Study of Camizestrant and CDK4/6 Inhibitor for Patients with Advanced Breast Cancer with ESR1 Mutation

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What is this study about?

This clinical trial is focused on studying treatments for Estrogen Receptor-Positive, HER2-negative Advanced Breast Cancer. The study will compare the effectiveness of a new treatment combination, Camizestrant (also known as AZD9833) plus a CDK4/6 inhibitor, against the current standard treatment of an Aromatase Inhibitor (such as Letrozole or Anastrozole) plus a CDK4/6 inhibitor. The purpose of the study is to determine if switching to the new treatment combination is more effective in patients who have a specific genetic change called the ESR1 mutation and have not experienced disease progression during their initial treatment.

Participants in the study will be randomly assigned to receive either the new treatment combination or continue with the current standard treatment. The study will be conducted in a double-blind manner, meaning neither the participants nor the researchers will know which treatment is being given to each participant. This helps ensure that the results are not biased. The study will last for a period of up to 77 weeks, during which participants will take the medications orally in the form of tablets or capsules. Some participants may receive a placebo, which looks like the real medication but does not contain the active substance.

The main goal of the study is to assess the progression-free survival, which is the time during which the cancer does not get worse. Secondary goals include evaluating overall survival, response rates to the treatment, and the time until further cancer treatment is needed. The study will also monitor the concentration of Camizestrant in the blood and assess changes in quality of life using specific questionnaires. This trial aims to provide valuable information on whether the new treatment combination can offer better outcomes for patients with this type of breast cancer.

1 joining the study

Upon joining the study, participation begins with a confirmation of eligibility. This includes a diagnosis of estrogen receptor-positive, HER2-negative advanced breast cancer, and the presence of an ESR1 mutation.

Initial treatment involves continuing with an aromatase inhibitor, either letrozole or anastrozole, combined with a CDK4/6 inhibitor.

2 randomization

Participants are randomly assigned to one of two groups. One group will switch to AZD9833, a next-generation oral SERD, combined with a CDK4/6 inhibitor. The other group will continue with the current aromatase inhibitor and CDK4/6 inhibitor.

3 treatment administration

For those switching to AZD9833, the medication is taken orally. The specific dosage and frequency will be provided by the study team.

Participants continuing with the aromatase inhibitor will maintain their current regimen, which includes oral administration of letrozole or anastrozole, along with the CDK4/6 inhibitor.

4 monitoring and assessments

Regular visits are scheduled to monitor health status and treatment effects. This includes laboratory tests and other necessary procedures.

Progression-free survival is assessed to determine the effectiveness of the treatment. This involves tracking the time from randomization until disease progression or death.

5 end of study participation

The study is estimated to conclude by November 2027. Participants will continue their assigned treatment until the study ends or until disease progression is observed.

Upon completion, further treatment options will be discussed based on individual health status and study outcomes.

Who Can Join the Study?

  • The patient must have a confirmed diagnosis of a type of breast cancer called adenocarcinoma, which has spread to nearby areas or other parts of the body and cannot be treated with surgery or radiation to cure it.
  • The patient must have a diagnosis of breast cancer that is estrogen receptor-positive (ER+) and HER2-negative, confirmed by a local lab. This means the cancer grows in response to estrogen but does not have too much of a protein called HER2.
  • The patient must currently be receiving treatment with a type of medication called an AI (aromatase inhibitor) like letrozole or anastrozole, along with a CDK4/6 inhibitor, with or without another treatment called LHRH, as their first hormone-based treatment for advanced cancer.
  • The patient must have an Eastern Cooperative Oncology Group performance status of 0 or 1, which means they are fully active or have some symptoms but can still carry out light work.
  • The patient must have a specific change in their DNA called ESR1m, which will be checked through a blood test.
  • The patient must be willing and able to attend scheduled visits, follow the treatment plan, and undergo lab tests and other procedures required by the study.
  • The patient must have organs and bone marrow that are working well enough to participate in the study.

Who Cannot Join the Study?

  • Patients who have a different type of breast cancer than Estrogen Receptor-Positive, HER-2 negative Advanced Breast Cancer cannot participate. This means the cancer must be sensitive to estrogen and not have a protein called HER-2.
  • Patients who are not within the specified age range for the study cannot participate. The study has specific age requirements.
  • Patients who are not part of the specified clinical trial groups cannot participate. This means the study is looking for specific characteristics in participants.
  • Patients who are not female or male cannot participate. The study includes both genders.
  • Patients who are considered part of a vulnerable population cannot participate. This means people who might need special protection or care.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Other Sites

