Breast Cancer, Early Breast CancerPhase 3CAMBRIA-2NCT05952557
An Adjuvant Endocrine-based Therapy Study of Camizestrant (AZD9833) in ER+/HER2- Early Breast Cancer (CAMBRIA-2)
A Phase 3 study testing Camizestrant, Tamoxifen and Anastrozole in people with Breast Cancer, Early Breast Cancer, run by AstraZeneca at 661 sites in 44 countries.
Trial summary
This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard adjuvant endocrine therapy for patients with ER+/HER2- early breast cancer with intermediate-high or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy). Read more about this study
- Who is it for?
- Ages 18 to 130 years
- Conditions the study is for
- Breast Cancer, Early Breast Cancer
- What is being tested?
- Camizestrant, Tamoxifen and Anastrozole
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5,511 participants
- Where
- 661 sitesin 44 countries
- Study dates
- 5 Oct 2023to 6 May 2037
- 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 to 130 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Women and Men; ≥18 years at the time of screening (or per national guidelines)
- Histologically confirmed ER+/HER2- early-stage resected invasive breast cancer with absence of any evidence of metastatic disease 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)adjuvant chemotherapy.
- Patients must be randomised within 12 months of definitive breast surgery.
- Patients may have received up to 12 weeks of endocrine therapy prior to randomisation.
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1
- Adequate organ and bone marrow function
Who cannot join
- Inoperable locally advanced or metastatic breast cancer
- Pathological complete response following treatment with neoadjuvant therapy
- History of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix or considered a 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 LVEF <50% with heart failure NYHA Grade ≥2.
- Mean resting QTcF interval > 480 ms at screening
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- Concurrent exogenous reproductive hormone therapy or non topical hormonal therapy for non-cancer-related conditions
- 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, investigational SERDs/investigational ER targeting agents, or fulvestrant
- Currently pregnant (confirmed with positive serum pregnancy test) or breastfeeding.
- Patients with known hypersensitivity to active or inactive excipients 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.
Trial locations and contacts
661 sites in 44 countries.
661 sites in 44 countries
United States111 sites
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Aberdeen, South Dakota, 57401
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Albuquerque, New Mexico, 87109
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Annapolis, Maryland, 21401
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Appleton, Wisconsin, 54911
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Atlanta, Georgia, 30318
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Aurora, Colorado, 80045
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Austin, Texas, 78731
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Bay Shore, New York, 11706
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Bethesda, Maryland, 20817
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Boston, Massachusetts, 02111
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Boston, Massachusetts, 02115
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Charleston, South Carolina, 29425
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Charlotte, North Carolina, 28204
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Charlottesville, Virginia, 22908
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Chicago, Illinois, 60637
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Cincinnati, Ohio, 45255
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Clearwater, Florida, 33756
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Cleveland, Ohio, 44106
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Columbus, Ohio, 43212
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Dallas, Texas, 75246
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Des Moines, Iowa, 50309
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Detroit, Michigan, 48202
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Dothan, Alabama, 36303
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Duarte, California, 91010
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East Syracuse, New York, 13057
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El Paso, Texas, 79902
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Elmhurst, Illinois, 60126
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Fairfax, Virginia, 22031
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Farmington, New Mexico, 87401
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Fayetteville, Arkansas, 72703
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Flower Mound, Texas, 75028
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Fort Myers, Florida, 33901
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Fort Wayne, Indiana, 46804
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Fountain Valley, California, 92708
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Gainesville, Florida, 32610
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Gettysburg, Pennsylvania, 17325
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Greenlawn, New York, 11740
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Hershey, Pennsylvania, 17033
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Hooksett, New Hampshire, 03106
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Houston, Texas, 77024
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Irvine, California, 92618
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Jacksonville, Florida, 32224
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Kansas City, Missouri, 64111
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Knoxville, Tennessee, 37909
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Knoxville, Tennessee, 37920
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La Jolla, California, 92093
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Lincoln, Nebraska, 68506
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Littleton, Colorado, 80120
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Littleton, Colorado, 80129
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Los Angeles, California, 90017
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Louisville, Kentucky, 40202
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Madison, Wisconsin, 53792
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Manchester, New Hampshire, 03103
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Marietta, Georgia, 30060
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Memphis, Tennessee, 38120
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Midlothian, Virginia, 23114
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Minneapolis, Minnesota, 55416
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Morgantown, West Virginia, 26505
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Naperville, Illinois, 60540
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Nashville, Tennessee, 37203
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Nashville, Tennessee, 37232
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New Brunswick, New Jersey, 08901
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New Haven, Connecticut, 06510
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New Hyde Park, New York, 11042
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New Orleans, Louisiana, 70121
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New York, New York, 10029
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New York, New York, 10065
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Newark, Delaware, 19713
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Norfolk, Virginia, 23502
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Omaha, Nebraska, 68124
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Pembroke Pines, Florida, 33028
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Philadelphia, Pennsylvania, 19104
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Phoenix, Arizona, 85054
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Pinehurst, North Carolina, 28374
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Pittsburgh, Pennsylvania, 15213
