November 28, 2017
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February 6, 2018
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April 3, 2024
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April 2, 2018
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April 22, 2026 (Final data collection date for primary outcome measure)
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- Incidence of dose-limiting toxicities (DLTs) [ Time Frame: From the start of treatment until the end of the DLT period (approximately 6 weeks for Arm A, 3 weeks for Arm B and 10 weeks for Arm C) ]
DLTs will be used to calculate the maximum tolerated dose (MTD). The MTD of AZD1390 is the maximum dose at which <=25% patients experience a DLT.
- Incidence of adverse events (AEs) and serious adverse events (SAEs) [ Time Frame: From the start of treatment until the patient is off study (approximately 1 year for all Arms) ]
For each adverse event CTCAE grade and causality (related to AZD1390 or radiotherapy) will be collected.
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- Incidence of dose-limiting toxicities (DLTs) [ Time Frame: From the start of treatment until the end of the DLT period (approximately 6 weeks for Arm A and B and 10 weeks for Arm C) ]
DLTs will be used to calculate the maximum tolerated dose (MTD). The MTD of AZD1390 is the maximum dose at which <=25% patients experience a DLT.
- Incidence of adverse events (AEs) and serious adverse events (SAEs) [ Time Frame: From the start of treatment until the patient is off study (approximately 1 year for Arm A and C and approximately 7 weeks for Arm B) ]
For each adverse event CTCAE grade and causality (related to AZD1390 or radiotherapy) will be collected.
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- Event free survival (EFS) for Arms A and C only [ Time Frame: From the start of treatment until the patient is off study (approximately 1 year) ]
Defined as the time from the first dose of AZD1390 until the occurrence of any of the following events:
- Tumor progression or recurrence based on RANO criteria
- Secondary malignancy
- Change in tumor treatment due to increase clinical symptoms
- Death due to any cause
- Objective response rate defined by RANO criteria for Arms A and C only [ Time Frame: Every 8 weeks starting from 4 weeks after RT until the end of the study (approximately 1 year) ]
The proportion of patients achieving a complete or partial tumor response (CR or PR) according to RANO criteria.
- Objective response rate defined by RANO-BM criteria for Arm B only. **Arm B has now closed to recruitment** [ Time Frame: From screening until the patient is off study, approximately 8 weeks ]
The proportion of patients achieving a complete or partial tumor response (CR or PR) according to RANO-BM criteria.
- Objective response rate defined by RECIST 1.1 criteria for Arm B only. **Arm B has now closed to recruitment** [ Time Frame: From screening until the patient is off study, approximately 8 weeks ]
The proportion of patients achieving a complete or partial tumor response (CR or PR) according to RECIST 1.1 criteria.
- Maximum Observed Plasma Concentration (Cmax) of AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arm A, 2 weeks for Arm B and 9 weeks for Arm C) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive Cmax
- Time to observed Cmax (Tmax) for AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arm A, 2 weeks for Arm B and 9 weeks for Arm C) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive Tmax
- Area under the plasma concentration-time curve (AUC) for AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arm A, 2 weeks for Arm B and 9 weeks for Arm C) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive AUC
- Renal clearance (CLR) for AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arm A and 9 weeks for Arm C) ]
Urine samples will be collected to assess urine concentrations of AZD1390 at a series of timepoints to derive renal clearance
- Overall survival for Arms A and C only [ Time Frame: From start of treatment until the patient dies, withdraws or the end of study is reached (approximately 15 months after last patient has started treatment) ]
Defined as the time from the first dose of AZD1390 until death from any cause
- Assessment of the food effect of AZD1390 at the MTD for Arm A (if conducted) [ Time Frame: At two predefined intervals throughout cycle 0 (approximately 7 to 9 days) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive Tmax
- Assessment of the food effect of AZD1390 at the MTD for Arm A (if conducted) [ Time Frame: At two predefined intervals throughout cycle 0 (approximately 7 to 9 days) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive Cmax
- Assessment of the food effect of AZD1390 at the MTD for Arm A (if conducted) [ Time Frame: At two predefined intervals throughout cycle 0 (approximately 7 to 9 days) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive AUC
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- Event free survival (EFS) for Arms A and C only [ Time Frame: From the start of treatment until the patient is off study (approximately 1 year) ]
Defined as the time from the first dose of AZD1390 until the occurrence of any of the following events:
- Tumor progression or recurrence based on RANO criteria
- Secondary malignancy
- Change in tumor treatment due to increase clinical symptoms
- Death due to any cause
- Objective response rate defined by RANO criteria for Arms A and C only [ Time Frame: Every 8 weeks starting from 4 weeks after RT until the end of the study (approximately 1 year) ]
The proportion of patients achieving a complete or partial tumor response (CR or PR) according to RANO criteria.
