A Study of Azenosertib (ZN-c3) Versus Investigator's Choice Chemotherapy in Subjects With Platinum-Resistant High-Grade Serous Ovarian, Primary Peritoneal, or Fallopian Tube Cancers Positive for Cyclin E1 Protein Expression (ASPENOVA)
A Randomized, Open-Label Phase 3 Study of Azenosertib Versus Investigator's Choice of Chemotherapy in Platinum-Resistant High-Grade Serous Ovarian, Primary Peritoneal, or Fallopian Tube Cancers Positive for Cyclin E1 Protein Expression
This is a randomized, Phase 3 trial designed to evaluate the efficacy and safety of azenosertib compared to Investigator's choice of chemotherapy in subjects with platinum-resistant ovarian cancer whose tumors are positive for cyclin E1 protein expression.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
A Phase 3 study to evaluate the efficacy, safety, and overall clinical benefit of azenosertib (ZN-c3) compared with Investigator's choice of chemotherapy in subjects with Platinum-Resistant, High-Grade Serous Ovarian, Fallopian Tube, or Primary Peritoneal Cancer. Azenosertib is a selective and orally bioavailable inhibitor of WEE1. In HGSOC, high Cyclin E1 protein drives replication stress and increases tumor reliance on WEE1-mediated G2/M checkpoint control. Treating tumor cells with azenosertib promotes premature cell cycle progression leading to increased replication stress and accumulation of DNA damage pushing cells to mitotic catastrophe resulting in tumor cell death.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Project Director
- Phone Number: 858.263.4333
- Email: medicalaffairs@zentalis.com
Study Locations
-
-
-
Buenos Aires, Argentina, C1426ANZ
- Not yet recruiting
- Site 2105
-
Córdoba, Argentina, X5000AAW
- Not yet recruiting
- Site 2101
-
Córdoba, Argentina, X5008AAC
- Not yet recruiting
- Site 2102
-
Rosario, Argentina, S2002
- Not yet recruiting
- Site 2104
-
San Miguel de Tucumán, Argentina, T4000GTB
- Not yet recruiting
- Site 2103
-
-
-
-
New South Wales
-
Randwick, New South Wales, Australia, 2031
- Recruiting
- Site 1101
-
Westmead, New South Wales, Australia, 2145
- Not yet recruiting
- Site 1105
-
Wollongong, New South Wales, Australia, 2500
- Not yet recruiting
- Site 1108
-
-
Queensland
-
South Brisbane, Queensland, Australia, 4101
- Not yet recruiting
- Site 1107
-
-
South Australia
-
Adelaide, South Australia, Australia, 5000
- Recruiting
- Site 1102
-
-
Western Australia
-
Nedlands, Western Australia, Australia, 6009
- Not yet recruiting
- Site 1103
-
Subiaco, Western Australia, Australia, 6008
- Not yet recruiting
- Site 1104
-
-
-
-
-
Brussels, Belgium, 1020
- Recruiting
- Site 3002
-
Edegem, Belgium, 2650
- Not yet recruiting
- Site 3003
-
Leuven, Belgium, 3000
- Not yet recruiting
- Site 3001
-
-
-
-
-
Belo Horizonte, Brazil, 30.360-680
- Not yet recruiting
- Site 2209
-
Curitiba, Brazil, 80810-050
- Not yet recruiting
- Site 2208
-
Goiânia, Brazil, 74605-070
- Not yet recruiting
- Site 2207
-
Porto Alegre, Brazil, 90110-270
- Not yet recruiting
- Site 2201
-
Porto Alegre, Brazil, 90470-340
- Not yet recruiting
- Site 2203
-
Rio de Janeiro, Brazil, 22281-100
- Not yet recruiting
- Site 2205
-
Rio de Janeiro, Brazil, 22775-001
- Not yet recruiting
- Site 2206
-
São José do Rio Preto, Brazil, 15090-000
- Not yet recruiting
- Site 2202
-
São Paulo, Brazil, 01401-002
- Not yet recruiting
- Site 2204
-
-
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V5Z 1L3
