AZD0901 in Participants With Advanced Solid Tumours Expressing Claudin18.2

Launched by ASTRAZENECA · Jan 12, 2024

Keywords

ClinConnect Summary

This clinical trial is studying a new treatment called AZD0901 for patients with advanced solid tumors that express a protein known as Claudin18.2. The trial aims to find out how safe and effective this treatment is, both on its own and when combined with other cancer therapies. It focuses on patients with specific types of cancer, including gastric cancer, gastroesophageal junction cancer, and pancreatic cancer. The research team is currently looking for participants who are 18 years or older and have measurable cancer lesions that meet certain criteria.

To qualify for the trial, participants must have a confirmed diagnosis of cancer and not have received more than two prior treatments for their advanced disease. It’s important for potential participants to have good overall health and function, as well as a life expectancy of at least 12 weeks. Those who join the trial will be closely monitored for how well the treatment works and any side effects. Overall, this trial offers a chance for eligible patients to contribute to important research while exploring a new treatment option.

Gender

ALL

Eligibility criteria

• • The list below is a summarised eligibility criteria for the study - refer to the study protocol for full criteria.
• Master Inclusion Criteria applicable to all sub studies:
• • Participant must be ≥ 18 years or the legal age of consent at the time of signing the ICF.
• • Participants who are CLDN18.2 positive.
• • Must have at least one measurable lesion according to RECIST v1.1.
• • ECOG performance status of 0 to 1 with no deterioration over the previous 2 weeks prior first day of dosing.
• • Predicted life expectancy of ≥ 12 weeks.
• • Adequate organ and bone marrow function as defined by protocol.
• • Body weight \> 35 kg.
• • Participants are willing to comply with contraception requirements.
• Sub study 1 Specific Inclusion criteria:
• • Histologically confirmed adenocarcinoma of the stomach or gastroesophageal junction.
• • Advanced or metastatic GC/GEJC.
• • Maximum 2 prior lines of systemic treatment for unresectable or metastatic disease.
• Sub study 2 Specific Inclusion criteria:
• • Participants diagnosed with histologically confirmed metastatic or advanced PDAC.
• • Availability of an archival sample or a fresh tumour biopsy taken at screening.
• • No prior treatments for unresectable or metastatic disease. Prior neoadjuvant/adjuvant chemotherapy is permitted as long as participants progressed ≥ 6 months (183 days) from the last dose.
• • Sub study 3 Specific Inclusion criteria
• • Histologically confirmed, unresectable advanced, or metastatic adenocarcinoma of biliary tract, including cholangiocarcinoma (intrahepatic or extrahepatic) and gallbladder carcinoma (NOTE: Ampullary cancers are not eligible).
• • Documented radiographic or clinical disease progression on or after at least one prior regimen and maximum 2 prior lines of systemic treatment for unresectable or metastatic disease.
• Master Exclusion Criteria applicable to all sub studies:
• • Unstable or active peptic ulcer disease or digestive tract bleeding including but not limited to clinically significant bleeding in the setting of prior CLDN18.2 directed therapy.
• • Participants with clinically significant ascites that require drainage.
• • A history of drug-induced non-infectious ILD/pneumonitis.
• • Central nervous system metastases or CNS pathology.
• • Peripheral neuropathy, sensory, or motor ≥ Grade 2 at screening.
• • History of another primary malignancy.
• • Prior exposure to any MMAE-based ADC.
• • Prior exposure to any CLDN18.2 targeted agents except anti-CLDN18.2 monoclonal antibody.
• Sub study 1 Specific Exclusion criteria:
• • Participants with HER2-positive (3+ by IHC, or 2+ by IHC, and positive by ISH) or indeterminate GC/GEJC unless they have failed/not tolerated/or are not eligible for standard anti-HER2 therapy, where available.
• • Any factors that increase the risk of QTc prolongation or risk of arrhythmic events.
• • The use of concomitant medications known to prolong the QT/QTc interval.
• Sub study 2 Specific Exclusion criteria:
• • Known DPD enzyme deficiency based on local testing where testing is SoC.
• • Use of strong inhibitor or inducer of UGT1A1.
• • Use of strong inhibitors or inducers of CYP3A4.
• • Known homozygous for the UGT1A1\*28 allele based on local testing where testing is SoC.
• • Sub study 3 Specific Exclusion criteria
• • • Clinically significant biliary obstruction that has not resolved before enrollment.