AZD4956 monoterápiás és antirákos szerek kombinációjával történő vizsgálata homológ rekombináció hiányos előrehaladott/metasztatikus szilárd daganatokban szenvedő résztvevőknél (PARTHENON)
Egy moduláris, nyílt címkéjű, I/IIa fázisú vizsgálat a fokozódó dózisú AZD4956 monoterápiájának, valamint daganatellenes szerek kombinációjának biztonságosságának, tolerálhatóságának, farmakokinetikájának, farmakodinamikájának és előzetes hatékonyságának értékelésére előrehaladott/metasztatikus homológ rekombinációs javítási hibás szilárd daganatokkal rendelkező résztvevőknél
The purpose of this modular, first trial in human study is to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of ascending dose levels (DLs) of AZD4956 monotherapy and in combination with other anti-cancer agents in participants with advanced/metastatic solid tumours with homologous recombination repair (HRR) deficiencies.
A tanulmány áttekintése
Részletes leírás
The study consists of individual modules each evaluating the safety and tolerability of AZD4956 dosed as monotherapy, or with a specific combination partner. There are following 2 modules -
- Module 1: AZD4956 monotherapy
- Module 2: AZD4956 in combination with saruparib
Each module may further contain 2 parts-
- Part A (dose escalation/dose finding): To determine the safety, tolerability, PK, PD, and preliminary efficacy of AZD4956 as monotherapy or in combination.
- Part B (dose expansion): To further evaluate the safety and preliminary efficacy of AZD4956 in combination with other anti-cancer agents.
Tanulmány típusa
Beiratkozás (Becsült)
Fázis
- 2. fázis
- 1. fázis
Kapcsolatok és helyek
Tanulmányi kapcsolat
- Név: AstraZeneca Clinical Study Information Center
- Telefonszám: 1-877-240-9479
- E-mail: information.center@astrazeneca.com
Tanulmányi helyek
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Melbourne, Ausztrália, 3000
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Westmead, Ausztrália, 2145
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Seoul, Dél -Korea, 03080
- Toborzás
- Research Site
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Seoul, Dél -Korea, 120-752
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Cambridge, Egyesült Királyság, CB2 0QQ
- Toborzás
- Research Site
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London, Egyesült Királyság, SE1 9RT
- Még nincs toborzás
- Research Site
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Sutton, Egyesült Királyság, SM25PT
- Toborzás
- Research Site
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New York
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New York, New York, Egyesült Államok, 10065
- Toborzás
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Rhode Island
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Providence, Rhode Island, Egyesült Államok, 02903
- Toborzás
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Texas
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Houston, Texas, Egyesült Államok, 77030
- Toborzás
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Virginia
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Fairfax, Virginia, Egyesült Államok, 22031
- Toborzás
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Chūōku, Japán, 104-0045
- Toborzás
- Research Site
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Kashiwa, Japán, 277-8577
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Barcelona, Spanyolország, 08036
- Toborzás
- Research Site
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Barcelona, Spanyolország, 8035
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Barcelona, Spanyolország, 08023
- Toborzás
- Research Site
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Logroño, Spanyolország, 26006
- Még nincs toborzás
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Pozuelo de Alarcón, Spanyolország, 28223
- Még nincs toborzás
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Seville, Spanyolország, 41013
- Még nincs toborzás
- Research Site
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Részvételi kritériumok
Jogosultsági kritériumok
Tanulmányozható életkorok
Egészséges önkénteseket fogad
Tanulmányozható nemek
Leírás
Core Inclusion Criteria:
- Documented locally advanced or metastatic solid tumour malignancy.
- Eastern cooperative oncology group (ECOG) performance status of 0 or 1 with no deterioration over the previous 2 weeks prior to screening and first day of dosing.
- Minimum life expectancy ≥ 12 weeks.
- Adequate organ and marrow function.
- Female participants must not breastfeed and must not donate or retrieve ova for their own use from screening to approximately 6 months after the last dose of study intervention.
Module 1 Inclusion Criteria:
- Demonstrated evidence of disease progression.
- Participants must have advanced or metastatic solid tumours.
- Participants may have received up to one prior line of therapy with a poly (adenosine diphosphate-ribose) polymerase inhibitor (PARPi)-based regimen (either as a treatment or as maintenance).
