Purpose

A study to investigate camizestrant in combination with atirmociclib in participants with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer previously treated with a cyclin dependent kinase 4/6 (CDK4/6) inhibitor.

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Participants with advanced adenocarcinoma of the breast and must have received prior adequate therapy in accordance with local practice for their tumor type and stage of disease. - Metastatic or locoregionally recurrent disease and radiological or objective evidence of progression on or after the last systemic therapy prior to starting investigational medicinal products. - Eastern cooperative oncology group (ECOG)/World Health Organization (WHO) performance status 0 to 1, and a minimum life expectancy of 12 weeks. - At least one lesion that is measurable and/or non-measurable, as per RECIST 1.1 and that can be accurately assessed at baseline and is suitable for repeated assessment by computed tomography (CT), magnetic resonance imaging (MRI), or plain X-ray, or clinical examination. - Menopausal status - Pre-menopausal women must start GnRH agonist therapy at least 4 weeks before study treatment and continue throughout the study. - Post-menopausal women must meet one of these criteria: bilateral oophorectomy, age ≥60 years, age ≥50 years with ≥12 months amenorrhea and intact uterus without hormonal therapy, or age <60 years with ≥12 months amenorrhea and post-menopausal hormone levels. - Histological or cytological confirmation of adenocarcinoma of the breast. - Participants of childbearing potential must agree to use one highly effective contraceptive measure. - Documentation of ER-positive tumor irrespective of progesterone receptor status. Main

Exclusion Criteria

  • A participant who has received 2 or more lines of CDK4/6 inhibitors in the advanced disease setting. - A participant who has received prior camizestrant or atirmociclib treatment in the advanced disease setting. - Patients previously treated with other next generation selective estrogen receptor degrader (SERDs) or other experimental ETs in the advanced disease setting. - Patients previously treated with other experimental cyclin-dependent kinase (CDK) inhibitors are not eligible. - Inability to swallow oral medications. - Any unresolved toxicities of Grade ≥ 2 from prior anti-cancer therapy (with the exception of alopecia). - Presence of life-threatening metastatic visceral disease. - Any evidence of severe or uncontrolled systemic diseases. - Contraindication to or known intolerance/hypersensitivity of/to camizestrant or atirmociclib.

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Camizestrant + Atirmociclib
Participants will receive a single dose of atirmociclib on Day -1 followed by combination of camizestrant and atirmociclib from Day 1.
  • Drug: Camizestrant
    Camizestrant will be administered orally.
  • Drug: Atirmociclib
    Atirmociclib will be administered orally.

Recruiting Locations

Research Site
Nashville, Tennessee 37203

More Details

Status
Recruiting
Sponsor
AstraZeneca

Study Contact

AstraZeneca Clinical Study Information Center
1-877-240-9479
information.center@astrazeneca.com

Detailed Description

This is a Phase IIa, sequential assignment, non- randomized, open-label treatment study to determine the safety, tolerability, pharmacokinetics (PK) and preliminary anti-tumor activity of camizestrant in combination with atirmociclib. The single-arm study includes: - Screening period - Atirmociclib single dose period - Doublet intervention period - Post-treatment follow-up period

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.