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Faslodex (fulvestrant)
Faslodex works by binding to and degrading the estrogen receptor, preventing it from promoting the growth of cancer cells.
Faslodex (fulvestrant) is a small molecule estrogen receptor antagonist developed by AstraZeneca, targeting the progesterone receptor. It is used to treat metastatic breast cancer that has progressed after antiestrogen therapy. Faslodex was approved by the FDA in 2002 and is now off-patent with multiple generic manufacturers. The drug has a half-life of 16.0 hours and is administered via injection. As an off-patent medication, Faslodex is widely available in the market.
At a glance
| Generic name | fulvestrant |
|---|---|
| Sponsor | AstraZeneca |
| Drug class | Estrogen Receptor Antagonist [EPC] |
| Target | Progesterone receptor |
| Therapeutic area | Oncology |
| Phase | FDA-approved |
| First approval | 2002 |
Mechanism of action
Many breast cancers have estrogen receptors (ER) and the growth of these tumors can be stimulated by estrogen. Fulvestrant is an estrogen receptor antagonist that binds to the estrogen receptor in competitive manner with affinity comparable to that of estradiol and downregulates the ER protein in human breast cancer cells.In vitro studies demonstrated that fulvestrant is reversible inhibitor of the growth of tamoxifen-resistant, as well as estrogen-sensitive human breast cancer (MCF-7) cell lines. In in vivo tumor studies, fulvestrant delayed the establishment of tumors from xenografts of human breast cancer MCF-7 cells in nude mice. Fulvestrant inhibited the growth of established MCF-7 xenografts and of tamoxifen-resistant breast tumor xenografts.Fulvestrant showed no agonist-type effects in in vivo uterotrophic assays in immature or ovariectomized mice and rats. In in vivo studies in immature rats and ovariectomized monkeys, fulvestrant blocked the uterotrop
Approved indications
- Metastatic Breast Cancer Progression Post-Antiestrogen Therapy
Common side effects
- Injection site pain
- Nausea
- Bone pain
- Arthralgia
- Headache
- Back pain
- Fatigue
- Pain in extremity
- Hot flash
- Vomiting
- Anorexia
- Asthenia
Key clinical trials
- A Study of Abemaciclib (LY2835219) Combined With Fulvestrant in Women With Hormone Receptor Positive HER2 Negative Breast Cancer (PHASE3)
- Second Line Breast Cancer Trial (PHASE3)
- Capivasertib+Fulvestrant asTreatment for Locally Advanced(Inoperable) or Metastatic HR+/HER2- Breast Cancer in Chinese Patients (PHASE3)
- Targeted Therapy Directed by Genetic Testing in Treating Patients With Locally Advanced or Advanced Solid Tumors, The ComboMATCH Screening Trial (PHASE2)
- A Study to Evluate Efficacy and Safety of HRS-8080 Combined With Dalpiciclib in Patients With Advanced or Metastatic Breast Cancer Resistant to Adjuvant Endocrine Therapy. (PHASE3)
- Study of ECI830 Single Agent or in Combination in Patients With Advanced HR+/HER2- Breast Cancer and Other Advanced Solid Tumors (PHASE1,PHASE2)
- A Study of LOXO-783 in Patients With Breast Cancer/Other Solid Tumors (PHASE1)
- Efficacy and Safety of Tinengotinib Tablets Combined With Fulvestrant Injection in Patients With HR Positive and HER-2 Negative Recurrent or Metastatic Breast Cancer Who Have Failed Prior Treatment (PHASE2)
Patents
| Patent | Expiry | Type |
|---|---|---|
| 9271990 | 2034-05-17 | Formulation |
| 9833459 | 2034-02-14 | Formulation |
| 10188663 | 2034-02-14 | Formulation |
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
| FDA Orange Book | Patents + exclusivity |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Faslodex CI brief — competitive landscape report
- Faslodex updates RSS · CI watch RSS
- AstraZeneca portfolio CI