Advanced Breast CancerPhase 3EvoPAR-BR01NCT06380751
Saruparib (AZD5305) Plus Camizestrant or Plus Endocrine Therapy, Compared With CDK4/6 Inhibitor Plus Endocrine Therapy or Plus Camizestrant in HR-Positive, HER2-Negative (IHC 0, 1+, 2+/ ISH Non-amplified), BRCA1, BRCA2, or PALB2m Advanced Breast Cancer
A Phase 3 study testing Saruparib (AZD5305), Camizestrant and Abemaciclib in people with Advanced Breast Cancer, run by AstraZeneca at 306 sites in 29 countries.
Trial summary
The primary objective of the study is to measure efficacy of saruparib (AZD5305) plus camizestrant compared with physician's choice CDK4/6i plus ET in patients with BRCA1, BRCA2, or PALB2m, HR-positive, HER2-negative (defined as IHC 0, 1+, 2+/ ISH non-amplified) advanced breast cancer Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Breast Cancer
- What is being tested?
- Saruparib (AZD5305), Camizestrant and Abemaciclib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 788 participants
- Where
- 306 sitesin 29 countries
- Study dates
- 1 Aug 2024to 30 Dec 2031
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult females, pre/peri-menopausal and/or post-menopausal, and adult males
- Histologically or cytologically documented diagnosis of HR-positive, HER2-negative breast cancer
- Advanced breast cancer with either locally advanced disease not amenable to curative treatment or metastatic disease
- ECOG performance status of 0 or 1 with no deterioration over the previous 2 weeks
- FFPE tumour tissue from each participant
- Documented germline tumour loss of function mutation in BRCA1, BRCA2, or PALB2
- Adequate organ and marrow function
Who cannot join
- Participants with history of MDS/AML or with features suggestive of MDS/AML
- Participants with any known predisposition to bleeding
- Any history of persisting severe cytopenia
- Any evidence of severe or uncontrolled systemic diseases or active uncontrolled infections
- Refractory nausea and vomiting, chronic GI disease, inability to swallow the formulated product, or previous significant bowel resection
- History of another primary malignancy
Show all 29Show fewer
- Persistent toxicities (CTCAE Grade ≥ 2) caused by previous anti-cancer therapy excluding alopecia
- Spinal cord compression, brain metastases, carcinomatous meningitis, or leptomeningeal disease
- Evidence of active and uncontrolled hepatitis B and/or hepatitis C
- Evidence of active and uncontrolled HIV infection
- Active tuberculosis infection
- Cardiac criteria, including history of arrythmia and cardiovascular disease
- Concurrent exogenous reproductive hormone therapy or non-topical hormonal therapy for non-cancer-related conditions
- Major surgical procedure or significant traumatic injury within 4 weeks of the first dose of study intervention or an anticipated need for major surgery during the study
- Palliative radiotherapy with a limited field of radiation within 2 weeks or with wide field of radiation or to more than 30% of the bone marrow within 4 weeks before the first dose of study treatment
- Prior treatment with systemic anti-cancer therapy for locoregionally recurrent or metastatic disease is not permitted, apart from treatment with ET for up to 28 days total before randomisation
- Prior treatment within 28 days with blood product support or growth factor support
- Any systemic concurrent anti-cancer treatment
- Concomitant use of the following types of medications or herbal supplements within 21 days or at least 5 half-lives of randomisation:
- Strong and moderate CYP3A4 inducers/inhibitors
- Sensitive CYP2B6 substrates
- Substrates of CYP2C9 and/or CYP2C19 which have a narrow therapeutic index, eg, warfarin (and other coumarin-derived vitamin K antagonist anticoagulants) and phenytoin.
- Concomitant use of drugs that are known to prolong QT and have a known risk of TdP
- Systemic use of atropine
- The following exclusion criteria apply to treatments administered for early breast cancer:
- Disease progression ≤ 84 days following the last dose of neo-adjuvant or adjuvant chemotherapy
- Disease progression ≤ 1 year (365 days) from the last dose of treatment with a PARPi and/or platinum agent for early breast cancer
- Disease progression ≤ 1 year (365 days) from the last dose with a CDK4/6i in the adjuvant setting
- Disease progression ≤ 1 year (365 days) from the last dose of an oral SERD including camizestrant.
Trial locations and contacts
306 sites in 29 countries. Contact the study team or a site near you to ask about taking part.
