Camizestrant for early breast cancer treatment
CAMBRIA-2: A Phase III, Open-Label, Randomised Study to Assess the Efficacy and Safety of Camizestrant (AZD9833, a Next Generation, Oral Selective Estrogen Receptor Degrader) vs Standard Endocrine Therapy (Aromatase Inhibitor or Tamoxifen) as Adjuvant Treatment for Patients With ER+/HER2- Early Breast Cancer and an Intermediate-High or High Risk of Recurrence Who Have Completed Definitive Locoregional Treatment and Have No Evidence of Disease
This study is testing if a new drug called camizestrant can help people with early breast cancer stay cancer-free longer compared to the usual treatment.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 5500 (estimated) |
| Ages | 18 Years to 130 Years |
| Sex | All |
| Sponsor | AstraZeneca Industry-sponsored |
| Drugs / interventions | denosumab, chemotherapy |
| Locations | 794 sites (Dothan, Alabama and 793 other locations) |
| Trial ID | NCT05952557 on ClinicalTrials.gov |
What this trial studies
This Phase III open-label study evaluates the effectiveness of camizestrant compared to standard adjuvant endocrine therapy in patients with ER+/HER2- early breast cancer who are at intermediate-high or high risk for recurrence. Participants must have completed definitive locoregional therapy and will be treated for a planned duration of 7 years. The study aims to measure invasive breast cancer-free survival as the primary endpoint, along with several secondary outcomes related to disease-free survival and overall survival. Patients will be monitored for 10 years following the randomization of the last participant.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older with histologically confirmed ER+/HER2- early-stage breast cancer who have completed definitive locoregional therapy.
Not a fit: Patients with inoperable locally advanced or metastatic breast cancer will not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly improve outcomes for patients with early breast cancer at high risk of recurrence.
How similar studies have performed: Other studies have shown promise with similar endocrine therapies, but the specific use of camizestrant in this context is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women and Men; ≥18 years at the time of screening (or per national guidelines) * Histologically confirmed ER+/HER2- early-stage resected invasive breast cancer with absence of any evidence of metastatic disease as defined in the protocol. * Completed adequate (definitive) locoregional therapy (surgery with or without radiotherapy) for the primary breast tumour(s), with or without (neo)adjuvant chemotherapy. * Patients must be randomised within 12 months of definitive breast surgery. * Patients may have received up to 12 weeks of endocrine therapy prior to randomisation. * Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1 * Adequate organ and bone marrow function Exclusion Criteria: * Inoperable locally advanced or metastatic breast cancer * Pathological complete response following treatment with neoadjuvant therapy * History of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix or considered a very low risk of recurrence per investigator judgement) unless in complete remission with no therapy for a minimum of 5 years from the date of randomisation * Any evidence of severe or uncontrolled systemic diseases which, in the investigator's opinion precludes participation in the study or compliance " * Known LVEF \<50% with heart failure NYHA Grade ≥2. * Mean resting QTcF interval \> 480 ms at screening * Concurrent exogenous reproductive hormone therapy or non topical hormonal therapy for non-cancer-related conditions * Any concurrent anti-cancer treatment not specified in the protocol with the exception of bisphosphonates (e.g. zoledronic acid) or RANKL inhibitors ( eg, denosumab) * Previous treatment with camizestrant, investigational SERDs/investigational ER targeting agents, or fulvestrant * Currently pregnant (confirmed with positive serum pregnancy test) or breastfeeding. * Patients with known hypersensitivity to active or inactive excipients of camizestrant or drugs with a similar chemical structure or class to camizestrant. In pre-/peri-menopausal female and male patients, known hypersensitivity or intolerance to LHRH agonists that would preclude the patient from receiving any LHRH agonist.
Where this trial is running
Dothan, Alabama and 793 other locations
- Research Site — Dothan, Alabama, United States (Recruiting)
- Research Site — Phoenix, Arizona, United States (Recruiting)
- Research Site — Tucson, Arizona, United States (Recruiting)
- Research Site — Fayetteville, Arkansas, United States (Recruiting)
- Research Site — Duarte, California, United States (Recruiting)
- Research Site — Fountain Valley, California, United States (Recruiting)
- Research Site — Greenbrae, California, United States (Not_yet_recruiting)
- Research Site — Irvine, California, United States (Recruiting)
- Research Site — La Jolla, California, United States (Recruiting)
- Research Site — Los Angeles, California, United States (Recruiting)
- Research Site — Monterey, California, United States (Recruiting)
- Research Site — Walnut Creek, California, United States (Recruiting)
- Research Site — West Hollywood, California, United States (Recruiting)
- Research Site — Aurora, Colorado, United States (Recruiting)
- Research Site — Littleton, Colorado, United States (Recruiting)
- Research Site — Littleton, Colorado, United States (Recruiting)
- Research Site — New Haven, Connecticut, United States (Recruiting)
- Research Site — Newark, Delaware, United States (Recruiting)
- Research Site — Washington D.C., District of Columbia, United States (Not_yet_recruiting)
- Research Site — Clearwater, Florida, United States (Recruiting)
- Research Site — Fort Myers, Florida, United States (Recruiting)
- Research Site — Gainesville, Florida, United States (Recruiting)
- Research Site — Jacksonville, Florida, United States (Recruiting)
- Research Site — Orlando, Florida, United States (Recruiting)
- Research Site — Pembroke Pines, Florida, United States (Recruiting)
- Research Site — Plantation, Florida, United States (Recruiting)
- Research Site — Plantation, Florida, United States (Recruiting)
- Research Site — St. Petersburg, Florida, United States (Active_not_recruiting)
- Research Site — St. Petersburg, Florida, United States (Recruiting)
- Research Site — Tallahassee, Florida, United States (Recruiting)
- Research Site — West Palm Beach, Florida, United States (Recruiting)
- Research Site — Atlanta, Georgia, United States (Recruiting)
- Research Site — Atlanta, Georgia, United States (Recruiting)
- Research Site — Columbus, Georgia, United States (Recruiting)
- Research Site — Marietta, Georgia, United States (Recruiting)
- Research Site — Savannah, Georgia, United States (Recruiting)
- Research Site — Thomasville, Georgia, United States (Recruiting)
- Research Site — Chicago, Illinois, United States (Recruiting)
- Research Site — Elmhurst, Illinois, United States (Recruiting)
- Research Site — Naperville, Illinois, United States (Recruiting)
- Research Site — Park Ridge, Illinois, United States (Not_yet_recruiting)
- Research Site — Plainfield, Illinois, United States (Recruiting)
- Research Site — Urbana, Illinois, United States (Recruiting)
- Research Site — Fort Wayne, Indiana, United States (Recruiting)
- Research Site — Des Moines, Iowa, United States (Recruiting)
- Research Site — Fairway, Kansas, United States (Recruiting)
- Research Site — Louisville, Kentucky, United States (Recruiting)
- Research Site — New Orleans, Louisiana, United States (Recruiting)
- Research Site — Scarborough, Maine, United States (Recruiting)
- Research Site — Annapolis, Maryland, United States (Recruiting)
+744 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.