anastrozole
Trade name: arimidex
Approved
Dec 27, 1995
Anastrozole (marketed under the trade name Arimidex by AstraZeneca) is a drug indicated in the treatment of breast cancer in post-menopausal women. It is used both in adjuvant therapy (i.e. following surgery) and in metastatic breast cancer. It decreases the amount of estrogens that the body makes. Anastrozole belongs in the class of drugs known as aromatase inhibitors. It inhibits the enzyme aromatase, which is responsible for converting androgens (produced by women in the adrenal glands) to estrogens. The growth of many cancers of the breast is stimulated or maintained by estrogens. In postmenopausal women, estrogens are mainly derived from the action of the aromatase enzyme, which converts adrenal androgens (primarily androstenedione and testosterone) to estrone and estradiol. The suppression of estrogen biosynthesis in peripheral tissues and in the cancer tissue itself can therefore be achieved by specifically inhibiting the aromatase enzyme. Anastrozole is a selective non-steroidal aromatase inhibitor. It significantly lowers serum estradiol concentrations and has no detectable effect on formation of adrenal corticosteroids or aldosterone. — NCATS
Clinical trial activity
307 trials · 285 clinical orgs · 27 marketing orgs
Earliest trial started Jan 1, 1996 (NCT00300508)
Timeline
1990s
- Dec 27, 1995
AstraZeneca — Earliest FDA Approval
- Dec 27, 1995
AstraZeneca — NDA Organization
- Dec 27, 1995
Ani Pharmaceuticals — NDA Secondary Org
- Dec 27, 1995
Ani Pharmaceuticals — Marketing Organization
- Jan 1, 1996
AstraZeneca — Earliest Phase 2 Sponsor(trial)
- Jan 1, 1996
AstraZeneca — Earliest Phase 3 Sponsor(trial)
2000s
- Jan 1, 2004
Earliest Phase 1 Sponsor(trial)
- May 25, 2007
Byondis — Marketing Organization
- Dec 5, 2008
AstraZeneca — NDA Secondary Org
2010s
- Jun 28, 2010
Kenton — Marketing Organization
- Jun 28, 2010
Hikma — Marketing Organization
- Jun 28, 2010
Accord Research — Marketing Organization
- Jun 28, 2010
Boscogen — Marketing Organization
- Jun 28, 2010
Cipla — Marketing Organization
- Jun 28, 2010
Fresenius — Marketing Organization
- Jun 28, 2010
Sandoz — Marketing Organization
- Jun 28, 2010
Teva — Marketing Organization
- Jun 28, 2010
West-Ward Pharmaceutical — Marketing Organization
- Jun 28, 2010
Zydus Discovery DMCC — Marketing Organization
- Jun 28, 2010
US Antibiotics — Marketing Organization
- Jun 28, 2010
Picket Pharms — Marketing Organization
- Jun 28, 2010
Mylan — Marketing Organization
- Jun 28, 2010
Natco Pharma — Marketing Organization
- Jun 28, 2010
Neopharma — Marketing Organization
- Jun 28, 2010
Novartis — Marketing Organization
- Jun 28, 2010
PHARMOBEDIENT — Marketing Organization
- Jan 5, 2011
Chartwell Pharmaceuticals — Marketing Organization
- Jan 5, 2011
Lannett Company, Inc. — Marketing Organization
- Jul 15, 2011
Sun Pharmaceuticals — Marketing Organization
- May 11, 2012
Apotex — Marketing Organization
- May 31, 2012
Impax Laboratories — Marketing Organization
- Nov 9, 2018
Yiling Pharmaceutical Inc. — Marketing Organization
2020s
- Jul 24, 2020
Eugia Pharma — Marketing Organization
Indications
Approved for
Studied for
- Aging · Phase 1
- Anovulation · Phase 2
- Arthralgia · Phase 4
- Bone Density · Phase 3
- Bone Marrow Diseases · Phase 2
- Breast Density · Phase 1
- Breast Diseases · Phase 1/Phase 2
- Breast Neoplasms, Male · Phase 2
- Carcinoma · Phase 2
- Carcinoma, Intraductal, Noninfiltrating · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Depression · Phase 2
- Diabetes Mellitus · Phase 2
