RecruitingPhase 1Phase 2NCT06137144

AZD3470 as Monotherapy and in Combination With Anticancer Agents in Participants With Relapsed/Refractory Haematologic Malignancies.

A Modular Phase I/II, Open-label, Multicentre Study to Evaluate the Safety, Tolerability, and Efficacy of AZD3470, a PRMT5 Inhibitor, as Monotherapy and in Combination With Anticancer Agent(s) in Participants With Relapsed/Refractory Haematologic Malignancies


Sponsor

AstraZeneca

Enrollment

110 participants

Start Date

Jan 23, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study is designed to evaluate the safety, tolerability, PK and preliminary efficacy following oral administration of AZD3470 as a monotherapy, and in combination with other anticancer agents in participants with haematologic malignancies.


Eligibility

Min Age: 15 Years

Inclusion Criteria9

  • Adequate organ and bone marrow function.
  • In Part A (dose escalation), participants must be aged ≥ 18 years at the time of signing the informed consent. In Part B (dose optimization/expansion), participants must be at least 15 years of age.
  • Histologically confirmed documented diagnosis of r/r cHL based on criteria established by the World Health Organization
  • Must provide FFPE baseline tumour tissue to meet the minimum tissue requirement for central MTAP expression determination.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Contraceptive use by males or females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Module 1 (cHL):
  • At least 1 radiographically measurable, and/or FDG-avid lymphoma lesion \> 1.5 cm.
  • Participants must have documented r/r active disease, must have previously received at least 3 prior lines of therapy (including Brentuximab Vedotin and anti-PD-1 therapy) for the treatment of cHL, and must have exhausted all available therapies with demonstrated clinical benefit.

Exclusion Criteria19

  • Any significant laboratory finding or any severe and uncontrolled medical condition.
  • Active CNS involvement by lymphoma, leptomeningeal disease, or spinal cord compression.
  • Serologic active HBV or HCV infection.
  • Known to have tested positive for HIV.
  • Active gastrointestinal disease or other condition that will interfere with oral therapy.
  • Any of the following cardiac criteria:
  • Mean resting QTcF \> 470 msec or clinically important abnormalities in rhythm (ventricular arrhythmias and uncontrolled atrial fibrillation)
  • Factors that increase the risk of QTc prolongation or risk of arrhythmic events
  • Cardiac procedures or conditions within the last 6 months: Coronary artery bypass graft (CABG), percutaneous coronary intervention (PCI) or heart valve intervention vascular stent implantation, acute coronary syndrome / myocardial infarction, uncontrolled angina pectoris, use of therapeutic anti-coagulation for treatment of active thromboembolic events.
  • Severe valvular heart disease
  • Congestive heart failure Grade II to Grade IV
  • Prior or current cardiomyopathy
  • Uncontrolled hypertension
  • Brain perfusion problems such as haemorrhagic or thrombotic stroke (including transient ischemic attacks)
  • Unresolved non-haematological toxicities of Grade \> 1 from prior anticancer therapy (excluding peripheral neuropathy, vitiligo, alopecia, and endocrine disorders that are controlled with replacement hormone therapy, and asymptomatic laboratory abnormalities), unless immune-mediated.
  • History of another primary malignancy.
  • History of significant haemoptysis or haemorrhage within 4 weeks of the first dose of study treatment.
  • Requires ongoing immunosuppressive therapy, including systemic corticosteroids.
  • Prior treatment with a MAT2A inhibitor or a PRMT5 inhibitor.

Interventions

DRUGAZD3470

AZD3470 is a novel, potent and selective, second-generation, Methylthioadenosine (MTA)-selective, small molecule inhibitor of PRMT5.


Locations(20)

Research Site

Miami, Florida, United States

Research Site

Atlanta, Georgia, United States

Research Site

Boston, Massachusetts, United States

Research Site

Philadelphia, Pennsylvania, United States

Research Site

Houston, Texas, United States

Research Site

Nedlands, Australia

Research Site

Créteil, France

Research Site

Lille, France

Research Site

Pierre-Bénite, France

Research Site

Villejuif, France

Research Site

Cologne, Germany

Research Site

Alessandria, Italy

Research Site

Bologna, Italy

Research Site

Milan, Italy

Research Site

Seoul, South Korea

Research Site

Seoul, South Korea

Research Site

L'Hospitalet de Llobregat, Spain

Research Site

Madrid, Spain

Research Site

Manchester, United Kingdom

Research Site

Oxford, United Kingdom

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NCT06137144


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