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Synonyms: ARV-471 | ARV471 | compound 341 [WO2018102725A1] | PF-07850327 | PF07850327 | Veppanu®
vepdegrestrant is an approved drug
Compound class:
Synthetic organic
Comment: Vepdegrestrant (ARV471) is a bifunctional compound that is estrogen receptor (ER) degrader (PROTAC) [1]. It uses a cereblon-based binder to direct ER protein degradation. ARV471 is orally bioavailable, and was proposed for potential to treat breast cancer. Vepdegrestrant was the first PROTAC to gain clinical approval (from the US FDA, May 2026).
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Summary of Clinical Use ![]() |
| The first study to evaluate vepdegestrant (ARV471) for ER+/HER2- locally advanced or metastatic breast cancer evaluated it as a monotherapy compared to in combination with the CDK4/6 kinase inhibitor palbociclib. The compound was advanced to phase 3. The FDA approved vepdegestrant in May 2026, to treat ER+/HER2-, ESR1-mutated advanced or metastatic breast cancer. |
| Clinical Trials | |||||
| Clinical Trial ID | Title | Type | Source | Comment | References |
| NCT04072952 | A Phase 1/2 Trial of ARV-471 Alone and in Combination With Palbociclib (IBRANCE®) in Patients With ER+/HER2- Locally Advanced or Metastatic Breast Cancer | Phase 1/Phase 2 Interventional | Arvinas Inc | ||
| NCT05909397 | A Study of Vepdegestrant (ARV-471, PF-07850327) Plus Palbociclib Versus Letrozole Plus Palbociclib in Participants With Estrogen Receptor Positive, Human Epidermal Growth Factor Negative Advanced Breast Cancer | Phase 3 Interventional | Pfizer | ||
| NCT05654623 | A Study to Learn About a New Medicine Called Vepdegestrant (ARV-471, PF-07850327) in People Who Have Advanced Metastatic Breast Cancer | Phase 3 Interventional | Pfizer | The VERITAC-2 study: vepdegestrant failed improve progression-free survival (PFS) compared to the estrogen receptor (ER) antagonist |
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