AstraZeneca Clinical Study Information Center contact
306 sites in 29 countries
United States61 sites, 41 recruiting
- Recruiting
Research Site
Arlington Heights, Illinois, 60005
- Recruiting
Research Site
Aurora, Colorado, 80045
- Recruiting
Research Site
Baltimore, Maryland, 21201
- Recruiting
Research Site
Boston, Massachusetts, 02215
- Withdrawn
Research Site
Boston, Massachusetts, 02215
- Withdrawn
Research Site
Brooklyn, New York, 11220
- Recruiting
Research Site
Camden, New Jersey, 08103
- Recruiting
Research Site
Chattanooga, Tennessee, 37404
- Recruiting
Research Site
Chicago, Illinois, 60611
- Withdrawn
Research Site
Dearborn, Michigan, 48126
- Withdrawn
Research Site
Detroit, Michigan, 48202
- Recruiting
Research Site
Evanston, Illinois, 60201
- Recruiting
Research Site
Fountain Valley, California, 92708
- Recruiting
Research Site
Gilbert, Arizona, 85234
- Recruiting
Research Site
Glendale, California, 91206
- Withdrawn
Research Site
Grand Junction, Colorado, 81501
- Recruiting
Research Site
Hershey, Pennsylvania, 17033
- Recruiting
Research Site
Hollywood, Florida, 33021
- Not yet recruiting
Research Site
Houston, Texas, 77030
- Recruiting
Research Site
Houston, Texas, 77030
- Recruiting
Research Site
Houston, Texas, 77054
- Withdrawn
Research Site
Indianapolis, Indiana, 46227
- Recruiting
Research Site
Jacksonville, Florida, 32224
- Recruiting
Research Site
Los Angeles, California, 90089
- Withdrawn
Research Site
Louisville, Kentucky, 40207
- Not yet recruiting
Research Site
Midlothian, Virginia, 23114
- Withdrawn
Research Site
Milwaukee, Wisconsin, 53215
- Recruiting
Research Site
Mineola, New York, 11501
- Recruiting
Research Site
Morgantown, West Virginia, 26506
- Recruiting
Research Site
Nashville, Tennessee, 37203
- Withdrawn
Research Site
New Brunswick, New Jersey, 08901
- Withdrawn
Research Site
New Hyde Park, New York, 11042
- Recruiting
Research Site
New York, New York, 10016
- Withdrawn
Research Site
New York, New York, 10028
- Recruiting
Research Site
New York, New York, 10065
- Recruiting
Research Site
Newport Beach, California, 92663
- Recruiting
Research Site
Norfolk, Virginia, 23502
- Withdrawn
Research Site
Orlando, Florida, 32806
- Not yet recruiting
Research Site
Orlando, Florida, 32806
- Withdrawn
Research Site
Park Ridge, Illinois, 60068
- Recruiting
Research Site
Philadelphia, Pennsylvania, 19104
- Suspended
Research Site
Pittsburgh, Pennsylvania, 15212
- Recruiting
Research Site
Pittsburgh, Pennsylvania, 15215
- Recruiting
Research Site
Rochester, Minnesota, 55905
- Withdrawn
Research Site
Royal Oak, Michigan, 48073
- Recruiting
Research Site
Royal Oak, Michigan, 48073
- Recruiting
Research Site
Saint Joseph, Missouri, 64507
- Recruiting
Research Site
San Antonio, Texas, 78240
- Not yet recruiting
Research Site
Schaumburg, Illinois, 60173
- Withdrawn
Research Site
Shirley, New York, 11967
- Withdrawn
Research Site
Silver Spring, Maryland, 20902
- Recruiting
Research Site
Silver Spring, Maryland, 20904
- Recruiting
Research Site
Springfield, Missouri, 65804
- Not yet recruiting
Research Site
St Louis, Missouri, 63110
- Recruiting
Research Site
Stony Brook, New York, 11790
- Recruiting
Research Site
Tacoma, Washington, 98405
- Withdrawn
Research Site
The Bronx, New York, 10469
- Recruiting
Research Site
Urbana, Illinois, 61801
- Withdrawn
Research Site
West Columbia, South Carolina, 29169
- Withdrawn
Research Site
Westbury, New York, 11590
- Recruiting
Research Site
Winfield, Illinois, 60190
China42 sites, 40 recruiting
- Recruiting
Research Site
Beijing, 100044
- Recruiting
Research Site
Bengbu, 233004
- Recruiting
Research Site
Changchun, 130012
- Recruiting
Research Site
Changchun, 130021
- Recruiting
Research Site
Changsha, 410008
- Recruiting
Research Site
Changsha, 410013
- Recruiting
Research Site
Chengdu, 610000
- Recruiting
Research Site
Chengdu, 610072
- Recruiting
Research Site
Chongqing, 400042
- Recruiting
Research Site
Foshan, 528000
- Recruiting
Research Site
Fuzhou, 350014
- Recruiting
