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Opinion|Videos|January 16, 2026

The Role of Elacestrant in ER+/HER2– Advanced Breast Cancer Harboring ESR1 Mutations

Experts discuss the integration of oral SERDs like elacestrant into clinical practice, highlighting their benefits for ESR1 mutant populations in breast cancer treatment.

Hope S. Rugo, MD, and Seth Wander, MD, PhD, explore the clinical role of elacestrant (Orserdu) in estrogen receptor/HER2-negative advanced breast cancer with ESR1 mutations following the agent’s January 2023 FDA approval for use in patients with disease progression following at least 1 line of endocrine therapy. They discuss how this oral SERD addresses endocrine resistance and fits into current treatment algorithms. Rugo and Wander place elacestrant’s activity in context of evolving post-CDK4/6 inhibitor therapeutic options.

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