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ER+ HER2- Advanced Breast CancerPhase 1/2CYCAD-1NCT06188520

A First-in-human Dose Escalation and Expansion Study to Evaluate the Safety, and Tolerability of AZD8421 Alone or in Combination in Participants With Selected Advanced or Metastatic Solid Tumors

A Phase 1/2 study testing AZD8421, Camizestrant and Ribociclib in people with ER+ HER2- Advanced Breast Cancer and High-grade Serous Ovarian Cancer (HGSOC), run by AstraZeneca at 13 sites in 5 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

This study is designed to evaluate AZD8421 alone and in combination with selected targeted anti-cancer drugs in patients with ER+HER2- advanced breast cancer, and patients with metastatic high-grade serious ovarian cancer. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
AZD8421, Camizestrant and Ribociclib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
55 participants
Where
13 sitesin 5 countries
Study dates
5 Dec 2023to 4 Aug 2027
Phase
Phase 1/2

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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female participants only, aged 18 or above
  • Participants with advanced solid tumors must have received prior adequate therapy in accordance with local practice for their tumor type and stage of disease, or, in the opinion of the Investigator, a clinical study is the best option for their next treatment based on response to and/or tolerability of prior therapy.
  • Metastatic or locoregionally recurrent disease and radiological or objective evidence of progression on or after the last systemic therapy prior to starting IMP.
  • ECOG/WHO performance status 0 to 1, and a minimum life expectancy of 12 weeks.
  • At least one lesion that is measurable and/or non-measurable, as per RECIST v1.1 and that can be accurately assessed at baseline and is suitable for repeated assessment.

Who cannot join

  • Intervention with any of the following:
  • Any cytotoxic chemotherapy, investigational agents, or other anti-cancer drugs for the treatment of advanced cancer from a previous treatment regimen or clinical study within 14 days or 5 half-lives (whichever is shorter) of the first dose of IMP (21 days for myelosuppressive therapies) other than GnRHa (eg, goserelin) and bone-stabilizing agents (eg, zoledronic acid, denosumab).
  • Any prescription or non-prescription drugs or other products, including herbal products, known to be moderate or strong inhibitors/inducers of CYP3A4/5 which cannot be discontinued prior to first dose of IMP and withheld throughout the study until 2 weeks after the last dose of study drug.
  • Drugs that have a known risk of Torsades de Pointes.
  • Radiotherapy with a limited field of radiation for palliation within 1 week of the first dose of IMP.
  • Major surgical procedure or significant traumatic injury, within 4 weeks of the first dose of IMP, or an anticipated need for major surgery and/or any surgery requiring general anesthesia during the study.
Show all 20Show fewer
  • Any unresolved toxicities of Grade ≥ 2 from prior anti-cancer therapy (with the exception of alopecia). Participants with stable ≤ Grade 2 neuropathy are eligible.
  • Presence of life-threatening metastatic visceral disease, as judged by the Investigator, uncontrolled CNS metastatic disease. Participants with spinal cord compression and/or brain metastases may be enrolled if definitively treated (eg, surgery or radiotherapy) and stable off steroids for at least 4 weeks prior to start of IMP.
  • Any evidence of severe or uncontrolled systemic diseases, including uncontrolled hypertension and active bleeding diatheses, or eg, infection requiring IV antibiotic therapy, or active infection including hepatitis B, hepatitis C, and HIV (active viral infection is defined as requiring antiviral therapy; screening for chronic conditions is not required).
  • Any of the following cardiac criteria:
  • Mean resting QTcF > 470 msec obtained from a triplicate ECG
  • Any clinically important abnormalities in rhythm, conduction, or morphology of resting ECG (eg, complete left bundle branch block, second- and third-degree heart block), or clinically significant sinus pause. Participants with controlled atrial fibrillation can be enrolled.
  • Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as symptomatic heart failure, hypokalemia, congenital long QT syndrome, immediate family history of long QT syndrome or unexplained sudden death at < 40 years of age. Hypertrophic cardiomyopathy and clinically significant stenotic valve disease.
  • LVEF < 50%, and/or experience of any of the following procedures or conditions in the preceding 6 months: coronary artery bypass graft, angioplasty, vascular stent, myocardial infarction, unstable angina pectoris, congestive heart failure NYHA Grade ≥ 2, cerebrovascular accident, or transient ischemic attack.
  • Uncontrolled hypertension.
  • Inadequate bone marrow reserve or organ function as demonstrated by relevant laboratory values:
  • Refractory nausea and vomiting, uncontrolled chronic gastrointestinal diseases, or previous significant bowel resection that would preclude adequate absorption of IMP(s).
  • History of hypersensitivity to active or inactive excipients of AZD8421 or drugs with a similar chemical structure or class to AZD8421.
  • Previous treatment with AZD8421 or with any CDK2-selective inhibitor, or protein kinase membrane-associated tyrosine- and threonine-specific cdc2-inhibitory kinase 1 (PKMYT1) inhibitor, or WEE1 inhibitor.
  • Currently pregnant (confirmed with positive pregnancy test), breast feeding, or planning to become pregnant. Participants of childbearing potential must agree to use one highly effective contraceptive measure.