Research Site
Guangzhou, 510060
- Recruiting
Research Site
Guangzhou, 510062
- Recruiting
Research Site
Guangzhou, 510289
- Recruiting
Research Site
Hangzhou, 310016
- Recruiting
Research Site
Hangzhou, 310022
- Recruiting
Research Site
Harbin, 150081
- Recruiting
Research Site
Hefei, 230031
- Withdrawn
Research Site
Hohhot, 010017
- Recruiting
Research Site
Jining, 272029
- Recruiting
Research Site
Kunming, 650118
- Recruiting
Research Site
Liuzhou, 545006
- Recruiting
Research Site
Luoyang, 471000
- Withdrawn
Research Site
Nanchang, 330006
- Recruiting
Research Site
Nanchang, 330009
- Recruiting
Research Site
Nanjing, 210029
- Recruiting
Research Site
Shandong, 250117
- Recruiting
Research Site
Shanghai, 200025
- Recruiting
Research Site
Shanghai, 200120
- Recruiting
Research Site
Shenyang, 110016
- Recruiting
Research Site
Shijiazhuang, 050000
- Recruiting
Research Site
Tianjin, 300000
- Recruiting
Research Site
Weifang, 261000
- Recruiting
Research Site
Wuhan, 430030
- Recruiting
Research Site
Wuhan, 430040
- Recruiting
Research Site
Wuhan, 430079
- Recruiting
Research Site
Xi'an, 710006
- Recruiting
Research Site
Xi'an, 710061
- Recruiting
Research Site
Xiamen, 361003
- Recruiting
Research Site
Xiangyang, 441000
- Recruiting
Research Site
Xinxiang, 453100
- Recruiting
Research Site
Zhengzhou, 450008
Japan23 sites, 23 recruiting
- Recruiting
Research Site
Chiba, 260-8717
- Recruiting
Research Site
Hidaka-shi, 350-1298
- Recruiting
Research Site
Hirakata-shi, 573-1191
- Recruiting
Research Site
Isehara-shi, 259-1193
- Recruiting
Research Site
Kagoshima, 892-0833
- Recruiting
Research Site
Kashiwa, 227-8577
- Recruiting
Research Site
Kōtoku, 135-8550
- Recruiting
Research Site
Kumamoto, 860-8556
- Recruiting
Research Site
Kyoto, 606-8507
- Recruiting
Research Site
Matsuyama, 791-0280
- Recruiting
Research Site
Nagoya, 464-8681
- Recruiting
Research Site
Nagoya, 466-8560
- Recruiting
Research Site
Nagoya, 467-8602
- Recruiting
Research Site
Osaka, 541-8567
- Recruiting
Research Site
Ota-shi, 373-8550
- Recruiting
Research Site
Sapporo, 003-0804
- Recruiting
Research Site
Sendai, 980-8574
- Recruiting
Research Site
Shinagawa-ku, 142-8666
- Recruiting
Research Site
Suita-shi, 565-0871
- Recruiting
Research Site
Sunto-gun, 411-8777
- Recruiting
Research Site
Takasaki-shi, 370-0829
- Recruiting
Research Site
Tsu, 514-8507
- Recruiting
Research Site
Yokohama, 241-8515
Germany17 sites, 15 recruiting
- Recruiting
Research Site
Aachen, 52074
- Withdrawn
Research Site
Augsburg, 86150
- Recruiting
Research Site
Berlin, 13125
- Withdrawn
Research Site
Cologne, 50937
- Recruiting
Research Site
Dessau, 06847
- Recruiting
Research Site
Düsseldorf, 40225
- Recruiting
Research Site
Erlangen, 91054
- Recruiting
Research Site
Göttingen, DE-37099
- Recruiting
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Hamburg, 20357
- Recruiting
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Hanover, 30625
- Recruiting
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Heidelberg, 69120
- Recruiting
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Kiel, 24105
- Recruiting
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Leipzig, 04103
- Recruiting
Research Site
Ludwigsburg, 71640
- Recruiting
Research Site
München, 81675
- Recruiting
Research Site
Münster, 48149
- Not yet recruiting
Research Site
Witten, 58452
Spain12 sites, 9 recruiting
- Not yet recruiting
Research Site
A Coruña, 15009
- Recruiting
Research Site
Barcelona, 08035
- Withdrawn
Research Site
Cáceres, 10003
- Recruiting
Research Site
Granada, 18007
- Recruiting
Research Site
L'Hospitalet de Llobregat, 08908
- Recruiting
Research Site
Madrid, 28040
- Recruiting
Research Site
Madrid, 28041
- Recruiting
Research Site
Málaga, 29010
- Withdrawn
Research Site
Pamplona, 31008
- Recruiting
Research Site
Seville, 41013
- Recruiting
Research Site
Valencia, 46006
- Withdrawn
Research Site
Zaragoza, 50009
India11 sites, 9 recruiting
- Recruiting
Research Site
Delhi, 110029
- Withdrawn
Research Site
