A trial looking at camizestrant for early breast cancer (CAMBRIA-2)

Cancer type:

Breast cancer

Status:

Open

Phase:

Phase 3

This trial is looking at a new drug called camizestrant for early breast cancer Open a glossary item that has a medium to high risk of coming back. It is comparing camizestrant with standard hormone treatment Open a glossary item.

It is for people whose breast cancer has:

  • many receptors for the hormone oestrogen (ER positive cancer Open a glossary item) and
  • only a small number or no receptors for HER2. This is HER2 Open a glossary item negative breast cancer.

You pronounce camizestrant as cami-zess-trant.

More about this trial

Surgery is the usual treatment for early breast cancer. You might also have chemotherapy or radiotherapy. This is usually followed by hormone treatment. The aim of hormone treatment after surgery is to lower the risk of the cancer coming back.

Some people have a higher risk of the cancer coming back. So doctors are looking at ways to improve treatment for people in this situation. In this trial they are looking at a drug called camizestrant. 

Camizestrant is a type of hormone treatment. It works by blocking oestrogen getting into the breast cancer cells. This then can stop or slow the cancer growth. Doctors think that camizestrant may work better than standard hormone treatment. They aren’t sure so want to find out more. 

In this trial, some people have camizestrant and some people have standard hormone treatment.

The main aims of the trial are to find out:

  • which treatment works best to prevent the breast cancer from coming back 
  • how safe camizestrant is 
  • what the side effects are
  • more about quality of life Open a glossary item

Who can enter

The following bullet points are a summary of 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 all of the following apply. You:

  • have invasive breast cancer. The cancer may have spread into nearby lymph nodes Open a glossary item, the chest wall or the skin but no further. Your doctor checks this to see if you are suitable to take part. 
  • have had surgery to treat your breast cancer. You may or may not have also had chemotherapy or radiotherapy Open a glossary item
  • have cancer that has a medium to high risk of coming back after surgery
  • have cancer that is oestrogen receptor positive Open a glossary item and HER2 negative Open a glossary item
  • join a treatment group within a year of having surgery
  • are put into a treatment group within 3 months of radiotherapy or the last dose of chemotherapy if you had this.
  • completed radiotherapy if you had this at least 2 weeks before being put into a treatment group. This applies only to people having a drug called abemaciclib.
  • have a sample of tissue (biopsy Open a glossary item) from a previous sample that the team can use to do some tests on
  • are fit and active but might not be able to do heavy physical work (performance status 0 or 1
  • are willing to use reliable contraception during the trial and for a time after if there is any chance you or your partner could become pregnant 
  • have satisfactory blood test results 
  • are at least 18 years old 

Who can’t take part

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

  • have breast cancer that can’t be removed with surgery, has spread to the lymph nodes in the opposite breast or has spread to distant parts of the body 
  • have inflammatory breast cancer 
  • have had more than 12 weeks of hormone treatment. This could be before or after surgery. Or you had more than 12 weeks of abemaciclib.
  • have cancer that went away completely after chemotherapy if you had this before surgery
  • have already had camizestrant or a similar drug, you have had an experimental treatment for ER positive breast cancer or you have had fulvestrant 
  • are having another cancer treatment. You can take part if you are having treatment to strengthen the bones such as bisphosphonates Open a glossary item or denosumab
  • have had another breast cancer in the past. You might be able to take part if you had ductal carcinoma in situ (DCIS) Open a glossary item. The team checks which breast you had the cancer in, what treatments you had and how long ago you had them. 
  • have had another cancer that has got worse or needed treatment in the past 5 years. This is apart from successfully treated non melanoma skin cancer Open a glossary item, carcinoma in situ (CIS) Open a glossary item of the cervix or another cancer that has a low chance of coming back.
  • are taking part or have taken part in another clinical trial. You might be able to join if it didn’t involve an experimental drug or device. This is an observation trial. 

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

  • have a significant heart problem Open a glossary item or a heart condition that isn’t well controlled with medication. Your doctor checks your heart before you join the trial. 
  • have had a stroke Open a glossary item or mini stroke in the last 6 months 
  • have a slow heartbeat at rest
  • have low blood pressure or high blood pressure that isn’t well controlled with medication
  • can’t absorb tablets for any reason. This could be because you have had part of your bowel removed. 
  • can’t swallow the trial medication 
  • have had major surgery or a significant traumatic injury within 2 weeks of being put into a treatment group
  • have hormone treatment for birth control or hormone replacement therapy (HRT Open a glossary item) that you don’t apply to the skin 
  • take medication that affects substances in the body called CYP enzymes Open a glossary item within 2 weeks of starting trial treatment. Your doctor can tell you more about this.
  • have any medical condition or mental health problem that could affect you taking part

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

  • were put into a treatment group for this trial previously but you had to withdraw from the trial for some reason. You can’t rejoin this trial. 
  • are allergic to camizestrant, similar drugs or anything they contain 
  • are allergic to luteinising hormone blockers Open a glossary item or anything they contain. This only applies to women who haven’t been through menopause Open a glossary item or men. 
  • are pregnant or breastfeeding

Trial design

This phase 3 trial is taking place worldwide. The team need 5,500 people to join the trial including 200 from the UK. 