Trial locations and contacts

13 sites in 5 countries.

13 sites in 5 countries

United States4 sites
  • Research Site

    Houston, Texas, 77030

  • Research Site

    Nashville, Tennessee, 37201

  • Research Site

    Providence, Rhode Island, 02903

  • Research Site

    St Louis, Missouri, 63141

Other trials in United States

Spain3 sites
  • Research Site

    Barcelona, 8035

  • Research Site

    Pamplona, 31005

  • Research Site

    Valencia, 46010

Other trials in Spain

United Kingdom3 sites
  • Research Site

    Cambridge, CB2 0XY

  • Research Site

    London, EC1A 7BE

  • Research Site

    Manchester, M20 4BX

Other trials in United Kingdom

South Korea2 sites
  • Research Site

    Seoul, 03722

  • Research Site

    Seoul, 06351

Other trials in South Korea

Australia1 site
  • Research Site

    East Melbourne, 3002

Other trials in Australia

About this study

Official title: A Phase I/IIa, First-in-human, Open-label, Dose Escalation and Expansion Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics and Preliminary Efficacy of AZD8421 Alone or in Combination in Participants With Selected Advanced or Metastatic Solid Tumors

This study is designed to evaluate AZD8421 alone and in combination with selected targeted anti-cancer drugs in patients with ER+HER2- advanced breast cancer, and patients with metastatic high-grade serious ovarian cancer.

Read the detailed description

This is a first in-human study of AZD8421 administered to participants with advanced or metastatic solid tumors. The study will evaluate the safety, tolerability, preliminary efficacy, pharmacokinetics, and pharmacodynamics of AZD8421 alone and in combination with selected targeted anti-cancer drugs.

AZD8421 monotherapy (M1) will evaluate the safety, tolerability and pharmacokinetics of AZD8421 as monotherapy to identify a recommended Phase II dose (RP2D) in participants with ER+ HER2- advanced breast cancer previously treated with a CDK4/6i (Parts A and B) and participants with metastatic high-grade serous ovarian cancer previously treated with a platinum-based chemotherapy in the metastatic setting (Part B).

AZD8421 combination therapy (M2) will evaluate the safety, tolerability, and pharmacokinetics of different formulations of AZD8421 in combination with a CDK4/6 inhibitor (one or more of abemaciclib, ribociclib and palbociclib) and camizestrant (next generation oral SERD; referred to throughout as 'camizestrant') in participants with ER+ HER2- advanced breast cancer previously treated with a CDK4/6 inhibitor.

