Actively Recruiting
CAMBRIA-1 A Phase III Randomised Study of Camizestrant Versus Standard Endocrine Therapy in ERHER2- Early Breast Cancer With Intermediate or High Recurrence Risk After Locoregional Therapy and Adjuvant Endocrine Therapy
Led by AstraZeneca · Updated on 2026-05-08
4300
Participants Needed
711
Research Sites
475 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating camizestrant, an oral selective estrogen receptor degrader, compared to standard endocrine therapy in patients with early-stage ER-positive, HER2-negative breast cancer. This Phase III open-label study focuses on individuals at intermediate or high risk for disease recurrence who have completed locoregional therapy and at least 2 years, up to 5 years, of standard adjuvant endocrine therapy. The goal is to assess if camizestrant improves invasive breast cancer-free survival and other related outcomes. Participants are randomly assigned to receive either camizestrant or continue with standard endocrine therapy chosen by their investigator, which may include aromatase inhibitors such as exemestane, letrozole, anastrozole, or tamoxifen. Treatment duration for both groups is planned for 60 months 5 years. The study allows prior use of CDK46 inhibitors and excludes patients with specific medical conditions or prior use of similar investigational agents. During the study, patients will be regularly monitored for invasive breast cancer-free survival, invasive disease-free survival, distant relapse-free survival, overall survival, and safety measures, including adverse events and changes in laboratory and vital signs. Quality of life assessments related to symptoms like arthralgia, hot flushes, and vaginal dryness will also be conducted. Follow-up for participants will continue for up to 10 years from the last patients randomization.
CONDITIONS
Brief Title
A Study of Camizestrant in ER+/HER2- Early Breast Cancer After at Least 2 Years of Standard Adjuvant Endocrine Therapy
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Women and men aged 18 years or older at screening
- Histologically confirmed ER-positive, HER2-negative early-stage invasive breast cancer with intermediate or high risk of recurrence
- Completed definitive locoregional therapy (surgery with or without radiotherapy), with or without (neo)adjuvant chemotherapy
- Completed at least 2 years but not more than 5 years (+3 months) of adjuvant endocrine therapy, with or without CDK4/6 inhibitor
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Adequate organ and marrow function
You will not qualify if you...
- Inoperable locally advanced or metastatic breast cancer
- Pathological complete response after neoadjuvant therapy
- History of other cancers except certain low-risk types unless in remission without therapy for at least 5 years
- Severe or uncontrolled systemic diseases that prevent study participation or compliance
- Known heart failure with left ventricular ejection fraction below 50% and NYHA Grade 2 or higher
- Mean resting QTcF interval greater than 480 ms at screening
- Concurrent use of exogenous sex hormone therapy
- Any anti-cancer treatment not specified in the protocol except bisphosphonates or RANKL inhibitors
- Previous treatment with camizestrant, investigational selective estrogen receptor degraders or fulvestrant
- Currently pregnant or breastfeeding
- Known hypersensitivity to camizestrant or similar drugs, or intolerance to LHRH agonists that would prevent their use in pre-/peri-menopausal females and males
Research Team
A
AstraZeneca Clinical Study Information Center
A
AstraZeneca Breast Cancer Study Locator Service
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