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Early Camizestrant Therapy Keeps Advanced Breast Cancer in Check

  • The phase 3 SERENA-6 trial presented at the 2025 ASCO meeting showed that adding camizestrant to CDK4/6 inhibitor therapy significantly extended progression-free survival in patients with ESR1-mutated, ER-positive, HER2-negative advanced breast cancer.
  • Researchers used liquid biopsies to detect ESR1 mutations in circulating tumor DNA months before clinical progression, allowing an early switch to camizestrant before disease worsened on scans.
  • The randomized trial enrolled 315 patients previously treated with aromatase inhibitors and CDK4/6 inhibitors, comparing camizestrant plus continued CDK4/6 inhibition to continued AI plus CDK4/6 inhibition until progression or toxicity.
  • Camizestrant improved median progression-free survival to 16.0 months versus 9.2 months with continued AI, with a hazard ratio of 0.44 and a 12-month progression-free survival rate of 60.7% compared to 33.4%.
  • These findings suggest camizestrant may become a new standard for managing emerging ESR1 mutations, enabling longer efficacy of first-line therapy and highlighting a novel treatment strategy using early ctDNA monitoring.
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Portfolio.hu broke the news in on Sunday, June 1, 2025.
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