Clinical trial No longer in our active list Phase 3 Interventional Ages 18 and up

Comparing Imlunestrant to Standard Hormone Therapy for Early Breast Cancer

Official title: EMBER-4: A Randomized, Open-Label, Phase 3 Study of Adjuvant Imlunestrant vs Standard Adjuvant Endocrine Therapy in Patients Who Have Previously Received 2 to 5 Years of Adjuvant Endocrine Therapy for ER+, HER2- Early Breast Cancer With an Increased Risk of Recurrence

Run by Eli Lilly and Company · NCT05514054 · Data updated 2026-05-14

This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.

This study is testing if a new drug called imlunestrant can better prevent breast cancer from coming back compared to standard hormone therapy in patients who have already had treatment for early-stage ER+ and HER2- breast cancer.

More Breast Neoplasms trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment8000 (estimated)
SponsorEli Lilly and Company
Industry-sponsored
Drugs / interventionschemotherapy
Locations683 sites (Daphne, Alabama and 682 other locations)
Trial IDNCT05514054 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals diagnosed with ER+, HER2- early-stage breast cancer who have completed 2 to 5 years of endocrine therapy.

Probably not a fit

Patients with metastatic disease or those who have not adhered to prior endocrine therapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of imlunestrant compared to standard endocrine therapies in patients with early-stage, estrogen receptor positive (ER+), and human epidermal receptor 2 negative (HER2-) breast cancer. Participants must have previously undergone 2 to 5 years of endocrine therapy and are at a higher risk for cancer recurrence. The study aims to assess how well imlunestrant can prevent cancer from returning over a potential duration of up to 10 years.

Why it matters

Potential benefit: If successful, this study could provide a more effective treatment option for patients at high risk of breast cancer recurrence.

How similar studies have gone: Other studies have shown promise in evaluating new endocrine therapies for breast cancer, but the specific use of imlunestrant in this context is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Have a diagnosis of ER+, HER2- early-stage, resected, invasive breast cancer without evidence of distant metastasis.
* Participants must have received at least 24 months but not more than 60 months of any adjuvant ET, from time of adjuvant ET initiation.
* Participants may have received (neo) adjuvant chemotherapy and/or targeted therapy with a CDK4/6- or PARP- inhibitor.
* Must have an increased risk of disease recurrence based on clinical-pathological risk features.
* Have a Performance Status of 0 or 1 on the Eastern Cooperative Oncology Group scale.
* Have adequate organ function.

Exclusion Criteria:

* Have any evidence of metastatic disease (including contralateral ALN) or inflammatory breast cancer at primary breast cancer diagnosis.
* Participants with more than a 6-month consecutive gap in therapy during the course of prior adjuvant ET.
* Participants who have completed or discontinued prior adjuvant ET \>6 months prior to screening.
* Participants with a history of previous breast cancer are excluded, with the exception of ipsilateral DCIS treated by locoregional therapy alone ≥5 years ago.
* Pregnant, breastfeeding, or expecting to conceive or father children within the projected duration of the trial, starting with the screening visit through 180 days after the last dose of study intervention.
* Participant has previously received ET of any duration for breast cancer prevention (tamoxifen or AIs) or raloxifene.
* Participants with a history of any other cancer.
* Have serious preexisting medical conditions that, in the judgment of the investigator, would preclude participation in this study.

