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Trial Title: Study of AZD5305 as Monotherapy and in Combination With Anti-cancer Agents in Patients With Advanced Solid Malignancies

NCT ID: NCT04644068

Condition: Ovarian Cancer
Breast Cancer
Pancreatic Cancer
Prostate Cancer
Additional Indications Below for Module 4 and 5
Non-small Cell Lung Cancer
Colorectal Cancer
Bladder Cancer
Gastric Cancer
Biliary Cancer
Cervical Cancer
Endometrial Cancer
Small Cell Lung Cancer Only in Module 5

Conditions: Official terms:
Lung Neoplasms
Prostatic Neoplasms
Pancreatic Neoplasms
Ovarian Neoplasms
Small Cell Lung Carcinoma
Endometrial Neoplasms
Paclitaxel
Carboplatin

Conditions: Keywords:
PARP inhibitor
Breast Cancer
Pancreatic Cancer
Prostate Cancer
Ovarian Cancer
AZD5305, T-DXd, Enhertu, Trastuzumab Deruxtecan, Dato-DXd, Datopotamab Deruxtecan, Camizestrant

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Intervention model description: The study consists of individual modules each evaluating the safety and tolerability of AZD5305 dosed as monotherapy, or with a specific combination partner: - Module 1 (AZD5305 monotherapy) - Module 2 (AZD5305 in combination with paclitaxel) - Module 3 (AZD5305 in combination with carboplatin, with or without paclitaxel) - Module 4 (AZD5305 in combination with T DXd) - Module 5 (AZD5305 in combination with Dato-DXd). - Module 6 (AZD5305 in combination with Camizestrant) Modules 1 and 4 has 2 study parts: Part A consisting of dose-escalation cohorts and Part B, consisting of expansion cohorts. Modules 2, 3, 5 and 6 have only PART A.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: AZD5305
Description: Oral PARP inhibitor
Arm group label: Module 1: AZD5305 Monotherapy
Arm group label: Module 2: AZD5305 + Paclitaxel
Arm group label: Module 3: AZD5305 + Carboplatin with or without Paclitaxel
Arm group label: Module 4: AZD5305 + Trastuzumab Deruxtecan
Arm group label: Module 5 AZD5305 + Datopotamab Deruxtecan
Arm group label: Module 6 AZD5305 + Camizestrant

Intervention type: Drug
Intervention name: Paclitaxel
Description: IV Anti-microtubule agent
Arm group label: Module 2: AZD5305 + Paclitaxel
Arm group label: Module 3: AZD5305 + Carboplatin with or without Paclitaxel

Intervention type: Drug
Intervention name: Carboplatin
Description: IV Platinum chemotherapeutic
Arm group label: Module 3: AZD5305 + Carboplatin with or without Paclitaxel

Intervention type: Drug
Intervention name: T- Dxd
Description: IV Antibody-drug conjugate
Arm group label: Module 4: AZD5305 + Trastuzumab Deruxtecan

Intervention type: Drug
Intervention name: Dato-DXd
Description: IV Antibody-drug conjugate
Arm group label: Module 5 AZD5305 + Datopotamab Deruxtecan

Intervention type: Drug
Intervention name: Camizestrant
Description: Oral SERD Molecule
Arm group label: Module 6 AZD5305 + Camizestrant

Summary: This research is designed to determine if experimental treatment with PARP inhibitor, AZD5305, alone, or in combination with anti-cancer agents is safe, tolerable, and has anti-cancer activity in patients with advanced solid tumors.

Detailed description: This study is a Phase I/IIa modular, open-label, multi-center study of AZD5305 administered orally, either as monotherapy or in combination with other anti-cancer agents in patients with advanced solid malignancies.