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Plantation, Florida, 33322
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Plantation, Florida, 33324
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Portland, Oregon, 97210
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Portland, Oregon, 97213
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Portland, Oregon, 97225
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Puyallup, Washington, 98373
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Raleigh, North Carolina, 27607
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Roanoke, Virginia, 24014
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Rochester, Minnesota, 55905
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Rock Hill, South Carolina, 29732
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San Antonio, Texas, 78217
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Sayre, Pennsylvania, 18840
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Scarborough, Maine, 04074
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Sioux Falls, South Dakota, 57105
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Spartanburg, South Carolina, 29303
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Spokane, Washington, 99202
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St Louis, Missouri, 63110
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St Louis, Missouri, 63131
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St. Petersburg, Florida, 33705
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St. Petersburg, Florida, 33709
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Stony Brook, New York, 11794
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Tallahassee, Florida, 32308
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Thomasville, Georgia, 31792
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Towson, Maryland, 21204
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Tucson, Arizona, 85745
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Tyler, Texas, 75702
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Urbana, Illinois, 61801
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Vancouver, Washington, 98684
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Walnut Creek, California, 94598
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West Hollywood, California, 90048
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West Palm Beach, Florida, 33401
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White Plains, New York, 10601
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Winchester, Virginia, 22601
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Winston-Salem, North Carolina, 27103
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York, Pennsylvania, 17403
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Ypsilanti, Michigan, 48197
China60 sites
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Baoding, 071000
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Beijing, 100021
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Beijing, 100039
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Beijing, 100142
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Beijing, 100191
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Beijing, 100730
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Bengbu, 233004
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Binzhou, 256606
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Cangzhou, 061001
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Changchun, 130021
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Changsha, 410008
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Chengdu, 610042
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Chengdu, 610072
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Chifeng, 024000
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Foshan, 528000
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Fuzhou, 350014
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Guangzhou, 510060
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Haikou, 570311
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Hangzhou, 310000
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Hangzhou, 310009
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Hangzhou, 310016
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Hangzhou, 310022
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Harbin, 150081
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Hefei, 230001
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Hefei, 230012
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Hefei, 230022
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Hefei, 230601
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Hohhot, 010017
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Huizhou, 516001
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Jinzhou, 121001
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Lanzhou, 730050
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Linyi, 276000
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Liuzhou, 545005
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Liuzhou, 545006
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Nanchang, 330009
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Nanjing, 210029
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Nanning, 530021
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Nantong, 226001
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Neijiang, 641000
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Shandong, 250117
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Shangqiu, 476100
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Shantou, 515031
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Shaoguan Shi, 512025
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Shenyang, 110042
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Shenzhen, 518020
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Shijiazhuang, 050011
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Suining Shi, 629000
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Suzhou, 215004
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Suzhou, 215600
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Taizhou, 317000
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Tianjin, 300060
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Weifang, 261000
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Wuhan, 430060
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Wuhan, 430079
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Xi'an, 710004
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Xiangfan, 441021
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Xinxiang, 453100
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Xuzhou, 221002
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Xuzhou, 221009
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Zunyi, 563100
Spain50 sites
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A Coruña, 15006
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A Coruña, 15009
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Albacete, 02006
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Alicante, 03010
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Badalona, 08916
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Barakaldo, 48903
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Barcelona, 08003
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Barcelona, 08035
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Barcelona, 08036
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Barcelona, 08041
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Burgos, 09006
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Cáceres, 10003
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Castellon, 12002
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Córdoba, 14004
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Donostia / San Sebastian, 20014
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El Palmar, 30120
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Elche(Alicante), 03202
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Fuenlabrada, 28942
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Girona, 17007
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Granada, 18012
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Granada, 18016
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Jerez de la Frontera, 11407
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La Laguna (Tenerife), 38320
