Study of AZD5305 as Monotherapy and in Combination With Anti-cancer Agents in Patients With Advanced Solid Malignancies

Launched by ASTRAZENECA · Nov 19, 2020

Keywords

ClinConnect Summary

This clinical trial is testing a new treatment called AZD5305, a type of medication known as a PARP inhibitor, to see if it is safe and effective for patients with advanced solid tumors, including various types of cancers like ovarian, breast, pancreatic, and prostate cancer. The study is looking at how well AZD5305 works on its own and when used together with other cancer treatments. The trial is currently recruiting participants who are at least 18 years old and have been diagnosed with advanced cancer that is progressing.

To be eligible for the trial, participants should have a life expectancy of at least 12 weeks, good overall health, and certain measurable signs of their cancer. They should not have received specific prior treatments that could interfere with the study. If you join the trial, you will be closely monitored by healthcare professionals and might receive the experimental treatment along with regular check-ups to assess how well you respond to the medication. This trial aims to find out if AZD5305 can help improve outcomes for patients with difficult-to-treat cancers, and your participation could contribute valuable information to cancer research.

Gender

ALL

Eligibility criteria

• Key Inclusion Criteria:
• • Age ≥ 18 at the time of screening
• • Histological or cytological confirmation of advanced malignancy considered to be suitable for study treatment and meeting module specific eligibility criteria..
• • Eastern Cooperative Oncology Group Performance status (ECOG PS: 0-2)
• • Life expectancy ≥ 12 weeks
• • Progressive cancer at the time of study entry
• • Patients must have evaluable disease as defined in module-specific criteria for Part A and Part B
• • Adequate organ and marrow function as defined by the protocol.
• • For Part B expansion cohorts: Provision of formalin-fixed and paraffin embedded (FFPE) tumour specimen is mandatory, where available, except if stated that it is optional in a specific Module.
• For Part A:
• • - Patients may have received up to one prior line of therapy with a PARPi-based regimen (either as a treatment or as maintenance)
• For Part B:
• • - Patients must not have received prior therapy with a PARPi-based regimen (either as a treatment or as maintenance).
• Key Exclusion Criteria:
• * Treatment with any of the following:
• • 1. Nitrosourea or mitomycin C within 6 weeks of the first dose of study treatment
• • 2. Any investigational agents or study drugs from a previous clinical study within 5 half-lives or 3 weeks (whichever is shorter) of the first dose of study treatment
• • 3. Any other chemotherapy, immunotherapy or anticancer agents within 3 weeks of the first dose of study treatment
• • 4. Any live virus or bacterial vaccine within 28 days of the first dose of study treatment
• • Concomitant use of medications or herbal supplements known to be cytochrome P450 3A4 (CYP3A4) strong inhibitors or inducers.
• • Concomitant use of drugs that are known to prolong or shorten QT and have a known risk of Torsades de Pointes.
• • Receiving continuous corticosteroids at a dose of \>10 mg prednisone/day or equivalent for any reason.
• • Major surgery within 4 weeks of the first dose of study treatment.
• • Radiotherapy with a wide field of radiation within 4 weeks or radiotherapy with a limited field of radiation for palliation within 2 weeks of the first dose of study treatment.
• • Any history of persisting (\> 2 weeks) severe pancytopenia due to any cause
• • Spinal cord compression or brain metastases unless asymptomatic, treated and stable and not requiring continuous corticosteroids at a dose of \>10mg prednisone/day or equivalent for at least 4 weeks prior to start of study treatment. Patients with leptomeningeal carcinomatosis are excluded.
• • patient with known predisposition to bleeding (e.g., active peptic ulceration, recent \[within 6 months\] haemorrhagic stroke, proliferative diabetic retinopathy).
• • Cardiac conditions as defined by the clinical study protocol
• * Other cardiovascular diseases as defined by any of the following:
• • 1. Symptomatic heart failure,
• • 2. uncontrolled hypertension,
• • 3. hypertensive heart disease with significant left ventricular hypertrophy
• • 4. acute coronary syndrome (ACS)/acute myocardial infarction (AMI), unstable angina pectoris, coronary intervention procedure with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) within 6 months.
• • 5. cardiomyopathy of any etiology
• • 6. presence of clinically significant valvular heart disease
• • 7. history of atrial or ventricular arrhythmia requiring treatment; subjects with atrial fibrillation and optimally controlled ventricular rate (\< 100 beats per minute) are permitted.
• • 8. subjects with atrial fibrillation and optimally controlled ventricular rate are permitted
• • 9. transient ischaemic attack, or stroke within 6 months prior to screening
• • 10. patients with symptomatic hypotension at screening
• • Patients with myelodysplastic syndrome/acute myeloid leukaemia or with features suggestive of myelodysplastic syndrome (MDS)/acute myeloid leukaemia (AML).
• • Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of AZD5305
• • Known allergy or hypersensitivity to investigational product(s) or any of the excipients of the investigational product(s).
• • Prior malignancy whose natural history, in the Investigator's opinion, has the potential to interfere with safety and efficacy assessments of the investigational regimen.
• • other module-specific criteria may apply