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.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 8000 (estimated) |
| Sponsor | Eli Lilly and Company Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 683 sites (Daphne, Alabama and 682 other locations) |
| Trial ID | NCT05514054 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
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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
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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
- Study coordinator: There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
- Email: clinical_inquiry_hub@lilly.com
- Phone: 1-317-615-4559
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.