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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05647122
Other study ID # D9350C00001
Secondary ID
Status Recruiting
Phase Phase 1
First received
Last updated
Start date December 22, 2022
Est. completion date October 29, 2025

Study information

Verified date June 2024
Source AstraZeneca
Contact AstraZeneca Clinical Study Information Center
Phone 1-877-240-9479
Email information.center@astrazeneca.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a first-in-human (FIH) Phase I, multi-center, open-label, study of AZD9592, in patients with advanced solid tumors. The study consists of several study modules, each evaluating the safety, tolerability, preliminary efficacy, pharmacokinetics (PK), pharmacodynamics, anti-tumor activity, and immunogenicity of AZD9592, as monotherapy or in combination with anti-cancer agents.


Recruitment information / eligibility

Status Recruiting
Enrollment 162
Est. completion date October 29, 2025
Est. primary completion date October 29, 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Key Inclusion Criteria: - Age = 18 years - Eastern Cooperative Oncology Group (ECOG) Performance Status: 0-1 - Life expectancy = 12 weeks - Measurable disease per RECIST v1.1 - Adequate organ and marrow function as defined in the protocol Additional Inclusion Criteria for Module 1: • Histologically or cytologically confirmed metastatic or locally advanced EGFRmut., NSCLC; metastatic EGFRwt. NSCLC; recurrent or metastatic HNSCC of the oral cavity; metastatic CRC. Additional Inclusion Criteria for Module 2: • Histologically or cytologically confirmed metastatic NSCLC EGFRmut. Additional Inclusion Criteria for Module 3: • Histologically or cytologically confirmed metastatic CRC. Key Exclusion Criteria: - History of (non-infectious) ILD/pneumonitis that required steroids, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening. - Spinal cord compression or a history of leptomeningeal carcinomatosis. - Active infection including tuberculosis and HBV, HCV or HIV - Brain metastases unless treated (prior treatment required only for Module 1), asymptomatic, stable, and not requiring continuous corticosteroids at a dose of > 10 mg prednisone/day or equivalent for at least 4 weeks prior to start of study treatment. - Participants with cardiac comorbidities as defined in the study protocol

Study Design


Intervention

Drug:
AZD9592
Varying doses of AZD9592
Osimertinib
tablets administered orally
5-Fluorouracil (5-FU)
IV infusion
Leucovorin
IV infusion
Bevacizumab
IV infusion

Locations

Country Name City State
Australia Research Site Kogarah
Australia Research Site Melbourne
Canada Research Site Edmonton Alberta
Canada Research Site Toronto Ontario
China Research Site Beijing
China Research Site Beijing
China Research Site Chongqing
China Research Site Guangzhou
China Research Site Harbin
China Research Site Wuhan
France Research Site Rennes
France Research Site Villejuif Cedex
Italy Research Site Milano
Italy Research Site Orbassano
Italy Research Site Rozzano
Italy Research Site Verona
Japan Research Site Chuo-ku
Japan Research Site Kashiwa
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Korea, Republic of Research Site Seoul
Malaysia Research Site Kuching
Spain Research Site Barcelona
Spain Research Site Madrid
Spain Research Site Sevilla
Taiwan Research Site Taichung
Taiwan Research Site Taipei
Taiwan Research Site Taipei City
Taiwan Research Site Taoyuan
United States Research Site Baltimore Maryland
United States Research Site Chicago Illinois
United States Research Site Duarte California
United States Research Site Fairfax Virginia
United States Research Site Houston Texas
United States Research Site Irvine California
United States Research Site Milford Massachusetts
United States Research Site Mineola New York
United States Research Site New York New York
United States Research Site New York New York
United States Research Site New York New York
United States Research Site North Haven Connecticut
United States Research Site Philadelphia Pennsylvania
United States Research Site Providence Rhode Island

Sponsors (1)

Lead Sponsor Collaborator
AstraZeneca

Countries where clinical trial is conducted

United States,  Australia,  Canada,  China,  France,  Italy,  Japan,  Korea, Republic of,  Malaysia,  Spain,  Taiwan, 

