Phase III Study to Assess AZD9833+ CDK4/6 Inhibitor in HR+/HER2-MBC With Detectable ESR1m Before Progression (SERENA-6)

Inclusion Criteria:

Proven diagnosis of adenocarcinoma of the breast with evidence of locoregionally recurrent or metastatic disease not amenable to resection or radiation therapy with curative intent.
Documentation of histologically confirmed diagnosis of estrogen receptor positive (ER+) /HER2- breast cancer based on local laboratory results.
Currently on AI (letrozole or anastrozole) + CDK4/6 inhibitor (palbociclib or abemaciclib) ± LHRH as the initial endocrine based treatment for advanced disease
Eastern Cooperative Oncology Group performance status of 0 or 1.
ESR1m positive detected by central testing of ctDNA
Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
Adequate organ and marrow function

Exclusion Criteria:

Advanced, symptomatic, visceral spread, that are at risk of life-threatening complications in the short term.
Known active uncontrolled or symptomatic CNS metastases, carcinomatous meningitis, or leptomeningeal disease.
Any evidence of severe or uncontrolled systemic diseases which, in the investigator's opinion, makes it undesirable for the participant to participate in the study or that would jeopardize compliance with the protocol.
Patient with known or family history of severe heart disease
Previous treatment with AZD9833, investigational SERDs or fulvestrant.
Currently pregnant (confirmed with positive pregnancy test) or breastfeeding.
Persistent non-haematological toxicities (CTCAE Grade > 2) caused by CDK4/6 inhibitor and/or AI treatment.