Difference between revisions of "Elacestrant (Orserdu)"

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==Diseases for which it is established==
 
==Diseases for which it is established==
===[[Breast cancer, ER-positive]]===
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*[[Breast cancer, ER-positive]]
  
 
==History of changes in FDA indication==
 
==History of changes in FDA indication==
*1/27/2023: Approved for postmenopausal women or adult men with ER-positive, HER2-negative, ESR1-mutated advanced or metastatic [[breast cancer]] with disease progression following at least one line of endocrine therapy. ''(Based on EMERALD)''
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*2023-01-27: Approved for postmenopausal women or adult men with ER-positive, HER2-negative, ESR1-mutated advanced or metastatic [[breast cancer]] with disease progression following at least one line of endocrine therapy. ''(Based on EMERALD)''
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==History of changes in EMA indication==
 +
*2023-09-20: Initial marketing authorization as Orserdu. Orserdu monotherapy is indicated for the treatment of postmenopausal women, and men, with estrogen receptor (ER)‑positive, HER2-negative, locally advanced or metastatic [[breast cancer]] with an activating ESR1 mutation who have disease progression following at least one line of endocrine therapy including a CDK 4/6 inhibitor.
 
==Also known as==
 
==Also known as==
*'''Code name:''' RAD1901
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*'''Code name:''' RAD-1901
 
*'''Brand name:''' Orserdu
 
*'''Brand name:''' Orserdu
  
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[[Category:Intramuscular medications]]
 
[[Category:Intramuscular medications]]
  
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[[Category:Mutation-specific medications]]
 
[[Category:Estrogen receptor inhibitors]]
 
[[Category:Estrogen receptor inhibitors]]
  
 
[[Category:Breast cancer medications]]
 
[[Category:Breast cancer medications]]
 
[[Category:FDA approved in 2023]]
 
[[Category:FDA approved in 2023]]
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[[Category:EMA approved in 2023]]

Latest revision as of 12:24, 1 October 2023

Mechanism of action

From the NCI Drug Dictionary: An orally available, selective estrogen receptor degrader (SERD) and selective estrogen receptor modulator (SERM), with potential antineoplastic and estrogen-like activities. Upon oral administration of higher doses of elacestrant, this agent acts as a SERD, which binds to the estrogen receptor (ER) and induces a conformational change that results in the degradation of the receptor. This may inhibit the growth and survival of ER-expressing cancer cells. At lower doses of this agent, RAD1901 acts as a SERM and has estrogen-like effects in certain tissues, which can both reduce hot flashes and protect against bone loss. In addition, elacestrant is able to cross the blood-brain barrier (BBB).

Diseases for which it is established

History of changes in FDA indication

  • 2023-01-27: Approved for postmenopausal women or adult men with ER-positive, HER2-negative, ESR1-mutated advanced or metastatic breast cancer with disease progression following at least one line of endocrine therapy. (Based on EMERALD)

History of changes in EMA indication

  • 2023-09-20: Initial marketing authorization as Orserdu. Orserdu monotherapy is indicated for the treatment of postmenopausal women, and men, with estrogen receptor (ER)‑positive, HER2-negative, locally advanced or metastatic breast cancer with an activating ESR1 mutation who have disease progression following at least one line of endocrine therapy including a CDK 4/6 inhibitor.

Also known as

  • Code name: RAD-1901
  • Brand name: Orserdu