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León, 24008
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Lleida, 25198
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Madrid, 28007
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Madrid, 28009
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Madrid, 28033
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Madrid, 28034
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Madrid, 28040
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Madrid, 28041
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Madrid, 28050
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Málaga, 29010
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Málaga, 29016
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Manresa, 08243
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Murcia, 30008
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Palma de Mallorca, 07120
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Reus, 43204
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Sabadell, 08208
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Salamanca, 37007
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Sant Joan Despí, 08970
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Seville, 41009
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Seville, 41014
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Seville, 41015
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Toledo, 45007
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Valencia, 46009
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Valencia, 46010
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Valencia, 46015
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Vigo, 36312
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Zaragoza, 50009
Japan33 sites
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Bunkyō City, 113-8431
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Chiba, 260-8717
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Chūōku, 104-8560
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Fukuoka, 811-1395
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Fukushima, 960-1295
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Hirakata-shi, 573-1191
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Hiroshima, 730-8518
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Iruma-Gun, 350-0495
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Isehara-shi, 259-1193
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Kagoshima, 892-0833
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Kamogawa-shi, 296-0041
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Kōtoku, 135-8550
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Kumamoto, 860-8556
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Kurume-shi, 830-0013
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Kyoto, 606-8507
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Matsuyama, 791-0280
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Nagoya, 464-8681
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Nagoya, 466-8550
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Nagoya, 467-0001
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Niigata, 951-8566
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Osaka, 541-8567
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Ota-shi, 373-8550
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Sapporo, 003-0804
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Sapporo, 060-8638
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Sendai
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Shinagawa-ku, 142-8666
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Suita-shi, 565-0871
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Sunto-gun, 411-8777
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Takasaki-shi, 370-0829
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Tsu, 514-8507
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Utsunomiya, 320-0834
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Yokohama, 222-0036
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Yokohama, 241-8515
Brazil31 sites
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Alfenas, 37130-000
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Belo Horizonte, 30130-100
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Blumenau, 89010-340
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Brasília, 71615-907
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Curitiba, 80730-380
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Curitiba, 80810-050
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Fortaleza, 60135-237
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Fortaleza, 60430-230
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Goiânia, 74000-000
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Itajaí, 88301-220
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João Pessoa, 58013-140
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Natal, 59075-740
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Porto Alegre, 90035-001
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Porto Alegre, 90050-170
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Porto Alegre, 90610000
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Porto Velho, 76834-899
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Pouso Alegre, 37554-216
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Recife, 50070-480
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Ribeirão Preto, 14015-130
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Rio de Janeiro, 20560-120
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Rio de Janeiro, 22793-080
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Salvador, 40170-110
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Santo André, 09060-650
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São Paulo, 01246-000
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São Paulo, 01327-001
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São Paulo, 01409-902
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São Paulo, 03102-006
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Taubaté, 12030-200
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Teresina, 64049-200
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Três Lagoas, 79601-001
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Vitória, 29043-260
Germany27 sites
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Aachen, 52074
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Berlin, 12559
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Cologne, 51067
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Darmstadt, 64283
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Deggendorf, 94469
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Dessau, 6847
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Düsseldorf, 40235
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Essen, 45130
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Georgsmarienhütte, 49124
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Hamburg, 20357
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Hamburg, 22457
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Hanover, 30177
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Hanover, 30559
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Heidelberg, 69120
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Karlsruhe, 76135
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Koblenz, 56068
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Mainz, 55131
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Offenburg, 77654
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Rostock, 18057
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Saarbrücken, 66113
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Schweinfurt, 97421
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Torgau, 4860
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Wiesbaden, 65189
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Wiesbaden, 65199
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Witten, 58452
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Worms, 67550
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Wuppertal, 42283
Australia24 sites
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Bankstown, 2200
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Bendigo, 3550
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Bowral, 2576
