Drugs / Endoxifen

Trials 12

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 13 trials
Phase 1 NCT03317405 Oct 2018 → Feb 2021 overdue ductal breast carcinoma in situ, lobular breast carcinoma in situ National Cancer Institute (NCI) Active not recruiting No outcome recorded
Phase 1 NCT01327781 Mar 2011 → Mar 2017 overdue HER2 positive breast carcinoma National Cancer Institute (NCI) Active not recruiting No outcome recorded
Phase 1 NCT01273168 Mar 2011 → Jun 2020 desmoid tumor, female reproductive system neoplasm, hormone receptor-positive breast cancer National Cancer Institute (NCI) Completed No outcome recorded
Phase 27 trials · 1 met primary
Phase 2 NCT07869732 Mar 2027 → Jun 2028 expected central precocious puberty Atossa Therapeutics, Inc. Not yet recruiting No outcome recorded
Phase 2 NCT06075953 Feb 2024 → Nov 2028 expected ductal breast carcinoma in situ QuantumLeap Healthcare Collaborative Recruiting No outcome recorded
Phase 2 NCT05607004 Feb 2023 → Nov 2026 expected Her2-receptor negative breast cancer, estrogen-receptor positive breast cancer, invasive breast carcinoma Atossa Therapeutics, Inc. Active not recruiting No outcome recorded
Phase 2 NCT05068388 Dec 2021 → Jun 2024 female breast upper-inner quadrant cancer Atossa Therapeutics, Inc. Completed Met primary
Phase 2 NCT03931928 Sep 2019 → May 2021 ductal breast carcinoma in situ Robert Bosch Gesellschaft für Medizinische Forschung mbH (RBMF) Completed No outcome recorded
Phase 2 NCT02311933 May 2015 → Nov 2020 overdue breast carcinoma National Cancer Institute (NCI) Active not recruiting No outcome recorded
Phase 2 NCT01042379 Mar 2010 → Dec 2030 expected HER2 positive breast carcinoma, angiosarcoma, female breast carcinoma, hormone receptor-positive breast cancer +1 QuantumLeap Healthcare Collaborative Recruiting No outcome recorded
Phase 32 trials
Phase 3 NCT06608641 Mar 2024 → Jun 2025 overdue bipolar I disorder Jina Pharmaceuticals Inc. Active not recruiting No outcome recorded
Phase 3 NCT04315792 Aug 2020 → Jan 2021 bipolar I disorder Jina Pharmaceuticals Inc. Completed No outcome recorded
Comparator or background therapy1 trial
Phase 2 NCT04616430 Comparator Apr → Sep 2018 breast disorder Atossa Therapeutics, Inc. Completed No outcome recorded

