You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: March 16, 2025

CLINICAL TRIALS PROFILE FOR NOLVADEX


✉ Email this page to a colleague

« Back to Dashboard


All Clinical Trials for NOLVADEX

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00005908 ↗ Primary Chemotherapy With Docetaxel-Capecitabine and Doxorubicin-Cyclophosphamide in Breast Cancer Completed National Cancer Institute (NCI) Phase 2 2000-06-01 This study will assess the usefulness of a technique called complementary deoxyribonucleic acid (cDNA) microarray-an examination of a wide array of genes to identify disease-associated patterns-for measuring tumor response to chemotherapy in breast cancer patients. The study will look for "markers" that can help select the most effective type of chemotherapy. It will also evaluate the safety and effectiveness of a new drug combination of capecitabine and docetaxel. Patients age 18 years and older with stage II or III breast cancer whose tumor is 2 centimeters or larger may be eligible for this study. Those enrolled will be treated with surgery, standard chemotherapy using doxorubicin (Adriamycin) and cyclophosphamide (Cytoxan), and the capecitabine and docetaxel combination. Patients will have a physical examination, mammogram and magnetic resonance imaging to evaluate their tumor before beginning treatment. They will then have four 21-day treatment cycles of docetaxel and capecitabine, as follows: docetaxel intravenously (through a vein) on day 1 and capecitabine pills (by mouth) twice a day from days 2 through 15. No drugs will be given from days 16 through 21. This regimen will be repeated four times, after which the tumor will be re-evaluated by physical examination, mammogram, and magnetic resonance imaging. Patients will then have surgery to remove the cancer-either lumpectomy with removal of the underarm lymph nodes; mastectomy and removal of the underarm lymph nodes; or modified radical mastectomy. After recovery, they will have four more cycles of chemotherapy, this time with a doxorubicin and cyclophosphamide. Both drugs will be given intravenously on day 1 of four 21-day cycles. Some patients who had a mastectomy (depending on their tumor characteristics and whether tumor cells were found in their lymph nodes) and all those who had a lumpectomy will also have radiation therapy. Patients with hormone receptor-positive tumors will also receive tamoxifen treatment for 5 years. In addition to the above procedures, all patients will have tumor biopsies (removal of a small piece of tumor tissue) before beginning treatment, on day 1 of cycle 1, before cycle 2, and at the time of surgery, and physical examinations, chest X-rays, bone scans, computerized tomography (CT) scans, electrocardiograms, multi-gated acquisition scan-MUGA (nuclear medicine test of cardiac function) or echocardiograms of heart function, mammograms and blood tests at various times during the study. Patients will be followed at National Institutes of Health (NIH) for 3 years after diagnosis with physical examinations, blood tests, X-rays, and computed tomography (CT) scans. Although it is not known whether this treatment will help an individual patient's cancer, possible benefits are tumor shrinkage and decreased risk of disease recurrence. In addition, the information gained about genetic changes after chemotherapy will help determine if additional studies on the use of cDNA microarray to measure tumor response are warranted.