- Dysmenorrhea · Phase 4
- Endometrial Neoplasms · Phase 2
- Endometriosis · Phase 4
- Epilepsy · Phase 2
- Erectile Dysfunction · Phase 2
- Esophageal Neoplasms · Phase 2
- Eunuchism · Phase 2
- Fallopian Tube Neoplasms · Phase 2
- Fibrous Dysplasia, Polyostotic · Phase 2
- Growth and Development · Phase 4
- Gynecomastia · Phase 3
- Hamartoma · Phase 2
- Healthy Volunteers · Phase 1/Phase 2
- Hormones · Phase 3
- Hypertension · Early Phase 1
- Hypogonadism · Phase 4
- Hypopituitarism · Phase 2/Phase 3
- Iron Deficiencies · Phase 2
- Klinefelter Syndrome · Phase 3
- Mastectomy · Phase 2
- Menstruation Disturbances · Phase 2
- Metabolic Syndrome · Phase 2
- Neoplasm Metastasis · Phase 4
- Obesity · Phase 4
- Obesity, Morbid · Phase 4
- Oligospermia · Phase 3
- Osteoporosis · Phase 2
- Ovarian Neoplasms · Phase 3
- Pancreatic Neoplasms · Phase 2
- Pharmacokinetics · Phase 1
- Postmenopause · Phase 4
- Progression-Free Survival · Phase 3
- Prostatic Neoplasms · Phase 2
- Prostheses and Implants · Phase 4
- Puberty, Precocious · Phase 2
- Pulmonary Arterial Hypertension · Phase 2
- Quality of Life · Phase 3
- Recurrence · Phase 3
- Safety · Phase 1
- Sarcoma · Phase 2
- Sarcoma, Ewing · Phase 2
- Sarcopenia · Phase 2
- Triple Negative Breast Neoplasms · Phase 2
- Uterine Diseases · Phase 4
Mechanism of action
- Cytochrome P450 19A1INHIBITOR
CYP19A1 inhibitor
Approval history
- approvedDec 27, 1995
Chemistry & pharmacology
SMILES
CC(C)(C#N)C1=CC(=CC(CN2C=NC=N2)=C1)C(C)(C)C#N- Mol. weight
- 293.3663 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaAnastrozole ↗
- NCATS2Z07MYW1AZ ↗
- ChEMBLCHEMBL1399 ↗
- ChEMBLCHEMBL1201544 ↗
Also known as
- 1,3-benzenediacetonitrile, alpha,alpha,alpha',alpha'-tetramethyl-5-(1h-1,2,4-triazol-1-ylmethyl)-
- 2,2'-(5-(1h-1,2,4-triazol-1-ylmethyl)-1,3-phenylene)bis(2-methylpropionitrile)
- alpha,alpha,alpha',alpha'-tetramethyl-5-(1h-1,2,4-triazol-1-ylmethyl)-m-benzenediacetonitrile
- alpha,alpha,alpha',alpha'-tetramethyl-5-(1h-1,2,4-triazol-1-ylmethyl)-m-benzenediacetonitrile
- anastrazole
- anastrazole
- anastrol
- anastrozol
- anastrozol
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- anastrozole
- arimidex
- arimidex
- arimidex
- arimidex
- arimidex
- arimidex
- armidexan
- astra brand of anastrozole
- astrazeneca brand of anastrozole
- cosmofer
- cosmofer
- dexferrum
- dexferrum
- ferran 100
- ici d1033
- ici d1033
- ici-d1033
- ici-d1033
- imferon
- imferon
- infed
- infed
- nastrosa
- zd1033
- zd-1033
- zd-1033
- zd-1033
- zd-1033
- zeneca brand of anastrozole
- zeneca zd 1033
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07212712 | N/A | Mar 1, 2026 | University of British Columbia |
| NCT07163481 | Phase 1 | Oct 31, 2025 | Central South University, Gilead Sciences |
| NCT07174336 | Phase 3 | Oct 27, 2025 | Eli Lilly, Pfizer |
| NCT07101159 | Phase 2 | Sep 30, 2025 | Fujian Medical University |
| NCT07179939 | Phase 2 | Sep 10, 2025 | Fudan University, Hengrui Therapeutics, Inc., People's Liberation Army of China |
| NCT06953882 | Phase 2 | Jul 9, 2025 | Breast Cancer Research Foundation, Novartis, Yale University |
| NCT07061717 | Phase 3 | Jul 1, 2025 | Sun Yat-Sen University |
| NCT07019363 | Phase 3 | Jun 15, 2025 | Fudan University |
| NCT07190443 | Phase 3 | Feb 7, 2025 | Japan Clinical Oncology Group, Japanese Foundation for Cancer Research |
| NCT06671912 | Phase 3 | Nov 15, 2024 | National Cancer Institute (NCI) |
| NCT06699472 | Phase 2 | Oct 31, 2024 | Fudan University |
| NCT06492616 | Phase 3 | Sep 27, 2024 | Pipeline Therapeutics, Inc. |
