OP-1250 (Palazestrant) vs. Standard of Care for the Treatment of ER+/HER2- Advanced Breast Cancer
Recruiting now Phase 3 NCT06016738
Run by Olema Pharmaceuticals, Inc. · for 18 and older · All sexes
What this study is about
This phase 3 clinical trial compares the safety and efficacy of palazestrant (OP-1250) to the standard-of-care options of fulvestrant or an aromatase inhibitor in women and men with breast cancer whose disease has advanced on one endocrine therapy in combination with a CDK4/6 inhibitor.
Who can join (things the study team will check)
✅ You may be able to join if…
- Adult female or male participants.
- ER+, HER2- locally advanced or metastatic breast cancer that is not amenable to curative therapy.
- Evaluable disease (measurable disease or bone-only disease).
- Previously received a CDK4/6 inhibitor in combination with an endocrine therapy in the advanced setting. One additional line of ET as a monotherapy is allowed. Duration of the most recent prior ET must be at least 6 months.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Adequate hematologic, hepatic, and renal functions.
- Female participants can be pre-, peri- or postmenopausal.
- Male and pre- or peri-menopausal female participants must be willing to take a GnRH (or LHRH) agonist.
🚫 You may not be able to join if…
- Symptomatic visceral disease, imminent organ failure, or any other reason that makes the participant ineligible for endocrine monotherapy.
- Previously received chemotherapy in the advanced/metastatic setting.
- Previously received treatment with elacestrant or an investigational estrogen receptor-directed therapy.
- History of allergic reactions to study treatment.
- Any contraindications to the selected standard-of-care endocrine therapy in the local prescribing information.
- Symptomatic central nervous system metastases, carcinomatous meningitis, leptomeningeal disease, or a spinal cord compression that require immediate treatment.
- Clinically significant comorbidities such as significant cardiac or cerebrovascular disease, gastrointestinal disorders that could affect absorption of study treatment.
Where this trial is running
- Clinical Trial Site, Tucson, Arizona, United States
- Clinical Trial Site, Fountain Valley, California, United States
- Clinical Trial Site, Glendale, California, United States
- Clinical Trial Site, La Jolla, California, United States
- Clinical Trial Site, Los Alamitos, California, United States
- Clinical Trial Site, Los Angeles, California, United States
- Clinical Trial Site, Whittier, California, United States
- Clinical Trial Site, Aurora, Colorado, United States
- Clinical Trial Site, Denver, Colorado, United States
- Clinical Trial Site, Golden, Colorado, United States
- Clinical Trial Site, Grand Junction, Colorado, United States
- Clinical Trial Site, Danbury, Connecticut, United States
+ 221 more sites.
Who to contact
Olema Pharmaceuticals, Inc. · 415-651-7206 · OPERA-01@olema.com
It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT06016738.
Verify everything on the official ClinicalTrials.gov record. Page updated July 2026.
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