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Studio di AZD4956 come monoterapia e in combinazione con agenti antitumorali in partecipanti con tumori solidi avanzati/metastatici con deficit di ricombinazione omologa (PARTHENON)

26 ottobre 2026 aggiornato da: AstraZeneca

Uno Studio Modulare in Aperto, di Fase I/IIa per Valutare la Sicurezza, la Tollerabilità, la Farmacocinetica, la Farmacodinamica e l'Efficacia Preliminare di Dosi Crescenti di AZD4956 in Monoterapia, e in Combinazione con Agenti Anticancro in Partecipanti con Tumori Solidi Avanzati/Metastatici con Difetto di Riparazione di Ricombinazione Omologa

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.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

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 -

  1. Module 1: AZD4956 monotherapy
  2. 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.

Tipo di studio

Interventistico

Iscrizione (Stimato)

180

Fase

  • Fase 2
  • Fase 1

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Luoghi di studio

      • Melbourne, Australia, 3000
        • Reclutamento
        • Research Site
      • Westmead, Australia, 2145
        • Reclutamento
        • Research Site
      • Seoul, Corea del Sud, 03080
        • Reclutamento
        • Research Site
      • Seoul, Corea del Sud, 120-752
        • Reclutamento
        • Research Site
      • Chūōku, Giappone, 104-0045
        • Reclutamento
        • Research Site
      • Kashiwa, Giappone, 277-8577
        • Reclutamento
        • Research Site
      • Cambridge, Regno Unito, CB2 0QQ
        • Reclutamento
        • Research Site
      • London, Regno Unito, SE1 9RT
        • Non ancora reclutamento
        • Research Site
      • Sutton, Regno Unito, SM25PT
        • Reclutamento
        • Research Site
      • Barcelona, Spagna, 08036
        • Reclutamento
        • Research Site
      • Barcelona, Spagna, 8035
        • Non ancora reclutamento
        • Research Site
      • Barcelona, Spagna, 08023
        • Reclutamento
        • Research Site
      • Logroño, Spagna, 26006
        • Non ancora reclutamento
        • Research Site
      • Pozuelo de Alarcón, Spagna, 28223
        • Non ancora reclutamento
        • Research Site
      • Seville, Spagna, 41013
        • Non ancora reclutamento
        • Research Site
    • New York
      • New York, New York, Stati Uniti, 10065
        • Reclutamento
        • Research Site
    • Rhode Island
      • Providence, Rhode Island, Stati Uniti, 02903
        • Reclutamento
        • Research Site
    • Texas
      • Houston, Texas, Stati Uniti, 77030
        • Reclutamento
        • Research Site
    • Virginia
      • Fairfax, Virginia, Stati Uniti, 22031
        • Reclutamento
        • Research Site

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 18 anni a 130 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

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):

  • Participants must have one of the following conditions-

    1. 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.
    2. Histologically or cytologically confirmed advanced ovarian, fallopian tube, or primary peritoneal cancer.
    3. Histologically or cytologically confirmed adenocarcinoma of the prostate and advanced/metastatic castrate resistant prostate cancer (CRPC).
    4. Histologically or cytologically confirmed advanced/metastatic pancreatic cancer.
  • Participants must have evaluable disease.

  • 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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione sequenziale
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Module 1 Part A: AZD4956 monotherapy (Dose escalation)

Participants will receive AZD4956 as monotherapy at ascending dose levels.

AZD4956 will be administered orally.

Sperimentale: 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.

Sperimentale: 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.

Sperimentale: Module 2 Part A Optional PD backfill cohort: Saruparib monotherapy

Participants will receive saruparib monotherapy.

Saruparib will be administered orally.

Sperimentale: 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.

Sperimentale: 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.

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Parts A and B: Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Lasso di tempo: From Screening (Day -28) to follow-up (up to 3.5 years)

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)
Part B: Progression free survival (PFS)
Lasso di tempo: Up to 3.5 years

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
Part A - Number of participants with dose-limiting toxicities (DLTs)
Lasso di tempo: Up to 28 days

To assess the safety and tolerability of AZD4956 monotherapy and in combination with anti-cancer agent(s).

