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Study is Designed to Assess the Safety and Tolerability of AZD4547 at Increasing Doses in Patients With Advanced Tumours

30 november 2018 bijgewerkt door: AstraZeneca

A Phase I, Open-Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Anti-tumour Activity of Ascending Doses of AZD4547 in Patients With Advanced Solid Malignancies

This study is primarily designed to assess the safety and tolerability of AZD4547 at increasing doses in patients with advanced solid malignancies and for whom no standard medication options are available. It also assesses the blood levels and action of AZD4547 in the body over a period of time.

Studie Overzicht

Studietype

Ingrijpend

Inschrijving (Werkelijk)

95

Fase

  • Fase 1

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

      • Frankfurt, Duitsland, 60488
        • Research Site
      • Freiburg, Duitsland, 79106
        • Research Site
      • Köln, Duitsland, 50924
        • Research Site
      • Pierre Benite, Frankrijk, 69495
        • Research Site
      • Villejuif, Frankrijk, 94805
        • Research Site
      • Napoli, Italië, 80131
        • Research Site
      • Rozzano, Italië, 20089
        • Research Site
      • Amsterdam, Nederland, 1066 CX
        • Research Site
      • Rotterdam, Nederland, 3015 CE
        • Research Site
      • Badajoz, Spanje, 06008
        • Research Site
      • Majadahonda, Spanje, 28222
        • Research Site
      • Valencia, Spanje, 46010
        • Research Site
      • Valencia, Spanje, 46026
        • Research Site
      • Birmingham, Verenigd Koninkrijk, B9 5SS
        • Research Site
      • Edinburgh, Verenigd Koninkrijk, EH4 2XU
        • Research Site
      • Glasgow, Verenigd Koninkrijk, G12 0YN
        • Research Site
      • London, Verenigd Koninkrijk, W1G 6AD
        • Research Site
      • London, Verenigd Koninkrijk, W12 0NN
        • Research Site
      • Manchester, Verenigd Koninkrijk, M20 4BX
        • Research Site
      • Newcastle upon Tyne, Verenigd Koninkrijk, NE7 7DN
        • Research Site
      • Wolverhampton, Verenigd Koninkrijk, WV10 0QP
        • Research Site
    • California
      • Stanford, California, Verenigde Staten, 94305
        • Research Site
    • Colorado
      • Aurora, Colorado, Verenigde Staten, 80045
        • Research Site
    • Connecticut
      • New Haven, Connecticut, Verenigde Staten, 06520
        • Research Site
    • Michigan
      • Detroit, Michigan, Verenigde Staten, 48201
        • Research Site
    • New York
      • New York, New York, Verenigde Staten, 10021
        • Research Site
    • Pennsylvania
      • Philadelphia, Pennsylvania, Verenigde Staten, 19111
        • Research Site
    • Tennessee
      • Nashville, Tennessee, Verenigde Staten, 37232
        • Research Site
    • Texas
      • Houston, Texas, Verenigde Staten, 77030
        • Research Site

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

25 jaar tot 149 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Minimum life expectancy of 12 weeks
  • The presence of a solid, malignant tumour that is resistance to standard therapies or for which no standard therapies exist
  • In the expansion for the study patients must have a tumour at least 1cm in size that can be measure using a CT or MRI scan, and provide a tumour sample to the sponsor company for testing of FGFR1 and/or 2 amplification
  • Expansion, 5 groups of advanced cancer
  • Solid tumours,FGFR1 and/or FGFR2 gene amplified
  • Squamous NSCLC, FGFR1 gene low & high amplified
  • Gastric adenocarcinoma, including the lower oesophagus/gastro-oesophageal junction, FGFR2 gene low & high amplified
  • Aged at least 25 years

Exclusion Criteria:

  • Treatment with any other chemotherapy, immunotherapy or anticancer agents within 3 weeks before the first dose of study
  • An inability to be able to take the study medication
  • A bad reaction to AZD4547 or any drugs similar to it in structure or class.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: NVT
  • Interventioneel model: Opdracht voor een enkele groep
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Part A
Ascending doses of AZD4547 administered orally to patients to define the maximum tolerated dose (MTD) and/or a continuous, tolerable Recommended Dose (RD)
Single dose is followed by washout 5-10 days before multiple dose, and at dose of 80mg twice daily
Patients start at a dose of 80 mg twice daily, with no washout
Single dose is followed by washout 5-10 days before multiple dose
Experimenteel: Part B
Dose expansion phase, at the RD defined in Part A
Single dose is followed by washout 5-10 days before multiple dose, and at dose of 80mg twice daily
Patients start at a dose of 80 mg twice daily, with no washout
Single dose is followed by washout 5-10 days before multiple dose
Experimenteel: Part C
Expansion phase in patients with FGFR1 and FGFR2 amplified tumours commencing at the RD defined from Part A
Single dose is followed by washout 5-10 days before multiple dose, and at dose of 80mg twice daily
Patients start at a dose of 80 mg twice daily, with no washout
Single dose is followed by washout 5-10 days before multiple dose

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Number of Patients Who Experienced at Least 1 AE
Tijdsspanne: AEs are monitored from screenng through to 30 day follow up period
To investigate the safety and tolerability of AZD4547. System organ class (SOC), preferred term (PT), duration and severity all recorded.
AEs are monitored from screenng through to 30 day follow up period
Number of Participants Who Experienced at Least 1 Causally Related AE.
Tijdsspanne: AEs are continually assessed from screening up to 30 day FU period
To investigate the safety and tolerability of AZD4547. A causally related AE is an AE deemed to be causally related to AZD4547.
AEs are continually assessed from screening up to 30 day FU period
Number of Participants With at Least 1 AE of CTCAE >=G3
Tijdsspanne: Ongoing up to discontinuation up to 30 day FU.
To investigate the safety and tolerability of AZD4547
Ongoing up to discontinuation up to 30 day FU.
Number of Participants With at Least 1 Causally Related AE of CTCAE >=G3
Tijdsspanne: Ongoing up to discontinuation up to 30 day FU.
To investigate the safety and tolerability of AZD4547
Ongoing up to discontinuation up to 30 day FU.
Number of Participants Who Experienced at Least One SAE
Tijdsspanne: Serious Adverse Events (SAEs) are continually assessed from Screening up to the end of the 30 day FU period.
To investigate the safety and tolerability of AZD4547. A SAE (Serious Adverse Event) is and AE (adverse Event) which fulfills one of the following criteria that the PI assesses closely such as results in death, immediately life-threatening, requires hospitalisation or prolongation of, results in significant disability, results in birth defect, may jepardise the patient or require intervention to prevent any of the previous outcomes.
Serious Adverse Events (SAEs) are continually assessed from Screening up to the end of the 30 day FU period.
Number of Participants With at Least 1 Causally Related SAE
Tijdsspanne: SAEs are continually monitored from screening to end of 30 FU period
To investigate the safety and tolerability of AZD4547: SAEs are assessed and deemed as causally related or not to AZD4547
SAEs are continually monitored from screening to end of 30 FU period

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
AUC(0-infinity)
Tijdsspanne: PK samples out to 96 hours "0 to 96 hours post-dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.
To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.
PK samples out to 96 hours "0 to 96 hours post-dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.
Tumour Response (Best Objective Response) - Number of Patients With a Confirmed Response of Partial Response (PR) or Confirmed Response (CR)
Tijdsspanne: Baseline assessment, then assessment every 6 weeks after start of treatment until objective disease progression.
To obtain a preliminary assessment of the anti tumour activity of AZD4547 by evaluation of tumour response using Response Evaluation Criteria in Solid Tumours (RECIST) criteria version 1.1. Objective response = CR + PR; CR=disappearance of all target lesions and PR is >=30% reduction in sum of longest diameter of target lesions
Baseline assessment, then assessment every 6 weeks after start of treatment until objective disease progression.
Cmax (ng/mL)
Tijdsspanne: PK samples out to 96 hours "0-96 hours post dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.
To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.
PK samples out to 96 hours "0-96 hours post dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.
Css,Max (ng/mL)
Tijdsspanne: PK samples out to 96 hours "0-96 hours post-dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.
To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.
PK samples out to 96 hours "0-96 hours post-dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.
AUC,ss(0-infinity)
Tijdsspanne: PK samples out to 96 hours "0-96 hours post dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.
To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.
PK samples out to 96 hours "0-96 hours post dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Onderzoekers

  • Hoofdonderzoeker: Fabrice André, Dr, Institut de Cancerologie Gustave Roussy
  • Studie directeur: Donal Landers, Dr, AstraZeneca

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

21 oktober 2009

Primaire voltooiing (Werkelijk)

12 februari 2014

Studie voltooiing (Werkelijk)

5 maart 2015

Studieregistratiedata

Eerst ingediend

16 september 2009

Eerst ingediend dat voldeed aan de QC-criteria

16 september 2009

Eerst geplaatst (Schatting)

17 september 2009

Updates van studierecords

Laatste update geplaatst (Werkelijk)

15 maart 2019

Laatste update ingediend die voldeed aan QC-criteria

30 november 2018

Laatst geverifieerd

1 november 2018

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • D2610C00001

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

Klinische onderzoeken op Kanker

Klinische onderzoeken op AZD4547

3
Abonneren