1. Introduction
Elacestrant, a selective estrogen receptor degrader (SERD) (Orserdu
®) was approved by the FDA in January 2023 for ER-positive, HER2-negative advanced breast cancer with ESR1 mutation after prior endocrine therapy [
1,
2]. Elacestrant is available in oral dosage forms of 86 mg and 345 mg [
3]. Elacestrant dihydrochloride is the active ingredient for the oral tablets [
4].
Elacestrant's oral administration is simple and convenient for patients. Oral absorption of medicine can be dependent on the polymorphic form, which in some cases can impact dissolution and subsequently the absorption rate. Understanding the polymorph landscape for a molecule is useful to ensure the most appropriate polymorphic form for clinical development and commercialization is selected, underscoring the importance of tailored drug development and formulation strategies [
5].
The need to assess polymorphism in the pharmaceutical industry primarily arises for two reasons. Firstly, polymorphism is inevitable, and may occur during discovery, development, and manufacturing processes as an inherent characteristic of materials. Secondly, the formulator can modify the physicochemical properties of a given compound by using different polymorphs [
6]. McCrone stated in 1965 "Every compound has different polymorphic forms and that, in general, the number of forms known for that compound is proportional to the time and money spent researching it." [
8].
Modifying the physical forms of a compound, such as polymorphs, solvates, amorphous structures, salts, cocrystals, and hydrates, is a common strategy for enhancing and optimizing drug characteristics [
5]. Solubility, dissolution, bioavailability, and physical/chemical stability are critical properties in drug discovery and development. For example, Chloramphenicol palmitate polymorphs show significantly different bioavailability in human studies [
7].
To assess polymorphic behavior of elacestrant dihydrochloride, extensive studies were performed. Our recently published manuscript described the discovery and characterization of three polymorphic forms of elacestrant, identified as Form 1, Form 2, and Form 3. These forms will be referred to throughout the paper.
Numerous methods exist for generating polymorphs, including crystallization from single or mixed solvents, thermal activation of solid substrates, crystallization from the melt, desolvation/dehydration, crystallization in nano-confined structures, seeding/pseudo seeding, solution-mediated polymorphic transformation, solid-state polymorphic transformation, mechanical activation, exposure to vapor, directed crystallization on molecular substrates, crystallization with additives, laser-induced crystallization, crystallization from supercritical fluid, and structure prediction [
8].
To discover novel polymorphs of elacestrant, and supplement the three forms mentioned in the earlier published study, extensive screening was performed using nonconventional methods. Amorphous and crystalline forms of elacestrant were utilized in this study. This comprehensive approach enhances the understanding of polymorphic behavior and expands the potential forms of a given compound. To our knowledge, this is the first ever study describing the discovery of additional polymorphic forms of elacestrant, which will enable further development of elacestrant for better biopharmaceutical, and pharmacodynamic properties. The additional polymorphic forms identified in this paper are designated by an alphabetical letter scheme to clearly differentiate them from the previously identified polymorphic forms.