Study to Evaluate the Safety and Tolerability of Camizestrant in Combination With Atirmociclib in Women With Advanced Breast Cancer
Doctors are running a study to find out more about a new treatment approach for advanced breast cancer in women. This particular study is for people whose cancer is ER-positive and HER2-negative, and has already been treated with a type of drug called a CDK4/6 inhibitor. The new treatment involves taking two drugs together: Camizestrant and Atirmociclib. The main aims of the study are to see how safe this drug combination is and how well people tolerate it. Researchers will also look at how the drugs move through the body and if they show early signs of shrinking the cancer. This is a Phase 2 study, which means it's an earlier stage of research, usually done after initial safety tests but before larger studies. The study involves different periods, including taking a single dose of one drug, then both drugs together, and a follow-up period after treatment ends.
At a glance
What is this study about?
This study is designed to explore a new treatment option for a specific type of advanced breast cancer. This cancer is known as 'ER-positive' (meaning it's affected by the hormone oestrogen) and 'HER2-negative'. Many women with this type of cancer are first treated with a group of medicines called CDK4/6 inhibitors. This study is specifically for women whose cancer has progressed, or started to grow again, even after they've received treatment with a CDK4/6 inhibitor.
The research is looking at two drugs, Camizestrant and Atirmociclib, when given together. Camizestrant is a type of drug that targets the oestrogen receptor, aiming to block the signals that help cancer cells grow. Atirmociclib is another targeted drug, but its specific action isn't detailed here, though it's being tested in combination with Camizestrant, suggesting a complementary role in fighting the cancer.
The main reasons for doing this study are to check if this combination treatment is safe and if people can comfortably take it (this is called 'tolerability'). Doctors also want to understand how the body processes these drugs and, importantly, if there are early signs that the combination helps to shrink or control the cancer. This is an early-stage study (Phase 2), meaning it's an important step in understanding new treatments, but it's not yet a final answer on their effectiveness.
Key takeaways
- It's for women aged 18+ with advanced ER-positive, HER2-negative breast cancer.
- Specifically for those whose cancer progressed after CDK4/6 inhibitor treatment.
- Tests two new drugs together: Camizestrant and Atirmociclib.
- Main goals are to check safety, how well it's tolerated, and early signs of anti-cancer activity.
- Involves different treatment periods and ongoing monitoring.
- Participation is voluntary, and you can withdraw at any time.
Who may be eligible?
To join this study, you need to be a woman aged 18 or older with advanced breast cancer that has spread or come back. Your doctors must have confirmed that your cancer is ER-positive and HER2-negative, and it must have grown or gotten worse after your last treatment. Importantly, you must have previously received treatment with a CDK4/6 inhibitor.
You also need to be well enough to take part, meaning you can mostly look after yourself. Your doctors will check if there's at least one part of your cancer that can be measured accurately, usually with scans like CT or MRI. If you're a woman who could still have children, you'll need to agree to use effective contraception. If you're pre-menopausal, you'll also need to be on specific hormone therapy (GnRH agonist) before and during the study.
There are also some reasons why you couldn't join. For example, if you've already had two or more treatments with CDK4/6 inhibitors for your advanced cancer, or if you've previously taken the specific study drugs (Camizestrant or Atirmociclib). You also can't have been treated with similar experimental drugs that block oestrogen or different types of CDK inhibitors.
- Are you a woman aged 18 or older?
- Do you have advanced ER-positive, HER2-negative breast cancer?
- Has your cancer progressed after treatment with a CDK4/6 inhibitor?
- Are you generally well enough to manage daily activities?
- Have you NOT received Camizestrant, Atirmociclib, or similar experimental drugs before?
- If you're still able to have children, are you willing to use effective contraception?
This is a guide only — the research team will confirm whether you can take part.
What does participation involve?
If you join this study, your journey will be divided into different periods. First, there's a 'screening period' where doctors will do tests to make sure you're a good fit for the study. Then, you'll have a short period where you'll receive a single dose of Atirmociclib on its own. After that, you'll enter the 'doublet intervention period', which is when you'll take both Camizestrant and Atirmociclib together as instructed by the doctors. This is an 'open-label' study, meaning you and your doctors will know which drugs you are taking.
Throughout these periods, doctors will regularly monitor your health, how you're feeling, and check for any side effects. They'll also perform scans (like CT or MRI) to see how the cancer is responding to the treatment. There will be regular blood tests to understand how the drugs are working in your body. Once your treatment period ends, there will be a 'post-treatment follow-up period', where staff will continue to check on your health and progress, even after you've stopped taking the study drugs. The total duration of your involvement will depend on how you respond to the treatment and the study's follow-up plan.
Potential risks and benefits
Locations (6)
- Research SiteSt Louis, United States· Not yet recruiting
- Research SiteEast Providence, United States· Not yet recruiting
- Research SiteNashville, United States· Recruiting
- Research SiteCambridge, United Kingdom· Not yet recruiting
- Research SiteLondon, United Kingdom· Not yet recruiting
- Research SiteManchester, United Kingdom· Not yet recruiting
Common questions
What type of breast cancer is this study for?
This study is for advanced breast cancer that is ER-positive and HER2-negative, and has progressed after a previous CDK4/6 inhibitor treatment.
What drugs are being tested?
The study is testing a combination of two drugs called Camizestrant and Atirmociclib.
What does 'Phase 2 study' mean?
Phase 2 means it's an earlier stage study to check drug safety, how well people tolerate it, how it works in the body, and if there are early signs of it fighting the cancer.
Will I know if I'm getting the study drugs?
Yes, this is an 'open-label' study, so you and your doctors will know you are receiving Camizestrant and Atirmociclib.
Do I need to have had specific previous treatments?
Yes, you must have been treated with a CDK4/6 inhibitor for advanced breast cancer and your cancer must have progressed after that treatment.
How to find out more
AstraZeneca Clinical Study Information Center
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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