Criteria for eligibility:
Criteria:
Key Inclusion Criteria: - Age ≥ 18 at the time of screening - Histological or cytological confirmation of advanced malignancy considered to be suitable for study treatment and meeting module specific eligibility criteria.. - Eastern Cooperative Oncology Group Performance status (ECOG PS: 0-2) - Life expectancy ≥ 12 weeks - Progressive cancer at the time of study entry - Patients must have evaluable disease as defined in module-specific criteria for Part A and Part B - Adequate organ and marrow function as defined by the protocol. - For Part B expansion cohorts: Provision of formalin-fixed and paraffin embedded (FFPE) tumour specimen is mandatory, where available, except if stated that it is optional in a specific Module. For Part A: - Patients may have received up to one prior line of therapy with a PARPi-based regimen (either as a treatment or as maintenance) For Part B: - Patients must not have received prior therapy with a PARPi-based regimen (either as a treatment or as maintenance). Key Exclusion Criteria: - Treatment with any of the following: 1. Nitrosourea or mitomycin C within 6 weeks of the first dose of study treatment 2. Any investigational agents or study drugs from a previous clinical study within 5 half-lives or 3 weeks (whichever is shorter) of the first dose of study treatment 3. Any other chemotherapy, immunotherapy or anticancer agents within 3 weeks of the first dose of study treatment 4. Any live virus or bacterial vaccine within 28 days of the first dose of study treatment - Concomitant use of medications or herbal supplements known to be cytochrome P450 3A4 (CYP3A4) strong and moderate inhibitors or inducers. - Concomitant use of drugs that are known to prolong or shorten QT and have a known risk of Torsades de Pointes. - Receiving continuous corticosteroids at a dose of >10 mg prednisone/day or equivalent for any reason. - Major surgery within 4 weeks of the first dose of study treatment. - Radiotherapy with a wide field of radiation within 4 weeks or radiotherapy with a limited field of radiation for palliation within 2 weeks of the first dose of study treatment. - Any history of persisting (> 2 weeks) severe pancytopenia due to any cause - Spinal cord compression or brain metastases unless asymptomatic, treated and stable and not requiring continuous corticosteroids at a dose of >10mg prednisone/day or equivalent for at least 4 weeks prior to start of study treatment. Patients with leptomeningeal carcinomatosis are excluded. - patient with known predisposition to bleeding (e.g., active peptic ulceration, recent [within 6 months] haemorrhagic stroke, proliferative diabetic retinopathy). - Cardiac conditions as defined by the clinical study protocol - Other cardiovascular diseases as defined by any of the following: 1. Symptomatic heart failure, 2. uncontrolled hypertension, 3. hypertensive heart disease with significant left ventricular hypertrophy 4. acute coronary syndrome (ACS)/acute myocardial infarction (AMI), unstable angina pectoris, coronary intervention procedure with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) within 6 months. 5. cardiomyopathy of any etiology 6. presence of clinically significant valvular heart disease 7. history of atrial or ventricular arrhythmia requiring treatment; subjects with atrial fibrillation and optimally controlled ventricular rate (< 100 beats per minute) are permitted. 8. subjects with atrial fibrillation and optimally controlled ventricular rate are permitted 9. transient ischaemic attack, or stroke within 6 months prior to screening 10. patients with symptomatic hypotension at screening - Patients with myelodysplastic syndrome/acute myeloid leukaemia or with features suggestive of myelodysplastic syndrome (MDS)/acute myeloid leukaemia (AML). - Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of AZD5305 - Known allergy or hypersensitivity to investigational product(s) or any of the excipients of the investigational product(s). Prior malignancy whose natural history, in the Investigator's opinion, has the potential to interfere with safety and efficacy assessments of the investigational regimen. other module-specific criteria may apply

Gender: All

Minimum age: 18 Years

Maximum age: 130 Years

Healthy volunteers: No

Locations:

Facility:
Name: Research Site

Address:
City: San Francisco
Zip: 94143
Country: United States

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Boston
Zip: 02114
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Boston
Zip: 02215
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: New York
Zip: 10021
Country: United States

Status: Active, not recruiting

Facility:
Name: Research Site

Address:
City: Oklahoma City
Zip: 73104
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Heidelberg
Zip: 3084
Country: Australia

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Melbourne
Zip: 3000
Country: Australia

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Kelowna
Zip: V1Y 5L3
Country: Canada

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Vancouver
Zip: V5Z 1K1
Country: Canada

Status: Recruiting

Facility:
Name: Research Site

Address:
City: London
Zip: N6A 4L6
Country: Canada

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Ottawa
Zip: K1H 8L6
Country: Canada