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Brighton, 3186
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Clayton, 3168
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Coffs Harbour, 2450
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Fitzroy, 3065
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Frankston, 3199
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Garran, 2605
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Gateshead, 2290
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Heidelberg, 3084
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Liverpool, 2170
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Melbourne, 3004
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Murdoch, WA6150
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Randwick, 2031
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Richmond, 3121
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Shepparton, 3630
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South Brisbane, 4101
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St Leonards, 2065
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Subiaco, 6008
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Wangaratta, 3677
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Waratah, 2298
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Warnnambool, 3280
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Wollongong, 2500
France23 sites
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Angers, 49100
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Bordeaux, 33076
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Caen, 14076
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Clermont-Ferrand, 63000
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Dijon, 21000
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Epagny Metz-Tessy, 74370
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Lille, 59000
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Lyon, 75004
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Marseille, 13273
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Montpellier, 34298
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Nantes, 44277
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Nîmes, 30029
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Paris, 75005
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Pierre-Bénite, 69495
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Rennes, 35000
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Rouen, 76021
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Saint-Cloud, 92210
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Saint-Herblain, 44800
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Saint-Priest-en-Jarez, 42270
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Strasbourg, 67200
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Toulouse, 31059
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Vandœuvre-lès-Nancy, 54519
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Villejuif, 94805
United Kingdom20 sites
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Aberdeen, AB25 2ZN
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Burton-on-Trent, DE13 0RB
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Cambridge, CB2 2QQ
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Derby, DE22 3NE
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Guildford, GU27XX
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Ipswich, IP4 5PD
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Lancaster, LA1 4RP
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Leeds, LS9 7TF
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Leicester, LE1 5WW
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London, EC1M 6BQ
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London, NW3 2QG
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London, SE1 9RT
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London, SW2 6JJ
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Manchester, M20 4BX
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Northampton, NN1 5BD
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Shrewsbury, SY3 8XQ
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Sutton, SM2 5PT
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Sutton in Ashfield, NG17 4JL
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Taunton, TA1 5DA
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Whitchurch, CF14 2TL
Italy17 sites
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Bergamo, 24127
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Bologna, 40138
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Florence, 50134
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Genoa, 16132
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Meldola, 47014
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Milan, 20132
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Milan, 20141
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Misterbianco, 95045
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Monza, 20900
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Naples, 80131
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Novara, 28100
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Padova, 35128
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Roma, 00161
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Roma, 00168
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Rozzano, 20089
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Torino, 10126
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Trento, 38100
Canada15 sites
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Barrie, Ontario, L4M 6M2
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Calgary, Alberta, T2N 4N2
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Chicoutimi, Quebec, G7H 5H6
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Edmonton, Alberta, t6G1Z2
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Greater Sudbury, Ontario, P3E 5J1
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Kelowna, British Columbia, V1Y 5L3
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Kingston, Ontario, K7L 2V7
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Lévis, Quebec, G6V 3Z1
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Montreal, Quebec, H1T 2M4
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Montreal, Quebec, H2X 3E4
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Montreal, Quebec, H4A 3J1
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North Vancouver, British Columbia, V7L 2L7
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Québec, Quebec, G1S 4L8
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Saskatoon, Saskatchewan, S7N 4H4
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Thunder Bay, Ontario, P7B 6V4
India15 sites
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Ansārinagar, 110 029
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Bangalore, 560064
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Dehradun, 248016
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Delhi, 110088
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Kolkata, 700160
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Kozhikode, 673 601
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Mumbai, 400612
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Mysuru, 570017
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Nagpur, 440001
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Nashik, 422 009
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Nashik, 422002
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New Delhi, 110 085
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New Delhi, 110029
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New Delhi, 110075
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Surat, 395002
Greece14 sites
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Athens, 115 22
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Athens, 11527, GR
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Athens, 11528
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Athens, 12462
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Heraklion, 71110
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Ioannina, 455 00
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Larissa, 41335, GR
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Marousi, 151 23
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Piraeus, 185 37