Module 2 Inclusion Criteria:
Part A (AZD4956 in Combination with Saruparib Dose Escalation) and Part A-PD (PD Backfill Cohorts):
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Participants must have one of the following conditions-
- Histologically or cytologically confirmed carcinoma of the breast with recurrent locally advanced or metastatic disease and evidence of a predicted loss of function germline or somatic mutation.
- Histologically or cytologically confirmed advanced ovarian, fallopian tube, or primary peritoneal cancer.
- Histologically or cytologically confirmed adenocarcinoma of the prostate and advanced/metastatic castrate resistant prostate cancer (CRPC).
- Histologically or cytologically confirmed advanced/metastatic pancreatic cancer.
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Participants must have evaluable disease.
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Participants in PD backfill cohorts must not have received prior therapy with a PARPi-based regimen (either as a treatment or as maintenance).
Part A (PD Backfill Cohorts) - Participants Undergoing Paired Biopsies:
- Participants must have a tumour suitable for biopsy.
Part A-Non-PD (Non-PD Backfill Cohorts) and Part B (Dose Expansion Cohorts):
- Participants must have histologically or cytologically confirmed adenocarcinoma of the prostate and advanced/metastatic CRPC.
- Participants must have documented metastatic disease by clear evidence of ≥ 1 bone lesion (defined as one lesion with positive uptake on bone scan) and/or ≥ 1 soft tissue lesion (measurable or non-measurable).
- Participants must have received the prior approved systemic therapies for metastatic prostate cancer.
- Participants must not have received prior therapy with a PARPi-based regimen (either as a treatment or as maintenance).
Core Exclusion Criteria:
- Any significant laboratory finding or any severe and uncontrolled medical condition.
- Participants with any known predisposition to bleeding.
- Spinal cord compression or symptomatic and unstable brain metastases or leptomeningeal disease.
- Allogenic organ transplantation.
- Known to have active infection, including hepatitis B virus (HBV) or hepatitis C virus (HCV).
- Known history of infection with human immunodeficiency virus (HIV).
- Active gastrointestinal disease or other condition that will interfere significantly with the swallowing, absorption, distribution, metabolism or excretion of oral therapy.
- Participants with history of myelodysplastic syndrome (MDS)/acute myeloid leukaemia (AML) or with features suggestive of MDS/AML.
- Participants with a known hypersensitivity to the investigational product(s) or any of the excipients of the product(s).
- Previous dosing with AZD4956.
Tanulási terv
Hogyan készül a tanulmány?
Tervezési részletek
- Elsődleges cél: Kezelés
- Kiosztás: Véletlenszerűsített
- Beavatkozó modell: Szekvenciális hozzárendelés
- Maszkolás: Nincs (Open Label)
Fegyverek és beavatkozások
Résztvevő csoport / kar |
Beavatkozás / kezelés |
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Kísérleti: Module 1 Part A: AZD4956 monotherapy (Dose escalation)
Participants will receive AZD4956 as monotherapy at ascending dose levels. |
AZD4956 will be administered orally. |
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Kísérleti: Module 2 Part A: AZD4956 + saruparib (Dose escalation)
Participants will receive AZD4956 at ascending dose levels in combination with saruparib. |
Saruparib will be administered orally. AZD4956 will be administered orally. |
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Kísérleti: Module 2 Part A Optional PD backfill cohort: AZD4956 + saruparib
Participants will receive AZD4956 in combination with saruparib. |
Saruparib will be administered orally. AZD4956 will be administered orally. |
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Kísérleti: Module 2 Part A Optional PD backfill cohort: Saruparib monotherapy
Participants will receive saruparib monotherapy. |
Saruparib will be administered orally. |
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Kísérleti: Module 2 Part A Optional non-PD backfill cohort: AZD4956 + saruparib
Participants with metastatic castrate resistant prostate cancer (mCRPC) will receive AZD4956 in combination with saruparib. |
Saruparib will be administered orally. AZD4956 will be administered orally. |
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Kísérleti: Module 2 Part B: AZD4956 + saruparib (Dose expansion)
Participants will receive AZD4956 in combination with saruparib. |
Saruparib will be administered orally. AZD4956 will be administered orally. |
Mit mér a tanulmány?