Outcome

Type Measure Description Time frame Safety issue
Primary Incidence of Adverse Events (AEs) Number of patients with adverse events by system organ class and preferred term From time of Informed Consent to 30 days post last dose of AZD9592
Primary Incidence of Serious Adverse Events (SAEs) Number of patients with serious adverse events by system organ class and preferred term From time of Informed Consent to 30 days post last dose of AZD9592
Primary Incidence of dose-limiting toxicities (DLT) as defined in the protocol Number of patients with at least 1 dose-limiting toxicity (DLT), which is any toxicity defined as a DLT in the Clinical Study Protocol From time of first dose of AZD9592 to end of DLT period (approximately 21 days)
Primary Incidence of baseline laboratory finding, ECG and vital signs changes measured by laboratory and vital sign variables over time including change from baseline From time of Informed Consent to 30 days post last dose of AZD9592
Primary Proportion of patients with radiological response (ORR) Assessed by overall response rate (ORR) defined as the proportion of patients who have a confirmed complete or partial radiological response by the Investigator according to RECIST v1.1 (for patients in the dose expansion cohorts, only) From date of first dose of AZD9592 up until progression, or the last evaluable assessment in the absence of progression (approximately 2 years)
Secondary Objective Response Rate (ORR) The percentage or number of patients with a confirmed investigator assessed complete or partial response according to response criteria in solid tumours (RECIST v1.1) From date of first dose of AZD9592 up until progression, or the last evaluable assessment in the absence of progression (approximately 2 years)
Secondary Duration of Response (DoR) The time from date of first response until date of disease progression or last evaluable assessment (RECIST v1.1) in the absence of progression From date of first dose of AZD9592 up until progression, or the last evaluable assessment in the absence of progression (approximately 2 years)
Secondary Disease Control Rate (DCR) at 12 weeks The percentage of patients with confirmed CR or PR or having SD maintained (RECIST v1.1) for >=11 weeks from first dose From date of first dose of AZD9592 up until progression, or the last evaluable assessment in the absence of progression (for each patient this is expected to be measured at 12 weeks)
Secondary Progression free Survival (PFS) The time from first dose until RECIST 1.1 defined disease progression or death due to any cause From date of first dose of AZD9592 up until date of progression or death due to any cause (approximately 2 years)
Secondary Overall Survival (OS) The time from the date of the first dose of study treatment until death due to any cause. From date of first dose of AZD9592 up until the date of death due to any cause (approximately 2 years)
Secondary Pharmacokinetics of AZD9592: Plasma PK concentrations Measurement of plasma concentrations of AZD9592, total antibody and total unconjugated warhead From date of first dose of AZD9592 up until 30 days post last dose
Secondary Pharmacokinetics of AZD9592: Area under the concentration time curve (AUC) Measurement of PK parameters: Area under the concentration time curve (AUC) From date of first dose of AZD9592 up until 30 days post last dose
Secondary Pharmacokinetics of AZD9592: Maximum plasma concentration of the study drug (C-max) Measurement of PK parameters: Maximum observed plasma concentration of the study drug (C-max) From date of first dose of AZD9592 up until 30 days post last dose
Secondary Pharmacokinetics of AZD9592: Time to maximum plasma concentration of the study drug (T-max) Measurement of PK parameters: Time to maximum observed plasma concentration of the study drug (T-max) From date of first dose of AZD9592 up until 30 days post last dose
Secondary Pharmacokinetics of AZD9592: Clearance Measurement of PK parameters: the volume of plasma from which the study drug is completely removed per unit time (Clearance) From date of first dose of AZD9592 up until 30 days post last dose
Secondary Pharmacokinetics of AZD9592: Half-life Measurement of PK parameters: Terminal elimination half-life (t 1/2) From date of first dose of AZD9592 up until 30 days post last dose
Secondary Immunogenicity of AZD9592: Anti-Drug Antibodies (ADA) Evaluating the number and percentage of patients who develop Anti-drug antibody (ADA) during treatment From date of first dose of AZD9592 up until 30 days post last dose
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