Kolkata, 700160
- Withdrawn
Research Site
Lucknow, 226003
- Recruiting
Research Site
Mumbai, 400012
- Recruiting
Research Site
Mumbai, 400052
- Recruiting
Research Site
Mysuru, 570017
- Recruiting
Research Site
Nagpur, 440001
- Recruiting
Research Site
Nashik, 422002
- Recruiting
Research Site
New Delhi, 110085
- Recruiting
Research Site
Surat, 396007
- Recruiting
Research Site
Thiruvananthapuram, 695011
Brazil10 sites, 10 recruiting
- Recruiting
Research Site
Cachoeira de Itapemirim, 29308-055
- Recruiting
Research Site
Curitiba, 80060-900
- Recruiting
Research Site
Fortaleza, 60336-045
- Recruiting
Research Site
Goiânia, 74000-000
- Recruiting
Research Site
Jaú, 17210-120
- Recruiting
Research Site
Porto Alegre, 91350-200
- Recruiting
Research Site
Ribeirão Preto, 14049-901
- Recruiting
Research Site
Salvador, 41253-190
- Recruiting
Research Site
São Paulo, 01509-900
- Recruiting
Research Site
São Paulo, 03102-002
France10 sites, 9 recruiting
- Recruiting
Research Site
Angers, 49100
- Suspended
Research Site
Besançon, 25030
- Recruiting
Research Site
Lille, 59000
- Recruiting
Research Site
Lyon, 69373
- Recruiting
Research Site
Marseille, 13273
- Recruiting
Research Site
Paris, 75005
- Recruiting
Research Site
Rouen, 76021
- Recruiting
Research Site
Saint-Herblain, 44805
- Recruiting
Research Site
Toulouse, 31059
- Recruiting
Research Site
Villejuif, 94805
Italy10 sites, 9 recruiting
- Recruiting
Research Site
Bergamo, 24127
- Recruiting
Research Site
Bologna, 40138
- Recruiting
Research Site
Milan, 20132
- Recruiting
Research Site
Milan, 20141
- Withdrawn
Research Site
Modena, 41124
- Recruiting
Research Site
Naples, 80131
- Recruiting
Research Site
Padova, 35128
- Recruiting
Research Site
Reggio Emilia, 422122
- Recruiting
Research Site
Rome, 00168
- Recruiting
Research Site
Rozzano, 20089
Poland8 sites, 6 recruiting
- Withdrawn
Research Site
Biała Podlaska, 21-500
- Recruiting
Research Site
Koszalin, 75-581
- Recruiting
Research Site
Lodz, 93-338
- Recruiting
Research Site
Lublin, 20-090
- Recruiting
Research Site
Poznan, 60-569
- Withdrawn
Research Site
Poznan, 61-485
- Not yet recruiting
Research Site
Radom, 26-600
- Recruiting
Research Site
Warsaw, 02-781
South Korea8 sites, 8 recruiting
- Recruiting
Research Site
Daegu, 41404
- Recruiting
Research Site
Seongnam-si, 13620
- Recruiting
Research Site
Seoul, 02841
- Recruiting
Research Site
Seoul, 03080
- Recruiting
Research Site
Seoul, 06273
- Recruiting
Research Site
Seoul, 06351
- Recruiting
Research Site
Seoul, 3722
- Recruiting
Research Site
Seoul, 5505
United Kingdom8 sites, 6 recruiting
- Recruiting
Research Site
Cambridge, CB2 2QQ
- Recruiting
Research Site
Guildford, GU2 7XX
- Recruiting
Research Site
London, SE1 9RT
- Recruiting
Research Site
Manchester, M20 4BX
- Withdrawn
Research Site
Oxford, OX3 7LE
- Withdrawn
Research Site
Swansea, SA2 8QA
- Recruiting
Research Site
Taunton, TA1 5DA
- Recruiting
Research Site
Truro, TR1 3LJ
Argentina7 sites, 6 recruiting
- Recruiting
Research Site
Ciudad Autónoma Buenos Aires, 1125
- Recruiting
Research Site
Ciudad de Buenos Aires, 1015
- Recruiting
Research Site
Ciudad de Buenos Aires, C1280AEB
- Recruiting
Research Site
Córdoba, 5008
- Recruiting
Research Site
Rosario, S2000KZE
- Recruiting
Research Site
Salta, A4400EMI
- Withdrawn
Research Site
San Miguel de Tucumán, 4000
Canada7 sites, 7 recruiting
- Not yet recruiting
Research Site
Greenfield Park, Quebec, J4V 2G9
- Not yet recruiting
Research Site
Montreal, Quebec, H2X 0A9
- Not yet recruiting
Research Site
Montreal, Quebec, H3T 1E2
- Not yet recruiting
Research Site
Montreal, Quebec, H4A 3J1
- Not yet recruiting
Research Site
Saskatoon, Saskatchewan, S7N 4H4
- Not yet recruiting
Research Site
Toronto, Ontario, M5G 2M9
- Not yet recruiting
Research Site
Toronto, M4N 3M5
Hungary7 sites, 6 recruiting
- Not yet recruiting
Research Site
Budapest, 1062
- Recruiting
Research Site
Budapest, 1082
- Recruiting
Research Site
Budapest, 1122
- Recruiting
Research Site
Budapest, 1145