- Not yet recruiting
- Site 0207
-
-
Ontario
-
Toronto, Ontario, Canada, M4N 3M5
- Not yet recruiting
- Site 0205
-
Toronto, Ontario, Canada, M5G 2M9
- Not yet recruiting
- Site 0201
-
-
Quebec
-
Montreal, Quebec, Canada, H2X 0C1
- Not yet recruiting
- Site 0203
-
Montreal, Quebec, Canada, H4A 3J1
- Not yet recruiting
- Site 0206
-
Sherbrooke, Quebec, Canada, J1H 5N4
- Not yet recruiting
- Site 0202
-
-
-
-
-
Rijeka, Croatia, 51000
- Not yet recruiting
- Site 3103
-
Zagreb, Croatia, 10000
- Not yet recruiting
- Site 3101
-
Zagreb, Croatia, 10000
- Not yet recruiting
- Site 3102
-
-
-
-
-
Aalborg, Denmark, 9000
- Not yet recruiting
- Site 3203
-
Copenhagen, Denmark, 2100
- Not yet recruiting
- Site 3201
-
Roskilde, Denmark, 4000
- Not yet recruiting
- Site 3202
-
-
-
-
-
Tallinn, Estonia, 13419
- Not yet recruiting
- Site 3302
-
Tartu, Estonia, 50406
- Not yet recruiting
- Site 3301
-
-
-
-
-
Kuopio, Finland, 70210
- Not yet recruiting
- Site 3403
-
Oulu, Finland, 90220
- Not yet recruiting
- Site 3401
-
Tampere, Finland, 33520
- Not yet recruiting
- Site 3402
-
-
-
-
-
Besançon, France, 25000
- Not yet recruiting
- Site 3508
-
Brest, France, 29609
- Not yet recruiting
- Site 3502
-
Dijon, France, 21079
- Not yet recruiting
- Site 3507
-
Lyon, France, 69373
- Not yet recruiting
- Site 3504
-
Marseille, France, 13273
- Not yet recruiting
- Site 3510
-
Paris, France, 75014
- Not yet recruiting
- Site 3503
-
Pierre-Bénite, France, 69495
- Not yet recruiting
- Site 3501
-
Saint-Herblain, France, 44805
- Not yet recruiting
- Site 3509
-
Strasbourg, France, 67098
- Not yet recruiting
- Site 3505
-
Villejuif, France, 94805
- Recruiting
- Site 3506
-
-
-
-
-
Berlin, Germany, D-13353
- Not yet recruiting
- Site 3602
-
Bonn, Germany, 53127
- Not yet recruiting
- Site 3603
-
Dresden, Germany, 01307
- Not yet recruiting
- Site 3601
-
Düsseldorf, Germany, 40225
- Not yet recruiting
- Site 3605
-
Tübingen, Germany, 72076
- Not yet recruiting
- Site 3604
-
-
-
-
-
Cork, Ireland, T12 DC4A
- Not yet recruiting
- Site 3703
-
Dublin, Ireland, D08 NYH1
- Not yet recruiting
- Site 3702
-
Dublin, Ireland, D07 R2WY
- Not yet recruiting
- Site 3704
-
-
-
-
-
Ashdod, Israel, 7747629
- Not yet recruiting
- Site 5009
-
Haifa, Israel, 3109601
- Not yet recruiting
- Site 5002
-
Holon, Israel, 5822012
- Not yet recruiting
- Site 5007
-
Jerusalem, Israel, 9103102
- Not yet recruiting
- Site 5001
-
Nahariya, Israel, 2210001
- Not yet recruiting
- Site 5006
-
Petah Tikva, Israel, 49100
- Not yet recruiting
- Site 5003
-
Safed, Israel, 1311001
- Not yet recruiting
- Site 5008
-
Tel Aviv, Israel, 6423906
- Not yet recruiting
- Site 5004
-
Tel HaShomer, Israel, 5265601
- Not yet recruiting
- Site 5005
-
-
-
-
-
Bologna, Italy, 40138
- Not yet recruiting
- Site 3801
-
Florence, Italy, 50134
- Not yet recruiting
- Site 3814
-
Milan, Italy, 20132
- Not yet recruiting
- Site 3805
-
Milan, Italy, 20141
- Not yet recruiting
- Site 3804
-
Milan, Italy, 20159
- Not yet recruiting
- Site 3803
-
Milan, Italy, 20121
- Not yet recruiting
- Site 3812
-
Milan, Italy, 20133
- Not yet recruiting
- Site 3813
-
Naples, Italy, 80131
- Not yet recruiting
- Site 3802
-
Pisa, Italy, 56126
- Not yet recruiting
- Site 3808
-
Prato, Italy, 59100
- Not yet recruiting
- Site 3807
-
Roma, Italy, 00185
- Not yet recruiting
- Site 3810
-
Rome, Italy, 00168
- Not yet recruiting
- Site 3806
-
