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An Adjuvant Endocrine-based Therapy Study of Camizestrant (AZD9833) in ER+/HER2- Early Breast Cancer (CAMBRIA-2) (CAMBRIA-2)

Primary Purpose

Breast Cancer, Early Breast Cancer

Status
Recruiting
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Camizestrant
Tamoxifen
Anastrozole
Letrozole
Exemestane
Abemaciclib
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Breast Cancer, Early Breast Cancer focused on measuring ER+, HER2-, breast cancer

Eligibility Criteria

18 Years - 130 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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.

Sites / Locations

  • Research SiteRecruiting
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Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib

Arm B: camizestrant ± abemaciclib

Arm Description

standard endocrine therapy of investigator's choice (aromatase inhibitors [AI; exemestane, letrozole, anastrozole] or tamoxifen) ± abemaciclib

camizestrant ± abemaciclib

Outcomes

Primary Outcome Measures

Invasive breast cancer-free survival (IBCFS)
IBCFS is defined as time from randomisation until date of first occurrence of: Invasive ipsilateral breast tumour recurrence Locoregional invasive breast cancer recurrence Distant recurrence Contralateral invasive breast cancer Death attributable to any cause.

Secondary Outcome Measures

Invasive disease-free survival (IDFS)
IDFS is defined as time from randomisation until date of first occurrence of one of the following events: Invasive ipsilateral breast tumor recurrence Locoregional invasive breast cancer recurrence Distant recurrence Contralateral invasive breast cancer Second primary non-breast invasive cancer Death attributable to any cause.
Distant relapse-free survival (DRFS)
DRFS is defined as time from randomisation until date of first distant recurrence or death from any cause, whichever occurs first.
Overall survival (OS)
OS is defined as time from randomisation until death from any cause.
Incidence and Severity of Adverse Events, with Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0)
Proportion of time on study treatment with high side-effect burden as measured by the PGI-TT.
Change from baseline and time to deterioration of health-related quality of life as measured by the 2 global QoL items from the EORTC IL-311
Pharmacokinetics (PK)
Plasma concentrations of camizestrant pre-dose (trough concentration)

Full Information

First Posted
May 17, 2023
Last Updated
October 13, 2023
Sponsor
AstraZeneca
Collaborators
Austrian Breast and Colorectal Cancer Study Group (ABCSG)
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1. Study Identification

Unique Protocol Identification Number
NCT05952557
Brief Title
An Adjuvant Endocrine-based Therapy Study of Camizestrant (AZD9833) in ER+/HER2- Early Breast Cancer (CAMBRIA-2)
Acronym
CAMBRIA-2
Official Title
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
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
October 5, 2023 (Actual)
Primary Completion Date
March 4, 2030 (Anticipated)
Study Completion Date
May 7, 2037 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca
Collaborators
Austrian Breast and Colorectal Cancer Study Group (ABCSG)

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard adjuvant endocrine therapy for patients with ER+/HER2- early breast cancer with intermediate-high or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy). The planned duration of treatment in either arm within the study will be 7 years.
Detailed Description
This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard adjuvant endocrine therapy for patients with ER+/HER2- early breast cancer with intermediate-high or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy). The planned duration of treatment in either arm of the study is 7 years. Eligible patients must have intermediate-high or high risk of recurrence as defined by specified clinical and biologic criteria. Concurrent use of abemaciclib is permitted in both arms. The primary endpoint of the study is Invasive breast cancer-free survival (IBCFS) and main secondary endpoints include Invasive disease-free survival (IDFS), Distant relapse-free survival (DRFS), Overall survival (OS), Safety and Clinical Outcome Assessments (COAs). Patients will be followed for 10 years from randomization of the last patient.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Cancer, Early Breast Cancer
Keywords
ER+, HER2-, breast cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Patients will be randomised in a 1:1 ratio to one of the following arms: • Arm A: Standard ET of investigator's choice (aromatase inhibitors [AI; exemestane, letrozole, anastrozole] or tamoxifen) ± abemaciclib • Arm B: Camizestrant ± abemaciclib
Masking
None (Open Label)
Allocation
Randomized
Enrollment
5500 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib
Arm Type
Active Comparator
Arm Description
standard endocrine therapy of investigator's choice (aromatase inhibitors [AI; exemestane, letrozole, anastrozole] or tamoxifen) ± abemaciclib
Arm Title
Arm B: camizestrant ± abemaciclib
Arm Type
Experimental
Arm Description
camizestrant ± abemaciclib
Intervention Type
Drug
Intervention Name(s)
Camizestrant
Other Intervention Name(s)
AZD9833
Intervention Description
Camizestrant. Experimental. Administered orally
Intervention Type
Drug
Intervention Name(s)
Tamoxifen
Intervention Description
Tamoxifen. Comparator. Administered orally
Intervention Type
Drug
Intervention Name(s)
Anastrozole
Intervention Description
Anastrozole. Comparator. Administered orally
Intervention Type
Drug
Intervention Name(s)
Letrozole
Intervention Description
Letrozole. Comparator. Administered orally
Intervention Type
Drug
Intervention Name(s)
Exemestane
Intervention Description
Exemestane. Comparator. Administered orally
Intervention Type
Drug
Intervention Name(s)
Abemaciclib
Intervention Description
Abemaciclib adjuvant treatment Administered orally
Primary Outcome Measure Information:
Title
Invasive breast cancer-free survival (IBCFS)
Description
IBCFS is defined as time from randomisation until date of first occurrence of: Invasive ipsilateral breast tumour recurrence Locoregional invasive breast cancer recurrence Distant recurrence Contralateral invasive breast cancer Death attributable to any cause.
Time Frame
Up to 14 years
Secondary Outcome Measure Information:
Title
Invasive disease-free survival (IDFS)
Description
IDFS is defined as time from randomisation until date of first occurrence of one of the following events: Invasive ipsilateral breast tumor recurrence Locoregional invasive breast cancer recurrence Distant recurrence Contralateral invasive breast cancer Second primary non-breast invasive cancer Death attributable to any cause.
Time Frame
Up to 14 years
Title
Distant relapse-free survival (DRFS)
Description
DRFS is defined as time from randomisation until date of first distant recurrence or death from any cause, whichever occurs first.
Time Frame
Up to 14 years
Title
Overall survival (OS)
Description
OS is defined as time from randomisation until death from any cause.
Time Frame
Up to 14 years
Title
Incidence and Severity of Adverse Events, with Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0)
Time Frame
Until 28 days after the final dose of study treatment (up to 7 years)
Title
Proportion of time on study treatment with high side-effect burden as measured by the PGI-TT.
Time Frame
Until 28 days after the final dose of study treatment (up to 7 years)
Title
Change from baseline and time to deterioration of health-related quality of life as measured by the 2 global QoL items from the EORTC IL-311
Time Frame
Until 28 days after the final dose of study treatment (up to 7 years)
Title
Pharmacokinetics (PK)
Description
Plasma concentrations of camizestrant pre-dose (trough concentration)
Time Frame
Until 6 months from treatment start

