ClinicalTrials.gg
RecruitingNCT05774951CAMBRIA-1Updated Oct 13, 2026

A Study of Camizestrant in ER+/HER2- Early Breast Cancer After at Least 2 Years of Standard Adjuvant Endocrine Therapy

A Phase 3 interventional study of Camizestrant and Tamoxifen in Breast Cancer, Early Breast Cancer, sponsored by AstraZeneca. Recruiting at 709 sites in 39 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2023; still recruiting 3 years 7 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
4,300
Allocation
Randomized
Ages
18 Years to 130 Years
Sex
All
01

Study summary

This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard endocrine therapy in patients with ER+/HER2 - early breast cancer with intermediate or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy) and standard adjuvant endocrine therapy (ET) for at least 2 years and up to 5 years. The planned duration of treatment in either arm of the study is 60 months.

Read the detailed description

This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard endocrine therapy in patients with ER+/HER2 - early breast cancer who completed definitive locoregional therapy (with or without chemotherapy) and standard adjuvant endocrine therapy (ET) for at least 2 years and up to 5 years. The planned duration of treatment in either arm of the study is 60 months. The eligible patients must have intermediate or high risk of recurrence, as defined by specified clinical and biologic criteria. Prior use of CDK4/6 inhibitors is permitted. The primary endpoint of the study is Invasive breast cancer-free survival (IBCFS) and main secondary endpoints include Invasive disease-free survival (IDFS), Distant relapse-free survival (DRFS), Overall survival (OS), Safety and Clinical Outcome Assessments (COAs).

Patients will be followed for 10 years from randomization of the last patient.

02

Conditions studied

  • Breast Cancer, Early Breast Cancer

Browse trials for

Keywords

  • ER+
  • HER2-
  • breast cancer
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 4,300 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women and Men, ≥18 years at the time of screening (or per national guidelines)
  • confirmed ER+/- early-stage resected invasive breast cancer with high or intermediate risk of recurrence, based on clinical-pathological risk features, as defined in the protocol.
  • Completed adequate (definitive) locoregional therapy (surgery with or without radiotherapy) for the primary breast tumour(s), with or without (neo) chemotherapy
  • Completed at least 2 years but no more than 5 years (+3 months) of adjuvant ET (+/- CDK4/6 inhibitor)
  • (ECOG) performance status of ≤ 1
  • Adequate organ and marrow function

Exclusion criteria

Exclusion criteria:

  • Inoperable locally advanced or breast cancer
  • Pathological complete response following treatment with therapy
  • History of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix or considered at very low risk of recurrence per investigator judgement) unless in complete remission with no therapy for a minimum of 5 years from the date of randomisation
  • Any evidence of severe or uncontrolled systemic diseases which, in the investigator's opinion precludes participation in the study or compliance
  • Known \<50% with heart failure Grade ≥2.
  • Mean resting interval >480 ms at screening
  • Concurrent exogenous sex hormone therapy
  • Any concurrent anti-cancer treatment not specified in the protocol with the exception of bisphosphonates (e.g. zoledronic acid) or RANKL inhibitors (eg, denosumab)
  • Previous treatment with camizestrant, SERDs/investigational ER targeting agents, or fulvestrant
  • Currently pregnant (confirmed with positive serum pregnancy test) or breastfeeding
  • Patients with known to active or inactive of camizestrant or drugs with a similar chemical structure or class to camizestrant. In pre-/peri-menopausal female and male patients, known hypersensitivity or intolerance to LHRH agonists, that would preclude the patient from receiving any LHRH agonist
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
4,300 participants (estimated)

Study arms

  • Active comparator
    Arm A: standard endocrine therapy of investigator´s choice

    Continue standard endocrine therapy of investigator's choice (aromatase inhibitors \[AI; exemestane, letrozole, anastrozole\] or tamoxifen)

    Drug: Tamoxifen · Drug: Anastrozole · Drug: Letrozole · Drug: Exemestane

  • Experimental
    Arm B: camizestrant

    Camizestrant

    Drug: Camizestrant

Interventions

  • Camizestrant. Experimental. Administered orally

    Also known as: AZD9833

  • Tamoxifen. Comparator. Administered per local approved label

  • Anastrozole. Comparator. Administered per local approved label

  • Letrozole. Comparator. Administered per local approved label

  • Exemestane. Comparator. Administered per local approved label

06

What researchers measure

Primary outcomes

  1. Invasive breast cancer-free survival (IBCFS)

    IBCFS is defined as time from randomisation until date of first occurrence of: * Invasive ipsilateral breast tumour recurrence (invasive IBTR) * Locoregional invasive breast cancer recurrence * Distant recurrence * Invasive contralateral breast cancer * Death attributable to any cause.

