OnCo
trialsTrialPositive

lidERA

The first oral SERD to reduce recurrence after surgery, by about 30%, compared with today's hormone pills.

Presented SABCS December 2025: ~30% reduction in invasive disease-free survival events versus standard endocrine therapy, consistent across menopausal status (ASCO 2026 subgroup: 35% pre-, 26% post-menopausal). Regulatory submission planned. If approved, the first change to adjuvant endocrine backbone since aromatase inhibitors.

Setting
Adjuvant ER+/HER2- early breast cancer (medium-high risk): giredestrant vs standard endocrine therapy for 5 years
Phase
Phase 3
Sponsor
Roche / Genentech
Registry
Headline result
iDFS ~30% relative reduction (HR ~0.70).
Reported
2025
Enrolled
4200
Replication
Awaits CAMBRIA-1/-2 (camizestrant) and EMBER-4 (imlunestrant) adjuvant readouts.

Outcomes

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In plain words
What these results mean for people, not percentages
4,200 people took part
Invasive disease-free survivalprimarysurrogate endpoint
  • The treated group had about 30 percent lower chance of the event at any given time (hazard ratio 0.7).
  • The absolute difference, how many more people out of 100 were helped, is not reported here.
  • 30% reduction in iDFS events vs standard ET
  • This is a surrogate endpoint: it measures the cancer being controlled or absent on scans and tests, which often, but not always, translates into living longer.
  • These results apply to the people the trial enrolled: Adjuvant ER+/HER2- early breast cancer (medium-high risk): giredestrant vs standard endocrine therapy for 5 years. People in a different situation may not see the same effect.
  • The trial selected people by a biomarker (HER2); the result should not be assumed for people whose cancer does not have it.

Numbers are from the trial as recorded here; see the source links in the table below. This is orientation, not medical advice: ask your team how closely the trial population matches you.

4,200 participants enrolled.

Invasive disease-free survivalprimary
HR 0.7

30% reduction in iDFS events vs standard ET

Source
EndpointArmnValueHR (95% CI)pSource
Invasive disease-free survivalprimaryGiredestrant30% reduction in iDFS events vs standard ET0.7link
Standard endocrine therapy
Replication
Awaits CAMBRIA-1/-2 (camizestrant) and EMBER-4 (imlunestrant) adjuvant readouts.

Connected

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