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Study for AZD4360 in Participants With Advanced Solid Tumours


2025-05-23


2027-07-31


2027-12-14


117

Study Overview

Study for AZD4360 in Participants With Advanced Solid Tumours

The purpose of this study is to evaluate the safety, tolerability, PK, immunogenicity, pharmacodynamics, and preliminary efficacy of AZD4360 in adult participants with locally advanced or metastatic solid tumours selected for expression of CLDN18.2.

N/A

  • Gastric Cancer
  • Gastroesophageal Junction Cancer
  • Biliary Tract Cancer
  • Pancreatic Ductal Adenocarcinoma
  • DRUG: AZD4360
  • D8930C00001
  • 2024-518281-27-00 (OTHER Identifier) (OTHER: EU CT Number)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2025-03-25  

N/A  

2025-04-03  

2025-04-03  

N/A  

2025-04-10  

2025-04-10  

N/A  

2025-04  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Sequential


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: AZD4360 Monotherapy

AZD4360 Monotherapy

DRUG: AZD4360

  • Antibody-Drug Conjugate targeting Claudin 18.2 (CLDN18.2)
Primary Outcome MeasuresMeasure DescriptionTime Frame
Incidence of participants with Dose-Limiting Toxicity (in dose escalation cohort), Adverse events (AEs) , Serious Adverse Events (SAEs) and AEs leading to discontinuation of AZD4360To investigate the safety and tolerability, and to determine the Maximum Tolerated Dose (MTD) and/or a Recommended Phase II Dose (R2PD) of AZD4360 in previously treated participants with advanced solid tumours, through the assessment of Dose Limiting Toxicities, Adverse Events and Severe Adverse Events.Through study completion, up to approximately 2 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Objective Response Rate (ORR)The percentage of participants with a confirmed Complete Response (CR) or Partial Response (PR). Radiological response evaluated according to Response Evaluation Criteria in Solid Tumours (RECIST) v1.1.Through study completion, up to approximately 2 years
Duration of Response (DoR)The time from the date of first documented ORR until date of first documented Progression of Disease (PD) or death. Radiological response evaluated according to RECIST v1.1.Through study completion, up to approximately 2 years
Disease Control Rate (DCR)The percentage of participants who have a best objective response of confirmed CR or PR or who have Stable Disease for at least 11 weeks after start of treatment to allow for an early assessment within the assessment window. Radiological response evaluated according to RECIST v1.1.Through study completion, up to approximately 2 years
Progression Free Survival (PFS)The time from the start of treatment until the date of objective PD or death. Radiological response evaluated according to RECIST v1.1.Through study completion, up to approximately 2 years
Overall Survival (OS)The time from the start of treatment until death due to any cause.Through study completion, up to approximately 2 years
Plasma pharmacokinetics (PK) parameters of AZD4360: Plasma concentrationPlasma concentration of AZD4360, total antibody and other analytes.Through study completion, up to approximately 2 years
Plamsa PK parameters of AZD4360, total antibody and other analytes: Area Under Curve (AUC)Area under the plasma concentration versus time curve for AZD4360, total antibody and other analytes.Through study completion, up to approximately 2 years
Plasma PK parameters of AZD4360, total antibody and other analytes: Maximum plasma concentration (Cmax)Maximum observed plasma concentration of AZD4360, total antibody and other analytes.Through study completion, up to approximately 2 years
Plasma PK parameters of AZD4360, total antibody and other analytes: Time to maximum plasma concentration (tmax)The time it takes for AZD4360, total antibody and other analytes to reach the maximum plasma concentration after administration of the study drug.Through study completion, up to approximately 2 years
Plasma PK parameters of AZD4360, total antibody and other analytes: ClearanceA pharmacokinetic measurement of the volume of plasma from which AZD4360, total antibody and other analytes are completely removed per unit time.Through study completion, up to approximately 2 years
Plasma PK parameters of AZD4360, total antibody and other analytes: Half-lifeThe time required for the quantity of AZD4360, total antibody and other analytes to reduce to half of their initial values.Through study completion, up to approximately 2 years

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: AstraZeneca Clinical Study Information Center

Phone Number: 1-877-240-9479

Email: information.center@astrazeneca.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Participant must be ≥ 18 at the time of signing the ICF. 2. Eastern cooperative oncology group performance status of 0-1 with no deterioration over the previous 2 weeks prior to baseline or day of first dosing. 3. Minimum life expectancy of 12 weeks in the opinion of the Investigator.
    4 Adequate organ and marrow function, as defined by protocol.
    5. Contraceptive use by men or women should be consistent with local regulations, as defined by protocol.
    6. Histologically confirmed advanced or metastatic Pancreatic ductal adenocarcinoma (PDAC), Gastric or Gastroesophageal junction cancer (G/GEJC), and Biliary tract cancer (BTC) with documented positive CLDN18.2 expression.
    7. Participants must have received at least one prior line of systemic therapy in the advanced/metastatic disease.
    8. At least one measurable lesion according to RECIST v1.1.
    Exclusion Criteria:
    1. Human Epidermal Growth Factor Receptor 2 (HER2) positive (3+ by IHC or 2+ by IHC and positive by in situ hybridisation) or indeterminate G/GEJC participants. 2. 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. 3. Participants with clinically significant ascites that require drainage. 4. Central nervous system (CNS) metastases or CNS pathology, as defined by protocol. 5. With spinal cord compression or with high risk of paralysis. 6. History of non-infectious interstitial lung disease/pneumonitis. 7. Participant has cardiac abnormalities, as defined by protocol. 8. History of another primary malignancy within 2 years prior to screening. 9. Known serologic status reflecting active hepatitis B or hepatitis C. 10. Known HIV infection that is not well controlled. 11. Active tuberculosis infection.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available