NCT00005970 ↗ Doxorubicin Hydrochloride, Cyclophosphamide, and Pacltaxel With or Without Trastuzumab in Treating Women With HER2-Positive Node-Positive or High-Risk Node-Negative Breast Cancer Completed Canadian Cancer Trials Group Phase 3 2000-05-19 This randomized phase III trial studies doxorubicin hydrochloride, cyclophosphamide, paclitaxel, and trastuzumab to see how well they work compared to combination chemotherapy alone in treating women with breast cancer that is human epidermal growth factor receptor 2 (HER2)-positive and has spread to the lymph nodes or high-risk and has not spread to the lymph nodes. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Monoclonal antibodies such as trastuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. It is not yet known whether combination chemotherapy is more effective with or without trastuzumab in treating breast cancer.
NCT00003199 ↗ Combination Chemotherapy and Peripheral Blood Stem Cell Transplant Followed By Aldesleukin and Sargramostim in Treating Patients With Inflammatory Stage IIIB or Metastatic Stage IV Breast Cancer Completed National Cancer Institute (NCI) Phase 2 1997-11-01 This phase II trial studies how well giving combination chemotherapy and peripheral blood stem cell transplant followed by aldesleukin and sargramostim works in treating patients with inflammatory stage IIIB or metastatic stage IV breast cancer. Drugs used in chemotherapy, such as busulfan, melphalan, and thiotepa, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. A peripheral stem cell transplant may be able to replace blood-forming cells that were destroyed by chemotherapy. This may allow more chemotherapy to be given so that more tumor cells are killed. Aldesleukin may stimulate the white blood cells to kill breast cancer cells. Giving aldesleukin together with sargramostim may kill more tumor cells
NCT00003199 ↗ Combination Chemotherapy and Peripheral Blood Stem Cell Transplant Followed By Aldesleukin and Sargramostim in Treating Patients With Inflammatory Stage IIIB or Metastatic Stage IV Breast Cancer Completed Fred Hutchinson Cancer Research Center Phase 2 1997-11-01 This phase II trial studies how well giving combination chemotherapy and peripheral blood stem cell transplant followed by aldesleukin and sargramostim works in treating patients with inflammatory stage IIIB or metastatic stage IV breast cancer. Drugs used in chemotherapy, such as busulfan, melphalan, and thiotepa, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. A peripheral stem cell transplant may be able to replace blood-forming cells that were destroyed by chemotherapy. This may allow more chemotherapy to be given so that more tumor cells are killed. Aldesleukin may stimulate the white blood cells to kill breast cancer cells. Giving aldesleukin together with sargramostim may kill more tumor cells
NCT00003099 ↗ Chemoprevention Therapy Plus Surgery in Treating Women With Breast Cancer Completed National Cancer Institute (NCI) Phase 2 1996-05-01 RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. The use of fenretinide and tamoxifen before surgery may be an effective way to prevent the recurrence of or further development of breast cancer. PURPOSE: Randomized phase II trial to study the effectiveness of fenretinide and tamoxifen given before surgery in treating women with breast cancer.
NCT00003099 ↗ Chemoprevention Therapy Plus Surgery in Treating Women With Breast Cancer Completed M.D. Anderson Cancer Center Phase 2 1996-05-01 RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. The use of fenretinide and tamoxifen before surgery may be an effective way to prevent the recurrence of or further development of breast cancer. PURPOSE: Randomized phase II trial to study the effectiveness of fenretinide and tamoxifen given before surgery in treating women with breast cancer.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 6 of 6 entries