| NCT06380751 | Phase 3 | Aug 1, 2024 | AstraZeneca |
| NCT06507618 | Phase 3 | Jul 19, 2024 | University of Virginia |
| NCT06569459 | Phase 2 | Jul 9, 2024 | Nanjing Medical University |
| NCT06179303 | Phase 2 | Jun 1, 2024 | Breast Cancer Research Foundation, University of Washington |
| NCT06223698 | Phase 3 | May 2, 2024 | Orebro University |
| NCT06001762 | Phase 2 | Feb 29, 2024 | Eli Lilly, Harvard University |
| NCT06957379 | Phase 2 | Feb 29, 2024 | Shijiazhuang Pharma Group (CSPC) |
| NCT06235931 | N/A | Feb 1, 2024 | Soochow University |
Organizations
Research & Development (285)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| AstraZeneca | For profit | 63 | 40 | 5 | 1996 |
| National Cancer Institute (NCI) | Government | 31 | 10 | 5 | 1999 |
| Novartis | For profit | 18 | 9 | 3 | 1999 |
| Eli Lilly | For profit | 14 | 10 | 4 | 2008 |
| Pfizer | For profit | 13 | 1 | 4 | 2001 |
| Harvard University | Academic/Hospital | 12 | 9 | 4 | 2001 |
| Washington University in St. Louis | Academic/Hospital | 11 | 5 | 3 | 2003 |
| Fudan University | Academic/Hospital | 9 | 9 | 2 | 2008 |
| University of London | Academic/Hospital | 9 | 7 | 2 | 1998 |
| Mayo Clinic | Academic/Hospital | 8 | 5 | 3 | 2003 |
| Southwest Oncology Group | Academic/Hospital | 8 | 4 | 2 | 2003 |
| Genentech | For profit | 6 | 0 | 2 | 2001 |
| University of Washington | Academic/Hospital | 6 | 5 | 3 | 2005 |
| Hengrui Therapeutics, Inc. | For profit | 5 | 2 | 2 | 2018 |
| Roche | For profit | 5 | 2 | 2 | 2001 |
| Stanford University | Academic/Hospital | 5 | 3 | 3 | 2000 |
| Baylor University | Academic/Hospital | 4 | 4 | 2 | 2003 |
| National Institutes of Health (NIH) | Government | 4 | 1 | 2 | 2000 |
| Royal Marsden Hospital NHS Trust | Academic/Hospital | 4 | 1 | 2 | 2004 |
| UNICANCER | Academic/Hospital | 4 | 3 | 2 | 2002 |
Marketing (32)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Accord Research | For profit | MKTG | Jun 28, 2010 |
| Ani Pharmaceuticals | For profit | NDA2 | Dec 27, 1995 |
| Ani Pharmaceuticals | For profit | MKTG | Dec 27, 1995 |
| Apotex | For profit | MKTG | May 11, 2012 |
| AstraZeneca | For profit | NDA | Dec 27, 1995 |
| AstraZeneca | For profit | NDA2 | Dec 5, 2008 |
| Boscogen | For profit | MKTG | Jun 28, 2010 |
| Byondis | For profit | MKTG | May 25, 2007 |
| Chartwell Pharmaceuticals | For profit | MKTG | Jan 5, 2011 |
| Chartwell Pharmaceuticals | For profit | SYN | Jun 28, 2010 |
| Cipla | For profit | MKTG | Jun 28, 2010 |
| Eugia Pharma | For profit | MKTG | Jul 24, 2020 |
| Fresenius | For profit | MKTG | Jun 28, 2010 |
| Hikma | For profit | MKTG | Jun 28, 2010 |
| Hikma | For profit | SYN | Jun 28, 2010 |
| Impax Laboratories | For profit | MKTG | May 31, 2012 |
| Kenton | For profit | MKTG | Jun 28, 2010 |
| Lannett Company, Inc. | For profit | MKTG | Jan 5, 2011 |
| Mylan | For profit | MKTG | Jun 28, 2010 |
| Natco Pharma | For profit | MKTG | Jun 28, 2010 |
| Neopharma | For profit | MKTG | Jun 28, 2010 |
| Novartis | For profit | MKTG | Jun 28, 2010 |
| PHARMOBEDIENT | For profit | MKTG | Jun 28, 2010 |
| Picket Pharms | For profit | MKTG | Jun 28, 2010 |
| Sandoz | For profit | MKTG | Jun 28, 2010 |
| Sun Pharmaceuticals | For profit | MKTG | Jul 15, 2011 |
| Teva | For profit | MKTG | Jun 28, 2010 |
| Teva | For profit | SYN | Jun 28, 2010 |
| US Antibiotics | For profit | MKTG | Jun 28, 2010 |
| West-Ward Pharmaceutical | For profit | MKTG | Jun 28, 2010 |
| Yiling Pharmaceutical Inc. | For profit | MKTG | Nov 9, 2018 |
| Zydus Discovery DMCC | For profit | MKTG | Jun 28, 2010 |