Site Name City Country Status
Ospedale San Raffaele S.r.l. Milan Italy
Hospital General Universitario De Valencia Valencia Spain
Rotkreuzklinikum Muenchen gGmbH Munich Germany
Istituto Europeo Di Oncologia S.r.l. Milan Italy
Hospital Del Mar Barcelona Spain
Instituto Portugues De Oncologia Do Porto Francisco Gentil E.P.E. Porto Portugal
Central Hospital Of Northern Pest Military Hospital Budapest Hungary
Specjalistyczny Szpital Onkologiczny Nu-Med Sp. z o.o. Tomaszow Mazowiecki Poland
Klinik Hietzing Vienna Austria
Hopitaux Prives De Metz Vantoux France
University Multiprofile Hospital For Active Treatment St. Ivan Rilski EAD Sofia Bulgaria
Unidade Local De Saude De Loures-Odivelas EPE Loures Portugal
Institut Sainte Catherine Avignon France
Centre Hospitalier Universitaire De Nantes Nantes France
Kucknn Drf Hpbzzcq Gprk Stade Germany
Idkkoknw Pesrknfcaubxsvz Cgnmlv Cluojq Marseille France
Hfcppeim Vvjh dcgljuik Barcelona Spain
Hfhfwxtb Unsqxudqrugjx dx A Cxhcfb A Coruna Galicia Spain
Vytkob dfg Rqbec Uufvaavaid Hgrxxfvs Sevilla Spain
Uddjqmmkqcufeihkcbcyb Eucavnis Ahy Erlangen Germany
Unswqmyrcvzgpcjsamfwp Ticnqlqlk Atm Tuebingen Germany
Ijekbvdf Rqcvvwrwj Pct Lw Slnmbr Dap Takeeh Dbse Atchxyy Igni Sdphzi Meldola Italy
Kfdqkdnt Ckoocpjz gwoqa Chemnitz Germany
Cmagnx Hvyyewghwyi Rftswqcl Ughodixwdqtqf Di Tkkgc Tours France
Ujwosmvxyvdewvenfxrhm Mafawdze Gpbx Mannheim Germany
Hffypyee Ccqsutz Sew Craoro Madrid Spain
Bccykszzcnrpuvgnwutr Vsnnxxtco Kgujfvsso Kfpglw Ek Egsnfnca Ommdxpvfsoyj Miskolc Hungary
Cynoub Lglr Bhtoek Lyon France
Cptdzo Hngvljxxbca Uevjebebgijal Dl Nlyez Nimes France
Hfdhuypg Uudkfuagdcjnm 1c Dh Odveofs Madrid Spain
Iqyirimg Cvifej Dxfdccuwppgzbubcl L'hospitalet De Llobregat Spain
Cgtditx Ohaaymlcaro Coreca Pzwsppu Exyq Plovdiv Bulgaria
Ubsjyyhdwtvorhxdyqqpe Lmrdeex Axw Leipzig Germany
Heaqrcux Uigawccmutygo Vaefwc Ds Lk Vjnkhusi Malaga Spain
Ioxlrkhw Okpzjimznc Vvhkxe Padua Italy
Cdxbtk Hcsfo Bxtuumwax Rouen France
Cexseanl Svcbopds Iddkxcjb L'hospitalet De Llobregat Spain
Tydkr Vmngpgmef Bzttdjl Jmjwp Kppzes Szekszard Hungary
Otjserug Oeejqlyyyf Ieqacjl Budapest Hungary
Azbj Mrqwzwmqwhhp Sny Abkxu afja Banska Bystrica Slovakia
Mlwyjze Cundsn Nwxtfhge Ciwfnyyd Etoi Sofia Bulgaria
Czb dlxwbsjwvviemb Epagny Metz Tessy France
Cnnqtn Hizvtlyokko Ew Uyqgnogmqmjrl Do Lebhdqs Limoges France
Vtstzn Vollt Hz Drammen Norway
Uerritezflakcqfxgaywp Rlwzxnekzh Aqo Regensburg Germany
Kcyfhwwa Ajfcuygqepxzycokcfvyv gwyvh Aschaffenburg Germany
Ndxiwce Oadqmlcwrpn Ubsix Bratislava Slovakia
Coucpubhrsig Cralvyng Cgyowl Lisbon Portugal
Ggpobpfiflsrzelf Zyegjaa Brkg Bonn Germany
Zjax Mrrild Sgwan Rjmvbh Kddnqm Zalaegerszeg Hungary
Cvw Mpbvzfcbp Liege Belgium
Gyvzws Hljqwzvpbhg Bmosnaxg Skq Lorient France
Cdzdzna Ooefghiqp Ilf Pxyij Fqzmxkwidl Ljvzxuxrvfh W Bmbxpecgzx Bydgoszcz Poland
Shd Voeowqlkamzjrgnavyy Gxwc Paderborn Germany
Hnyfcsae Gvqfepj Uyfdibilcezvr Mztcwqw Msswwrbh Murcia Spain
Upjjormshtccgdtysjuai Albquwlj Augsburg Germany
Jnwivwaidfbxdnncdnws Vwgtgqbus Hhzrgsp Gvbh Kzmxnvzvdrebbarepmjau Szolnok Hungary
Hkhzicwml Imwnanel Ctdpdoi Cznfeotc Szowaj Misterbianco Italy
Ssxkvagjlegvnm Oohxjgatl Rlijwszrrv Glph Ravensburg Germany
Sxey Cdksm Gnergdecky Salzburg Austria
Vxrpludifktgzxym Ogchhohdgds Uqrbs asoq Kosice Slovakia
Krngaiyuhtqsd Anugoyh gqqmk Kempten (Allgau) Germany
Mcywhtedcrxl Hhamnjmp Frw Aysktp Tqhmahscphjxm Hvfabext Lhvj Panagyurishte Bulgaria
Negmptoyh Ng Ozynme Mpzid Ngdz Partizanske Slovakia
Ngsyttvso s pyhxgvnsauda Scfihrr Kjtctc Mblqkjlxzz akqk Michalovce Slovakia
Pwxdzk Fnnl Ifdmgucclndhdwostj Ooxemlpyk Abl Hciwewuixlhi Gzk Freiburg Im Breisgau Germany
Kisbsmix Ejmugrccrbomzkrpfvkwsppp Htxtzypttuldlqejw Essen Germany
Iqjfwfef Cbrzxiz Hitpfabmt Rozzano Italy
Mkn fwe Oqbyhdnad utk Hvccvgibipk Velbert Germany
Pczs Sksep Rgtbjwobhq Clermont Ferrand France
&fhgqjegbjvg Ilusqhym fwx Vygwwnqpyifboxxhxxdh ix dqf Oxewofuik Gnfntsyjce Koblenz Germany
Atfynzetxm Kaxykane Asgmhjy Ansbach Germany
Nahosmyb Iwzeleqc Oxwnjanvl Isk Msjpm Smpossyfesbikfgxbcoqzhpbuaho Iqyvcwmg Biaftmgu Cracow Poland
Chfzvm Hjxmrkbiuj Udxvonerkbpeo Dw Sfrrb Awthfss Eckjru Porto Portugal
Iqsouxco fhhi Kjpwuuzwu Tnoifbeoqxsvuxgqzpj uad Ixurugjgfzvr Usz gemgx Ulm Germany

