Updated Results Highlight Efficacy of Imlunestrant in Treating Advanced Breast Cancer
Eli Lilly and Company (NYSE: LLY) has announced promising results from the Phase 3 EMBER-3 study of Inluriyo™ (imlunestrant), a novel oral estrogen receptor antagonist, for the treatment of estrogen receptor-positive (ER+), human epidermal growth factor receptor 2-negative (HER2–), advanced or metastatic breast cancer (MBC). The updated data was released in conjunction with the San Antonio Breast Cancer Symposium (SABCS) and published in the Annals of Oncology.
Key Findings from EMBER-3 Study
The EMBER-3 study reveals that imlunestrant, as a monotherapy, achieved a statistically significant improvement in median overall survival (OS) among patients with ESR1-mutated breast cancer. Key insights from the study include:
- Median Overall Survival (OS): 11.4-month improvement (34.5 vs. 23.1 months) compared to endocrine therapy (HR=0.60, 95% CI 0.43–0.86, p=0.0043).
- Median Progression-Free Survival (PFS): When combined with abemaciclib, imlunestrant showed a median PFS of 10.9 months, reflecting a 41% reduction in the risk of progression or death compared to imlunestrant alone.
- Time to Chemotherapy (TTC): The combination of imlunestrant and abemaciclib extended TTC by more than a year (27.8 vs. 15.5 months).
Clinical Implications
These data underscore the role of imlunestrant in treating advanced breast cancer, particularly in patients with ESR1 mutations. Jacob Van Naarden, executive vice president and president of Lilly Oncology, stated, "Following the recent FDA approval of Inluriyo as monotherapy, these updated data demonstrate continued clinically meaningful benefit for patients receiving both monotherapy and combination therapy with abemaciclib."
Furthermore, Dr. Komal Jhaveri of Memorial Sloan Kettering Cancer Center remarked on the study's impressive median PFS of 11 months, emphasizing the lengthy duration patients can maintain chemotherapy-free living.
Ongoing Trials and Future Research
Imlunestrant is also under investigation for use in early breast cancer patients at risk of recurrence, with the Phase 3 EMBER-4 trial currently having enrolled approximately 8,000 patients. The ongoing research aims to further characterize the efficacy of imlunestrant in various settings.
About the EMBER-3 Study
The EMBER-3 trial is a randomized, open-label study that enrolled 874 patients who had previously progressed on endocrine therapies or aromatase inhibitors, with or without CDK4/6 inhibitors. It aimed to assess the efficacy of imlunestrant compared to other endocrine therapies and in combination with abemaciclib.
Understanding Metastatic Breast Cancer
Breast cancer represents a major health issue, with an estimated 30% of high-risk early-stage cases progressing to metastatic cancer. In 2022, approximately 2.3 million new cases were diagnosed worldwide, contributing to significant morbidity and mortality, as breast cancer remains the second leading cause of cancer death among women.
About Inluriyo™ (imlunestrant)
Inluriyo™ (imlunestrant) is an FDA-approved oral medication designed to inhibit estrogen receptor activity, making it a critical treatment option for patients with ER+ HER2– breast cancer. Its potential in both advanced and early-stage breast cancer continues to be evaluated in clinical trials.