- Recruiting
Research Site
Debrecen, 4032
- Recruiting
Research Site
Miskolc, 3526
- Withdrawn
Research Site
Zalaegerszeg, 8900
Taiwan7 sites, 7 recruiting
- Recruiting
Research Site
New Taipei City, 23561
- Recruiting
Research Site
Taichung
- Recruiting
Research Site
Tainan, 704
- Recruiting
Research Site
Taipei, 100
- Recruiting
Research Site
Taipei, 10449
- Recruiting
Research Site
Taipei, 112
- Recruiting
Research Site
Taoyuan, 00333
Czechia6 sites, 6 recruiting
- Recruiting
Research Site
Brno, 656 53
- Recruiting
Research Site
Hořovice, 26831
- Recruiting
Research Site
Hradec Králové, 500 05
- Recruiting
Research Site
Olomouc, 77900
- Recruiting
Research Site
Prague, 120 00
- Not yet recruiting
Research Site
Prague, 180 00
Portugal6 sites, 6 recruiting
- Recruiting
Research Site
Coimbra, 3000-075
- Recruiting
Research Site
Lisbon, 1099-023
- Recruiting
Research Site
Lisbon, 1998-018
- Recruiting
Research Site
Matosinhos Municipality, 4454-509
- Recruiting
Research Site
Porto, 4050-115
- Recruiting
Research Site
Vila Real, 5000-508
Thailand6 sites, 5 recruiting
- Recruiting
Research Site
Bangkok, 10210
- Recruiting
Research Site
Bangkok, 10330
- Terminated
Research Site
Dusit, 10300
- Recruiting
Research Site
Hat Yai, 90110
- Recruiting
Research Site
Muang, 22000
- Recruiting
Research Site
Ratchathewi, 10400
Turkey (Türkiye)6 sites, 5 recruiting
- Recruiting
Research Site
Adapazarı, 54290
- Recruiting
Research Site
Altındağ-Ankara, 06230
- Recruiting
Research Site
Ankara, 06530
- Withdrawn
Research Site
Çankaya, 06680
- Recruiting
Research Site
Istanbul, 34214
- Recruiting
Research Site
Kayseri, 38039
Chile5 sites, 5 recruiting
- Recruiting
Research Site
Providencia, 7500994
- Recruiting
Research Site
Recoleta, 8420391
- Recruiting
Research Site
Santiago, 8330034
- Recruiting
Research Site
Talca, 3461341
- Recruiting
Research Site
Viña del Mar, 2520000
Israel5 sites, 5 recruiting
- Recruiting
Research Site
Jerusalem, 9103102
- Recruiting
Research Site
Jerusalem, 9112001
- Recruiting
Research Site
Petah Tikva, 49100
- Recruiting
Research Site
Ramat Gan, 52621
- Recruiting
Research Site
Tel Aviv, 64239
Malaysia5 sites, 5 recruiting
- Not yet recruiting
Research Site
Bandar Puncak Alam, 42300
- Recruiting
Research Site
Johor Bahru, 81100
- Recruiting
Research Site
Kuala Lumpur, 59100
- Recruiting
Research Site
Kuala Selangor, 62250
- Recruiting
Research Site
Malacca, 75000
Australia4 sites, 3 recruiting
- Recruiting
Research Site
Darlinghurst, 2010
- Recruiting
Research Site
Darlinghurst, 2139
- Withdrawn
Research Site
Malvern, 3144
- Recruiting
Research Site
Melbourne, VIC 3000
Austria4 sites, 4 recruiting
- Recruiting
Research Site
Graz, 8036
- Recruiting
Research Site
Innsbruck, 6020
- Recruiting
Research Site
Linz, 4010
- Recruiting
Research Site
Vienna, 1090
Bulgaria4 sites, 3 recruiting
- Recruiting
Research Site
Plovdiv, 4002
- Recruiting
Research Site
Sofia, 1527
- Recruiting
Research Site
Stara Zagora, 6003
- Withdrawn
Research Site
Vratsa, 3000
Peru4 sites, 4 recruiting
- Not yet recruiting
Research Site
Bellavista, CALLAO 2
- Not yet recruiting
Research Site
Jesus Maria, Lima, LIMA 11
- Not yet recruiting
Research Site
Lima, 15036
- Not yet recruiting
Research Site
Lima, LIMA 29
Hong Kong2 sites, 2 recruiting
- Not yet recruiting
Research Site
Hong Kong, 150001
- Recruiting
Research Site
Hong Kong, 999077
About this study
Official title: A Randomised, Open-Label, Phase III Study of Saruparib (AZD5305) Plus Camizestrant or Plus Endocrine Therapy, 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)
The primary objective of the study is to measure efficacy of saruparib (AZD5305) plus camizestrant compared with physician's choice CDK4/6i plus ET in patients with BRCA1, BRCA2, or PALB2m, HR-positive, HER2-negative (defined as IHC 0, 1+, 2+/ ISH non-amplified) advanced breast cancer
Read the detailed description
Approximately 4680 participants will be screened to achieve approximately 788 participants randomised to study intervention.