News releases announcing trial results or a regulatory action · 20

DateIssuerRelease
2026-07-21 Atossa Therapeutics, Inc. Results Atossa Therapeutics Announces Presentation of Mechanism-Driven (Z)-Endoxifen Data in McCune-Albright Syndrome at AACR Special Conference on Rare Cancers atossatherapeutics.com ↗
The poster supports a dual mechanism of action for (Z)-endoxifen in estrogen-driven pathology relevant to McCune Albright Syndrome-associated Peripheral Precocious Puberty (MAS-PPP): the blockade of ER-mediated transcription downstream of autonomous estrogen production and suppression of PKC-β/AKT-associated proliferative and cell-cycle signaling.
2026-05-27 Atossa Therapeutics, Inc. Results Atossa Therapeutics Announces ASCO 2026 Abstracts Highlighting (Z)-Endoxifen Activity Across ESR1 Mutations and Ongoing EVANGELINE Phase 2 Trial atossatherapeutics.com ↗
Preclinical Data Abstract Demonstrates Robust Estrogen Receptor (ER) Inhibition in ESR1-Mutant Breast Cancer Models at Clinically Relevant Concentrations
2026-05-06 Atossa Therapeutics, Inc. Results Atossa Therapeutics Announces Publication of KARISMA Endoxifen Trial Demonstrating Significant Reduction in Mammographic Breast Density in Healthy Premenopausal Women atossatherapeutics.com ↗
The randomized, double-blind, placebo-controlled Phase 2 study evaluated daily oral Endoxifen and demonstrated that low-dose Endoxifen significantly reduced MBD, a key risk factor for breast cancer.
2026-05-04 Atossa Therapeutics, Inc. Regulatory Atossa Therapeutics Receives FDA Rare Pediatric Disease Designation for (Z)-Endoxifen for McCune-Albright Syndrome atossatherapeutics.com ↗
Atossa Therapeutics, Inc. (Nasdaq: ATOS) ("Atossa" or the "Company"), a clinical-stage biopharmaceutical company developing novel therapies in oncology and other areas of high unmet clinical need, today announced that the U.S. Food and Drug Administration ("FDA") has granted Rare Pediatric Disease ("RPD") designation to (Z)-endoxifen for the treatment of McCune-Albright Syndrome ("MAS") in females.
2026-03-12 Atossa Therapeutics, Inc. Results Atossa Therapeutics Presents Clinical Trial Update Highlighting (Z)-Endoxifen Research at the 2026 MDA Clinical & Scientific Conference atossatherapeutics.com ↗
(Z)-Endoxifen improved muscle strength and motor performance in both juvenile and adult dystrophic mice
2026-01-16 Atossa Therapeutics, Inc. Regulatory Atossa Therapeutics Receives FDA Orphan Drug Designation for (Z)-Endoxifen for the Treatment of Duchenne Muscular Dystrophy atossatherapeutics.com ↗
2026-01-06 Atossa Therapeutics, Inc. Regulatory Atossa Therapeutics Receives FDA "Study May Proceed" Letter for (Z)-Endoxifen Investigational New Drug Application for Metastatic Breast Cancer atossatherapeutics.com ↗
This letter marks an important regulatory milestone for Atossa and to potentially expand the use of (Z)-endoxifen for metastatic ER+/HER2- Breast Cancer.
2025-12-15 Atossa Therapeutics, Inc. Results Atossa Therapeutics Presents Four Clinical Trial Updates Highlighting (Z)-Endoxifen Research at the 2025 San Antonio Breast Cancer Symposium atossatherapeutics.com ↗
Functional assays confirmed strong suppression of ER signaling in both wild-type and mutant ESR1 backgrounds, demonstrating robust inhibitory activity even under estrogen-rich conditions and validating the mechanistic modeling findings
2025-12-11 Atossa Therapeutics, Inc. Regulatory Atossa Therapeutics Receives FDA Rare Pediatric Disease Designation for (Z)-Endoxifen for Duchenne Muscular Dystrophy atossatherapeutics.com ↗
Atossa Therapeutics, Inc. (Nasdaq: ATOS) ("Atossa" or the "Company"), a clinical-stage biopharmaceutical company developing novel therapies in oncology and other areas of high unmet clinical need, today announced that the U.S. Food and Drug Administration ("FDA") has granted Rare Pediatric Disease ("RPD") designation to (Z)-Endoxifen for the treatment of Duchenne Muscular Dystrophy ("DMD").
2025-12-02 Atossa Therapeutics, Inc. Results Insilico Medicine and Atossa Therapeutics Publish AI-Driven Study in Nature Scientific Reports Identifying (Z)-Endoxifen as a Potential Therapeutic Candidate for Glioblastoma atossatherapeutics.com ↗
Through this systematic evaluation, GBM emerged as a top candidate for further investigation.
2025-05-14 Atossa Therapeutics, Inc. Results Atossa Therapeutics Announces Full Results from I‑SPY 2 Endocrine‑Optimization Sub‑Study Evaluating Low‑Dose (Z)‑Endoxifen atossatherapeutics.com ↗
Median Ki‑67 fell from 10.5 percent at baseline to 5 percent by Week 3 (prior to ovarian suppression); 65 percent of patients achieved Ki‑67 ≤ 10 percent at that time point, and suppression was maintained at surgery.
2024-12-12 Atossa Therapeutics, Inc. Results Atossa Therapeutics to Present Poster Describing the Discovery of Molecules Synergistic with (Z)-endoxifen for the Treatment of Breast Cancer at the 2024 San Antonio Breast Cancer Symposium atossatherapeutics.com ↗
The combination of these newly discovered compounds was shown to induce cell death in MCF-7 cells, a widely used human breast cancer cell line in scientific research, at levels greater than with either agent alone.

All press releases naming this drug 45 releases

DateIssuerRelease

Evidence & citations 10 cited values

Every value below carries the sentence it was read from. 15 sources stand behind the page.

FieldValueCited text
Known as endoxifen “The experimental drug Z-Endoxifen HCl (endoxifen) is related to tamoxifen” NCT01273168 ↗
5

NCT03317405 ↗

NCT04616430 ↗

NCT06608641 ↗

NCT02311933 ↗

NCT04315792 ↗

Known as (z)-endoxifen “Group 3: Patients will receive (Z)-endoxifen according to (Z)-endoxifen steady state plasma concentrations (phenotype) at screening (i.e. ≤ 15 nM receive 3 mg, \> 15 and ≤ 25...” NCT03931928 ↗
11

“BACKGROUND: (Z)-endoxifen is the tamoxifen metabolite that possesses the highest affinity to the estrogen receptor and is evolving as an alternative to tamoxifen.” PMID 42070780 ↗ Apr 2026

“(Z)-endoxifen is the most active metabolite of the selective estrogen receptor modulator (SERM), tamoxifen.” NCT06075953 ↗

“To describe the safety profile of Z-endoxifen (Z-endoxifen hydrochloride) at each of the doses examined.” NCT01327781 ↗

“The experimental drug Z-Endoxifen HCl (endoxifen) is related to tamoxifen” NCT01273168 ↗

NCT07869732 ↗

NCT06075953 ↗

NCT03931928 ↗

NCT05068388 ↗

NCT05607004 ↗

NCT01273168 ↗

Show 1 more source

Known as 4-hydroxy-n-desmethyltamoxifen ChEMBL registry synonym — accepted as the source's own label CHEMBL1093458 ↗
Known as ENX “endoxifen hydrochloride (endoxifen [ENX]) gel” NCT03317405 ↗
Known as N-desmethyl-4-hydroxytamoxifen ChEMBL registry synonym — accepted as the source's own label CHEMBL1093458 ↗
Known as NSC-749798 ChEMBL registry synonym — accepted as the source's own label CHEMBL1093458 ↗
Known as Z-Endoxifen HCl “The experimental drug Z-Endoxifen HCl (endoxifen) is related to tamoxifen” NCT01273168 ↗
Action Inhibit “lowering the amount of estrogen the body makes” NCT02311933 ↗
Modality Small molecule — CHEMBL1093458 ↗
Route Oral “Z-endoxifen: 10 mg QD, p.o.” NCT01042379 ↗