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Nonsmall Cell Lung CancerPhase 1/2JACKPOT1NCT03450330

Assessing an Oral Janus Kinase Inhibitor, AZD4205, in Combination With Osimertinib in Patients Who Have Advanced Non-small Cell Lung Cancer

A Phase 1/2 study testing AZD4205 in people with Nonsmall Cell Lung Cancer, run by Dizal Pharmaceuticals at 4 sites in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will treat patients with advanced NSCLC who have progressed following prior therapy. This is the first time this drug has ever been tested in patients, and so it will help to understand what type of side effects may occur with the drug treatment. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Nonsmall Cell Lung Cancer
What is being tested?
AZD4205
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
4 sitesAustralia
Study dates
16 Apr 2018to 10 Jan 2020
Phase
Phase 1/2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Obtained written informed consent
  • Patients must have histological or cytological confirmation of activating EGFR mutation positive NSCLC and have failed prior EGFR TKIs treatment.
  • Patients must exhibit Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Adequate bone marrow reserve and organ system functions

Who cannot join

  • Any unsolved toxicity > CTCAE grade 1 from previous anti-cancer therapy (except alopecia)
  • Active viral or bacterial infections;
  • Active or latent tuberculosis;
  • History of interstitial lung disease (ILD)
  • History of heart failure or QT interval prolongation
  • Immunodeficiency diseases;
  • Active CNS metastases
  • Treatment with an EGFR TKI (e.g., erlotinib or gefitinib) within 8 days or approximately 5 x half-life, whichever is longer, of the first dose of study treatment

Trial locations and contacts

4 sites in 1 country.

Australia4 sites
  • Austin Hospital

    Heidelberg, Victoria, 3084

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria

  • St George Hospital

    Sydney, New South Wales

  • Northern Cancer Institute St Leonards

    Sydney, 2066

Other trials in Australia

About this study

Official title: A Phase I/II, Open-Label, Multicentre Study to Investigate the Safety, Tolerability, Pharmacokinetics and Anti-tumour Activity of AZD4205 as Monotherapy or in Combination With Osimertinib in Patients With EGFR Mutant Advanced Stage Non-Small Cell Lung Cancer (NSCLC)

This study will treat patients with advanced NSCLC who have progressed following prior therapy. This is the first time this drug has ever been tested in patients, and so it will help to understand what type of side effects may occur with the drug treatment. It will also measure the levels of drug in the body and preliminarily assess its anti-cancer activity as monotherapy and in combination with Osimertinib.

Read the detailed description

A phase I/II, open-label, multicentre study to investigate the safety, tolerability, pharmacokinetics and anti-tumour activity of AZD4205 as monotherapy or in combination with Osimertinib in patients with EGFR mutant advanced stage non-small cell lung cancer (NSCLC). This study includes dose escalation part and dose expansion part.

Being tested
AZD4205
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AZD4205Drug

    Daily dose of AZD4205, followed by daily dose of AZD4205 and Osimertinib 80 mg. Starting dose of AZD4205 at 75 mg, administered once daily. If tolerated, subsequent cohorts will test increasing doses of AZD4205, and in combination with Osimertinib 80 mg.

Study groups in NCT03450330
Study groupRoleWhat they receive
daily dose of AZD4205Experimentaldaily dose of AZD4205
Receives: Drug: AZD4205

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. safety and tolerability of AZD4205

    Incidence of Treatment-Emergent Adverse Events as Assessed by CTCAE v4.0

    Measured: 21 days after the first dose

Secondary outcomes (3)
  1. Objective Response Rate (ORR)

    Per Response Evaluation Criteria in Solid Tumors (RECIST v1.1) assessed by CT: Complete Response (CR): Disappearance of all target and non-target lesions and no new lesions; Partial Response (PR): >= 30% decrease in the sum of diameters of Target Lesions (compared to baseline) and no new lesions. ORR is the percentage of patients with at least 1 visit response of CR or PR (by investigator assessment) that was confirmed at least 4 weeks later, prior to progression or further anti-cancer therapy.

    Measured: RECIST tumour assessments every 6 weeks from enrollment until study completion, an average of 1 year

  2. Peak Plasma Concentration (Cmax) of AZD4205

    Peak Plasma Concentration (Cmax) of AZD4205

    Measured: 1,8,15 days after first dose

  3. Area under the plasma concentration versus time curve (AUC) of AZD4205

    Area under the plasma concentration versus time curve (AUC) of AZD4205

    Measured: 1,8,15 days after first dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Mar 2018
  2. Study start16 Apr 2018
  3. Primary completion3 Sep 2019
  4. Study completion10 Jan 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
dose escalation
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03450330
Sponsor's protocol ID
DZ2017J0001
Acronym
JACKPOT1
Status last verified
Nov 2019
First submitted
25 Jan 2018
Last updated
24 Aug 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AZD4205 in people with Nonsmall Cell Lung Cancer, run by Dizal Pharmaceuticals at 4 sites in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Aug 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

safety and tolerability of AZD4205 (time frame: 21 days after the first dose). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Aug 2020.

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