Torino, Italy, 10128
- Not yet recruiting
- Site 3811
-
Vicenza, Italy, 36100
- Not yet recruiting
- Site 3809
-
-
-
-
-
Amsterdam, Netherlands, 1105 AZ
- Not yet recruiting
- Site 3901
-
Groningen, Netherlands, 9700 RB
- Not yet recruiting
- Site 3902
-
Nijmegen, Netherlands, 6525 GA
- Not yet recruiting
- Site 3903
-
-
-
-
-
Gdansk, Poland, 80-214
- Not yet recruiting
- Site 4005
-
Krakow, Poland, 30-348
- Not yet recruiting
- Site 4006
-
Krakow, Poland, 31-531
- Not yet recruiting
- Site 4008
-
Poznan, Poland, 61-848
- Not yet recruiting
- Site 4004
-
Poznan, Poland, 61-866
- Not yet recruiting
- Site 4002
-
Siedlce, Poland, 08-110
- Not yet recruiting
- Site 4007
-
Szczecin, Poland, 70-111
- Not yet recruiting
- Site 4003
-
-
-
-
-
Coimbrã, Portugal, 3000-075
- Not yet recruiting
- Site 4106
-
Lisbon, Portugal, 1099-023
- Not yet recruiting
- Site 4104
-
Lisbon, Portugal, 1400-038
- Not yet recruiting
- Site 4103
-
Lisbon, Portugal, 1500-650
- Not yet recruiting
- Site 4102
-
Lisbon, Portugal, 1649-035
- Not yet recruiting
- Site 4105
-
Porto, Portugal, 4200-072
- Not yet recruiting
- Site 4101
-
-
-
-
-
San Juan, Puerto Rico, 00917
- Recruiting
- Site 0137
-
-
-
-
-
Daegu, South Korea, 42601
- Recruiting
- Site 1203
-
Goyang-si, South Korea, 10408
- Recruiting
- Site 1206
-
Seoul, South Korea, 03722
- Recruiting
- Site 1205
-
Seoul, South Korea, 03080
- Recruiting
- Site 1202
-
Seoul, South Korea, 06351
- Recruiting
- Site 1201
-
Seoul, South Korea, 06273
- Recruiting
- Site 1204
-
-
-
-
-
Barcelona, Spain, 08028
- Not yet recruiting
- Site 4201
-
Barcelona, Spain, 08041
- Not yet recruiting
- Site 4205
-
Madrid, Spain, 28040
- Not yet recruiting
- Site 4206
-
Madrid, Spain, 28034
- Recruiting
- Site 4202
-
Málaga, Spain, 29011
- Not yet recruiting
- Site 4203
-
Vigo, Spain, 36212
- Recruiting
- Site 4204
-
-
-
-
-
Taichung, Taiwan, 40705
- Not yet recruiting
- Site 1301
-
Taipei, Taiwan, 11217
- Not yet recruiting
- Site 1302
-
-
-
-
Arizona
-
Phoenix, Arizona, United States, 85016
- Not yet recruiting
- Site 0107
-
-
California
-
Antioch, California, United States, 94531
- Not yet recruiting
- Site 0110
-
Beverly Hills, California, United States, 90212
- Recruiting
- Site 0104
-
Fountain Valley, California, United States, 92708
- Recruiting
- Site 0122
-
San Francisco, California, United States, 94109
- Not yet recruiting
- Site 0115
-
Torrance, California, United States, 90505
- Recruiting
- Site 0101
-
-
Florida
-
Orlando, Florida, United States, 32806
- Recruiting
- Site 0116
-
-
Maryland
-
Baltimore, Maryland, United States, 21215
- Recruiting
- Site 0123
-
-
New Jersey
-
Camden, New Jersey, United States, 08103
- Not yet recruiting
- Site 0111
-
-
Ohio
-
Columbus, Ohio, United States, 43026
- Not yet recruiting
- Site 0108
-
-
Oregon
-
Portland, Oregon, United States, 97210
- Not yet recruiting
- Site 0105
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19111
- Not yet recruiting
- Site 0113
-
Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Site 0109
-
Willow Grove, Pennsylvania, United States, 19090
- Not yet recruiting
- Site 0114
-
-
South Dakota
-
Sioux Falls, South Dakota, United States, 57105
- Not yet recruiting
- Site 0112
-
-
Texas
-
Fort Worth, Texas, United States, 76104
- Recruiting
- Site 0117
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
-
Female age ≥ 18 years
-
High-grade serous epithelial ovarian, primary peritoneal, or fallopian tube cancer
-
Measurable disease per RECIST Version 1.1
-
Eastern Cooperative Oncology Group (ECOG) performance status score 0-1
-
The subject's tumor tissue must be positive for cyclin E1 protein expression per the Sponsor's clinically validated cyclin E1 IHC investigational, in vitro diagnostic assay
-
Prior Therapy:
- Subject must have platinum-resistant disease
- One to 3 prior lines or regimens are allowed (1 to 4 prior lines are permitted, if prior mirvetuximab)
- Prior bevacizumab treatment is required, if eligible per standard of care
- Prior PARP inhibitor treatment is required if BRCA 1/2 mutation or HRD, if eligible per standard of care
- Prior mirvetuximab treatment is required, if eligible per standard of care
-
Adequate hematologic and organ function during the screening period
Exclusion Criteria:
-
History of another malignancy in the previous 2 years, unless cured by surgery alone and continuously disease-free. Exceptions include appropriately treated carcinoma in situ of the cervix, nonmelanoma skin carcinoma, Stage 1 uterine cancer, or other malignancies with an expected curative outcome.
-
Subjects with primary platinum-refractory disease.
-
Prior therapy with azenosertib or any other WEE1 inhibitor, ATR inhibitor, CHK1/2 inhibitor, or (PKMYT1) inhibitor for PROC.
-
A serious illness or medical condition(s) including, but not limited to, the following:
- Clinically or radiographically unstable brain metastases or leptomeningeal disease that requires immediate treatment. Subjects with asymptomatic brain metastases are eligible.
- Acute kidney injury requiring intervention, or presence of indwelling urinary catheter or percutaneous nephrostomy.
- Significant gastrointestinal abnormalities, including an inability to take oral medication, requirement for IV alimentation, active peptic ulcer, chronic diarrhea or vomiting considered to be clinically significant in the judgment of the Investigator, or prior surgical procedures affecting absorption.
- Any evidence of small bowel obstruction as determined by air/fluid levels on computed tomography (CT) scan, recent hospitalization for small bowel obstruction within 3 months before randomization, or recurrent paracentesis or thoracentesis within 6 weeks before randomization.
- Active, uncontrolled infection. Subjects with an infection receiving treatment (antibiotic, antifungal, or antiviral) must have completed such treatment and the infection must be considered controlled/resolved (and afebrile) by the Investigator for at least 7 days before randomization
- Myocardial impairment of any cause resulting in heart failure by New York Heart Association criteria (Class II, III or IV).
- Medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or may interfere with the interpretation of study results
-
Any of the following treatment interventions within the specified time frame before randomization:
- Hospitalization within 14 days
- Major surgery within 28 days
- Any chemotherapy or targeted tumor therapy within 21 days or 5 half-lives (whichever is shorter)
- Radiation therapy within 21 days
- Autologous or allogeneic stem cell transplant within 3 months
- Current use of any other investigational drug therapy < 28 days or 5 half-lives (whichever is shorter)
-
Inability to discontinue treatment with prescription or nonprescription drugs that are prohibited per protocol.
