EvoPAR - Breast 01

  • Research type

    Research Study

  • Full title

    A Randomised, Open-Label, Phase III Study of Saruparib (AZD5305) Plus Camizestrant compared with Physician’s Choice CDK4/6 Inhibitor Plus Endocrine Therapy or Plus Camizestrant for the First-Line Treatment of Patients with BRCA1, BRCA2, or PALB2 Mutations and Hormone Receptor-Positive, HER2-Negative (IHC 0, 1+, 2+/ ISH non-amplified) Advanced Breast Cancer (EvoPAR-Breast01).

  • IRAS ID

    1009751

  • Contact name

    Adesola Obunge

  • Contact email

    adesola.obunge@astrazeneca.com

  • Sponsor organisation

    AstraZeneca UK Ltd

  • Eudract number

    2023-504180-16

  • Clinicaltrials.gov Identifier

    NCT06380751

  • Research summary

    The primary objective of this study is to demonstrate the superiority of saruparib + camizestrant relative to physician’s choice CDK4/6i + ET, by assessment of PFS.

    The purpose of this study is to learn more about whether saruparib combined with another study drug called camizestrant, works better for participants with advanced breast cancer when compared to current standard of care treatment: a cyclin-dependent kinases 4 and 6 (CDK4/6) inhibitor combined with hormone therapy.

    Saruparib is a type of drug known as a PARP1 inhibitor (polyadenosine di-phosphate ribose polymerase inhibitor). Approximately 500 participants will take part in this study at multiple different locations around the world.

    Participants will receive treatment with saruparib plus camizestrant or physician’s choice CDK4/6i plus ET or physician’s choice CDK4/6i plus camizestrant, until BICR-confirmed disease progression by RECIST v1.1 or unacceptable toxicity occurs, or the participant withdraws consent.

    Participants will be allocated to one of three different treatment regimens in this study:
    • Arm 1: Saruparib with camizestrant
    • Arm 2: Physician's choice CDK4/6 inhibitor with hormone therapy
    • Arm 3: Physician's choice CDK4/6 inhibitor with camizestrant.

    Patients will take the study drug once a day during each cycle (28 days long) and they will be required to go to the study site every 2 weeks for the first 12 weeks after they start study treatment, and then every 4 weeks until they stop taking both study drugs.

    Participants will have the following visits:
    Bio-marker testing
    Screening Visit
    Cycle 1, Day 1
    Cycle 1, Day 15
    Cycle 2, Day 1
    Cycle 2, Day 15
    Cycle 3, Day 1
    Cycle 3, Day 15
    Cycles 4+, Day 1 of every cycle
    Treatment Discontinuation
    Disease Progression
    Safety FU & Survival FU
    Tumour imaging/ measurement (RECIST v1.1) from randomisation until RECIST v1.1-defined radiographic progression (by BICR).

  • REC name

    East Midlands - Derby Research Ethics Committee

  • REC reference

    24/EM/0211

  • Date of REC Opinion

    30 Aug 2024

  • REC opinion

    Further Information Favourable Opinion