October 26, 2020
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November 25, 2020
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April 4, 2024
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November 12, 2020
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December 15, 2026 (Final data collection date for primary outcome measure)
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- The number of subjects with adverse events/serious adverse events [ Time Frame: From time of Informed Consent to 28 + 7 days post last dose ( modules 1,2,3,5 and 6). 40+7 days post last dose for Module 4. ]
Number of patients with adverse events and with serious adverse events including abnormal clinical observations, abnormal ECG parameters, abnormal laboratory assessments and abnormal vital signs that changed from baseline
- The number of subjects with dose-limiting toxicity (DLT), as defined in the protocol. [ Time Frame: From first dose of study treatment until the end of Cycle 1. ]
A DLT is defined as any toxicity that occurs from the first dose of study treatment (either AZD5305 or combination anti-cancer agent) up to and including the planned end of Cycle 1 (the DLT assessment period) that is assessed as unrelated to the disease or disease-related processes under investigation. DLTs occurring outside the DLT window (ie, late onset toxicities) may be defined as a DLT after consultation with the sponsor and investigators, based on the emerging safety profile.
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- The number of subjects with adverse events/serious adverse events [ Time Frame: From time of Informed Consent to 28 days post last dose (approximately 1 year) ]
Number of patients with adverse events and with serious adverse events including abnormal clinical observations, abnormal ECG parameters, abnormal laboratory assessments and abnormal vital signs
- The number of subjects with dose-limiting toxicity (DLT), as defined in the protocol. [ Time Frame: From first dose of study treatment until the end of Cycle 1. Approximately 35 days. ]
A DLT is defined as any toxicity that occurs from the first dose of study treatment (either AZD5305 or combination anti-cancer agent) up to and including the planned end of Cycle 1 (the DLT assessment period) that is assessed as unrelated to the disease or disease-related processes under investigation and which includes pre-defined haematological, cardiac and non-haematological toxicities.
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- Best percentage change in target lesion [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Change in target lesion size from baseline, as defined by RECIST 1.1.
- Objective Response Rate [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Best response until progression, as defined by RECIST 1.1.
- Duration of Response [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Time from first response to progression or death , as defined by RECIST 1.1.
- Progression Free Survival [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Time from C1D1 to progression or death, as defined by RECIST 1.1.
- Time To Response [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Time from C1D1 to complete or partial response, as defined by RECIST 1.1.
- Effects of AZD5305 on pH2AX (Ser139) PD biomarker [ Time Frame: From Cycle 0 Day 1 to Cycle 1 Day 15 (approximately 21 days) ]
Measure change from baseline in pH2AX
- CA125 response (ovarian cancer) [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
at least a 50% reduction in CA125 levels from a pre-treatment sample as defined by GCIG criteria.
- Module 1: Area Under Curve (AUC) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 1: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 1: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
- Module 1 and Module 5: Objective Response Rate (prostate cancer) [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Best response until progression, as defined by RECIST 1.1 or PCWG3 (bone)
- Module 1: Radiographic progression free survival (prostate cancer) [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Time from C1D1 to progression or death, as defined by RECIST 1.1 and PCWG3(bone).
- Module 1: Proportion of subjects with ≥ 50% PSA decrease (prostate cancer) [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
PSA from baseline to the lowest post-baseline PSA result, confirmed by a second consecutive PSA assessment
- Module 1 : To investigate the effect of a high-fat meal on the PK of AZD5305 [ Time Frame: Cycle 0, Day 1 (C0D1), in either the "fasted" or "fed" state, followed by a single oral dose of AZD5305 in the other state for Cycle 1, Day 1 (C1D1) at least 72 hours later; 1 cycle is 28 days. ]
Effect on High fat meal on PK parameters of AZD5305.PK parameters, including but not limited to AUC and/or AUC(0-t), Cmax, Tmax, AUC(0-t) and Cmax ratio, with and without food
- Module 2: Area Under Curve (AUC) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 2: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 2: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
- Module 3: Area Under Curve (AUC) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 3: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 3: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
- Module 4 : Area Under Curve [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 4: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 4: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
- Module 4: Anti-Drug Antibody (ADA) [ Time Frame: Samples will be collected within 1 hour before dose administration on Day 1 of Cycle 1, 2, and 4, then every 4 Cycles (each cycle is 21 days), EoT, and at safety follow-up (40 days after last dose) as per Schedule of Assessments ]
To investigate the presence of ADAs for T-DXd
- Module 4: To assess the preliminary anti-tumour activity of AZD5305 as monotherapy and in combination with T-DXd. [ Time Frame: From screening to approximately 6 months ]
Time from C1D1 to progression or death, as defined by RECIST v 1.1 summarised at the 6 month landmark (PFS6)
- Module 5: Area Under Curve [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 5: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 5: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
- Module 5: Anti-Drug Antibody (ADA) [ Time Frame: Whole blood samples for determination of ADA for Dato-DXd in plasma will be collected in patients receiving Dato-DXd per the schedule specified in the SoA : Day 1 of Cycle 1, 2, 4, and 8 (each cycle is 21 days) , EoT, and then 28 day follow up visit. ]
Presence of ADAs for Dato-DXd
- Module 5: Premilinary anti tumour activity AZD5305 in combination with [ Time Frame: From screening to confirmed progresive disease ( approximately 12 weeks) ]
objective response rate and radiographic progression-free survival using RECIST v1.1.
Proportion of patients achieving a ≥ 50% decrease in PSA from baseline to the post-baseline PSA result, confirmed by a second consecutive PSA assessment at least 3 weeks later (PSA50 response).