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not recruiting
25.07.2024
Belgium Belgium
Not recruiting
25.07.2024
Bulgaria Bulgaria
Not recruiting
25.07.2024
France France
Not recruiting
25.07.2024
Germany Germany
Not recruiting
25.07.2024
Hungary Hungary
Not recruiting
25.07.2024
Italy Italy
Not recruiting
25.07.2024
Norway Norway
Not recruiting
25.07.2024
Poland Poland
Not recruiting
25.07.2024
Portugal Portugal
Not recruiting
25.07.2024
Slovakia Slovakia
Not recruiting
25.07.2024
Spain Spain
Not recruiting
25.07.2024

Trial locations

AZD9833 is a new type of oral medication being tested in this study. It is designed to block certain receptors in the body that can help cancer cells grow. This medication is being studied to see if it can help patients with a specific type of breast cancer that has a detectable ESR1 mutation. The goal is to see if switching to this medication can improve the time patients live without their disease getting worse.

CDK4/6 Inhibitor is a type of medication that helps stop cancer cells from dividing and growing. It is often used in combination with other treatments to help control the growth of cancer. In this study, it is used alongside other medications to see if it can help improve outcomes for patients with breast cancer.

Letrozole is a medication that lowers estrogen levels in the body. It is commonly used to treat breast cancer in postmenopausal women by slowing or stopping the growth of cancer cells that need estrogen to grow.

Anastrozole is another medication that reduces estrogen levels in the body. Like letrozole, it is used to treat breast cancer in postmenopausal women by targeting cancer cells that rely on estrogen for growth.

Estrogen Receptor-Positive, HER-2 Negative Advanced Breast Cancer – This type of breast cancer is characterized by the presence of estrogen receptors on the surface of the cancer cells, which means the cancer cells may receive signals from estrogen that could promote their growth. It is also HER-2 negative, indicating that the cancer cells do not have an excess of the HER-2 protein on their surfaces. This form of breast cancer is considered advanced when it has spread beyond the breast to other parts of the body. The progression of this disease can vary, but it typically involves the growth and spread of cancer cells to other organs. The disease may progress slowly or rapidly, depending on various factors, including the biology of the cancer and the patient’s overall health. Monitoring the progression is crucial to managing the disease effectively.

Trial ID:
2023-503990-39-00
Protocol code:
D8534C00001
NCT ID:
NCT04964934
Trial Phase:
Therapeutic confirmatory (Phase III)

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