ClinicalTrials.gg
RecruitingNCT07427394SERENA-1bUpdated Sep 29, 2026

Study to Evaluate the Safety and Tolerability of Camizestrant in Combination With Atirmociclib in Women With Advanced Breast Cancer

A Phase 2 interventional study of Camizestrant and Atirmociclib in Advanced Breast Cancer, sponsored by AstraZeneca. Recruiting at 6 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by AstraZeneca · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2026; still recruiting 6 months later.
Updated Sep 29, 2026Site recruiting status changedGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 17 studies testing AZD9833 in Breast Neoplasms — 6 open to participants now, 10 under way, 7 of them phase 3. AZD9833 · Breast Neoplasms.

Planned enrollment
15th of 17
24 · median 150
Started
2026
with 3 others
Phase 2
3 of 17
2 open now
Registered
15th of 17
by date
Lead sponsor
15 of 17
AstraZeneca

Among the 17 studies testing AZD9833 in Breast Neoplasms, this one is the 15th largest by planned enrollment, is one of 4 that started in 2026, is one of 3 in phase 2, and was the 15th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

6 of the 17 studies testing AZD9833 in Breast Neoplasms are open now, in 12 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 6 open studies →

About AZD9833

AZD9833: first FDA approval 2026 (ETCAMAH), first EMA approval 2026. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies testing AZD9833 in Breast Neoplasms, or all of them as a file.
02

Study summary

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.

Read the 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
03

Conditions studied

  • Advanced Breast Cancer

Browse trials for

Keywords

  • Estrogen receptor (ER)-positive
  • Human epidermal growth factor receptor 2 (HER2)-negative
  • Cyclin-Dependent Kinase (CDK) 4 inhibitors
  • Pharmacokinetics
  • Anti-tumor activity
  • Selective Estrogen Receptor Degrader (SERD)
  • Safety
  • Tolerability
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Main 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.
  • or locoregionally recurrent disease and radiological or objective evidence of progression on or after the last systemic therapy prior to starting medicinal products.
  • (ECOG)/World Health Organization (WHO) performance status 0 to 1, and a minimum of 12 weeks.
  • At least one lesion that is measurable and/or non-measurable, as per 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.
    • 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 must agree to use one highly effective 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.
  • to or known intolerance/ of/to camizestrant or atirmociclib.
Terms in these criteria, in plain language(10)

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.

Metastases

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

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (estimated)

Study arms

  • 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 · Drug: Atirmociclib

Interventions

06

What researchers measure

Primary outcomes

  1. Number of participants with adverse events (AEs) and serious AEs

    To investigate the safety and tolerability of camizestrant in combination with atirmociclib.

    Time frame: Up to Post-Treatment Follow up (Day 30 Post Dose)

Secondary outcomes

  1. Maximum concentration observed (Cmax)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  2. Area under plasma concentration-time curve from time 0 to infinity (AUCinf)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  3. Area under plasma concentration-time curve from time 0 to last quantifiable concentration (AUClast)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  4. Time to reach maximum (peak) plasma concentration following drug administration (tmax)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  5. Terminal elimination rate constant (λz)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  6. Terminal elimination half-life (t½λz)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  7. Apparent total body clearance (CL/F)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  8. Apparent volume of distribution at steady state (Vss/F)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  9. Apparent volume of distribution based on the terminal phase (Vz/F)

    To characterize the PK profile and parameters of atirmociclib.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  10. Maximum concentration observed at steady state (Cssmax)

    To characterise the PK profile and parameters of atirmociclib and camizestrant after administration in combination with each other.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  11. Area under the curve from 0 to the end of dosing interval (AUC0-tau)

    To characterise the PK profile and parameters of atirmociclib and camizestrant after administration in combination with each other.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  12. Area under the curve from 0 to the end of dosing interval at steady state (AUCss0-tau)

    To characterise the PK profile and parameters of atirmociclib and camizestrant after administration in combination with each other.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  13. Time to reach maximum plasma concentration at steady state (tssmax)

    To characterise the PK profile and parameters of atirmociclib and camizestrant after administration in combination with each other.

    Time frame: At pre-defined intervals from Day -1 to Day 57

  14. Objective Response Rate (ORR)

    To assess the preliminary anti-tumor activity and efficacy of camizestrant in combination with atirmociclib.

    Time frame: Up to 2 years

  15. Duration of Response (DOR)

    To assess the preliminary anti-tumor activity and efficacy of camizestrant in combination with atirmociclib.

    Time frame: Up to 2 years

  16. Clinical Benefit Rate at 24 Weeks (CBR24)

    To assess the preliminary anti-tumor activity and efficacy of camizestrant in combination with atirmociclib.

    Time frame: At 24 weeks

  17. Percentage change in tumor size

    To assess the preliminary anti-tumor activity and efficacy of camizestrant in combination with atirmociclib.

    Time frame: Up to 2 years

  18. Progression Free Survival (PFS)

    To assess the preliminary anti-tumor activity and efficacy of camizestrant in combination with atirmociclib.

    Time frame: Up to 2 years

  19. Progression-free survival landmark 6 months (PFSLM6m)

    To assess the preliminary anti-tumor activity and efficacy of camizestrant in combination with atirmociclib.

    Time frame: At 6 months

  20. Progression-free survival landmark 12 months (PFSLM12m)

    To assess the preliminary anti-tumor activity and efficacy of camizestrant in combination with atirmociclib.

    Time frame: At 12 months

07

Study locations

6 of 6 sites recruiting
  • Research Site
    St Louis, Missouri 63108, United States
    Recruiting
  • Research Site
    East Providence, Rhode Island 02915, United States
    Recruiting
  • Research Site
    Nashville, Tennessee 37203, United States
    Recruiting
  • Research Site
    Cambridge, CB2 0QQ, United Kingdom
    Recruiting
  • Research Site
    London, EC1M6BQ, United Kingdom
    Recruiting
  • Research Site
    Manchester, M20 4GJ, United Kingdom
    Recruiting
08

References and documents

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 Vivli.org. All requests 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 PhRMA 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 anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

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 May 2026 (actual). Primary completion is estimated for Dec 2027, 19 months after the start.

Of 232 industry-sponsored phase 2 interventional studies under Breast Neoplasms, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 53. This study's planned 19 months is below that.

Counting every sponsor, half of 1,302 studies reached it within 51 months; a quarter within 30 and three quarters within 82.

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

Registered
Feb 16, 2026
First posted
Feb 23, 2026
StartActual
May 6, 2026
Primary completionEst.
Dec 28, 2027
CompletionEst.
Dec 28, 2027
Last update
Sep 29, 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.
Sites
Research Site is now Recruiting
Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    Research Site is now Recruiting

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
NCT07427394
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Feb 23, 2026
Start date
May 6, 2026
Primary completion
Dec 28, 2027 (estimated)
Completion
Dec 28, 2027 (estimated)
Last update
Sep 29, 2026

Study contacts

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

Oversight

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

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