- Objective response rate defined by RANO-BM criteria for Arm B only [ Time Frame: From screening until the patient is off study, approximately 8 weeks ]
The proportion of patients achieving a complete or partial tumor response (CR or PR) according to RANO-BM criteria.
- Objective response rate defined by RECIST 1.1 criteria for Arm B only [ Time Frame: From screening until the patient is off study, approximately 8 weeks ]
The proportion of patients achieving a complete or partial tumor response (CR or PR) according to RECIST 1.1 criteria.
- Maximum Observed Plasma Concentration (Cmax) of AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arms A and B and 9 weeks for Arm C) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive Cmax
- Time to observed Cmax (Tmax) for AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arms A and B and 9 weeks for Arm C) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive Tmax
- Area under the plasma concentration-time curve (AUC) for AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arms A and B and 9 weeks for Arm C) ]
Blood samples will be collected to assess plasma concentrations of AZD1390 at a series of timepoints to derive AUC
- Renal clearance (CLR) for AZD1390 [ Time Frame: At predefined intervals throughout the AZD1390 treatment period (approximately 5 weeks for Arms A and B and 9 weeks for Arm C) ]
Urine samples will be collected to assess urine concentrations of AZD1390 at a series of timepoints to derive renal clearance
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Not Provided
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Not Provided
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A Study to Assess the Safety and Tolerability of AZD1390 Given With Radiation Therapy in Patients With Brain Cancer
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A Phase I, Multicentre Study to Assess the Safety, Tolerability, and Pharmacokinetics of Ascending Doses of AZD1390 in Combination With Radiation Therapy in Patients With Glioblastoma Multiforme and Brain Metastases From Solid Tumors.
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This study will test an investigational drug called AZD1390 in combination with radiation therapy for the treatment of brain tumors. This is the first time AZD1390 is being given to patients. This study will test safety, tolerability and PK (how the drug is absorbed, distributed and eliminated) of ascending doses of AZD1390 in combination with distinct regimens of radiation therapy
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This first time-in patients (FTIP), open-label, multicentre study of AZD1390 will be conducted in the United States and in the United Kingdom, and it consists of three treatment arms: Arm A, B, C. This Phase 1 study will assess safety and tolerability of AZD1390 in combination with radiation therapy (RT) in brain malignancies. The combination cohorts have been designed to assess escalating cumulative doses of AZD1390 in settings with 3 different radiation treatment regimens:
- Arm A: 35 Gy over 2 weeks with intensity-modulated radiation therapy (IMRT) in patients with recurrent Glioblastoma Multiforme (GBM)
- Arms B: 30 Gy over two weeks with whole brain radiation therapy (WBRT)/ partial brain radiation therapy (PBRT) in patients with brain metastases. **Arm B has now closed to recruitment**
- Arm C: 60 Gy over 6 weeks (IMRT) in patients with primary GBM Each arm provides standard of care RT for the disease setting indicated with the experimental agent being administered in dose escalating cohorts.
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Interventional
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Phase 1
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Allocation: N/A Intervention Model: Single Group Assignment Intervention Model Description: AZD1390 will be administered to patients in three different Arms (A, B and C), with each arm receiving standard of care radiation therapy (RT) for their disease setting.
In arms A and C, AZD1390 will be administered in three cycles: Cycle 0 (before RT), Cycle 1 (during RT) and Cycle 2 (after RT).
In arm B, AZD1390 will be administered in cycle 1 only (during RT). Within each arm, AZD1390 will be administered in dose escalating cohorts, first in an intermittent and then in a consecutive fashion, to achieve daily administration prior to RT.
