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临床试验/EUCTR2020-002688-77-PL
EUCTR2020-002688-77-PL进行中(未招募)1 期

A Modular Phase I/IIa, Open-label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of Ascending Doses of AZD5305 as Monotherapy and in Combination with Anti-cancer Agents in Patients with Advanced Solid Malignancies

AstraZeneca AB0 个研究点目标入组 1,067 人开始时间: 2021年5月19日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
1,067

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1Provision of signed and dated, written informed consent prior to any study specific procedures, sampling and analyses
  • 2Age = 18 at the time of screening
  • 3Patients must have histological or cytological confirmation of advanced malignancy considered to be suitable for study treatment and meeting module specific eligibility criteria.
  • 4Eastern Cooperative Oncology Group Performance status (ECOG) PS: 0-2 with no deterioration in the previous 2 weeks
  • 5Life expectancy = 12 weeks
  • 6Progressive cancer at the time of study entry
  • 7Patients must have evaluable disease as per RECIST v1.1
  • 8Female subjects of childbearing potential: Must have negative
  • pregnancy test result at screening and prior to each cycle administration of study treatment and must use at least one highly effective method of birth control plus a barrier method.
  • 9Female subjects must not breastfeed and must not donate or retrieve ova for their own use, from screening to approximately 6 months after the last dose of study treatment with IMP.
  • 10Male patients must use a condom with spermicide with all sexual
  • partners from screening to approximately 6 months after the last dose of AZD5305 IMP.
  • 11. Adequate organ and marrow function as defined by the protocol.
  • 12. For part B expansion cohorts: Provision of formalin-fixed and paraffin embedded (FFPE) tumour specimen is mandatory except if stated that it is optional in a specific Module.
  • Other module specific criteria may apply.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 939
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 128

排除标准

  • 1 Treatment with any of the following:
  • a Nitrosourea or mitomycin C within 6 weeks of the first dose of study treatment
  • b 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
  • c Any other anticancer treatment within the time periods to the first dose of study treatment as indicated in the protocol
  • d Any live virus or bacterial vaccine within 28 days of the first dose of study treatment
  • 2 Concomitant use of medications or herbal supplements known to be cytochrome P450 3A4 (CYP3A4) strong and moderate inhibitors or inducers.
  • 3 Concomitant use of drugs that are known to prolong or shorten QT and have a known risk of Torsades de Pointes.
  • 4 During the 4 weeks prior to the first dose, receiving continuous
  • corticosteroids at a dose of > 10 mg prednisone/day or equivalent for any reason.
  • 5 Major surgery within 4 weeks of the first dose of study treatment.
  • 6 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.
  • 7 With the exception of alopecia, any unresolved toxicities from prior therapy greater than Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 at the time of starting study treatment.
  • 8 Any history of persisting (> 2 weeks) severe pancytopenia due to any cause
  • 9 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. Any evidence of severe or uncontrolled systemic diseases, including, active bleeding diatheses, or active infection including hepatitis B, hepatitis C and HIV. Screening for chronic conditions is not required.
  • 10 Patients with any known predisposition to bleeding
  • 11 Any of the following cardiac criteria
  • Mean resting corrected QT interval (QTcF) > 450 milliseconds or
  • QTcF<340 milliseconds
  • Any factors that increase the risk of QT prolongation, shortening or risk of arrhythmic events, congenital long or short QT syndrome, family history of long QT syndrome, familial short QT syndrome or unexplained sudden death under 40 years of age or any concomitant medication known to prolong or shorten the QT interval
  • Any clinically important abnormalities in rhythm, conduction or
  • morphology of resting ECG and clinically significant sinus node
  • dysfunction not treated with pacemaker.
  • 12 Other cardiovascular diseases as defined by any of the following
  • (a) Symptomatic heart failure,
  • (b) uncontrolled hypertension,
  • (c) hypertensive heart disease with significant left ventricular
  • hypertrophy
  • (d) 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.
  • (e) cardiomyopathy of any etiology
  • (f) presence of clinically significant valvular heart disease
  • (g) history of atrial or ventricular arrhythmia requiring treatment;
  • subjects with atrial fibrillation/flutter and optimally controlled
  • ventricular rate (<100 beats per minute) are permitted
  • (h) transient ischaemic attack, or stroke within 6 months prior to
  • (i) patients with symptomatic hypotension at screening
  • 13 Patients with myelodysplastic syndrome/acu

研究者

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