Participants will be randomised in a 2:2:1:2 ratio to one of the following intervention groups:
- Arm 1: saruparib (AZD5305) plus camizestrant
- Arm 2: Physician's choice CDK4/6i plus physician's choice ET
- Arm 3: Physician's choice CDK4/6i plus camizestrant
- Arm 4: Saruparib (AZD5305) plus physician's choice ET
Treatment continues until BICR-confirmed disease progression, unacceptable toxicity occurs, or the participant withdraws consent.
- Conditions
- Advanced Breast Cancer
- Being tested
- Saruparib (AZD5305), Camizestrant, Abemaciclib, Ribociclib, Palbociclib
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Saruparib (AZD5305)Drug
Saruparib (AZD5305) is a potent and selective inhibitor of PARP1, with minimal effect on PARP2.
CamizestrantDrug
Camizestrant (AZD9833) is an orally bioavailable, next generation SERD with non-clinical and clinical activity in both ESR1 mutant and wild type settings .
AbemaciclibDrug
CDK4/6 Inhibitor
RibociclibDrug
CDK4/6 Inhibitor
PalbociclibDrug
CDK 4/6 Inhibitor
FulvestrantDrug
Endocrine Therapy
LetrozoleDrug
Endorcine Therapy
AnastrozoleDrug
Endocrine Therapy
ExemestaneDrug
Endocrine Therapy
| Study group | Role | What they receive |
|---|---|---|
| Arm 1: saruparib (AZD5305) plus camizestrant | Experimental | participants will receive saruparib (AZD5305) orally and camizestrant orally Receives: Drug: Saruparib (AZD5305); Drug: Camizestrant |
| Arm 2: Physician's choice CDK4/6i plus physician's choice ET | Active comparator | agents are indicated below and should follow local guidelines:
* Physician's Choice CDK4/6i:
* abemaciclib orally, or
* ribociclib orally, or
* palbociclib orally.
* Physician's Choice ET:
* fulvestrant intramuscularly, or
* One of the following AIs:
* letrozole orally, or
* anastrozole orally, or
* exemestane orally Receives: Drug: Abemaciclib; Drug: Ribociclib; Drug: Palbociclib; Drug: Fulvestrant; Drug: Letrozole; Drug: Anastrozole; Drug: Exemestane |
| Arm 3: Physician's choice CDK4/6i plus camizestrant | Experimental | participants will receive camizestrant orally. Agents for CDK4/6i treatment are indicated above and should follow local guidelines Receives: Drug: Camizestrant; Drug: Abemaciclib; Drug: Ribociclib; Drug: Palbociclib |
| Arm 4: Saruparib (AZD5305) plus physician's choice ET | Experimental | participants will receive Saruparib (AZD5305) plus -Physician's Choice ET:
* fulvestrant intramuscularly, or
* One of the following AIs:
* letrozole orally, or
* anastrozole orally, or
* exemestane orally Receives: Drug: Saruparib (AZD5305); Drug: Fulvestrant; Drug: Letrozole; Drug: Anastrozole; Drug: Exemestane |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (Arm 1 vs arm 2)
PFS is defined as time from randomisation until progression per RECIST v1.1 as assessed by BICR, or death due to any cause.
Measured: Up to approximately 64 months
Secondary outcomes (12)
Progression-Free Survival (arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
PFS is defined as time from randomisation until progression per RECIST v1.1 as assessed by BICR, or death due to any cause.
Measured: Up to approximately 64 months
Overall Survival (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
OS is defined as the time from randomisation until the date of death due to any cause.
Measured: Up to approximately 88 months
Progression Free Survival 2 (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
PFS2 is defined as the time from randomisation to the earliest of the progression event (following the initial investigator-assessed progression), after first subsequent therapy, or death.
Measured: Up to approximately 64 months
Time to chemotherapy (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time to chemotherapy is defined as time from randomisation until the start date of the first subsequent chemotherapy treatment after discontinuation of randomised treatment (censoring participants who died prior to initiation of chemotherapy).
Measured: Up to approximately 64 months
Objective Response Rate (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
ORR is defined as the proportion of participants who have a complete or partial response, as determined by BICR per RECIST v1.1.
Measured: Up to approximately 64 months
Duration of Response (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
DoR is defined as the time from the date of first documented response until date of documented progression per RECIST v1.1 as assessed by BICR, or death due to any cause.
