12/01/2025
Next-Generation Oral SERD Giredestrant (GDC-9545) Shows Adjuvant Benefit in Early Phase 3 Data | https://drughunters.com/444FiWK
Giredestrant (GDC-9545) is Genentech's next-generation oral SERD (selective estrogen receptor degrader) and full ER antagonist in Ph. 3 development for ER+/HER2- breast cancer.
The compound emerged from an SAR campaign profiling over 4,000 compounds and showed robust single-agent activity with improved efficacy in combination with a CDK4/6 inhibitor. Asymptomatic, dose-dependent bradycardia at higher doses motivated the selection of a lower once-daily oral dose—a finding that mirrors low-grade bradycardia signals seen with other oral SERDs, including AstraZeneca’s camizestrant.
Early data from the ongoing lidERA trial in early ER+/HER2- breast cancer also support its potential as an adjuvant therapy.
With elacestrant and, more recently, Lilly’s imlunestrant already approved as oral nonsteroidal SERDs for ESR1-mutated advanced disease, giredestrant is now positioned to test whether this class can move beyond late-line rescue into both post-CDK4/6 metastatic and adjuvant early-stage settings.
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