loading . . . PROTAC SERD vepdegestrant outperforms fulvestrant for advanced-stage ER+HER2â breast cancer harbouring acquired ESR1 mutations Nature Reviews Clinical Oncology, Published online: 22 July 2025; doi:10.1038/s41571-025-01062-6Next-generation, oral selective oestrogen receptor degraders (SERDs) have been shown to improve outcomes in patients with advanced-stage oestrogen receptor (ER)-positive, HER2-negative breast cancer, particularly those with acquired ESR1 mutations. Now, the proteolysis-targeting chimera (PROTAC) SERD vepdegestrant, which induces ER degradation directly rather than indirectly, has also demonstrated efficacy in this setting, raising questions over the optimal choice and sequencing of treatments. https://www.nature.com/articles/s41571-025-01062-6?utm_source=dlvr.it&utm_medium=social&utm_campaign=nrclinonc