-
Inability to discontinue consumption of food and herbal supplements that are prohibited per protocol
-
Prior wide-field radiotherapy affecting ≥ 20% of the bone marrow.
-
Unresolved toxicity of Grade > 1 attributed to any prior therapies (excluding Grade ≤ 2 neuropathy, alopecia, or skin pigmentation).
-
Subjects who are immunocompromised or HIV-positive on highly active anti-retroviral therapy
-
Subjects with known active hepatitis B or hepatitis C infection
-
Individuals who are judged by the Investigator to be unsuitable as study subjects
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Experimental: Arm C Investigator's choice of chemotherapy at the dose defined by the protocol
|
The investigator will select the chemotherapy in accordance with the protocol defined requirements. The possible choices as defined by the protocol:
The selected chemotherapy will be administered intravenously |
|
Experimental: Arm A Azenosertib 400 mg administered daily on a 5 days on, 2 days off intermittent schedule
|
Azenosertib 400 mg will be administered orally.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression free survival (PFS) per RECIST v1.1 as assessed by Investigator
Time Frame: Up to approximately 24 months from the enrollment of the last subject
|
Time from randomization to the first documented tumor progression (per RECIST v1.1) or death from any cause, whichever occurs first. |
Up to approximately 24 months from the enrollment of the last subject
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall survival
Time Frame: Up to approximately 24 months from the enrollment of the last subject
|
Time from randomization until death due to any cause |
Up to approximately 24 months from the enrollment of the last subject
|
|
PFS per RECIST 1.1 as assessed by blinded independent central review (ICR)
Time Frame: Up to approximately 24 months from the enrollment of the last subject
|
Time from randomization to the first documented tumor progression (per RECIST v1.1) or death from any cause, whichever occurs first. |
Up to approximately 24 months from the enrollment of the last subject
|
|
Objective Response Rate (ORR) per RECIST v1.1 and assessed by Investigator
Time Frame: Up to approximately 24 months from the enrollment of the last subject
|
Proportion of patients who attain a partial response (PR) or complete response (CR) per RECIST v1.1 |
Up to approximately 24 months from the enrollment of the last subject
|
|
Change from baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire score (EORTC QLQ)-Core 30 (C30) at each post baseline visit
Time Frame: Up to approximately 24 months from the enrollment of the last subject
|
Assess changes over time in cancer-specific and patient-reported outcome instruments assessing global health status/quality of life, functional domains, and symptom burden. |
Up to approximately 24 months from the enrollment of the last subject
|
|
Change from baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire score (EORTC QLQ)-OV28 at each post baseline visit
Time Frame: Up to approximately 24 months from the enrollment of the last subject
|
Assess changes over time in cancer-specific and patient-reported outcome instruments assessing global health status/quality of life, functional domains, and symptom burden. |
Up to approximately 24 months from the enrollment of the last subject
|
|
Change from baseline in EQ-5D-5L score at each post baseline visit
Time Frame: Up to approximately 24 months from the enrollment of the last subject
|
Assess changes over time in cancer-specific and patient-reported outcome instruments assessing global health status/quality of life, functional domains, and symptom burden. |
Up to approximately 24 months from the enrollment of the last subject
|
|
Number of Subjects experiencing treatment emergent adverse events (TEAEs)
Time Frame: Up to approximately 24 months and 30 days from the enrollment of the last subject
|
Assess adverse events occurring for the first time or worsening of a pre-existing event during the treatment period until 30 days after the last dose of study drug |
Up to approximately 24 months and 30 days from the enrollment of the last subject
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Ovarian Neoplasms
Other Study ID Numbers
Other Study ID Numbers
- ZN-c3-020
- GOG-3147 (Other Identifier: GOG Foundation, Inc.)
- ENGOT-ov109 (Other Identifier: ENGOT)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.