    Time frame: Up to 10 years

Secondary outcomes

  1. Invasive disease-free survival (IDFS)

    IDFS is defined as time from randomisation until date of first occurrence of one of the following events: * Invasive ipsilateral breast tumor recurrence (invasive IBTR) * Locoregional invasive breast cancer recurrence * Distant recurrence * Invasive contralateral breast cancer * Second primary non-breast invasive cancer * Death attributable to any cause.

    Time frame: Up to 10 years

  2. Distant relapse-free survival (DRFS)

    DRFS is defined as time from randomisation until date of first distant recurrence or death from any cause, whichever occurs first.

    Time frame: Up to 10 years

  3. Overall survival (OS)

    OS is defined as time from randomisation until death from any cause.

    Time frame: Up to 10 years

  4. Incidence and Severity of Adverse Events, with Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0 (NCI-CTCAE v5.0)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  5. Absolute and percent change from baseline in Clinical Laboratory Parameters

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  6. Absolute and percent change from baseline in Vital Sign Parameters

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  7. Change from baseline of arthralgia as measured by the EORTC-IL-194 (European Organisation for Research and Treatment of Cancer) item 10. EORTC-IL-194 uses 0 - 4 scale (higher score is worse)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  8. Change from baseline of hot flush as measured by the EORTC-IL-194 item 4. EORTC-IL-194 uses 0 - 4 scale (higher score is worse)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  9. Change from baseline of vaginal dryness as measured by the EORTC-IL-194 item 15. EORTC-IL-194 uses 0 - 4 scale (higher score is worse)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  10. Proportion of patients experiencing each level of symptomatic AEs of arthralgia as measured by the EORTC-IL-194 item 10. EORTC-IL-194 uses 0 - 4 scale (higher score is worse)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  11. Proportion of patients experiencing each level of symptomatic AEs of hot flush as measured by the EORTC-IL-194 item 4. EORTC-IL-194 uses 0 - 4 scale (higher score is worse)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  12. Proportion of patients experiencing each level of symptomatic AEs of vaginal dryness as measured by the EORTC-IL-194 item 15. EORTC-IL-194 uses 0 - 4 scale (higher score is worse)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  13. Change from baseline and TTD (time to deterioration ) of health-related QoL (quality of life) as measured by the 2 global QoL items from the EORTC-QLQ-C30 items 11 and 12. EORTC-QLQ-C30 uses 0 - 4 scale (higher score is worse)

    Time frame: Until 28 days after the final dose of study treatment (up to 5 years)

  14. Pharmacokinetics (PK)

    • Plasma concentrations of camizestrant pre-dose (Ctrough)( trough concentration)

