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Completed

NCT Number: NCT04818632

AZD9833 China PK Study

A Phase 1 Dose Escalation and Expansion Study of AZD9833 Alone or in Combination in Chinese patients with ER Positive, HER2 Negative, Metastatic Breast Cancer

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Key information

Age range

18 year–130 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Research Site, Beijing, China

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About this study

This study is designed to investigate and characterize the safety, tolerability and PK of AZD9833 monotherapy (Part A, Part B-cohort 1) or in combination with palbociclib (optional Part B cohort 2) or everolimus (optional Part B cohort 3) and to explore the preliminary anti-tumour activity in Chinese patients

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Any menopausal status:
  • Pre-menopausal women must have commenced treatment with an LHRH agonist at least 4 weeks prior to the start of study intervention and must be willing to continue to receive LHRH agonist therapy for the duration of the study.
  • Post-menopausal defined according to standard criteria in the protocol.
  • Histological or cytological confirmation of adenocarcinoma of the breast.
  • Documented positive ER status and HER2 negative status of primary or metastatic tumour tissue.
  • ECOG performance status 0 to 1.
  • Metastatic disease and radiological or objective evidence of progression on or after the last systemic therapy prior to the start of study intervention.
  • At least one lesion as per RECIST Version 1.1 that can be accurately assessed at baseline and is suitable for repeated assessment by CT, MRI, or plain X-ray or clinical examination.
  • Recurrence or progression on at least one line of endocrine therapy in the metastatic disease setting.
  • For Part A and Part B cohort 1, patients should be eligible for SERD monotherapy treatment.
  • For Part B Cohort 2, patients should be eligible for SERD treatment and CDK4/6 inhibitors, and prior treatment with CDK4/6 inhibitors is not permitted.
  • For Part B Cohort 3, patients should be eligible for SERD treatment and mTOR inhibitors, and prior treatment with mTOR inhibitors is not permitted.

Exclusion criteria

  • Previous treatment with AZD9833.
  • Presence of life-threatening metastatic visceral disease, uncontrolled CNS metastatic disease or life-threatening extensive hepatic involvement.
  • Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses, or infection requiring intravenous antibiotic therapy, which makes it undesirable for the patient to participate in the study or which would jeopardize compliance with the protocol.
  • Inadequate bone marrow reserve or organ function.
  • Any clinically important and symptomatic heart disease.
  • Any concurrent anti-cancer treatment.
  • Refractory nausea and vomiting, uncontrolled chronic gastrointestinal diseases, inability to swallow the formulated product, or previous significant bowel resection that would preclude adequate absorption of AZD9833 (and palbociclib and everolimus).

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

AZD9833

Drug

Part A: AZD9833 monotherapy dose escalation.

AZD9833 with palbociclib

Drug

Part B: AZD9833 with palbociclib dose expansion

AZD9833 with everolimus

Drug

Part B: AZD9833 with everolimus dose expansion

Primary outcomes

  1. The number of subjects with dose-limiting toxicity, as defined in the protocol.

    Time frame: Minimum observation period 28 days on treatment.

    Dose-limiting toxicity as described in the protocol that is not related to disease progression, intercurrent illness or concomitant medications and that, despite optimal therapeutic intervention, meets protocol-defined criteria of AZD9833 monotherapy. [part A only]

  2. The number of subjects with treatment-related adverse events as assessed by CTCAE v5.0.

    Time frame: 6 months after the last patient recruited starts study intervention or 28 days after the final patient discontinues study intervention

    Data will include clinical observations, ECG parameters, clinical chemistry and haematology and vital signs assessed as the number of subjects with treatment-related adverse events assessed by CTCAE v5.0 of AZD9833 monotherapy.

  3. Plasma AZD9833 concentrations and derived PK parameters.

    Time frame: At predefined intervals throughout the AZD9833 treatment period (approximately 16 weeks )

    To characterise the single- and multiple-dose PK of AZD9833 monotherapy.

Secondary outcomes

  1. The number of subjects with treatment-related adverse events as assessed by CTCAE v5.0.

    Time frame: 6 months after the last patient recruited starts study intervention or 28 days after the final patient discontinues study intervention

    Data will include clinical observations, ECG parameters, clinical chemistry and haematology and vital signs assessed as the number of subjects with treatment-related adverse events assessed by CTCAE v5.0 of AZD9833 administered in combination with palbociclib or everolimus..

  2. Plasma AZD9833 concentrations and derived PK parameters (for optional expansion cohorts Part B Cohorts 2 and 3 only). Everolimus (whole blood) concentrations and derived PK parameters (for optional expansion cohort Part B Cohort 3 only).

    Time frame: At predefined intervals throughout the AZD9833 treatment period (approximately 16 weeks )

    To characterise the single- and/or multiple-dose PK of AZD9833 administered in combination with palbociclib, and single- and/or multiple-dose PK of both AZD9833 and everolimus in combination.

  3. Objective Response Rate

    Time frame: Week 8 and week 16 and week 24 and then every 12 weeks (week 36, 48, 60) until the end of the study (approximately 1 year)

    Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)

  4. Duration of Response

    Time frame: Week 8 and week 16 and week 24 and then every 12 weeks (weeks 36, 48 and 60) until the end of the study (approximately 1 year)

    Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)

  5. Clinical benefit rate at 24 weeks

    Time frame: Up to 24 weeks

    Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)

  6. Percentage Change in Tumour Size

    Time frame: Week 8 and week 16 and week 24 and then every 12 weeks (weeks 36, 48 and 60) until the end of the study (approximately 1 year)

    Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)

  7. Progression Free Survival

    Time frame: From start of treatment to disease progression/latest date of evaluable RECIST assessment (approximate 1 year)

    Antitumour activity by evaluation of tumour response assessments using Response Evaluation Criteria in Solid Tumours (RECIST 1.1)

Sponsors and collaborators

Lead sponsor

AstraZeneca

Industry

Registry information

Official study title

A Phase 1 Dose Escalation and Expansion Study of AZD9833 Alone or in Combination With Palbociclib or Everolimus in Chinese Patients With Oestrogen Receptor Positive (ER+), Human Epidermal Growth Factor Receptor 2 Negative (HER2-) Metastatic Breast Cancer (mBC)

Acronym: AZD9833

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Mar 26, 2021
Registry last updated
Dec 17, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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