Elsődleges eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
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Parts A and B: Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Időkeret: From Screening (Day -28) to follow-up (up to 3.5 years)
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To assess the safety and tolerability of AZD4956 monotherapy and in combination with anti-cancer agent(s). |
From Screening (Day -28) to follow-up (up to 3.5 years)
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Part B: Progression free survival (PFS)
Időkeret: Up to 3.5 years
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PFS is defined as the time from the start of treatment until the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the participants withdraw from study treatment or receive another anti-cancer therapy prior to progression. |
Up to 3.5 years
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Part A - Number of participants with dose-limiting toxicities (DLTs)
Időkeret: Up to 28 days
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To assess the safety and tolerability of AZD4956 monotherapy and in combination with anti-cancer agent(s). |
Up to 28 days
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Másodlagos eredményintézkedések
Eredménymérő |
Intézkedés leírása |
Időkeret |
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Objective response (OR)
Időkeret: Up to 3.5 years
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OR is defined as if a participant achieves a best overall response (BOR) of confirmed complete response (CR) or partial response (PR), as assessed by the investigator, according to response evaluation criteria in solid tumours (RECIST) v1.1 criterion. |
Up to 3.5 years
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Duration of response (DoR)
Időkeret: Up to 3.5 years
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DoR is defined as the time from the date of first documented OR assessed by RECIST v1.1, in the absence of progression on bone scan assessed by prostate cancer working group 3 (PCWG3), until the date of documented disease progression or death in the absence of disease progression. |
Up to 3.5 years
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Best Overall Response (BOR)
Időkeret: Up to 3.5 years
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To assess the preliminary anti-tumour activity of AZD4956 monotherapy and in combination with anti-cancer agent(s). |
Up to 3.5 years
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Time to response (TTR)
Időkeret: Up to 3.5 years
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TTR is defined as the time from the date of first dose of study intervention until the date of first documented OR assessed by RECIST v1.1, in the absence of progression on bone scan assessed by PCWG3, which is subsequently confirmed. |
Up to 3.5 years
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Disease control (DC)
Időkeret: Up to 3.5 years
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DC is defined as if a participant has achieved a best OR of confirmed CR or PR or SD as BOR assessed by RECIST v1.1, in the absence of progression on bone scan assessed by PCWG3. |
Up to 3.5 years
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Clinical benefit rate (CBR)
Időkeret: Up to 3.5 years
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CBR is defined as the percentage of advanced cancer participants who achieve CR, PR, or at least 16 weeks/24 weeks of stable disease, assessed by RECIST v1.1, in the absence of progression on bone scan assessed by PCWG3, as a result of therapy. |
Up to 3.5 years
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Part A: Progression free survival (PFS)
Időkeret: Up to 3.5 years
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PFS is defined as the time from the start of treatment until the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the participants withdraw from study treatment or receive another anti-cancer therapy prior to progression. |
Up to 3.5 years
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Percentage change from baseline in tumour size
Időkeret: Up to 3.5 years
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The best percentage change from baseline in target lesion (TL) tumour size is the largest decrease (or smallest increase) from baseline for a participant, using RECIST v1.1 assessments. |
Up to 3.5 years
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Number of participants with cancer antigen 125 (CA125) response (for ovarian cancer participants)
Időkeret: From baseline up to 3.5 years
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CA125 response is defined as if at least a 50% reduction in CA125 levels from a pre-treatment sample. |
From baseline up to 3.5 years
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Radiological progression free survival (rPFS) (for prostate cancer participants)
Időkeret: Up to 3.5 years
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PFS is defined as the time from the start of treatment until the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the participants withdraw from study treatment or receive another anti-cancer therapy prior to progression. |
Up to 3.5 years
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Change from baseline in prostate specific antigen 50 (PSA50) response rate (for prostate cancer participants)
Időkeret: From baseline up to 3.5 years
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PSA50 response is defined as if a ≥ 50% decrease in PSA from baseline to the lowest post-baseline PSA result, confirmed by a second consecutive PSA assessment at least 3 weeks later has been achieved. |
From baseline up to 3.5 years