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Rio, 265 04
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Thessaloniki, 546 39
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Thessaloniki, 552 36
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Thessaloniki, 56403
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Thessaloniki, 570 01
Poland13 sites
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Biała Podlaska, 21-500
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Bialystok, 15-027
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Bydgoszcz, 85-796
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Gdansk, 80-952
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Gdynia, 81-519
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Koszalin, 75-581
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Krakow, 31-501
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Lodz, 90-302
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Opole, 45-061
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Rzeszów, 35-021
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Rzeszów, 35-055
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Warsaw, 02-781
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Wroclaw, 53-413
Argentina12 sites
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CABA, C1061
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Capital Federal, 1118
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Ciudad de Buenos Aires, 1426
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Ciudad de Buenos Aires, C1025ABI
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Ciudad de Buenos Aires, C1426ANZ
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Córdoba, 5001
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Córdoba, X5800HHW
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La Plata, 1900
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Rosario, 2123
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San Juan, 5400
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San Miguel de Tucumán, 4000
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Viedma, R8500ACE
Austria12 sites
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Graz, 8036
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Innsbruck, 6020
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Linz, 4010
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Linz, 4021
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Salzburg, 5020
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Sankt Veit an der Glan, 9300
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Steyr, 4400
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Vienna, 1090
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Vienna, 1130
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Vienna, 1160
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Wels, 4600
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Wiener Neustadt, 2700
Hungary12 sites
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Budapest, 1082
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Budapest, 1122
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Debrecen, 4032
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Gyula, 5700
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Kaposvár, 7400
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Kecskemét, 6000
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Miskolc, 3526
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Nyíregyháza, 4400
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Salgótarján, 3100
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Szeged, 6725
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Szekszárd, 7100
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Zalaegerszeg, 8900
Switzerland12 sites
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Baden, CH-5405
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Basel, 4031
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Bellinzona, 6500
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Chur, 7000
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Frauenfeld, 8501
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La Chaux-de-Fonds, 2300
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Lausanne, 1011
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Lucerne, 6000
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Lucerne, 6006
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Sankt Gallen, 9016
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Winterthur, 8401
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Zurich, 8008
Romania11 sites
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Bucharest, 011171
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Bucharest, 013812
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Cluj-Napoca, 400015
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Craiova, 200094
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Craiova, 200385
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Craiova, 200542
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Floreşti, 407280
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Otopeni, 075100
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Ovidiu, 905900
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Piteşti, 110283
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Timișoara, 300239
South Korea11 sites
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Cheonan-si, 31151
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Daegu, 41404
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Goyang-si, 10408
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Seongnam-si, 13620
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Seoul, 02841
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Seoul, 03080
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Seoul, 03722
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Seoul, 06273
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Seoul, 06351
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Seoul, 06591
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Seoul, 5505
Belgium10 sites
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Aalst, 9300
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Anderlecht, 1070
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Brasschaat, 2930
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Brussels, 1200
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Charleroi, 6000
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Edegem, 2650
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Ghent, 9000
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Leuven, 3000
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Namur, 5000
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Wilrijk, 2610
Turkey (Türkiye)10 sites
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Ankara, 06010
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Ankara, 06200
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Ankara, 06530
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Antalya, 07100
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Bursa, 16059
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About this study
Official title: CAMBRIA-2: A Phase III, Open-Label, Randomised Study to Assess the Efficacy and Safety of Camizestrant (AZD9833, a Next Generation, Oral Selective Estrogen Receptor Degrader) vs Standard Endocrine Therapy (Aromatase Inhibitor or Tamoxifen) as Adjuvant Treatment for Patients With ER+/HER2- Early Breast Cancer and an Intermediate-High or High Risk of Recurrence Who Have Completed Definitive Locoregional Treatment and Have No Evidence of Disease
This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard adjuvant endocrine therapy for patients with ER+/HER2- early breast cancer with intermediate-high or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy). The planned duration of treatment in either arm within the study will be 7 years.
Read the detailed description
This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard adjuvant endocrine therapy for patients with ER+/HER2- early breast cancer with intermediate-high or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy). The planned duration of treatment in either arm of the study is 7 years. Eligible patients must have intermediate-high or high risk of recurrence as defined by specified clinical and biologic criteria. Concurrent use of abemaciclib is permitted in both arms. 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.
