Roche’s Giredestrant Combo Shows Positive Phase 3 Data
Roche says new data from the Phase 3 evERA Breast Cancer study show its investigational oral therapy giredestrant, used in combination with everolimus, significantly improved progression-free survival (PFS) in patients with estrogen receptor-positive, HER2-negative advanced breast cancer.
According to the data, the combination reduced the risk of disease progression or death by 44% in the overall study population and by 62% among patients with ESR1 mutations, compared with standard-of-care endocrine therapy plus everolimus. The results were recently presented at the European Society for Medical Oncology Congress 2025.
“This is the first positive head-to-head Phase 3 trial testing a selective estrogen receptor degrader regimen against a standard-of-care combination,” Roche says in a statement. The company plans to share the data with global health authorities, with the goal of bringing the treatment to patients “as soon as possible.”
In the trial’s intent-to-treat population, median PFS reached 8.8 months with the giredestrant combination versus 5.5 months for standard therapy, according to the company. Among patients with ESR1 mutations, median PFS was 10.0 months in giredestrant-treated patients versus 5.5 months in those on standard therapy. Although overall survival data are still immature, Roche reports a positive trend favoring the giredestrant regimen in both the overall and ESR1-mutated populations.
Adverse events were described as manageable and consistent with the known profiles of the individual drugs. No new safety signals were identified, including no cases of photopsia (visual disturbances), the company says.