Evidence map›Paper›PMID 41461598›Full record

ArticleFuture oncology (London, England)2026

OPERA-01: a phase III study of palazestrant for ER+, HER2- advanced breast cancer after CDK4/6 inhibitor therapy.

Barbara Pistilli, Meritxell Bellet Ezquerra, Lucia Del Mastro, Joohyuk Sohn, Peter Schmid, Jane Meisel, Arlene Chan, Lianqing Zheng, Elisabeth de Kermadec, Heather McArthur

Abstract readClinical Trial Protocol
In one paragraph

Article in Future oncology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Barbara PistilliDepartment of Medical Oncology, Gustave Roussy, Villejuif, France.ORCID 0000-0002-9184-7199
Meritxell Bellet EzquerraBreast Cancer Unit, Vall d'Hebron Institute of Oncology, Barcelona, Spain.ORCID 0000-0001-8859-8307
Lucia Del MastroClinical Onocology Unit, IRCCS Ospedale Policlinico San Martino, University of Genova, Genova, Italy.ORCID 0000-0002-9546-5841
Joohyuk SohnDivision of Medical Oncology, Yonsei Cancer Center, Seoul, Republic of Korea.ORCID 0000-0002-2303-2764
Peter SchmidCentre for Experimental Cancer Medicine, Barts Cancer Institute, London, UK.ORCID 0000-0001-9817-5228
Jane MeiselDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Atlanta, GA, USA.ORCID 0000-0002-2642-865X
Arlene ChanBreast Cancer Research Centre-WA, Curtin University, Breast Clinical Trials Unit, Hollywood Private Hospital, Nedlands, WA, Australia.ORCID 0000-0003-2135-2286
Lianqing ZhengOlema Oncology, San Francisco, CA, USA.
Elisabeth de KermadecOlema Oncology, San Francisco, CA, USA.
Heather McArthurDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-0201-3871

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endocrine therapy (ET) resistance is a major concern when treating estrogen receptor-positive (ER+) human epidermal growth factor receptor 2-negative (HER2-) breast cancer. A combination of cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) and ET is the current first-line standard of care (SOC) for patients with ER+, HER2- advanced breast cancer. Despite the benefits of ET plus a CDK4/6i, disease progression due to endocrine resistance remains a significant challenge. More effective ETs that can overcome resistance are needed to improve clinical outcomes and maintain quality of life by delaying chemotherapy. Palazestrant is a novel oral, complete estrogen receptor antagonist (CERAN) and selective estrogen receptor degrader (SERD) that blocks both transcriptional activation function domains, AF1 and AF2, resulting in complete inhibition of ER-driven transcription, regardless of estrogen receptor 1 (

Indexed as

Breast NeoplasmsAdultAntineoplastic Combined Chemotherapy ProtocolsClinical Trials, Phase III as TopicCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Drug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaFemaleHumansMiddle AgedProtein Kinase InhibitorsReceptors, EstrogenTreatment OutcomeCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6ERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesEstrogen Receptor alphaProtein Kinase InhibitorsReceptors, EstrogenCERANendocrine therapyER+ESR1 mutationHER2– locally advanced or metastatic breast cancerpalazestrantSERD

Identifiers

PMID41461598
PMCPMC12802986

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.