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JOURNAL ONKOLOGIE – STUDIE
PRIMAVERA

AZD3470 as Monotherapy and in Combination With Anticancer Agents in Participants With Relapsed/Refractory Haematologic Malignancies.

Rekrutierend

NCT-Nummer:
NCT06137144

Studienbeginn:
Januar 2024

Letztes Update:
26.03.2024

Wirkstoff:
AZD3470

Indikation (Clinical Trials):
Lymphoma, Neoplasms, Hodgkin Disease

Geschlecht:
Alle

Altersgruppe:
Alle

Phase:
-

Sponsor:
AstraZeneca

Collaborator:
-

Kontakt

AstraZeneca Clinical Study Information Center
Kontakt:
Phone: 1-877-240-9479
E-Mail: information.center@astrazeneca.com
» Kontaktdaten anzeigen

Studienlocations
(3 von 17)

Research Site
50937 Köln
(Nordrhein-Westfalen)
GermanyNoch nicht rekrutierend» Google-Maps
Research Site
33136 Miami
United StatesNoch nicht rekrutierend» Google-Maps
Research Site
02215 Boston
United StatesNoch nicht rekrutierend» Google-Maps
Research Site
77030 Houston
United StatesNoch nicht rekrutierend» Google-Maps
Research Site
69310 Pierre Benite
FranceNoch nicht rekrutierend» Google-Maps
Research Site
08908 L'Hospitalet de Llobregat
SpainNoch nicht rekrutierend» Google-Maps
Research Site
M20 4BX Manchester
United KingdomNoch nicht rekrutierend» Google-Maps
Research Site
OX3 7LE Oxford
United KingdomNoch nicht rekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

This is a FTiH modular, Phase I/II, open-label, multicentre, dose escalation and expansion

study in participants with r/r haematologic malignancies. The study is designed to evaluate

the safety, tolerability, PK and preliminary efficacy following oral administration of

AZD3470 as a monotherapy, and in combination with other anticancer agents in participants

with haematologic malignancies.

This study will follow a modular protocol design evaluating AZD3470 as monotherapy and in

combination with other anticancer agents. New cohorts (including further monotherapy

expansion) and new modules for combination treatments may be added as protocol amendments in

the future based on emerging supportive preclinical and/or clinical data.

Module 1 Part A includes a dose escalation of AZD3470 monotherapy in participants with r/r

haematologic malignancies, initially focused on r/r cHL. Dose escalation cohorts will

evaluate the safety, tolerability, PK, and preliminary efficacy in participants with r/r cHL.

Module 1 Part B optimization/expansion cohorts may be opened at selected dose levels. These

cohorts will further characterise the safety, PK, and preliminary efficacy of AZD3470 to

support dose optimization. Both adult and adolescent participants with r/r cHL will be

eligible for this part of the study. Adolescent participants will only be enrolled once there

is sufficient PK and safety data in adults. A preliminary effect of food on AZD3470

pharmacokinetics will be explored in this part of the study.

The protocol may be amended in the future to incorporate further expansion of cHL at the

RP2D, additional monotherapy cohorts in other hematologic malignancies, and/or additional

modules investigating AZD3470 in combination with other anticancer agents.

Ein-/Ausschlusskriterien

Inclusion criteria

- In Part A (dose escalation), participants must be aged ≥ 18 years at the time of

signing the informed consent. In Part B (dose optimization/expansion), participants

must be at least 15 years of age.

- Histologically confirmed documented diagnosis of r/r cHL based on criteria established

by the World Health Organization

- Willing to provide FFPE baseline tumour tissue to meet the minimum tissue requirement

for central MTAP expression determination.

- Participants must have documented r/r active disease, must have previously received at

least 3 prior lines of therapy for the treatment of cHL, and must have exhausted all

available therapies with demonstrated clinical benefit.

- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.

Module 1 (cHL):

- At least 1 radiographically measurable, and/or FDG-avid lymphoma lesion > 1.5 cm.

- Adequate organ and bone marrow function

- Contraceptive use by males or females should be consistent with local regulations

regarding the methods of contraception for those participating in clinical studies.

Exclusion criteria

- Any significant laboratory finding or any severe and uncontrolled medical condition.

- Active CNS involvement by lymphoma, leptomeningeal disease, or spinal cord

compression.

- Serologic active HBV or HCV infection.

- Known to have tested positive for HIV.

- Active gastrointestinal disease or other condition that will interfere with oral

therapy.

- Any of the following cardiac criteria:

- Mean resting QTcF > 470 msec or clinically important abnormalities in rhythm

(ventricular arrhythmias and uncontrolled atrial fibrillation)

- Factors that increase the risk of QTc prolongation or risk of arrhythmic events

- Cardiac procedures or conditions within the last 6 months: Coronary artery bypass

graft (CABG), percutaneous coronary intervention (PCI) or heart valve

intervention vascular stent implantation, acute coronary syndrome / myocardial

infarction, uncontrolled angina pectoris, use of therapeutic anti-coagulation for

treatment of active thromboembolic events.

- Severe valvular heart disease

- Congestive heart failure Grade II to Grade IV

- Prior or current cardiomyopathy

- Uncontrolled hypertension

- Brain perfusion problems such as haemorrhagic or thrombotic stroke (including

transient ischemic attacks)

- Unresolved non-haematological toxicity from prior anticancer therapy of Grade > 1,

except alopecia.

- History of another primary malignancy.

- History of significant haemoptysis or haemorrhage within 4 weeks of the first dose of

study treatment.

- Requires ongoing immunosuppressive therapy, including systemic corticosteroids.