Clinical Trial Conditions for NOLVADEX

Condition Name

33986005101520253035Breast CancerStage IIIB Breast CancerStage IIIA Breast CancerStage IV Breast Cancer[disabled in preview]
Condition Name for NOLVADEX
Intervention Trials
Breast Cancer 33
Stage IIIB Breast Cancer 9
Stage IIIA Breast Cancer 8
Stage IV Breast Cancer 6
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

5796400102030405060Breast NeoplasmsCarcinomaCarcinoma in SituCarcinoma, Intraductal, Noninfiltrating[disabled in preview]
Condition MeSH for NOLVADEX
Intervention Trials
Breast Neoplasms 57
Carcinoma 9
Carcinoma in Situ 6
Carcinoma, Intraductal, Noninfiltrating 4
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for NOLVADEX

Trials by Country

+
Trials by Country for NOLVADEX
Location Trials
United States 575
Canada 49
Italy 21
China 20
Ireland 16
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

+
Trials by US State for NOLVADEX
Location Trials
California 21
Pennsylvania 17
Texas 17
Illinois 17
Massachusetts 16
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for NOLVADEX

Clinical Trial Phase

9.5%40.5%47.3%005101520253035Phase 4Phase 3Phase 2/Phase 3[disabled in preview]
Clinical Trial Phase for NOLVADEX
Clinical Trial Phase Trials
Phase 4 7
Phase 3 30
Phase 2/Phase 3 2
[disabled in preview] 35
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

63.5%14.9%9.5%12.2%05101520253035404550CompletedActive, not recruitingRecruiting[disabled in preview]
Clinical Trial Status for NOLVADEX
Clinical Trial Phase Trials
Completed 47
Active, not recruiting 11
Recruiting 7
[disabled in preview] 9
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for NOLVADEX

Sponsor Name

trials051015202530National Cancer Institute (NCI)AstraZenecaPfizer[disabled in preview]
Sponsor Name for NOLVADEX
Sponsor Trials
National Cancer Institute (NCI) 31
AstraZeneca 19
Pfizer 5
[disabled in preview] 12
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

58.6%21.0%20.4%00102030405060708090100OtherNIHIndustry[disabled in preview]
Sponsor Type for NOLVADEX
Sponsor Trials
Other 92
NIH 33
Industry 32
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

NOLVADEX (Tamoxifen) and Its Evolving Landscape: Clinical Trials, Market Analysis, and Projections

Introduction to NOLVADEX (Tamoxifen)

Tamoxifen, commonly known by its brand name NOLVADEX, is a selective estrogen receptor modulator (SERM) widely used in the treatment of estrogen receptor-positive (ER-positive) breast cancer. It has been a cornerstone in breast cancer therapy for decades, but its landscape is continually evolving with new research, clinical trials, and market dynamics.

Clinical Trials Update

Endoxifen: A Potential Successor

One of the significant developments related to tamoxifen is the investigation of its active metabolite, endoxifen. Endoxifen is being tested as a potential alternative or complement to tamoxifen, particularly for patients who do not respond well to tamoxifen due to genetic variations in the CYP2D6 enzyme.

  • Phase I and Phase II Trials: Clinical trials initiated in 2011 and 2015 have shown promising results. A phase I trial demonstrated that endoxifen could achieve desired concentrations independent of patients’ CYP2D6 activity, and it showed encouraging antitumor activity in women whose tumors had progressed on tamoxifen and other treatments[1][4].
  • Current Status: A randomized phase II trial comparing endoxifen with tamoxifen is ongoing, with results expected to provide further insights into the efficacy and safety of endoxifen[1][4].

Tamoxifen Citrate vs. Z-Endoxifen Hydrochloride

  • Randomized Phase II Trial: This trial, sponsored by the National Cancer Institute (NCI), aims to compare the effectiveness of tamoxifen citrate with z-endoxifen hydrochloride in treating patients with breast cancer. The trial is currently in progress but not accepting new patients[4].

Market Analysis

Global Tamoxifen Market

  • Current Market Size: As of 2017, the global tamoxifen market was valued at USD 676.6 million and is expected to reach USD 683.6 million by 2025, growing at a CAGR of 0.07% from 2017 to 2025[5].
  • Geographical Distribution: North America is the largest market for tamoxifen, driven by a large pool of breast cancer patients, high awareness for breast cancer screening, and a well-structured reimbursement scenario. Asia-Pacific and the Rest of the World markets are expected to experience the fastest growth due to improving awareness and rapid development of healthcare infrastructure[5].

Market Drivers and Restraints

  • Drivers: The rise in the prevalence of cancer, growing healthcare expenditure, development of treatment options, and increasing government and private initiatives to spread awareness about breast cancer are driving the tamoxifen market. Emerging economies and the emergence of combination therapies also present opportunities for market growth[3][5].
  • Restraints: High medication costs and side effects associated with tamoxifen, such as menstrual changes, hot flashes, and liver problems, are significant restraints on the market[3].

Competitive Landscape

  • Key Players: The global tamoxifen market is moderately competitive, with key players including AstraZeneca, Teva Pharmaceutical Industries, Allergan, Mylan, Apotex, and Midatech. The anticipated merger of Teva with Allergan is expected to shift market competition dynamics[5].

