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Solid TumoursPhase 1/2PARTHENONNCT07446855

Study of AZD4956 as Monotherapy and in Combination With Anti-Cancer Agents in Participants With Advanced/Metastatic Homologous Recombination Deficient Solid Tumours

A Phase 1/2 study testing AZD4956 and Saruparib in people with Solid Tumours, run by AstraZeneca at 19 sites in 6 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The purpose of this modular, first trial in human study is to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of ascending dose levels (DLs) of AZD4956 monotherapy and in combination with other anti-cancer agents in participants with advanced/metastatic solid… Read more about this study

Who is it for?
Ages 18 to 130 years
Conditions the study is for
Solid Tumours
What is being tested?
AZD4956 and Saruparib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
19 sitesin 6 countries
Study dates
17 Mar 2026to 29 Mar 2030
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 to 130 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Core Inclusion Criteria:

  • Documented locally advanced or metastatic solid tumour malignancy.
  • Eastern cooperative oncology group (ECOG) performance status of 0 or 1 with no deterioration over the previous 2 weeks prior to screening and first day of dosing.
  • Minimum life expectancy ≥ 12 weeks.
  • Adequate organ and marrow function.
  • Female participants must not breastfeed and must not donate or retrieve ova for their own use from screening to approximately 6 months after the last dose of study intervention.

Module 1 Inclusion Criteria:

  • Demonstrated evidence of disease progression.
  • Participants must have advanced or metastatic solid tumours.
  • Participants may have received up to one prior line of therapy with a poly (adenosine diphosphate-ribose) polymerase inhibitor (PARPi)-based regimen (either as a treatment or as maintenance).

Module 2 Inclusion Criteria:

Part A (AZD4956 in Combination with Saruparib Dose Escalation) and Part A-PD (PD Backfill Cohorts):

  • Participants must have one of the following conditions-
  1. Histologically or cytologically confirmed carcinoma of the breast with recurrent locally advanced or metastatic disease and evidence of a predicted loss of function germline or somatic mutation.
  2. Histologically or cytologically confirmed advanced ovarian, fallopian tube, or primary peritoneal cancer.
  3. Histologically or cytologically confirmed adenocarcinoma of the prostate and advanced/metastatic castrate resistant prostate cancer (CRPC).
  4. Histologically or cytologically confirmed advanced/metastatic pancreatic cancer.
  • Participants must have evaluable disease.
  • Participants in PD backfill cohorts must not have received prior therapy with a PARPi-based regimen (either as a treatment or as maintenance).

Part A (PD Backfill Cohorts) - Participants Undergoing Paired Biopsies:

  • Participants must have a tumour suitable for biopsy.

Part A-Non-PD (Non-PD Backfill Cohorts) and Part B (Dose Expansion Cohorts):

  • Participants must have histologically or cytologically confirmed adenocarcinoma of the prostate and advanced/metastatic CRPC.
  • Participants must have documented metastatic disease by clear evidence of ≥ 1 bone lesion (defined as one lesion with positive uptake on bone scan) and/or ≥ 1 soft tissue lesion (measurable or non-measurable).
  • Participants must have received the prior approved systemic therapies for metastatic prostate cancer.
  • Participants must not have received prior therapy with a PARPi-based regimen (either as a treatment or as maintenance).

Core Exclusion Criteria:

  • Any significant laboratory finding or any severe and uncontrolled medical condition.
  • Participants with any known predisposition to bleeding.
  • Spinal cord compression or symptomatic and unstable brain metastases or leptomeningeal disease.
  • Allogenic organ transplantation.
  • Known to have active infection, including hepatitis B virus (HBV) or hepatitis C virus (HCV).
  • Known history of infection with human immunodeficiency virus (HIV).
  • Active gastrointestinal disease or other condition that will interfere significantly with the swallowing, absorption, distribution, metabolism or excretion of oral therapy.
  • Participants with history of myelodysplastic syndrome (MDS)/acute myeloid leukaemia (AML) or with features suggestive of MDS/AML.
  • Participants with a known hypersensitivity to the investigational product(s) or any of the excipients of the product(s).
  • Previous dosing with AZD4956.