Being tested
AZD8421, Camizestrant, Ribociclib, Palbociclib, Abemaciclib

What participants receive

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

  • AZD8421Drug

    CDK2 inhibitor

  • CamizestrantDrug

    Also called AZD9833

    SERD

  • RibociclibDrug

    Also called Kisqali

    CDK4/6 inhibitor

  • PalbociclibDrug

    Also called Ibrance

    CDK4/6 inhibitor

  • AbemaciclibDrug

    Also called Verzenios

    CDK4/6 inhibitor

Study groups in NCT06188520
Study groupRoleWhat they receive
Module 1ExperimentalAZD8421 monotherapy
Receives: Drug: AZD8421
Module 2AExperimentalAZD8421 with camizestrant and CDK4/6 inhibitor
Receives: Drug: AZD8421; Drug: Camizestrant; Drug: Ribociclib; Drug: Palbociclib; Drug: Abemaciclib

What is being measured

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

  1. Incidence of dose limiting toxicities (DLTs) as defined in the protocol.

    Percentage of participants with incidence of DLTs.

    Measured: From start of treatment until the end of DLT period, assessed up to 28 days.

  2. Incidence of AEs/SAEs

    Percentage of participants with incidence of AEs/SAEs.

    Measured: From start of treatment until the end of safety follow-up, approximately 18 months.

  3. Clinically significant changes from baseline in clinical laboratory parameters, vital signs and ECGs.

    Percentage of participants with clinically significant changes from baseline in clinical laboratory parameters, vital signs and ECGs.

    Measured: From start of treatment until the end of safety follow-up, approximately 18 months.

  4. Discontinuation of AZD8421 due to toxicity

    Percentage of participants that have discontinued AZD8421 due to toxicity.

    Measured: From start of treatment until the end of safety follow-up, approximately 18 months.

Secondary outcomes (30)
  1. Overall Response Rate (ORR)

    The percentage of participants with a confirmed Complete Response (CR) or Partial Response (PR), according to RECIST v1.1, that occur prior to disease progression and/or initiation of subsequent anti-cancer therapy.

    Measured: 8 weeks from start of treatment until end of treatment or objective disease progression, approximately 18 months.

  2. Duration of Response (DoR)

    The time from the date of first documented objective response (which is subsequently confirmed) until date of first documented disease progression or death (by any cause in the absence of disease progression).

    Measured: 8 weeks from start of treatment until end of treatment or objective disease progression, approximately 18 months.

  3. Disease control rate (DCR)

    The percentage of participants who have a best objective response of confirmed CR or PR or who have SD for at least 23 weeks after start of treatment.

    Measured: 24 weeks after the start of treatment.

  4. Percentage change in tumor size

    The largest decrease (or smallest increase) in tumor size from baseline for a participant, using RECIST v1.1 assessments

    Measured: From start of treatment through to EOT, progressive disease, death (in the absence of progression), start of subsequent anti-cancer therapy, whichever occurs first, approximately 18 months.

  5. Progression Free Survival (PFS)

    Progression-free survival is defined as the time from the start of treatment until the date of objective disease progression or death (by any cause in the absence of progression), regardless of whether the participant withdraws from therapy or receives another anti-cancer therapy prior to progression.

    Measured: From start of treatment through to progressive disease, death (in the absence of progression), EOT (last evaluable disease assessment), whichever occurs first, approximately 18 months.