Measured: Up to approximately 64 months
Participant-reported tolerability (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Proportion of all dosed participants reporting different levels of severity of diarrhoea as measured by the diarrhoea single item (EORTC IL237/IL239/IL240) and different levels of severity of abdominal pain as measured by the abdominal pain single item (EORTC IL237/IL239/IL240).
Measured: Up to approximately 64 months
Time to deterioration in patient-reported global health status/QoL as measured by the global health status/QoL scale within the EORTC quality of life questionnaire (QLQ) (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
This scale includes 2 items asking participants to report overall health and overall quality of life in the past week. Both items are measured on a 6-point verbal rating scale ranging from Very Poor to Excellent. Single item scores are averaged to calculate a subscale score that is transformed to range from 0 to 100, where higher scores indicate better global health status/QoL.
Measured: Up to approximately 64 months
Change from baseline in patient-reported global health status/QoL as measured by the global health status/QoL scale within the EORTC quality of life questionnaire (QLQ) (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
This scale includes 2 items asking participants to report overall health and overall quality of life in the past week. Both items are measured on a 6-point verbal rating scale ranging from Very Poor to Excellent. Single item scores are averaged to calculate a subscale score that is transformed to range from 0 to 100, where higher scores indicate better global health status/QoL.
Measured: Up to approximately 64 months
Plasma concentrations of saruparib (AZD5305)
Measured: Up to approximately 64 months
Plasma concentrations of camizestrant
Measured: Up to approximately 64 months
Samples will be used to develop companion diagnostics by analyzing their performance characteristics and calculate their consistency with clinical trial assays used for enrolment onto the study.
Samples will be tested by a CDx to confirm BRCA1/2 and PALB2 gene mutation status
Measured: Up to approximately 64 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Apr 2024
- Study start1 Aug 2024
- Primary completion18 Dec 2029 (estimated)
- Study completion30 Dec 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Breast CancerStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 788 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06380751
- Sponsor's protocol ID
- D9722C00001
- Acronym
- EvoPAR-BR01
- Status last verified
- Oct 2026
- First submitted
- 25 Mar 2024
- Last updated
- 30 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- 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
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Open-Label, Phase III Study of Saruparib (AZD5305) Plus Camizestrant or Plus Endocrine Therapy, 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)
- ClinicalTrials.gov ID
- NCT06380751
- Acronym / sponsor ID
- EvoPAR-BR01 / D9722C00001
- Conditions
- Advanced Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 788 participants (estimated)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 1 Aug 2024 (actual)
- Primary completion
- 18 Dec 2029 (estimated)
- Study completion
- 30 Dec 2031 (estimated)
- First posted
- 24 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to measure efficacy of saruparib (AZD5305) plus camizestrant compared with physician's choice CDK4/6i plus ET in patients with BRCA1, BRCA2, or PALB2m, HR-positive, HER2-negative (defined as IHC 0, 1+, 2+/ ISH non-amplified) advanced breast cancer
Detailed description
Approximately 4680 participants will be screened to achieve approximately 788 participants randomised to study intervention.
Participants will be randomised in a 2:2:1:2 ratio to one of the following intervention groups:
- Arm 1: saruparib (AZD5305) plus camizestrant
- Arm 2: Physician's choice CDK4/6i plus physician's choice ET
- Arm 3: Physician's choice CDK4/6i plus camizestrant
- Arm 4: Saruparib (AZD5305) plus physician's choice ET
Treatment continues until BICR-confirmed disease progression, unacceptable toxicity occurs, or the participant withdraws consent.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm 1: saruparib (AZD5305) plus camizestrant | Experimental | Drug: Saruparib (AZD5305), Drug: Camizestrantparticipants will receive saruparib (AZD5305) orally and camizestrant orally |
| Arm 2: Physician's choice CDK4/6i plus physician's choice ET | Active comparator | Drug: Abemaciclib, Drug: Ribociclib, Drug: Palbociclib, Drug: Fulvestrant, Drug: Letrozole, Drug: Anastrozole, Drug: Exemestaneagents are indicated below and should follow local guidelines: * Physician's Choice CDK4/6i: * abemaciclib orally, or * ribociclib orally, or * palbociclib orally. * Physician's Choice ET: * fulvestrant intramuscularly, or * One of the following AIs: * letrozole orally, or * anastrozole orally, or * exemestane orally |
| Arm 3: Physician's choice CDK4/6i plus camizestrant | Experimental | Drug: Camizestrant, Drug: Abemaciclib, Drug: Ribociclib, Drug: Palbociclibparticipants will receive camizestrant orally. Agents for CDK4/6i treatment are indicated above and should follow local guidelines |
