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Elacestrant

Phase 1

Breast Neoplasms | Small molecule | Oncology |cbdMD, Inc.|Last Updated: Aug 6, 2026

Target and mechanism

Molecular targetESR1
Target classDegrader
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment73

FDA Designations

No designations recorded

Clinical trial landscape

Elacestrant · 2 trials · 9 indications

Phase 1 2
NCT06126575A PK Study Testing Single Oral Dose of Elacestrant in Subjects With Normal or Severely Impaired Hepatic FunctionHepatic Impairment
COMPLETED16 Analytics
NCT05386108Study of Abemaciclib and Elacestrant in Participants With Brain Metastasis Due to ER+/HER-2- Breast CancerBreast Neoplasms
RECRUITING73 Analytics
PHASE1COMPLETED
A PK Study Testing Single Oral Dose of Elacestrant in Subjects With Normal or Severely Impaired Hepatic Function
Hepatic ImpairmentUnlock trial analytics
PHASE1RECRUITING
Study of Abemaciclib and Elacestrant in Participants With Brain Metastasis Due to ER+/HER-2- Breast Cancer
Breast NeoplasmsUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum observed plasma concentration (Cmax)
Predose 240 hours after drug administration
Area under the plasma concentration-time curve from time zero to the last measurable concentration (AUC0-t)
Predose 240 hours after drug administration
AUC from time zero to infinity (AUC0-∞)
Predose 240 hours after drug administration
Phase 1b: RP2D
Cycle 1 (28 days)

Based on the observed number of dose-limiting toxicities (DLTs) during the first cycle. Dose-limiting toxicity is based on the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. DLTs will be evaluated during the first cycle (28 days) of treatment in up to 3 cohorts during Phase 1b. A DLT will be defined as any of the toxicities listed in the protocol that are not clearly due to breast cancer or extraneous causes.

Phase 2: Objective Response Rate (ORR) Per Overall Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST V1.1)
3 years

Defined as the proportion of participants with a best overall response (BOR) of either a confirmed complete response (CR) or partial response (PR) per blinded independent central review (BICR).

Secondary Endpoints

Phase 1b and 2: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
3 years
Phase 1b and 2: Area Under the Concentration-time Curve Over the Dosing Interval (AUC0-tau)
Cycle 1 Day 15 (predose and up to 24 hours postdose) (Cycle length = 28 days)
Phase 1b and 2: Maximum Observed Plasma Concentration (Cmax)
Cycle 1 Day 15 (predose and up to 24 hours postdose) (Cycle length = 28 days)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeOTHER

Treatment Arms

ArmTypeDescription
Subjects with normal hepatic functionEXPERIMENTALSubjects with normal hepatic function will receive treatment compared to subjects with severe hepatic function
Subjects with severe hepatic impaired functionEXPERIMENTALSubjects with severe hepatic function will receive treatment compared to subjects with normal hepatic function
Phase 1b Cohort 1EXPERIMENTALElacestrant 300 milligrams (mg) once daily (QD) + abemaciclib 100 mg twice daily (BID)
Phase 1b Cohort 2EXPERIMENTALElacestrant 400 mg QD + abemaciclib 100 mg BID
Phase 1b Cohort 3EXPERIMENTALElacestrant 400 mg QD + abemaciclib 150 mg BID
Phase 2EXPERIMENTALElacestrant in combination with abemaciclib at the RP2D determined in Phase 1b

Interventions

NameTypeDescription
Elacestrant dihydrochlorideDRUGA single oral dose of 200 mg elacestrant (2 x 100 mg tablets).
ElacestrantDRUG300 mg, 400 mg
AbemaciclibDRUG100 mg, 150 mg
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites3

Inclusion Criteria: 1. Understand the study procedures in the informed consent form (ICF) and be willing and able to comply with the protocol restrictions and requirements. 2. Males and Females older than 18 years. 3. Body mass index between 18.0 and 40.0 kg/m\^2, inclusive. 4. Females must have no...

Countries:United StatesBelgiumFranceGermanyGreeceItalySouth KoreaSpainTurkey (Türkiye)United Kingdom
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Frequently asked questions about Elacestrant

What is Elacestrant used for?

Elacestrant is an investigational small molecule being studied for use in breast neoplasms and hepatic impairment. In oncology, it is being evaluated in combination with abemaciclib for participants with brain metastasis due to ER+/HER2- breast cancer. A separate study assesses its pharmacokinetics in subjects with normal or severely impaired hepatic function.

What does Elacestrant target?

Elacestrant is a selective estrogen receptor degrader (SERD), targeting the estrogen receptor. As a SERD, it works by binding to and degrading the estrogen receptor, which is relevant in estrogen receptor-positive breast cancer. This mechanism is being studied in the context of ER+/HER2- breast cancer with brain metastasis.

Who makes Elacestrant?

Elacestrant is being developed by cbdMD, Inc., which trades under the ticker YCBD. The company is conducting clinical trials to evaluate the drug's safety and efficacy in oncology and hepatic impairment indications.

What phase is Elacestrant in?

Elacestrant is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Two Phase 1 trials are listed: one recruiting for breast cancer with brain metastasis and one completed study in hepatic impairment.

What clinical trials is Elacestrant in?

Elacestrant is being studied in two Phase 1 trials. NCT05386108 is a recruiting study of abemaciclib and elacestrant in participants with brain metastasis due to ER+/HER2- breast cancer, enrolling 73 participants across multiple countries. NCT06126575 is a completed pharmacokinetic study in subjects with normal or severely impaired hepatic function.

Is Elacestrant the same as other SERDs?

Elacestrant belongs to the class of selective estrogen receptor degraders (SERDs), which includes other drugs that target the estrogen receptor. However, Elacestrant is a distinct investigational compound being developed by cbdMD, Inc. for breast cancer and hepatic impairment indications.