A trial looking at camizestrant for early breast cancer (CAMBRIA-2)
Cancer type:
Status:
Phase:
This trial is looking at a new drug called camizestrant for
It is for people whose breast cancer has:
- many receptors for the hormone oestrogen (
ER positive cancer ) and - only a small number or no receptors for HER2. This is
HER2 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
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 , 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 . - have cancer that has a medium to high risk of coming back after surgery
- have cancer that is
oestrogen receptor positive andHER2 negative - 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 ) 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 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) . 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 ,carcinoma in situ (CIS) 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 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 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 ) that you don’t apply to the skin - take medication that affects substances in the body called
CYP enzymes 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 or anything they contain. This only applies to women who haven’t been throughmenopause 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
LHRHs stops the
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
The researchers ask to look at a previous tissue sample (
- see how well the treatment is working
- look at
genes to understand more about breast cancer - look for substances called
biomarkers 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
Hospital visits
You see the doctor and have tests before you can take part. Everyone has:
- blood tests
- urine tests
- a
physical examination - eye tests
- heart trace (
ECG ) - x-rays
- CT scan or MRI scan
Some people might also need to have:
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
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.
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