| Arm 4: Saruparib (AZD5305) plus physician's choice ET | Experimental | Drug: Saruparib (AZD5305), Drug: Fulvestrant, Drug: Letrozole, Drug: Anastrozole, Drug: Exemestaneparticipants will receive Saruparib (AZD5305) plus -Physician's Choice ET: * fulvestrant intramuscularly, or * One of the following AIs: * letrozole orally, or * anastrozole orally, or * exemestane orally |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Adult females, pre/peri-menopausal and/or post-menopausal, and adult males
- Histologically or cytologically documented diagnosis of HR-positive, HER2-negative breast cancer
- Advanced breast cancer with either locally advanced disease not amenable to curative treatment or metastatic disease
- ECOG performance status of 0 or 1 with no deterioration over the previous 2 weeks
- FFPE tumour tissue from each participant
Key exclusion criteria (29 listed)
- Participants with history of MDS/AML or with features suggestive of MDS/AML
- Participants with any known predisposition to bleeding
- Any history of persisting severe cytopenia
- Any evidence of severe or uncontrolled systemic diseases or active uncontrolled infections
- Refractory nausea and vomiting, chronic GI disease, inability to swallow the formulated product, or previous significant bowel resection
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Saruparib (AZD5305)Saruparib (AZD5305) is a potent and selective inhibitor of PARP1, with minimal effect on PARP2. | Drug | Arm 1: saruparib (AZD5305) plus camizestrant, Arm 4: Saruparib (AZD5305) plus physician's choice ET |
| CamizestrantCamizestrant (AZD9833) is an orally bioavailable, next generation SERD with non-clinical and clinical activity in both ESR1 mutant and wild type settings . | Drug | Arm 1: saruparib (AZD5305) plus camizestrant, Arm 3: Physician's choice CDK4/6i plus camizestrant |
| AbemaciclibCDK4/6 Inhibitor | Drug | Arm 2: Physician's choice CDK4/6i plus physician's choice ET, Arm 3: Physician's choice CDK4/6i plus camizestrant |
| RibociclibCDK4/6 Inhibitor | Drug | Arm 2: Physician's choice CDK4/6i plus physician's choice ET, Arm 3: Physician's choice CDK4/6i plus camizestrant |
| PalbociclibCDK 4/6 Inhibitor | Drug | Arm 2: Physician's choice CDK4/6i plus physician's choice ET, Arm 3: Physician's choice CDK4/6i plus camizestrant |
| FulvestrantEndocrine Therapy | Drug | Arm 2: Physician's choice CDK4/6i plus physician's choice ET, Arm 4: Saruparib (AZD5305) plus physician's choice ET |
| LetrozoleEndorcine Therapy | Drug | Arm 2: Physician's choice CDK4/6i plus physician's choice ET, Arm 4: Saruparib (AZD5305) plus physician's choice ET |
| AnastrozoleEndocrine Therapy | Drug | Arm 2: Physician's choice CDK4/6i plus physician's choice ET, Arm 4: Saruparib (AZD5305) plus physician's choice ET |
| ExemestaneEndocrine Therapy | Drug | Arm 2: Physician's choice CDK4/6i plus physician's choice ET, Arm 4: Saruparib (AZD5305) plus physician's choice ET |
Primary outcome
Progression-Free Survival (Arm 1 vs arm 2)
Time frame: Up to approximately 64 months
PFS is defined as time from randomisation until progression per RECIST v1.1 as assessed by BICR, or death due to any cause.
12 secondary outcomes
Progression-Free Survival (arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Overall Survival (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 88 months
Progression Free Survival 2 (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Time to chemotherapy (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Objective Response Rate (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Duration of Response (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Participant-reported tolerability (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Time to deterioration in patient-reported global health status/QoL as measured by the global health status/QoL scale within the EORTC quality of life questionnaire (QLQ) (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Change from baseline in patient-reported global health status/QoL as measured by the global health status/QoL scale within the EORTC quality of life questionnaire (QLQ) (arm 1 vs 2, arm 4 vs 2, arm 1 vs 3, arm 3 vs 2, arm 4 vs 1)
Time frame: Up to approximately 64 months
Plasma concentrations of saruparib (AZD5305)
Time frame: Up to approximately 64 months
Plasma concentrations of camizestrant
Time frame: Up to approximately 64 months
Samples will be used to develop companion diagnostics by analyzing their performance characteristics and calculate their consistency with clinical trial assays used for enrolment onto the study.
Time frame: Up to approximately 64 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Oct 2026.
- Individual participant dataSharing planned: 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
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
AstraZeneca Clinical Study Information Center contact
306 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Saruparib (AZD5305), Camizestrant and Abemaciclib in people with Advanced Breast Cancer, run by AstraZeneca at 306 sites in 29 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 29 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 306 sites in United States, China, Japan, Germany, Spain and 24 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (Arm 1 vs arm 2) (time frame: Up to approximately 64 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.