About this trial
The purpose of this study is to investigate the efficacy, safety, and tolerability of camizestrant in combination with ribociclib in patients with ER+ HER2- BC who have not received any other systemic treatment for advanced disease. Participants will be treated within the trial until they discontinue the study treatment for any reason.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Capable of giving signed informed consent.
Female or male, must be ≥ 18 years or as per locally allowed age limit for screening.
Histologically or cytologically documented diagnosis of ER+, HER2- BC based on local laboratory results and who are not amenable to resection or radiation therapy with curative intent.
Previously untreated with any systemic anti-cancer therapy for their locoregionally recurrent or metastatic ER+ disease.
Disqualifiers
Participants who are not clinically indicated for endocrine therapy in combination with the CDK4/6 inhibitor ribociclib.
No evidence of advanced inoperable disease, or bone only disease with sclerotic/osteoblastic bone lesions only per standard of care imaging.
Have advanced, symptomatic, visceral spread, that are at risk of life-threatening complications in the short term, and/or pulmonary lymphangitis.
Persistent treatment-induced non-haematological toxicities (CTCAE Grade > 2).
Trial design
Single group
Treatments tested in this trial
Camizestrant
DrugPatients will receive the standard dose of camizestrant once daily as oral tablets
Ribociclib
DrugPatients will receive the standard dose of ribociclib once daily as oral tablets
Treatment groups
Trial outcomes
Primary outcomes
Efficacy of camizestrant and ribociclib by time to next treatment (TTNT)
TTNT is defined as time from the date of the first administration of study treatment to the earliest start date of subsequent anti-cancer medication or death. The primary measure of interest is the TTNT event-free rate at 2 years.
Secondary outcomes
Efficacy of camizestrant and ribociclib by time to discontinuation (TTD)
TTD is defined as time from the date of the first administration of study treatment to the earliest date of camizestrant treatment discontinuation or death. The primary measure of interest is the TTD event-free rate at 2 years.
Efficacy of camizestrant and ribociclib by progression free survival (PFS)
PFS is defined as time from first dose of study treatment until progression per RECIST 1.1 as assessed by investigator or death due to any cause. The primary measures of interest are the PFS event-free rates at 1 and 2 years.
CTCAE grade ≥ 3 associated with camizestrant and ribociclib within first 6 months of study treatment
Incidence of Grade \>=3 CTCAEs associated with Camizestrant and/or Ribo within first 6 months of receiving study treatment.
Sponsors and contacts
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AstraZeneca
Lead sponsor
ICON plc
Collaborator