Where it's running

  • USO - Southern Cancer Center
    Daphne, Alabama, United States
    Recruiting
  • Clearview Cancer Institute
    Huntsville, Alabama, United States
    Recruiting
  • Infirmary Cancer Care
    Mobile, Alabama, United States
    Recruiting
  • Banner MD Anderson Cancer Center
    Gilbert, Arizona, United States
    Recruiting
  • USO - Arizona Oncology Associates - HAL
    Glendale, Arizona, United States
    Recruiting
  • St. Joseph's Hospital and Medical Center
    Phoenix, Arizona, United States
    Recruiting
Show 44 more locations
  • Mayo Clinic in Arizona - Phoenix
    Phoenix, Arizona, United States
    Recruiting
  • USO - Arizona Oncology Associates - HOPE
    Tucson, Arizona, United States
    Recruiting
  • The University of Arizona Cancer Center - North Campus
    Tucson, Arizona, United States
    Recruiting
  • Highlands Oncology Group
    Springdale, Arkansas, United States
    Recruiting
  • UCSF - John Muir Health Cancer Center Berkeley
    Berkeley, California, United States
    Recruiting
  • Washington Hospital Healthcare System
    Fremont, California, United States
    Recruiting
  • Loma Linda University Cancer Center
    Loma Linda, California, United States
    Recruiting
  • St. Joseph Hospital
    Orange, California, United States
    Recruiting
  • University of California, Irvine (UCI) Health - UC Irvine Medical Center
    Orange, California, United States
    Recruiting
  • University of California Davis (UC Davis) Comprehensive Cancer Center
    Sacramento, California, United States
    Recruiting
  • Kaiser Permanente San Diego Mission Road
    San Diego, California, United States
    Recruiting
  • Zuckerberg San Francisco General Hospital and Trauma Center
    San Francisco, California, United States
    Recruiting
  • UCSF Medical Center at Mission Bay
    San Francisco, California, United States
    Recruiting
  • Saint Joseph's Medical Center
    Stockton, California, United States
    Recruiting
  • Anschutz Cancer Pavilion
    Aurora, Colorado, United States
    Recruiting
  • UCHealth Memorial Hospital
    Colorado Springs, Colorado, United States
    Recruiting
  • UCHealth Harmony
    Fort Collins, Colorado, United States
    Recruiting
  • Banner MD Anderson Cancer Center at North Colorado Medical Center
    Greeley, Colorado, United States
    Recruiting
  • USO - Rocky Mountain Cancer Centers
    Lakewood, Colorado, United States
    Recruiting
  • Banner MD Anderson Cancer Center at McKee Medical Center
    Loveland, Colorado, United States
    Recruiting
  • Yale-New Haven Hospital
    New Haven, Connecticut, United States
    Recruiting
  • Georgetown University Medical Center
    Washington, District of Columbia, United States
    Recruiting
  • MedStar Washington Hospital Center
    Washington, District of Columbia, United States
    Recruiting
  • AdventHealth Altamonte Springs
    Altamonte Springs, Florida, United States
    Recruiting
  • Memorial Regional Hospital
    Hollywood, Florida, United States
    Recruiting
  • Millennium Oncology Research Clinic
    Hollywood, Florida, United States
    Recruiting
  • Mayo Clinic in Florida
    Jacksonville, Florida, United States
    Recruiting
  • Miami Cancer Institute at Baptist Health, Inc.
    Miami, Florida, United States
    Recruiting
  • USO - Cancer Care Centers of Brevard
    Palm Bay, Florida, United States
    Recruiting
  • USO - Woodlands Medical Specialists
    Pensacola, Florida, United States
    Recruiting
  • Miami Cancer Institute - Plantation
    Plantation, Florida, United States
    Recruiting
  • Tampa General Hospital
    Tampa, Florida, United States
    Recruiting
  • Winship Cancer Institute, Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Northside Hospital
    Atlanta, Georgia, United States
    Recruiting
  • Summit Cancer Care, PC
    Savannah, Georgia, United States
    Recruiting
  • Kaiser Permanente Moanalua Medical Center
    Honolulu, Hawaii, United States
    Recruiting
  • Kapiolani Medical Center for Women and Children
    Honolulu, Hawaii, United States
    Recruiting
  • Northwestern Memorial Hospital
    Chicago, Illinois, United States
    Recruiting
  • University of Illinois at Chicago
    Chicago, Illinois, United States
    Recruiting
  • Illinois Cancer Care
    Peoria, Illinois, United States
    Recruiting
  • Simmons Cancer Institute at SIU
    Springfield, Illinois, United States
    Recruiting
  • Ochsner Clinic Foundation
    Covington, Louisiana, United States
    Recruiting
  • Pontchartrain Cancer Center
    Hammond, Louisiana, United States
    Recruiting
  • Ochsner Clinic Foundation
    New Orleans, Louisiana, United States
    Recruiting

+633 more sites. See ClinicalTrials.gov for the full list.

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.