2022
DOI: 10.2147/dddt.s380925
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Oral Selective Estrogen Receptor Degraders (SERDs) in Breast Cancer: Advances, Challenges, and Current Status

Abstract: Several endocrine therapies are currently available for the treatment of estrogen receptor (ER) positive breast cancer, but the clinical benefit of these agents is limited by endocrine therapy drug resistance. A common mechanism of endocrine therapy resistance is ESR1 mutations. The first-generation selective estrogen receptor degrader (SERD) fulvestrant has activity against ESR1 mutant tumors but requires intramuscular injection and has poor bioavailability that p… Show more

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Cited by 26 publications
(22 citation statements)
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“…Nevertheless, its effectiveness in metastatic disease has been validated, the challenges of drug resistance remain even for this drug [ 65 ] and it has the limit of being an injectable with considerable pharmaceutical liabilities [ 66 ]. Thus, several SERDs available as oral formulations are under study as monotherapy or in combination with other drugs [ 67 , 68 , 69 , 70 ]. GDC-9545 (giredestrant) was identified as an oral SERD with an exceptional preclinical profile [ 71 ].…”
Section: Breast Cancer Therapiesmentioning
confidence: 99%
“…Nevertheless, its effectiveness in metastatic disease has been validated, the challenges of drug resistance remain even for this drug [ 65 ] and it has the limit of being an injectable with considerable pharmaceutical liabilities [ 66 ]. Thus, several SERDs available as oral formulations are under study as monotherapy or in combination with other drugs [ 67 , 68 , 69 , 70 ]. GDC-9545 (giredestrant) was identified as an oral SERD with an exceptional preclinical profile [ 71 ].…”
Section: Breast Cancer Therapiesmentioning
confidence: 99%
“…There are several emerging novel classes of ET, of which the oral SERDs are the largest group and are reviewed in detail elsewhere ( Downton et al, 2022 ). To date there have been four completed randomized trials of oral SERDs in advanced ER+/HER2-breast cancer, after progression on prior ET with or without a CDK4/6 inhibitor, and results have been mixed.…”
Section: Therapeutic Strategies Following Progression On Cdk4/6 Inhib...mentioning
confidence: 99%
“…The most diagnosed type of cancer globally is breast cancer (BC) [1] . Furthermore, it is the second most lethal illness for women [2] .…”
Section: Introductionmentioning
confidence: 99%