period 1 and Period 2. ARV-471 administered as a single dose in Period 2.
Interventions
NameTypeDescription
ARV-471DRUGorally, once daily on a 28-day continuous dosing schedule
FulvestrantDRUGintramuscularly on Days 1 and 15 of Cycle 1 and then on Day 1 of each cycle starting from C2D1 (28-day cycle)
[phenyl-14C]ARV-471DRUGParticipants will receive a single dose of \[phenyl-14C\]ARV-471 by mouth
[oxoisoindolin-14C]ARV-471DRUGParticipants will receive a single dose of \[oxoisoindolin-14C\]ARV-471 by mouth
RibociclibDRUGDaily oral dosages of ribociclib consecutively for 21 days followed by 7 days off treatment, cycles lasting 28 days
AbemaciclibDRUGDaily oral dosages of Abemaciclib continuously, cycles lasting 28 days
Dabigatran etexilateDRUGProbe substrate
RosuvastatinDRUGProbe substrate
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites312

Inclusion Criteria: * Adult participants with loco-regional recurrent or metastatic breast disease not amenable to surgical resection or radiation therapy * Confirmed diagnosis of ER+/HER2- breast cancer * Prior therapies for locoregional recurrent or metastatic disease must fulfill all the followi...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaChinaCzechiaFinlandFranceGermanyGreeceHungaryIndiaIsraelItalyJapanMexicoPolandPuerto RicoSlovakiaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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Competitive Landscape -Breast Cancer 404 trials (matched to "Advanced Breast Cancer")

Top 20 of 97 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant
BeOne Medicines Ltd. Sponsored ADRONC5PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib
Relay Therapeutics, Inc.RLAY2PHASE3RLY-2608, Capivasertib, Fulvestrant
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
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam
Immutep Ltd Sponsored ADRIMMP1PHASE2eftilagimod alpha, Paclitaxel
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Recent Changes (Last 90 Days)
MEDIUMJul 3, 2026NCT05930925TRIAL_REMOVED: changed
MEDIUMJul 3, 2026NCT05930925TRIAL_REMOVED: changed
MEDIUMJul 3, 2026NCT05930925TRIAL_REMOVED: changed
LOWMay 26, 2026NCT05573555primaryCompletionDate: changed
LOWMay 26, 2026NCT05548127primaryCompletionDate: changed
LOWMay 26, 2026NCT05654623primaryCompletionDate: changed
LOWMay 24, 2026NCT05573555studyFirstPostDate: changed
LOWMay 24, 2026NCT05548127studyFirstPostDate: changed
LOWMay 24, 2026NCT05654623studyFirstPostDate: changed