DrugEvidence

Drugs / Fulvestrant

Fulvestrant

Drug

Fulvestrant is an antiestrogen medication and selective estrogen receptor degrader (SERD) used for hormone receptor-positive advanced or metastatic breast cancer. It is administered by intramuscular injection and is marketed under the brand name Faslodex. Fulvestrant was approved for medical use in the United States in 2002.

Trials
477
Recruiting
82
Completed
164
With results
147

Last revised

Pipeline

Phase by status

PhaseRecruitingNot yetActiveCompletedTerminatedWithdrawnUnknownTotal
Early Phase 1 11 2
Phase 1 17510361244 88
Phase 1/2 19357487 53
Phase 2 2911298337426 219
Phase 2/3 221 5
Phase 3 134242188 78
Phase 4 11421 9
Not applicable 22 4
Unknown 11017 19

Trials started per year

2021
12
2022
42
2023
36
2024
30
2025
32
2026
30
2027
1

Conditions studied, by phase

ConditionEarly Phase 1Phase 1Phase 1/2Phase 2Phase 2/3Phase 3Phase 4Not applicableUnknownTotal
Breast Neoplasms 255361501678114 334
Neoplasm Metastasis 711611222 41
Neoplasms 638143 25
Ovarian Neoplasms 1656 18
Carcinoma, Non-Small-Cell Lung 616 13
Endometrial Neoplasms 354 12
Hereditary Sensory and Autonomic Neuropathies 2332 10
Prostatic Neoplasms 1324 10
Triple Negative Breast Neoplasms 611 8
Colorectal Neoplasms 312 6

Most active sponsors

#SponsorTrialsPhase 3
1AstraZeneca3614
2Novartis Pharmaceuticals257
3Fudan University171
4Eli Lilly and Company155
5Pfizer143
6Hoffmann-La Roche134
7National Cancer Institute (NCI)101
8Memorial Sloan Kettering Cancer Center70
9Dana-Farber Cancer Institute60
10MedSIR60

Most studied interventions

#InterventionTrials
1Fulvestrant477
2Letrozole94
3Anastrozole84
4palbociclib84
5exemestane67
6abemaciclib46
7ribociclib44
8Tamoxifen37
9Trastuzumab32
10Alpelisib30

Evidence

Results reported
89.6%147 of 164 completed
Published
14.6%24 of 164 completed
Primary endpoint met
58.6%34 of 58 analyses
Median months to report
12

Documents disclosed

Protocol available
92
Statistical analysis plan
91
PubMed citations
32

Trial profile

Median enrollment
100
Median duration
53months
Countries
69
Study sites
10147

Who is enrolled

Adults
472
Children
26
Older adults
468
Healthy volunteers
12

Median enrollment by phase

Early Phase 1
4
Phase 1
66
Phase 1/2
72
Phase 2
64
Phase 2/3
35
Phase 3
432
Phase 4
130
Not applicable
71
Unknown
272

Where trials run

United States
263
China
106
Spain
93
France
83
United Kingdom
79
Italy
77
Germany
66
Canada
63
South Korea
60
Belgium
54

Busiest cities

#CityCountryTrials
1BostonUnited States88
2HoustonUnited States85
3BarcelonaSpain79
4MadridSpain78
5New YorkUnited States77
6NashvilleUnited States76
7LondonUnited Kingdom61
8Los AngelesUnited States60
9MilanItaly59
10SeoulSouth Korea58

Terminations

Terminated
64
Withdrawn
17
Stopped for recruitment
4.4%21 of 477 trials

Stated reasons

Other / unclear
24
Recruitment
21
Business decision
10
Safety
9
Funding
8
Lack of efficacy
5
Regulatory
3
COVID-19
1

Reasons are grouped from the sponsor's own wording with a rule-based classifier; the original text is shown below.

Recently stopped

TrialStatusStated reasonStopped
NCT07570966 Withdrawn Withdrawn Business decision 2031-08-01
NCT05905341 Withdrawn Withdrawn This decision was based on business considerations and not due to specific safety reasons or a request from a regulatory authority. 2028-04-13
NCT04316169 Withdrawn Withdrawn Funding and PI leaving institution 2028-01-31
NCT05191004 Withdrawn Withdrawn Sponsor decision 2026-09-30
NCT07408089 Terminated Terminated The study was terminated primarily due to a business decision related to a corporate transaction and was not driven by any safety signal. 2026-07-28
NCT05238831 Withdrawn Withdrawn Withdrawn due to a change in therapeutic interventions. 2026-05-31
NCT05207709 Terminated Terminated The study was prematurely halted because enrollment was significantly delayed compared with the original projections due to the evolving therapeutic landscape. 2026-03-26
NCT05082025 Terminated Terminated Copanlisib development was discontinued by Bayer following withdrawal of copanlisib in relapsed follicular lymphoma in November 2023. 2025-12-12
NCT06408168 Terminated Terminated \<75% Participation 2025-12-08
NCT05252416 Terminated Terminated This trial was terminated prior to the initiation of Phase 2 for reasons not due to safety concerns. 2025-07-04

Trial records