  6. PK of AZD8421 (Cmax)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After single dose; Cmax; to measure maximum plasma concentration after oral administration.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  7. PK of AZD8421 (Tmax)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After single dose; Tmax; to measure time to reach maximum plasma concentration.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  8. PK of AZD8421 (AUCinf)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After single dose; AUCinf; to measure the area under the plasma concentration-time curve from time 0 to infinity.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  9. PK of AZD8421 (AUClast)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After single dose; AUClast; to measure area under the plasma concentration-time curve from time zero to last PK sample.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  10. PK of AZD8421 (T1/2λZ)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After single dose; T1/2λZ; to measure the terminal elimination half-life.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  11. PK of AZD8421 (CL/F)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After single dose; CL/F; to measure apparent clearance after oral administration.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  12. PK of AZD8421 (Cssmax)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After multiple doses; Cssmax; to measure maximum concentration after oral administration at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  13. PK of AZD8421 (Tssmax)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After multiple doses; Tssmax; to measure time it takes to achieve maximum plasma concentration at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  14. PK of AZD8421 (ARCmax)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After multiple doses; ARCmax; to measure accumulation ratio of Cmax.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  15. PK of AZD8421 (AUCsslast)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After multiple doses; AUCsslast; to measure the area under plasma-concentration time curve from time zero to last PK sample at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  16. PK of AZD8421 (T1/2λssz)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After multiple doses; T1/2λssz; to measure terminal elimination half-life at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  17. PK of AZD8421 (CLss/F)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after single and multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After multiple doses; CLss/F; to measure apparent oral clearance at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  18. PK of AZD8421, camizestrant, and CDK4/6i (Cmax) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After single dose: Cmax; to measure maximum plasma concentration after oral administration.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  19. PK of AZD8421, camizestrant, and CDK4/6i (Tmax) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After single dose: Tmax; to measure the time it takes to achieve maximum plasma concentration after oral administration.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  20. PK of AZD8421, camizestrant, and CDK4/6i (AUCinf) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After single dose: AUCinf; to measure area under plasma concentration-time curve from time zero to infinity.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  21. PK of AZD8421, camizestrant, and CDK4/6i (T1/2λ) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After single dose: T1/2λZ; to measure terminal elimination half-life.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  22. PK of AZD8421, camizestrant, and CDK4/6i (CL/F) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After single dose: CL/F; to measure apparent clearance after oral administration.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  23. PK of AZD8421, camizestrant, and CDK4/6i (Cssmax) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After multiple doses: Cssmax; to measure the maximum plasma concentration after oral administration at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  24. PK of AZD8421, camizestrant, and CDK4/6i (Tssmax) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After multiple doses: Tssmax; to measure time it takes to achieve maximum plasma concentration after oral administration at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  25. PK of AZD8421, camizestrant, and CDK4/6i (AUC0-tau) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After multiple doses: AUC0-tau; to measure area under plasma-concentration-time curve within dosing interval.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  26. PK of AZD8421, camizestrant, and CDK4/6i (T1/2λssz) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After multiple doses: T1/2λssz; to measure terminal elimination half-life at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  27. PK of AZD8421, camizestrant, and CDK4/6i (CLss/F) (M2 only)

    Evaluate pharmacokinetics profiles of AZD8421, camizestrant, and CDK4/6i when administered in combination.

    For AZD8421 and where possible CDK4/6i and their metabolites, and camizestrant; descriptive statistics of the following PK parameters:

    After multiple doses: CLss/F; to measure apparent clearance after oral administration at steady state.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421, camizestrant and CDK4/6i.

  28. PD of AZD8421 (M1B only)

    To assess pharmacodynamic activity of AZD8421 monotherapy by assessment of candidate biomarker in baseline and on-treatment tumor and blood samples in participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Measured: Baseline and Cycle 1 Day 15.

  29. PK of AZD8421 (ARAUC)

    To characterize the PK profiles and parameters of AZD8421 and its metabolites after monotherapy and also in combination with other anti-cancer drugs after multiple doses when administered to participants with ER+ HER2- metastatic breast cancer and other advanced solid tumors.

    Descriptive statistics of following PK parameters:

    After multiple doses measure accumulation ratio of AUC.

    Measured: From start of treatment, at predefined intervals up to Cycle 6, approximately 6 months (each cycle is 28 days) of the administration of AZD8421.

  30. Best Objective Response (BOR)

    The best response a participant has had following start of dosing, but prior to starting any subsequent cancer therapy and up to and including date of first documented disease progression, last evaluable assessment or death (by any cause in the absence of disease progression).

    Measured: 8 weeks from start of treatment until end of treatment or objective disease progression, approximately 18 months.

Timeline

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

  1. First posted3 Jan 2024
  2. Study start5 Dec 2023
  3. Primary completion4 Aug 2027 (estimated)
  4. Study completion4 Aug 2027 (estimated)

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
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
55 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06188520
Sponsor's protocol ID
D8470C00001
Other IDs
2023-507305-33-00, 2023
Acronym
CYCAD-1
Status last verified
Oct 2026
First submitted
1 Dec 2023
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

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