Medical Uses
ETCAMAH (camizestrant), from AstraZeneca, is an oral selective oestrogen receptor degrader (SERD). The FDA granted accelerated approval on 4 September 2026 for use with a CDK4/6 inhibitor (abemaciclib, palbociclib or ribociclib) in adults with HR-positive, HER2-negative advanced breast cancer whose tumours develop an ESR1 mutation during first-line aromatase inhibitor plus CDK4/6 inhibitor therapy — detected by a ctDNA blood test (Guardant360 CDx) before scans show progression.
Camizestrant blocks and degrades the oestrogen receptor, including mutated forms that make aromatase inhibitors stop working. In the Phase 3 SERENA-6 trial, switching to camizestrant when an ESR1 mutation appeared extended median progression-free survival to 16.0 months versus 9.2 months with continued aromatase inhibitor. The FDA called it the first cancer approval guided by a resistance mutation found in circulating tumour DNA.