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Change from baseline in PSA90 response rate (for prostate cancer participants)
Időkeret: From baseline up to 3.5 years
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PSA90 response is defined as if a ≥ 90% decrease in PSA from baseline to the lowest post-baseline PSA result, confirmed by a second consecutive PSA assessment at least 3 weeks later has been achieved. |
From baseline up to 3.5 years
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Change from baseline in PSA undetectable rate
Időkeret: At 3, 6 and 9 months
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Undetectable PSA is defined as a measurement of < 0.2 ng/mL. |
At 3, 6 and 9 months
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Time to PSA50/90 response (for prostate cancer participants)
Időkeret: Up to 3.5 years
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Time to PSA50/90 response is defined as the time from the date of first dose of study intervention until the date of first documented PSA response (≥ 50%/90% decrease in PSA from baseline) that is confirmed by a second consecutive PSA assessment at least 3 weeks later. |
Up to 3.5 years
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Time to PSA progression (for prostate cancer participants)
Időkeret: Up to 3.5 years
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Time to PSA progression is defined as the time from date of first dose of study intervention until the date of first documented PSA progression or the last PSA result in the absence of progression. |
Up to 3.5 years
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PSA PFS at 6 months (PSA-6)
Időkeret: At 6 months
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PSA progression is defined as an increase in PSA of ≥ 25% from the nadir and an absolute increase of at least 2 ng/mL above nadir beyond 12 weeks. To assess the preliminary anti-tumour activity of AZD4956 monotherapy and in combination with anti-cancer. agent(s) |
At 6 months
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Area under the concentration-time curve (AUC)
Időkeret: From date of first dose of study intervention up to 59 days after first dose
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To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s). |
From date of first dose of study intervention up to 59 days after first dose
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Maximum concentration (Cmax)
Időkeret: From date of first dose of study intervention up to 59 days after first dose
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To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s). |
From date of first dose of study intervention up to 59 days after first dose
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Time to maximum concentration (Tmax)
Időkeret: From date of first dose of study intervention up to 59 days after first dose
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To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s). |
From date of first dose of study intervention up to 59 days after first dose
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Individual and cumulative percentage of dose excreted unchanged in urine from time t1 to time t2 (fe(t1-t2))
Időkeret: From date of first dose of study intervention up to 16 days after first dose
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To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s). |
From date of first dose of study intervention up to 16 days after first dose
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Renal clearance (CLR)
Időkeret: From date of first dose of study intervention up to 16 days after first dose
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To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s). |
From date of first dose of study intervention up to 16 days after first dose
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Individual and cumulative amount of unchanged drug excreted into urine from time t1 to time t2 (Ae(t1-t2))
Időkeret: From date of first dose of study intervention up to 16 days after first dose
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To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s). |
From date of first dose of study intervention up to 16 days after first dose
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Change in amount of KRAB-associated protein-1 phosphorylated on serine 824 [pKAP1 (Ser824)] biomarker in tumour cells at baseline and during treatment
Időkeret: From Baseline up to 3.5 years
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To evaluate PD of AZD4956 in tumour cells when given orally as monotherapy and in combination with anti-cancer agent(s). |
From Baseline up to 3.5 years
|
Együttműködők és nyomozók
Szponzor
Tanulmányi rekorddátumok
Tanulmány főbb dátumok
Tanulmány kezdete (Tényleges)
Elsődleges befejezés (Becsült)
A tanulmány befejezése (Becsült)
Tanulmányi regisztráció dátumai
Először benyújtva
Először nyújtották be, amely megfelel a minőségbiztosítási kritériumoknak
Első közzététel (Tényleges)
Tanulmányi rekordok frissítései
Utolsó frissítés közzétéve (Tényleges)
Az utolsó frissítés elküldve, amely megfelel a minőségbiztosítási kritériumoknak
Utolsó ellenőrzés
Több információ
A tanulmányhoz kapcsolódó kifejezések
Kulcsszavak
Egyéb vizsgálati azonosító számok
- D8570C00001
- 2025 (Az Egyesült Államok NIH támogatása/szerződése)
- 2025-524171-22-00 (Registry Identifier: CTIS (EU))
Terv az egyéni résztvevői adatokhoz (IPD)
Tervezi megosztani az egyéni résztvevői adatokat (IPD)?
IPD terv leírása
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD megosztási időkeret
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD-megosztási hozzáférési feltételek
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
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