- Prior treatment with a MAT2A inhibitor or a PRMT5 inhibitor.

Studien-Rationale

Primary outcome:

1. Incidence and severity of adverse events (AEs) and serious adverse events (SAEs) (Time Frame - From Screening until 28 days after the last dose of study medication.):
AEs: Number of patients with adverse events by system organ class and preferred term. SAEs: Number of patients with serious adverse events by system organ class and preferred term.

2. Incidence of DLTs (Dose Escalation only) (Time Frame - From first dose of AZD3470 to end of Cycle 1 (each cycle is 21 days).):
In the Dose Escalation cohorts in Part A, the number of participants with at least 1 dose-limiting toxicity (DLT), which is any toxicity defined as a DLT in the Clinical Study Protocol

Secondary outcome:

1. Part A and Part B: Response endpoints - Objective Response Rate (ORR)/Complete Response Rate (CRR) (Time Frame - From first dose (Cycle 1 Day 1, each cycle is 21 days) until disease progression or the last evaluable assessment in the absence of progression (assessed approximately up to 2 years)):
ORR is defined as the proportion of participants who have a CR or PR and CRR is defined as the proportion of participants who have a CR. Assessment of ORR/CRR will be done according to the Lugano Classification for cHL.

2. Part A and Part B: Response endpoints - Duration of Response (DoR) (Time Frame - From first dose (Cycle 1 Day 1, each cycle is 21 days) until disease progression or death, whichever comes first (assessed approximately up to 2 years).):
The time from the date of first documented response until the date of documented progression as assessed by the investigator according to the Lugano classification for cHL, or death due to any cause

3. Part A and Part B: Progression-free Survival (PFS) (Time Frame - Non-randomized study parts: from first dose (each cycle is 21 days) until disease progression or death, whichever comes first. Randomized parts: from date of randomization until disease progression or death, whichever comes first. (Approx up to 2 years)):
Time from date of first dose (non- randomised study parts) or date of randomization (randomised study parts) until progression as assessed by the investigator according to the Lugano Classification for cHL, or death due to any cause.

4. Part A and Part B: Overall Survival (OS) (Time Frame - Non-randomized study parts: From first dose (Cycle 1 Day 1, each cycle is 21 days) until death. Randomized study parts: from date of randomization until the date of death due to any cause (assessed approximately up to 2 years).):
Time from date of first dose (non-randomised study parts) or date of randomization (randomised study parts) until the date of death due to any cause.

5. Part A and Part B: Maximum observed plasma drug concentration (Cmax) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

6. Part A: Dose normalised maximum observed plasma drug concentration (Cmax) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

7. Part A: Accumulation ratio for maximum observed plasma drug concentration (Cmax) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

8. Part A and Part B: Minimum observed plasma drug concentration (Cmin) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

9. Part A and Part B: Time to reach peak or maximum observed concentration following drug administration (Tmax) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

10. Part A and Part B: Area under the plasma concentration-curve over the dosing interval (AUCtau) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

11. Part A: Dose normalized area under the plasma concentration-curve over the dosing interval (AUCtau) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

12. Part A: Accumulation ratio for area under the plasma concentration-curve over the dosing interval (AUCtau) (Time Frame - From Cycle 1 Day 1 (each cycle is 21 days) to EoT, at predefined intervals throughout the treatment period (for each patient this is expected to be approximately 6 months).):
Assessed to characterize the plasma PK profile of AZD3470.

13. Part A: Cumulative amount (%) of drug recovered unchanged in urine during dosing interval (Ae,tau) (Time Frame - From Cycle 1 Day 1 to end of Cycle 1 at predefined intervals throughout the cycle (each cycle is 21 days).):
Assessed to characterize the urine PK profile of AZD3470.

14. Part A: Renal clearance (Clr) (Time Frame - From Cycle 1 Day 1 to end of Cycle 1 at predefined intervals throughout the cycle (each cycle is 21 days).):
Assessed to characterize the urine PK profile of AZD3470.

15. Part B: Ratio of maximum observed plasma drug concentration (Cmax) under fed/fasted state (Time Frame - From Cycle 1 Day 1 to Cycle 2 Day 1 at predefined intervals (each cycle is 21 days).):
Preliminary food effect on plasma PK of AZD3470 administered as a monotherapy in participants enrolled in dose expansion.

16. Part B: Time to reach peak or maximum observed concentration following drug administration (Tmax) under fed conditions (Time Frame - From Cycle 1 Day 1 to Cycle 2 Day 1 at predefined intervals (each cycle is 21 days).):
Preliminary food effect on plasma PK of AZD3470 administered as a monotherapy in participants enrolled in dose expansion.

17. Part B: Time to reach peak or maximum observed concentration following drug administration (Tmax) under fasted conditions (Time Frame - From Cycle 1 Day 1 to Cycle 2 Day 1 at predefined intervals (each cycle is 21 days).):
Preliminary food effect on plasma PK of AZD3470 administered as a monotherapy in participants enrolled in dose expansion.

18. Part B: Ratio of area under the plasma concentration-curve over the dosing interval (AUCtau) under fed/fasted state (Time Frame - From Cycle 1 Day 1 to Cycle 2 Day 1 at predefined intervals (each cycle is 21 days).):
Preliminary food effect on plasma PK of AZD3470 administered as a monotherapy in participants enrolled in dose expansion.

Geprüfte Regime

  • AZD3470:
    AZD3470 is a novel, potent and selective, secondgeneration, Methylthioadenosine (MTA)-selective, small molecule inhibitor of PRMT5.

Quelle: ClinicalTrials.gov


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