RecruitingRecruiting
AZD0901 in Participants With Advanced Solid Tumours Expressing Claudin18.2
NCT06219941 · AstraZeneca
In plain English
Click the button to translate this study into plain language — what it is, who qualifies, and what participation looks like.
Official title
A Phase II, Open-label, Multi-centre Study to Evaluate Safety, Tolerability, Efficacy, PK, and Immunogenicity of AZD0901 as Monotherapy and in Combination With Anti-cancer Agents in Participants With Advanced Solid Tumours Expressing Claudin 18.2 (CLARITY-PanTumour01)
About this study
This open-label, multi-centre study consists of individual sub studies, each evaluating the safety and tolerability of AZD0901.
Sub study 1 will investigate the safety, tolerability, and anti-tumour activity of AZD0901 monotherapy in participants with advanced or metastatic gastric esophageal cancer expressing CLDN18.2. Participants will receive AZD0901 monotherapy via intravenous (IV) infusion and will be randomised in to one of 2 arms.
Sub study 2 will consist of two parts, a safety run-in and a dose expansion part to investigate the safety and efficacy of AZD0901 in combination with different chemotherapy agents in participants with pancreatic cancer. Substudy 3 will investigate the safety, tolerability, and anti-tumour activity of AZD0901 monotherapy in participants with advanced or metastatic Biliary tract cancer.
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.
Study design
Enrollment target: 224 participants
Allocation: randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2023-12-13
Estimated completion: 2027-09-30
Last updated: 2026-02-12
Interventions
Drug: AZD0901Drug: 5-FluorouracilDrug: LeucovorinDrug: l-leucovorinDrug: IrinotecanDrug: Nanoliposomal IrinotecanDrug: Gemcitabine
Primary outcomes
- • Incidence of adverse events (AEs), serious AEs (SAEs). Changes from baseline in clinical laboratory parameters, vital signs, ECGs and physical examination. Rate of AEs leading to discontinuation of AZD0901, Occurrence of DLTs. (30 days post treatment completion. AE Follow Up for 90 days post AZD0901 discontinuation.)
- • Objective Response Rate (ORR). (From date of first dose of AZD0901 up until progression, or the last evaluable assessment in the absence of progression (approximately 2 years).)
Sponsor
AstraZeneca · industry
Contacts & investigators
ContactAstraZeneca Clinical Study Information Center · contact · information.center@astrazeneca.com · 1-877-240-9479
All locations (52)
Research SiteRecruiting
Orange, California, United States
Research SiteRecruiting
Palo Alto, California, United States
Research SiteRecruiting
Santa Rosa, California, United States
Research SiteRecruiting
Louisville, Kentucky, United States
Research SiteRecruiting
Commack, New York, United States
Research SiteRecruiting
Providence, Rhode Island, United States
Research SiteRecruiting
Houston, Texas, United States
Research SiteRecruiting
Melbourne, Australia
Research SiteRecruiting
Murdoch, Australia
Research SiteRecruiting
Randwick, Australia
Research SiteWithdrawn
Kingston, Ontario, Canada
Research SiteRecruiting
Toronto, Ontario, Canada
Research SiteRecruiting
Montreal, Quebec, Canada
Research SiteRecruiting
Sherbrooke, Quebec, Canada
Research SiteNot Yet Recruiting
Changsha, China
Research SiteNot Yet Recruiting
Chengdu, China
Research SiteRecruiting
Tbilisi, Georgia
Research SiteRecruiting
Chūōku, Japan
Research SiteRecruiting
Kashiwa, Japan
Research SiteRecruiting
Kitaadachi-gun, Japan
Research SiteRecruiting
Kōtoku, Japan
Research SiteRecruiting
Nagoya, Japan
Research SiteRecruiting
Osakasayama-shi, Japan
Research SiteRecruiting
George Town, Malaysia
Research SiteCompleted
Johor Bahru, Malaysia
Research SiteRecruiting
Kuala Lumpur, Malaysia
Research SiteRecruiting
Kuala Selangor, Malaysia
Research SiteRecruiting
Kuching, Malaysia
Research SiteRecruiting
Chisinau, Moldova
Research SiteRecruiting
Krakow, Poland
Research SiteRecruiting
Warsaw, Poland
Research SiteRecruiting
Bukit Merah, Singapore
Research SiteRecruiting
Singapore, Singapore
Research SiteRecruiting
Singapore, Singapore
Research SiteRecruiting
Singapore, Singapore
Research SiteRecruiting
Gyeonggi-do, South Korea
Research SiteRecruiting
Seoul, South Korea
Research SiteRecruiting
Seoul, South Korea
Research SiteRecruiting
Seoul, South Korea
Research SiteRecruiting
Seoul, South Korea
Research SiteRecruiting
Barcelona, Spain
Research SiteRecruiting
Madrid, Spain
Research SiteRecruiting
Madrid, Spain
Research SiteRecruiting
Kaohsiung City, Taiwan
Research SiteRecruiting
Taichung, Taiwan
Research SiteRecruiting
Tainan, Taiwan
Research SiteRecruiting
Taipei, Taiwan
Research SiteRecruiting
Taoyuan, Taiwan
Research SiteWithdrawn
Glasgow, United Kingdom
Research SiteWithdrawn
Leeds, United Kingdom
Research SiteWithdrawn
London, United Kingdom
Research SiteWithdrawn
Oxford, United Kingdom