- Conditions
- Breast Cancer, Early Breast Cancer
- Being tested
- Camizestrant, Tamoxifen, Anastrozole, Letrozole, Exemestane
- Keywords
- ER+, HER2-, breast cancer
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CamizestrantDrug
Also called AZD9833
Camizestrant. Experimental. Administered orally
TamoxifenDrug
Tamoxifen. Comparator. Administered orally
AnastrozoleDrug
Anastrozole. Comparator. Administered orally
LetrozoleDrug
Letrozole. Comparator. Administered orally
ExemestaneDrug
Exemestane. Comparator. Administered orally
AbemaciclibDrug
Abemaciclib adjuvant treatment Administered orally
| Study group | Role | What they receive |
|---|---|---|
| Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib | Active comparator | standard endocrine therapy of investigator's choice (aromatase inhibitors [AI; exemestane, letrozole, anastrozole] or tamoxifen) ± abemaciclib Receives: Drug: Tamoxifen; Drug: Anastrozole; Drug: Letrozole; Drug: Exemestane; Drug: Abemaciclib |
| Arm B: camizestrant ± abemaciclib | Experimental | camizestrant ± abemaciclib Receives: Drug: Camizestrant; Drug: Abemaciclib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Invasive breast cancer-free survival (IBCFS)
IBCFS is defined as time from randomisation until date of first occurrence of:
- Invasive ipsilateral breast tumour recurrence
- Locoregional invasive breast cancer recurrence
- Distant recurrence
- Contralateral invasive breast cancer
- Death attributable to any cause.
Measured: Up to 14 years
Secondary outcomes (7)
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
- Locoregional invasive breast cancer recurrence
- Distant recurrence
- Contralateral invasive breast cancer
- Second primary non-breast invasive cancer
- Death attributable to any cause.
Measured: Up to 14 years
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.
Measured: Up to 14 years
Overall survival (OS)
OS is defined as time from randomisation until death from any cause.
Measured: Up to 14 years
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)
Measured: Until 28 days after the final dose of study treatment (up to 7 years)
Proportion of time on study treatment with high side-effect burden as measured by the PGI-TT.
Measured: Until 28 days after the final dose of study treatment (up to 7 years)
Change from baseline and time to deterioration of health-related quality of life as measured by the 2 global QoL items from the EORTC IL-311
Measured: Until 28 days after the final dose of study treatment (up to 7 years)
Pharmacokinetics (PK)
Plasma concentrations of camizestrant pre-dose (trough concentration)
Measured: Until 6 months from treatment start
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2023
- Study start5 Oct 2023
- Primary completion4 Mar 2030 (estimated)
- Study completion6 May 2037 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Breast Cancer, Early 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
- Model description
- Patients will be randomised in a 1:1 ratio to one of the following arms: • Arm A: Standard ET of investigator's choice (aromatase inhibitors \[AI; exemestane, letrozole, anastrozole\] or tamoxifen) ± abemaciclib • Arm B: Camizestrant ± abemaciclib
- Masking
- None (open label)
- Enrolment
- 5,511 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Austrian Breast & Colorectal Cancer Study Group
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05952557
- Sponsor's protocol ID
- D8535C00001
- Other IDs
- 2023-504031-41-00, 2023
- Acronym
- CAMBRIA-2
- Status last verified
- Aug 2026
- First submitted
- 17 May 2023
- Last updated
- 10 Aug 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. 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.
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
Study at a glance
From the registry record, last updated by the sponsor on 10 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- CAMBRIA-2: A Phase III, Open-Label, Randomised Study to Assess the Efficacy and Safety of Camizestrant (AZD9833, a Next Generation, Oral Selective Estrogen Receptor Degrader) vs Standard Endocrine Therapy (Aromatase Inhibitor or Tamoxifen) as Adjuvant Treatment for Patients With ER+/HER2- Early Breast Cancer and an Intermediate-High or High Risk of Recurrence Who Have Completed Definitive Locoregional Treatment and Have No Evidence of Disease
- ClinicalTrials.gov ID
- NCT05952557
- Acronym / sponsor ID
- CAMBRIA-2 / D8535C00001
- Conditions
- Breast Cancer, Early Breast Cancer
- Keywords
- ER+, HER2-, breast cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 5,511 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- Austrian Breast & Colorectal Cancer Study Group
- Study start
- 5 Oct 2023 (actual)
- Primary completion
- 4 Mar 2030 (estimated)
- Study completion
- 6 May 2037 (estimated)
- First posted
- 19 Jul 2023 (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.
This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard adjuvant endocrine therapy for patients with ER+/HER2- early breast cancer with intermediate-high or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy). The planned duration of treatment in either arm within the study will be 7 years.