- Module 6: To characterise the PK of AZD5305 and camizestrant following a single dose and at steady state after multiple dosing, when given in combination. [ Time Frame: At predefined interval throughout the treatment (approximately 12 weeks) ]
Plasma concentrations and PK parameters of AZD5305 and camizestrant after single dose and multiple dose administration, including, but not limited to:
AUC, Cmax, Tmax, as data allow
- Module 6: To evaluate the effect of camizestrant on the PK of AZD5305. [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
PK parameters, including but not limited to AUC and/or AUC(0-t), Cmax, Tmax, AUC(0-t) and Cmax ratio, with and without camizestrant.
- Module 6: To evaluate the effect of AZD5305 on the PK of Camizestrant. [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
PK parameters, including but not limited to AUC and/or AUC(0-t), Cmax, Tmax, AUC(0-t) and Cmax ratio, with and without AZD5305.
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- Percentage change in target lesion [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Change in target lesion size from baseline, as defined by RECIST 1.1.
- Objective Response Rate [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Best response until progression, as defined by RECIST 1.1.
- Duration of response [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Time from response to progression, as defined by RECIST 1.1.
- Progression Free Survival [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Time from C1D1 to progression or death, as defined by RECIST 1.1.
- Time to response [ Time Frame: From Screening to confirmed progressive disease (approximately 1 year) ]
Time from C1D1 to complete or partial response, as defined by RECIST 1.1.
- Effects of AZD5305 on Ph2AX (Ser139) PD biomarker [ Time Frame: From Cycle 0 Day 1 to Cycle 1 Day 15 (approximately 21 days) ]
Measure change from baseline in pH2AX
- Module 1: Area under curve (AUC) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 1: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 1: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
- Module 2: Area under curve (AUC) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 2: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 2: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
- Module 3: Area under curve (AUC) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
- Module 3: Maximum plasma concentration of the drug (Cmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Cmax will be derived).
- Module 3: The time taken to reach the maximum concentration (Tmax) [ Time Frame: At predefined intervals throughout the treatment period (approximately 12 weeks) ]
The concentration of AZD5305 in plasma will be determined (Tmax will be derived).
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Not Provided
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Not Provided
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Study of AZD5305 as Monotherapy and in Combination With Anti-cancer Agents in Patients With Advanced Solid Malignancies
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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
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This research is designed to determine if experimental treatment with PARP inhibitor, AZD5305, alone, or in combination with anti-cancer agents is safe, tolerable, and has anti-cancer activity in patients with advanced solid tumors.
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This study is a Phase I/IIa modular, open-label, multi-center study of AZD5305 administered orally, either as monotherapy or in combination with other anti-cancer agents in patients with advanced solid malignancies.
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Interventional
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Phase 1 Phase 2
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Allocation: Non-Randomized Intervention Model: Sequential Assignment Intervention Model Description: The study consists of individual modules each evaluating the safety and tolerability of AZD5305 dosed as monotherapy, or with a specific combination partner:
- Module 1 (AZD5305 monotherapy)
- Module 2 (AZD5305 in combination with paclitaxel)
- Module 3 (AZD5305 in combination with carboplatin, with or without paclitaxel)
- Module 4 (AZD5305 in combination with T DXd)
- Module 5 (AZD5305 in combination with Dato-DXd).
- Module 6 (AZD5305 in combination with Camizestrant)
Modules 1 and 4 has 2 study parts: Part A consisting of dose-escalation cohorts and Part B, consisting of expansion cohorts. Modules 2, 3, 5 and 6 have only PART A. Masking: None (Open Label) Primary Purpose: Treatment
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- Ovarian Cancer
- Breast Cancer
- Pancreatic Cancer
- Prostate Cancer
- Additional Indications Below for Module 4 and 5
- Non-small Cell Lung Cancer
- Colorectal Cancer
- Bladder Cancer
- Gastric Cancer
- Biliary Cancer
- Cervical Cancer
- Endometrial Cancer
- Small Cell Lung Cancer Only in Module 5
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- Drug: AZD5305
Oral PARP inhibitor
- Drug: Paclitaxel
IV Anti-microtubule agent
- Drug: Carboplatin
IV Platinum chemotherapeutic
- Drug: T- Dxd
IV Antibody-drug conjugate
- Drug: Dato-DXd
IV Antibody-drug conjugate
- Drug: Camizestrant
Oral SERD Molecule
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Illuzzi G, Staniszewska AD, Gill SJ, Pike A, McWilliams L, Critchlow SE, Cronin A, Fawell S, Hawthorne G, Jamal K, Johannes J, Leonard E, Macdonald R, Maglennon G, Nikkila J, O'Connor MJ, Smith A, Southgate H, Wilson J, Yates J, Cosulich S, Leo E. Preclinical Characterization of AZD5305, A Next-Generation, Highly Selective PARP1 Inhibitor and Trapper. Clin Cancer Res. 2022 Nov 1;28(21):4724-4736. doi: 10.1158/1078-0432.CCR-22-0301.
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Recruiting
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804
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540
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December 15, 2026
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December 15, 2026 (Final data collection date for primary outcome measure)
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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:
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
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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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Australia, Canada, China, Czechia, Hungary, Italy, Japan, Korea, Republic of, Poland, Russian Federation, Spain, United Kingdom, United States
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NCT04644068
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D9720C00001 2020-002688-77 ( 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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Not Provided
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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: |
Timothy Yap |
M.D. Anderson Cancer Center |
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AstraZeneca
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April 2024
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