**Arm B has now closed to recruitment**
For Arm A, there is an optional food effect assessment during cycle 0. *Note: the optional food effect assessment is currently not open to recruitment* Masking: None (Open Label) Primary Purpose: Treatment
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- Recurrent Glioblastoma Multiforme
- Primary Glioblastoma Multiforme
- Brain Neoplasms, Malignant
- Leptomeningeal Disease (LMD)
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Experimental: AZD1390 + Radiation Therapy
AZD1390 + Radiation Therapy
Interventions:
- Radiation: Radiation Therapy
- Drug: AZD1390
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Not Provided
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Recruiting
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120
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132
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April 22, 2026
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April 22, 2026 (Final data collection date for primary outcome measure)
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Inclusion Criteria:
**Arm B has now closed to recruitment**
Additional Inclusion criteria for Food Effect Assessment (Arm A):
- For the fed assessment portion: fast overnight (for at least 10 hours) prior to consuming a high-fat meal consisting of approximately 800 to 1000 calories, with around 54% of the calories coming from fat.
- For the fasted assessment portion: fast overnight (for at least 10 hours prior to dosing) and until 4 hours after dosing.
*Note: the optional food effect assessment is currently not open to enrolment*
Exclusion Criteria:
- Administration of chemotherapy or any investigational drug in the 28 days or carmustine (CCNU) or lomustine (BCNU) in the 6 weeks prior to receiving the first dose of treatment in Arms A and C. Administration of checkpoint inhibitors within 28 days prior to first dose of treatment and any other agent within 7 days of beginning study treatment in Arm B. Hormonal therapies are allowed during study treatment for patients in Arm B.
- History of severe brain-injury or stroke.
- Patient not eligible for sequential MRI evaluations are not eligible for this study.
- History of epileptic disorder or any seizure history unrelated to tumor
- Treatment with Strong inhibitors or inducers of CYP3A4 within 2 weeks prior to receiving study drug
- Concurrent therapy with other seizurogenic medications.
- Past medical history of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis which required steroid treatment, or any evidence of clinically active ILD.
- Concurrent severe and/or uncontrolled medical condition (e.g., severe COPD).
- Prior treatment with pneumotoxic drugs, e.g. busulfan, bleomycin, within the past year. If prior therapy in lifetime, then excluded if history of pulmonary toxicities from administration. Patients who have received treatment with nitrosoureas (e.g., carmustine, lomustine) in the year before study entry without experiencing lung toxicity are allowed on study.
- History or presence of myopathy or raised creatine kinase (CK) >5 x upper limit of normal (ULN) on 2 occasions at screening.
- Cardiac dysfunction defined as: Myocardial infarction within six months of study entry, NYHA (New York Heart Association) Class II/III/IV heart failure, unstable angina, unstable cardiac arrhythmias
- Evidence of severe pulmonary infections, as judged by the investigator
- With the exception of alopecia, any unresolved toxicities from prior therapy greater than National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE 4.03) Grade 1 at the time of starting study treatment and patients with chronic Grade 2 unresolved toxicities may be eligible
Additional Exclusion criteria for Food Effect Assessment (Arm A):
- Diabetes Type I, Type II, or steroid-induced diabetes.
- Undergoing systemic steroid treatment *Note: the optional food effect assessment is currently not open to enrolment*
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Sexes Eligible for Study: |
All |
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18 Years to 130 Years (Adult, Older Adult)
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No
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United Kingdom, United States
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NCT03423628
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D6940C00002 135803 ( Registry Identifier: IND ) 2017-002451-28 ( EudraCT Number )
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No
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Studies a U.S. FDA-regulated Drug Product: |
Yes |
Studies a U.S. FDA-regulated Device Product: |
No |
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Plan to Share IPD: |
Yes |
Plan Description: |
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure |
Time Frame: |
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. |
Access Criteria: |
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. |
URL: |
https://astrazenecagroup-dt.pharmacm.com/DT/Home |
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AstraZeneca
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Same as current
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AstraZeneca
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Same as current
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Not Provided
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Principal Investigator: |
Patrick Wen |
Dana-Farber Cancer Institute |
Principal Investigator: |
Brandon Imber |
Memorial Sloan Kettering Cancer Center |
Principal Investigator: |
Mariza Daras |
VCU Massey Cancer Center |
Principal Investigator: |
Jan Drappatz |
UPMC Hospital Radiation Oncology |
Principal Investigator: |
Deborah Forst |
Massachusetts General Hospital |
Principal Investigator: |
Anthony Chalmers |
Beatson West of Scotland Cancer Centre |
Principal Investigator: |
Rajesh Jena |
Cambridge University Hospitals NHS Foundation Trust |
Principal Investigator: |
Susan Short |
University of Leeds |
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AstraZeneca
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April 2024
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