Status: Not yet recruiting

Facility:
Name: Research Site

Address:
City: Toronto
Zip: M4N 3M5
Country: Canada

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Toronto
Zip: M5G 2M9
Country: Canada

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Montreal
Zip: H2X 0A9
Country: Canada

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Montreal
Zip: H3T 1E2
Country: Canada

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Quebec
Zip: G1R 2J6
Country: Canada

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Beijing
Zip: 100142
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Changchun
Zip: 130021
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Changsha
Zip: 410013
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Changsha
Zip: 410013
Country: China

Status: Suspended

Facility:
Name: Research Site

Address:
City: Chengdu
Zip: 610041
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Chongqing
Zip: 400030
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Guangzhou
Zip: 510060
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Harbin
Zip: 150081
Country: China

Status: Completed

Facility:
Name: Research Site

Address:
City: Jining
Zip: 272029
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Shandong
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Shanghai
Zip: 200025
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Shanghai
Zip: 200032
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Taiyuan
Zip: 030001
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Wuhan
Zip: 430079
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Xi'an
Zip: 710061
Country: China

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Brno
Zip: 656 53
Country: Czechia

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Olomouc
Zip: 77900
Country: Czechia

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Praha
Zip: 15006
Country: Czechia

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Budapest
Zip: 1062
Country: Hungary

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Budapest
Zip: 1082
Country: Hungary

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Budapest
Zip: 1122
Country: Hungary

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Milano
Zip: 20132
Country: Italy

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Milan
Zip: 20141
Country: Italy

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Modena
Zip: 41125
Country: Italy

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Napoli
Zip: 80131
Country: Italy

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Padova
Zip: 35128
Country: Italy

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Roma
Zip: 00168
Country: Italy

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Chuo-ku
Zip: 104-0045
Country: Japan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Koto-ku
Zip: 135-8550
Country: Japan

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Seoul
Zip: 03722
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Seoul
Zip: 05505
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Seoul
Zip: 06351
Country: Korea, Republic of

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Bydgoszcz
Zip: 85-796
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Gdańsk
Zip: 80-214
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Gdynia
Zip: 81-519
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Gliwice
Zip: 44-102
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Grzepnica
Zip: 72-003
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Kraków
Zip: 31-501
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Lublin
Zip: 20-090
Country: Poland

Status: Withdrawn

Facility:
Name: Research Site

Address:
City: Toruń
Zip: 87-100
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Warszawa
Zip: 02-781
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Łódź
Zip: 90-302
Country: Poland

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Moscow
Zip: 111123
Country: Russian Federation

Status: Suspended

Facility:
Name: Research Site

Address:
City: Moscow
Zip: 115478
Country: Russian Federation

Status: Suspended

Facility:
Name: Research Site

Address:
City: Moscow
Zip: 117997
Country: Russian Federation

Status: Suspended

Facility:
Name: Research Site

Address:
City: Moscow
Zip: 143442
Country: Russian Federation

Status: Terminated

Facility:
Name: Research Site

Address:
City: Barcelona
Zip: 08035
Country: Spain

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Madrid
Zip: 28040
Country: Spain

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Madrid
Zip: 28041
Country: Spain

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Madrid
Zip: 28050
Country: Spain

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Málaga
Zip: 29010
Country: Spain

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Pozuelo de Alarcon
Zip: 28223
Country: Spain

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Sevilla
Zip: 41013
Country: Spain

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Chernivtsі
Zip: 58013
Country: Ukraine

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Ivano-Frankivsk
Zip: 76018
Country: Ukraine

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Uzhgorod
Zip: 88000
Country: Ukraine

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Cambridge
Zip: CB2 0QQ
Country: United Kingdom

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Manchester
Zip: M20 4BX
Country: United Kingdom

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Oxford
Zip: OX3 7LE
Country: United Kingdom

Status: Recruiting

Facility:
Name: Research Site

Address:
City: Sutton
Zip: SM2 5PT
Country: United Kingdom

Status: Recruiting

Start date: November 12, 2020

Completion date: March 3, 2027

Lead sponsor:
Agency: AstraZeneca
Agency class: Industry

Source: AstraZeneca

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT04644068
https://www.breastcancerstudylocator.com/trial/listing/260668

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