Detailed description
This is a Phase III open-label study to assess if camizestrant improves outcomes compared to standard adjuvant endocrine therapy for patients with ER+/HER2- early breast cancer with intermediate-high or high risk for disease recurrence who completed definitive locoregional therapy (with or without chemotherapy). The planned duration of treatment in either arm of the study is 7 years. Eligible patients must have intermediate-high or high risk of recurrence as defined by specified clinical and biologic criteria. Concurrent use of abemaciclib is permitted in both arms. 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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Patients will be randomised in a 1:1 ratio to one of the following arms: • Arm A: Standard ET of investigator's choice (aromatase inhibitors [AI; exemestane, letrozole, anastrozole] or tamoxifen) ± abemaciclib • Arm B: Camizestrant ± abemaciclib
| Arm | Type | Receives |
|---|---|---|
| Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib | Active comparator | Drug: Tamoxifen, Drug: Anastrozole, Drug: Letrozole, Drug: Exemestane, Drug: Abemaciclibstandard endocrine therapy of investigator's choice (aromatase inhibitors [AI; exemestane, letrozole, anastrozole] or tamoxifen) ± abemaciclib |
| Arm B: camizestrant ± abemaciclib | Experimental | Drug: Camizestrant, Drug: Abemaciclibcamizestrant ± abemaciclib |
Who may qualify
- Ages
- 18 to 130 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Women and Men; ≥18 years at the time of screening (or per national guidelines)
- Histologically confirmed ER+/HER2- early-stage resected invasive breast cancer with absence of any evidence of metastatic disease 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)adjuvant chemotherapy.
- Patients must be randomised within 12 months of definitive breast surgery.
- Patients may have received up to 12 weeks of endocrine therapy prior to randomisation.
Key exclusion criteria (11 listed)
- Inoperable locally advanced or metastatic breast cancer
- Pathological complete response following treatment with neoadjuvant therapy
- History of any other cancer (except non-melanoma skin cancer or carcinoma in situ of the cervix or considered a 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 LVEF <50% with heart failure NYHA Grade ≥2.
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 |
|---|---|---|
| CamizestrantAlso: AZD9833Camizestrant. Experimental. Administered orally | Drug | Arm B: camizestrant ± abemaciclib |
| TamoxifenTamoxifen. Comparator. Administered orally | Drug | Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib |
| AnastrozoleAnastrozole. Comparator. Administered orally | Drug | Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib |
| LetrozoleLetrozole. Comparator. Administered orally | Drug | Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib |
| ExemestaneExemestane. Comparator. Administered orally | Drug | Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib |
| AbemaciclibAbemaciclib adjuvant treatment Administered orally | Drug | Arm A: standard endocrine therapy of investigator´s choice ± abemaciclib, Arm B: camizestrant ± abemaciclib |
Primary outcome
Invasive breast cancer-free survival (IBCFS)
Time frame: Up to 14 years
IBCFS is defined as time from randomisation until date of first occurrence of: * Invasive ipsilateral breast tumour recurrence * Locoregional invasive breast cancer recurrence * Distant recurrence * Contralateral invasive breast cancer * Death attributable to any cause.
7 secondary outcomes
Invasive disease-free survival (IDFS)
Time frame: Up to 14 years
Distant relapse-free survival (DRFS)
Time frame: Up to 14 years
Overall survival (OS)
Time frame: Up to 14 years
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 7 years)
Proportion of time on study treatment with high side-effect burden as measured by the PGI-TT.
Time frame: Until 28 days after the final dose of study treatment (up to 7 years)
Change from baseline and time to deterioration of health-related quality of life as measured by the 2 global QoL items from the EORTC IL-311
Time frame: Until 28 days after the final dose of study treatment (up to 7 years)
Pharmacokinetics (PK)
Time frame: Until 6 months from treatment start
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 10 Aug 2026.
- Derived from this study: PubMed 40017004Hamilton 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.
- Breast Cancer Study Locator details (for US)Link provided by the sponsor.
- 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. 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.
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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. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
661 sites in 44 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Camizestrant, Tamoxifen and Anastrozole in people with Breast Cancer, Early Breast Cancer, run by AstraZeneca at 661 sites in 44 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 11 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: under way, not looking for participants, as of the sponsor's last update on 10 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 661 sites in United States, China, Spain, Japan, Brazil and 39 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?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Invasive breast cancer-free survival (IBCFS) (time frame: Up to 14 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05952557, which also lists 1 linked publication.
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 10 Aug 2026.