Up to 28 days

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Objective response (OR)
Lasso di tempo: Up to 3.5 years

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
Duration of response (DoR)
Lasso di tempo: Up to 3.5 years

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
Best Overall Response (BOR)
Lasso di tempo: Up to 3.5 years

To assess the preliminary anti-tumour activity of AZD4956 monotherapy and in combination with anti-cancer agent(s).

Up to 3.5 years
Time to response (TTR)
Lasso di tempo: Up to 3.5 years

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
Disease control (DC)
Lasso di tempo: Up to 3.5 years

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
Clinical benefit rate (CBR)
Lasso di tempo: Up to 3.5 years

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
Part A: Progression free survival (PFS)
Lasso di tempo: Up to 3.5 years

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
Percentage change from baseline in tumour size
Lasso di tempo: Up to 3.5 years

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
Number of participants with cancer antigen 125 (CA125) response (for ovarian cancer participants)
Lasso di tempo: From baseline up to 3.5 years

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
Radiological progression free survival (rPFS) (for prostate cancer participants)
Lasso di tempo: Up to 3.5 years

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
Change from baseline in prostate specific antigen 50 (PSA50) response rate (for prostate cancer participants)
Lasso di tempo: From baseline up to 3.5 years

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
Change from baseline in PSA90 response rate (for prostate cancer participants)
Lasso di tempo: From baseline up to 3.5 years

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
Change from baseline in PSA undetectable rate
Lasso di tempo: At 3, 6 and 9 months

Undetectable PSA is defined as a measurement of < 0.2 ng/mL.

At 3, 6 and 9 months
Time to PSA50/90 response (for prostate cancer participants)
Lasso di tempo: Up to 3.5 years

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
Time to PSA progression (for prostate cancer participants)
Lasso di tempo: Up to 3.5 years

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
PSA PFS at 6 months (PSA-6)
Lasso di tempo: At 6 months

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
Area under the concentration-time curve (AUC)
Lasso di tempo: From date of first dose of study intervention up to 59 days after first dose

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
Maximum concentration (Cmax)
Lasso di tempo: From date of first dose of study intervention up to 59 days after first dose

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
Time to maximum concentration (Tmax)
Lasso di tempo: From date of first dose of study intervention up to 59 days after first dose

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
Individual and cumulative percentage of dose excreted unchanged in urine from time t1 to time t2 (fe(t1-t2))
Lasso di tempo: From date of first dose of study intervention up to 16 days after first dose

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
Renal clearance (CLR)
Lasso di tempo: From date of first dose of study intervention up to 16 days after first dose

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
Individual and cumulative amount of unchanged drug excreted into urine from time t1 to time t2 (Ae(t1-t2))
Lasso di tempo: From date of first dose of study intervention up to 16 days after first dose

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
Change in amount of KRAB-associated protein-1 phosphorylated on serine 824 [pKAP1 (Ser824)] biomarker in tumour cells at baseline and during treatment
Lasso di tempo: From Baseline up to 3.5 years

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

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

17 marzo 2026

Completamento primario (Stimato)

29 marzo 2030

Completamento dello studio (Stimato)

29 marzo 2030

Date di iscrizione allo studio

Primo inviato

26 febbraio 2026

Primo inviato che soddisfa i criteri di controllo qualità

26 febbraio 2026

Primo Inserito (Effettivo)

3 marzo 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

27 ottobre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

26 ottobre 2026

Ultimo verificato

1 ottobre 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • D8570C00001
  • 2025 (Sovvenzione/contratto NIH degli Stati Uniti)
  • 2025-524171-22-00 (Identificatore di registro: CTIS (EU))

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

SÌ

Descrizione del piano IPD

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.

Periodo di condivisione IPD

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.

Criteri di accesso alla condivisione IPD

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.

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .