A trial looking at a new drug called AZD9833 for people with breast cancer (Serena 1)

Please note - this trial is no longer recruiting patients. We hope to add results when they are available.

Cancer type:

Breast cancer

Secondary cancers

Status:

Closed

Phase:

Phase 1

This trial is for people with advanced breast cancer. This means that the cancer:

has come back in the same place after treatment (locally recurrence)
has spread to other parts of the body (metastatic)

It is for people whose breast cancer cells are sensitive to the hormone oestrogen (oestrogen receptor positive or ER positive). And does not have receptors for a protein called HER2 (HER2 negative).

More about this trial

Targeted drugs and hormone therapy are common treatments for advanced breast cancer. These treatments can work well for some time, but sometimes the cancer starts to grow again.

Many breast cancers need the hormone oestrogen to grow. These are called oestrogen receptor positive breast cancer. Doctors think that AZD9833 can reduce the amount of oestrogen in your body and stop breast cancer from growing. This is the first time that AZD9833 will be given to people.

Everyone taking part in this trial has AZD9833. Some people have AZD9833 on its own and some have it in combination with 1 of the following:

Palbociclib, everolimus, abemaciclib and capivasertib are all types of targeted drugs. They are called cancer growth blockers. They block signals that cancer cells use to divide and grow.

Palbociclib, everolimus and abemaciclib are usual treatments for some types of advanced breast cancer.

Please note: currently doctors are only looking for people to join the parts of the trial looking at AZD9833, everolimus and capivasertib. This is part E, I and J.

The main aims of this trial are to:

find out the best doses of AZD9833 on its own and with palbociclib, everolimus, abemaciclib or capivasertib
learn about the side effects of AZD9833

Who can enter

The following bullet points list the entry conditions for this trial. Talk to your doctor or the trial team if you are unsure about any of these. They will be able to advise you.

Who can take part

You may be able to join this trial if you are a woman and all of the following apply:

you have adenocarcinoma of the breast (breast cancer) that has spread to other parts of the body or has come back in the same place after treatment
you are post menopausal, or you have taken drugs that stop the ovaries from making hormones (LH blockers) for at least 4 weeks
your cancer is sensitive to the hormone oestrogen (ER positive) and does not have receptors for the HER2 protein (HER2 negative)
doctors think that you can’t have treatment to try to cure your cancer
your cancer got worse (progressed) during or after treatment that reached your whole body (systemic)
you are well enough to carry out all your normal activities, apart from heavy physical work (performance status of 0 or 1) and this hasn’t changed during the last 2 weeks
you have satisfactory blood test results
your heart is working well
you can swallow and absorb tablets
you are at least 18 years old
you are willing to use reliable contraception during treatment and for at least a month afterwards, if there is any chance that you could become pregnant

Who can’t take part

You cannot join this trial if any of these apply.

Cancer related

You:

have had more than 2 types (regimens) of chemotherapy for advanced breast cancer
have had chemotherapy, an experimental drug or any other cancer drug in the last 2 weeks
have had radiotherapy to help with symptoms in the last week (4 weeks if it was radiotherapy to a large part of your body, including the bone marrow)
still have moderate or severe side effects from previous treatment, apart from hair loss
have cancer spread in your brain or spinal cord, unless you have had treatment for it and you haven’t taken steroids in the last month

Medical conditions

You cannot join this trial if any of these apply. You:

take drugs or herbal supplements that affect certain enzymes called CYP3A and CYP2B, or that affect your heart (your doctor can tell you more about this)
are going to have, or have had a major operation in the last month
have heart problems such as hypertension that isn’t controlled, angina that isn’t stable, or you have had a heart attack in the last 6 months
have a high risk of bleeding
have problems with your digestive system such as sickness that isn’t controlled
have an infection and need to have antibiotics
have hepatitis B or hepatitis C
have HIV
have any other serious medical condition that the trial team think could affect you taking part

Other

You cannot join this trial if any of these apply. You:

are involved in the planning or running of this trial
are sensitive to AZD9833, palbociclib, everolimus, abemaciclib or anything they contain

Trial design

This is an international phase 1 trial. Researchers hope that up to 340 people worldwide and 35 people from the UK will agree to take part.

There are 10 parts to this trial. The following parts are open to recruitment:

part E
part I and J

The following parts are closed to recruitment:

parts A, B, C and D
part F, G and H

Part E

In Part E you have AZD9833 and everolimus. You have both treatments as tablets that you take in the morning, with or without food.

First you take one dose of everolimus alone. After 7 days, you start taking AZD9833 and everolimus tablets every day. This continues for as long as the treatment is helping you and the side effects aren’t too bad.

Part I and J

You have AZD9833 and capivasertib. Researchers hope that around 24 people will join part I and J.

The first few people have a,low dose of AZD9833 and capivasertib. If they don’t have any serious side effects, the next few people have a higher dose. This continues until doctors find the best dose of AZD9833 and capivasertib.

You take AZD9833 tablets every day. Capivasertib come as tablets that you take twice a day, for 4 days. You then have a break of 3 days and then start taking capivasertib in the same way.

Tissue and blood sample
The trial team ask you for a tissue sample of your cancer. This can be from when you had a biopsy or surgery to remove the cancer (archival tumour sample).

They may also ask you to give up to 3 new tissue samples (fresh tumour biopsies). You have them:

before the start of treatment
during treatment
if your cancer gets worse

You don’t have to agree to give new tissue samples if you don’t want to. You can still take part in this trial.

You also have extra blood tests as part of this trial. Where possible, you have them at the same time as your routine blood tests. Doctors want to:

look for different substances (markers) that can help to tell how well treatment might work
find out what happens to AZD9833 in your body

You have the extra blood tests at set times during this trial.

Hospital visits

You see a doctor and have some tests before taking part. The tests you might have include:

a physical examination
heart trace (ECG)
an ultrasound scan of your heart (ECHO)
blood tests
urine tests
CT scan or MRI scan
bone scan
an eye examination
a test of your heart called a holter test (if you are in Part H)

During treatment, you see the trial team regularly. How often you see them depends on when you join the trial.

You have regular tests during treatment. The tests you have include blood tests, physical examinations, and heart traces.

You also have a CT scan or MRI scan every 8 weeks, for six months. You then have a CT scan or MRI scan every 3 months. This continues for as long as the treatment is helping you and the side effects aren’t too bad.

When you finish treatment, you might see the trial team after one week, 2 weeks and a month. You have blood tests, a heart trace and a physical examination. You may continue to see the trial team afterwards if you still have side effects from treatment.

Side effects

AZD9833 is a new drug and there might be side effects that we don’t know about yet. Doctors think that the side effects of AZD9833 include:

high blood pressure and changes to the way your heart works
a build up of fat in the cells of your liver and lungs which may cause difficulty breathing, tummy (abdominal) pain, and yellow colouring of your skin and whites of your eyes
shaking (tremor), agitation and fits (seizures)
changes in the size and the lining of your ovaries and womb
changes to your eyesight such as seeing shadows

The most common side effects of palbociclib are: