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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 uppdaterad av: 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.

Studieöversikt

Studietyp

Interventionell

Inskrivning (Faktisk)

95

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

25 år till 149 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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
Experimentell: 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
Experimentell: 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

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Number of Patients Who Experienced at Least 1 AE
Tidsram: 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.
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
AUC(0-infinity)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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.

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Utredare

  • Huvudutredare: Fabrice André, Dr, Institut de Cancerologie Gustave Roussy
  • Studierektor: Donal Landers, Dr, AstraZeneca

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

21 oktober 2009

Primärt slutförande (Faktisk)

12 februari 2014

Avslutad studie (Faktisk)

5 mars 2015

Studieregistreringsdatum

Först inskickad

16 september 2009

Först inskickad som uppfyllde QC-kriterierna

16 september 2009

Första postat (Uppskatta)

17 september 2009

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

15 mars 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

30 november 2018

Senast verifierad

1 november 2018

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • D2610C00001

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

Kliniska prövningar på AZD4547

3
Prenumerera