    Time frame: Until 6 months from treatment start

07

Study locations

37 of 709 sites recruiting
  • Research Site
    Birmingham, Alabama 35205, United States
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    Dothan, Alabama 36303, United States
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    Anchorage, Alaska 99508, United States
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    Chandler, Arizona 85224, United States
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    Hot Springs, Arkansas 71913, United States
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    Anaheim, California 92801, United States
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    Beverly Hills, California 90211, United States
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    Concord, California 94520, United States
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    Corona, California 92882, United States
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    Fountain Valley, California 92708, United States
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    Greenbrae, California 94904, United States
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    Los Alamitos, California 90720, United States
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    Palo Alto, California 94304, United States
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    San Diego, California 92121, United States
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    San Diego, California 92123, United States
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    Whittier, California 90603, United States
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    Aurora, Colorado 80045, United States
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    Hartford, Connecticut 06102, United States
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    Fort Myers, Florida 33901, United States
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    Gainesville, Florida 32603, United States
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    Miami Beach, Florida 33140, United States
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    Orlando, Florida 32806, United States
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    Plantation, Florida 33324, United States
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    Port Saint Lucie, Florida 34952, United States
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    Saint Augustine, Florida 32086, United States
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    St. Petersburg, Florida 33705, United States
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    St. Petersburg, Florida 33709, United States
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    Tallahassee, Florida 32308, United States
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    West Palm Beach, Florida 33401, United States
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    Winter Haven, Florida 33880, United States
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    Atlanta, Georgia 30310, United States
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    Atlanta, Georgia 30318, United States
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    Columbus, Georgia 31904, United States
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    Honolulu, Hawaii 96813, United States
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    Chicago, Illinois 60608, United States
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    Chicago, Illinois 60637, United States
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    Decatur, Illinois 62526, United States
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    Elmhurst, Illinois 60126, United States
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    Hinsdale, Illinois 60521, United States
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    Park Ridge, Illinois 60068, United States
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    Park Ridge, Illinois 60068, United States
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    Fort Wayne, Indiana 46804, United States
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    Iowa City, Iowa 52242, United States
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    Fort Mitchell, Kentucky 41017, United States
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    Lexington, Kentucky 40536, United States
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    Louisville, Kentucky 40202, United States
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    Baton Rouge, Louisiana 70809, United States
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  • Research Site
    Brewer, Maine 04412, United States
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    Scarborough, Maine 04074, United States
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    Frederick, Maryland 21702, United States
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    Glenn Dale, Maryland 20769, United States
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    Silver Spring, Maryland 20910, United States
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    Towson, Maryland 21204, United States
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    Boston, Massachusetts 02111, United States
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    Hyannis, Massachusetts 02601, United States
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    Ann Arbor, Michigan 48109, United States
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    Detroit, Michigan 48202, United States
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    East Lansing, Michigan 48824, United States
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    Lansing, Michigan 48910, United States
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    Royal Oak, Michigan 48073, United States
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    Independence, Missouri 64057, United States
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    Lincoln, Nebraska 68506, United States
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    Las Vegas, Nevada 89148, United States
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    Laconia, New Hampshire 03246, United States
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    Belleville, New Jersey 07109, United States
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    Farmington, New Mexico 87401, United States
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    Santa Fe, New Mexico 87505, United States
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    East Syracuse, New York 13057, United States
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    New Hyde Park, New York 11042, United States
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    New York, New York 10011, United States
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    New York, New York 10019, United States
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    New York, New York 10029, United States
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    Stony Brook, New York 11794, United States
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    The Bronx, New York 10461, United States
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    White Plains, New York 10601, United States
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    Charlotte, North Carolina 28204, United States
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    Durham, North Carolina 27710-0001, United States
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    Greensboro, North Carolina 27403, United States
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    Raleigh, North Carolina 27607, United States
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    Rocky Mount, North Carolina 27804, United States
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  • Research Site
    Winston-Salem, North Carolina 27103, United States
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    Winston-Salem, North Carolina 27104, United States
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  • Research Site
    Cincinnati, Ohio 45219, United States
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    Cincinnati, Ohio 45255, United States
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    Cleveland, Ohio 44106, United States
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    Cleveland, Ohio 44195, United States
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    Youngstown, Ohio 44504, United States
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    Clairton, Pennsylvania 15025, United States
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    Philadelphia, Pennsylvania 19106, United States
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    Philadelphia, Pennsylvania 19111, United States
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    Pittsburgh, Pennsylvania 15213, United States
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    Reading, Pennsylvania 19611, United States
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  • Research Site
    State College, Pennsylvania 16803, United States
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  • Research Site
    Providence, Rhode Island 02903, United States
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  • Research Site
    Lancaster, South Carolina 29720, United States
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    Spartanburg, South Carolina 29303, United States
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  • Research Site
    Aberdeen, South Dakota 57401, United States
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    Mitchell, South Dakota 57301, United States
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  • Research Site
    Pierre, South Dakota 57501, United States
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    Sioux Falls, South Dakota 57105, United States
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Showing the first 100 of 709 sites across 39 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Hamilton EP, Loibl S, Bachelot T, Gnant M, Niikura N, Park YH, Tolaney SM, Pistilli B, Rastogi P, Saini KS, Gioni I, Johnston S, Nunes R, Quintana A, Stuart M, Syta E, Walding A, Klinowska T, Mayer IA. CAMBRIA-1 & CAMBRIA-2 phase III trials: camizestrant versus standard endocrine therapy in ER+/HER2- early breast cancer. Future Oncol. 2025 Mar;21(7):795-806. doi: 10.1080/14796694.2025.2459548. Epub 2025 Feb 27. PubMed 40017004 ↗

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Data sharing details ↗ · astrazenecagroup-dt.pharmacm.com

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2023 (actual). Primary completion is estimated for Apr 2027, 48 months after the start.

Of 272 industry-sponsored phase 3 interventional studies under Breast Neoplasms, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 63. This study's planned 48 months is above that.

Counting every sponsor, half of 600 studies reached it within 59 months; a quarter within 36 and three quarters within 96.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 16, 2023
First posted
Mar 20, 2023
StartActual
Mar 31, 2023
Primary completionEst.
Apr 20, 2027
CompletionEst.
May 29, 2036
Last update
Oct 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date and site details
1 update, last Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Minor edits only
    + 2 other changes: verification date and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05774951
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Mar 20, 2023
Start date
Mar 31, 2023
Primary completion
Apr 20, 2027 (estimated)
Completion
May 29, 2036 (estimated)
Last update
Oct 13, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479
AstraZeneca Breast Cancer Study Locator Service
Contact
az-bcsl@careboxhealth.com
1-877-400-4655

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: AZD9833

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