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
130 Years
Accepts Healthy Volunteers
No
Eligibility 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.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
AstraZeneca Clinical Study Information Center
Phone
1-877-240-9479
Email
information.center@astrazeneca.com
Facility Information:
Facility Name
Research Site
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21201
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Rock Hill
State/Province
South Carolina
ZIP/Postal Code
29732
Country
United States
Individual Site Status
Recruiting
Facility Name
Research Site
City
Caba
ZIP/Postal Code
1061
Country
Argentina
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Wilrijk
ZIP/Postal Code
2610
Country
Belgium
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Porto Alegre
ZIP/Postal Code
90610000
Country
Brazil
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Varna
ZIP/Postal Code
9010
Country
Bulgaria
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Calgary
State/Province
Alberta
ZIP/Postal Code
T2N 4N2
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Kelowna
State/Province
British Columbia
ZIP/Postal Code
V1Y 5L3
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 2Y9
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Sudbury
State/Province
Ontario
ZIP/Postal Code
P3E 5J1
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Thunder Bay
State/Province
Ontario
ZIP/Postal Code
P7B 6V4
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Chicoutimi
State/Province
Quebec
ZIP/Postal Code
G7H 5H6
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Levis
State/Province
Quebec
ZIP/Postal Code
G6V 3Z1
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 2M4
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4A 3J1
Country
Canada
Individual Site Status
Recruiting
Facility Name
Research Site
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
S7N 4H4
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Quebec
ZIP/Postal Code
G1S 4L8
Country
Canada
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Temuco
ZIP/Postal Code
4810218
Country
Chile
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Fuzhou
ZIP/Postal Code
350014
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Valledupar
ZIP/Postal Code
200001
Country
Colombia
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Zadar
ZIP/Postal Code
23000
Country
Croatia
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Pardubice
ZIP/Postal Code
532 03
Country
Czechia
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Tallinn
ZIP/Postal Code
11619
Country
Estonia
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Tbilisi
ZIP/Postal Code
160
Country
Georgia
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Thessaloniki
ZIP/Postal Code
546 39
Country
Greece
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Győr
ZIP/Postal Code
9024
Country
Hungary
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Mysuru
ZIP/Postal Code
570017
Country
India
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Kfar Saba
ZIP/Postal Code
49281
Country
Israel
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Milano
ZIP/Postal Code
20132
Country
Italy
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Nagoya-shi
ZIP/Postal Code
467-0001
Country
Japan
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Kota Bharu
ZIP/Postal Code
16150
Country
Malaysia
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Veracruz
ZIP/Postal Code
91851
Country
Mexico
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Arequipa
ZIP/Postal Code
AREQUIPA01
Country
Peru
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Bacolod
ZIP/Postal Code
6100
Country
Philippines
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Gdańsk
ZIP/Postal Code
80-952
Country
Poland
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Lisboa
ZIP/Postal Code
1998-018
Country
Portugal
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Craiova
ZIP/Postal Code
200094
Country
Romania
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Beograd
ZIP/Postal Code
11010
Country
Serbia
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Johannesburg
ZIP/Postal Code
2193
Country
South Africa
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Taipei
ZIP/Postal Code
11259
Country
Taiwan
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Bangkok
ZIP/Postal Code
10210
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Hat Yai
ZIP/Postal Code
90110
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Khon Kaen
ZIP/Postal Code
40002
Country
Thailand
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
İstanbul
ZIP/Postal Code
34457
Country
Turkey
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

Learn more about this trial

An Adjuvant Endocrine-based Therapy Study of Camizestrant (AZD9833) in ER+/HER2- Early Breast Cancer (CAMBRIA-2)

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