Market Projections

Estrogen Receptor Positive Breast Cancer Treatment Market

  • Growth Forecast: The Estrogen Receptor Positive Breast Cancer Treatment Market, which includes tamoxifen, is projected to expand significantly. By 2035, this market is estimated to reach USD 57.0 billion, growing at a CAGR of 9.2% from 2025 to 2035. North America remains the largest market, while the Asia Pacific region is expected to be the fastest-growing market[2].

Tamoxifen Market Specifics

  • Stable Growth: Despite a low CAGR of 0.07%, the tamoxifen market is expected to maintain its presence due to its established role in breast cancer treatment. However, the market's growth is largely stable and not expected to see significant expansion in the near future[5].

Future Perspectives and Challenges

Genetic Testing and Personalized Medicine

  • The development of endoxifen and other targeted therapies highlights the importance of genetic testing in identifying patients who are most likely to benefit from specific treatments. This approach could lead to more personalized and effective treatment strategies for breast cancer patients[1].

Cost and Accessibility

  • High medication costs remain a significant challenge for the tamoxifen market. Efforts to make these medications more accessible, particularly in emerging economies, are crucial for expanding the market and improving patient outcomes[3].

Side Effects and Safety

  • Managing side effects associated with tamoxifen and other SERMs is a continuous challenge. Ongoing research into safer alternatives or combination therapies that mitigate these side effects is essential for improving patient compliance and outcomes[3].

Key Takeaways

  • Clinical Trials: Ongoing clinical trials, particularly those involving endoxifen, are critical for advancing breast cancer treatment options.
  • Market Stability: The tamoxifen market is expected to remain stable, driven by its established role in breast cancer treatment.
  • Growth Opportunities: The broader Estrogen Receptor Positive Breast Cancer Treatment Market is projected to grow significantly, with the Asia Pacific region showing the fastest growth.
  • Challenges: High medication costs, side effects, and the need for personalized medicine are key challenges that need to be addressed.

FAQs

What is the current status of endoxifen in clinical trials?

Endoxifen is currently in phase II clinical trials, comparing its efficacy with tamoxifen in treating breast cancer patients. These trials are ongoing but not accepting new patients[1][4].

How does the tamoxifen market grow, and what are its projections?

The tamoxifen market is expected to grow at a CAGR of 0.07% from 2017 to 2025, reaching USD 683.6 million by 2025. The broader Estrogen Receptor Positive Breast Cancer Treatment Market is projected to reach USD 57.0 billion by 2035[2][5].

What are the main drivers and restraints of the tamoxifen market?

Drivers include the rise in cancer prevalence, growing healthcare expenditure, and increasing awareness initiatives. Restraints include high medication costs and side effects associated with tamoxifen[3][5].

Who are the key players in the tamoxifen market?

Key players include AstraZeneca, Teva Pharmaceutical Industries, Allergan, Mylan, Apotex, and Midatech[5].

How does genetic testing impact the use of tamoxifen and endoxifen?

Genetic testing can help identify patients who are most likely to benefit from tamoxifen or endoxifen, leading to more personalized and effective treatment strategies[1].

Sources

  1. Cancer.gov: "Bringing the Breast Cancer Drug Endoxifen from Bench to Bedside with NCI Support" by Matthew Goetz, M.D.[1]
  2. MetaTech Insights: "Estrogen Receptor Positive Breast Cancer Treatment Market 2025" [2]
  3. Data Bridge Market Research: "Global Tamoxifen Market - Industry Trends and Forecast to 2028" [3]
  4. UCSD Clinical Trials: "Tamoxifen Citrate or Z-Endoxifen Hydrochloride in Treating Patients with Breast Cancer" [4]
  5. Business Wire: "Global Tamoxifen Market 2017-2025 - Growth Trends, Key Players, Competitive Strategies --- Research and Markets" [5]

More… ↓

⤷  Try for Free

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.