It is a randomised trial. You are put into a group by a computer. Neither you nor your doctor will be able to decide which group you are in. 

There are 2 treatment groups. You have 1 of the following:

  • camizestrant
  • standard hormone treatment

Camizestrant 
Camizestrant is a tablet. You take it once a day, every day. You have treatment for up to 7 years.  You might take it for longer if your doctor thinks it is helping you. They will talk to you about this if they think it is suitable. 

You stop treatment if your cancer comes back. The trial team will then talk to you about other treatment options.

Standard treatment 
You have 1 of the following hormone treatments:

You have these hormone treatments as tablets. You take them once a day, every day. You have treatment for up to 7 years. You might take it for longer if your doctor thinks it is helping you. They will talk to you about this if they think it is suitable.

You stop treatment if your cancer comes back. The trial team will then talk to you about other treatment options.

Both groups
Women who haven’t gone through the menopause and some men have a luteinising hormone blocker Open a glossary item (LHRH). This could include goserelin or leuprorelin.

LHRHs stops the ovaries Open a glossary item and testes Open a glossary item from working. This stops them producing the sex hormones. This is testosterone in men and oestrogen and progesterone in women. These hormones can help the cancer to grow.

You have LHRH as an injection under the skin or an injection into a muscle. You start LHRH before starting treatment. You have this once a month or once every 3 months. Your doctor will talk to you about which LHRH you will have and how often you have it. You continue while you are having treatment as part of this trial. 

There is also a chance that some people might also have a targeted cancer drug Open a glossary item called abemaciclib. Your doctor will explain more about this if you have it.

Samples for research
The researchers ask to look at a previous tissue sample (biopsy Open a glossary item) that was taken. They also ask to take some extra blood samples. Where possible, you have these at the same time as your routine blood tests.
 
They plan to use the samples to:
  • see how well the treatment is working
  • look at genes Open a glossary item to understand more about breast cancer
  • look for substances called biomarkers Open a glossary item to help work out why treatment might work for some people and not for others
  • see what happens to camizestrant in the body

You can say no to the team looking at your genes. It won’t affect you taking part in the rest of the trial. 

The team might also ask to take a sample of breast cancer tissue if the cancer comes back. 

Quality of life
The trial team ask you to fill out some questionnaires:

  • before you start treatment
  • at set times during treatment
  • at set times after treatment 

You fill in the quality of life questionnaires on an app Open a glossary item. This is either on your own device or a device that the trial team provide. The questionnaires ask about side effects and how you’ve been feeling. This is called a quality of life study.

Hospital visits

You see the doctor and have tests before you can take part. Everyone has:

  • blood tests
  • urine tests 
  • a physical examination Open a glossary item
  • eye tests 
  • heart trace (ECG Open a glossary item)
  • x-rays
  • CT scan or MRI scan

Some people might also need to have: 

  • a bone scan
  • a mammogram or an MRI of your breast if you haven’t had one in the last 9 months 

During treatment you see the doctor regularly. This is for blood tests and to see how you are. You also have regular eye tests if you are having camizestrant. 

The first few hospital visits may take about 6 hours. After that each visit takes about 2 to 3 hours. There is a chance you might be at the hospital for longer than this. 

Trial scans
You have a mammogram or breast MRI once a year. You stop having the scans as part of the trial if your cancer comes back. 

Follow up visits
When you stop treatment, you see the trial team one month later for a check up.

The team then check how you are getting on once or twice a year. You might see them at a routine hospital appointment. Or they may call you or look at your medical notes.

Side effects

The trial team monitor you during treatment and afterwards. Contact your advice line or tell your doctor or nurse if any side effects are bad or not getting better. 
 
Camizestrant is a new drug so there may be side effects we don’t know about yet. The common side effects we know about so far include:

  • slowing down of your heartbeat and changes to how your heart works. You should contact the trial doctor immediately if you have a fast or uneven heartbeat, feel lightheaded, dizzy, short of breath, faint or have chest pain. 
  • changes to eyesight that include trailing lights, flashing lights on the edge of the vision or after images 

The trial doctor will talk to you about all the possible side effects of treatment. You’ll have a chance to ask them any questions you may have. 

We have more information about:

Location

Cambridge
Lancaster
Leicester
London
Manchester
Northampton
Nottinghamshire
Surrey
Taunton

Recruitment start:

Recruitment end:

How to join a clinical trial

Please note: In order to join a trial you will need to discuss it with your doctor, unless otherwise specified.

Please note - unless we state otherwise in the summary, you need to talk to your doctor about joining a trial.

Chief Investigator

Dr Sacha Howell

Supported by

AstraZeneca

If you have questions about the trial please contact our cancer information nurses

Freephone 0808 800 4040

Last review date

CRUK internal database number:

19929

Please note - unless we state otherwise in the summary, you need to talk to your doctor about joining a trial.

Last reviewed:

Rate this page:

No votes yet
Thank you!
We've recently made some changes to the site, tell us what you think