Trial locations and contacts

19 sites in 6 countries. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

19 sites in 6 countries

Spain6 sites, 6 recruiting
  • Research Site

    Barcelona, 08023

    Recruiting
  • Research Site

    Barcelona, 08036

    Recruiting
  • Research Site

    Barcelona, 8035

    Not yet recruiting
  • Research Site

    Logroño, 26006

    Not yet recruiting
  • Research Site

    Pozuelo de Alarcón, 28223

    Not yet recruiting
  • Research Site

    Seville, 41013

    Not yet recruiting

Other trials in Spain

United States4 sites, 4 recruiting
  • Research Site

    Fairfax, Virginia, 22031

    Recruiting
  • Research Site

    Houston, Texas, 77030

    Recruiting
  • Research Site

    New York, New York, 10065

    Recruiting
  • Research Site

    Providence, Rhode Island, 02903

    Recruiting

Other trials in United States

United Kingdom3 sites, 3 recruiting
  • Research Site

    Cambridge, CB2 0QQ

    Recruiting
  • Research Site

    London, SE1 9RT

    Not yet recruiting
  • Research Site

    Sutton, SM25PT

    Recruiting

Other trials in United Kingdom

Australia2 sites, 2 recruiting
  • Research Site

    Melbourne, 3000

    Recruiting
  • Research Site

    Westmead, 2145

    Recruiting

Other trials in Australia

Japan2 sites, 2 recruiting
  • Research Site

    Chūōku, 104-0045

    Recruiting
  • Research Site

    Kashiwa, 277-8577

    Recruiting

Other trials in Japan

South Korea2 sites, 2 recruiting
  • Research Site

    Seoul, 03080

    Recruiting
  • Research Site

    Seoul, 120-752

    Recruiting

Other trials in South Korea

About this study

Official title: A Modular Open-label, Phase I/IIa Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Preliminary Efficacy of Ascending Doses of AZD4956 as Monotherapy, and in Combination With Anti-Cancer Agents in Participants With Advanced/Metastatic Homologous Recombination Repair Defective Solid Tumours

The purpose of this modular, first trial in human study is to assess the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of ascending dose levels (DLs) of AZD4956 monotherapy and in combination with other anti-cancer agents in participants with advanced/metastatic solid tumours with homologous recombination repair (HRR) deficiencies.

Read the detailed description

The study consists of individual modules each evaluating the safety and tolerability of AZD4956 dosed as monotherapy, or with a specific combination partner. There are following 2 modules -

  1. Module 1: AZD4956 monotherapy
  2. Module 2: AZD4956 in combination with saruparib

Each module may further contain 2 parts-

  • Part A (dose escalation/dose finding): To determine the safety, tolerability, PK, PD, and preliminary efficacy of AZD4956 as monotherapy or in combination.
  • Part B (dose expansion): To further evaluate the safety and preliminary efficacy of AZD4956 in combination with other anti-cancer agents.
Conditions
Solid Tumours
Being tested
AZD4956, Saruparib
Keywords
Advanced/metastatic homologous recombination repair defective solid tumours, Poly (adenosine diphosphate-ribose) polymerase inhibitor (PARPi), Pharmacokinetics, Pharmacodynamics

What participants receive

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

  • AZD4956Drug

    AZD4956 will be administered orally.

  • SaruparibDrug

    Saruparib will be administered orally.

Study groups in NCT07446855
Study groupRoleWhat they receive
Module 1 Part A: AZD4956 monotherapy (Dose escalation)ExperimentalParticipants will receive AZD4956 as monotherapy at ascending dose levels.
Receives: Drug: AZD4956
Module 2 Part A: AZD4956 + saruparib (Dose escalation)ExperimentalParticipants will receive AZD4956 at ascending dose levels in combination with saruparib.
Receives: Drug: AZD4956; Drug: Saruparib
Module 2 Part A Optional PD backfill cohort: AZD4956 + saruparibExperimentalParticipants will receive AZD4956 in combination with saruparib.
Receives: Drug: AZD4956; Drug: Saruparib
Module 2 Part A Optional PD backfill cohort: Saruparib monotherapyExperimentalParticipants will receive saruparib monotherapy.
Receives: Drug: Saruparib
Module 2 Part A Optional non-PD backfill cohort: AZD4956 + saruparibExperimentalParticipants with metastatic castrate resistant prostate cancer (mCRPC) will receive AZD4956 in combination with saruparib.
Receives: Drug: AZD4956; Drug: Saruparib
Module 2 Part B: AZD4956 + saruparib (Dose expansion)ExperimentalParticipants will receive AZD4956 in combination with saruparib.
Receives: Drug: AZD4956; Drug: Saruparib

What is being measured

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

  1. Parts A and B: Number of participants with adverse events (AEs) and serious adverse events (SAEs)

    To assess the safety and tolerability of AZD4956 monotherapy and in combination with anti-cancer agent(s).

    Measured: From Screening (Day -28) to follow-up (up to 3.5 years)

  2. Part B: Progression free survival (PFS)

    PFS 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 participants withdraw from study treatment or receive another anti-cancer therapy prior to progression.

    Measured: Up to 3.5 years

  3. Part A - Number of participants with dose-limiting toxicities (DLTs)

    To assess the safety and tolerability of AZD4956 monotherapy and in combination with anti-cancer agent(s).

    Measured: Up to 28 days

Secondary outcomes (23)
  1. Objective response (OR)

    OR is defined as if a participant achieves a best overall response (BOR) of confirmed complete response (CR) or partial response (PR), as assessed by the investigator, according to response evaluation criteria in solid tumours (RECIST) v1.1 criterion.

    Measured: Up to 3.5 years

  2. Duration of response (DoR)

    DoR is defined as the time from the date of first documented OR assessed by RECIST v1.1, in the absence of progression on bone scan assessed by prostate cancer working group 3 (PCWG3), until the date of documented disease progression or death in the absence of disease progression.

    Measured: Up to 3.5 years

  3. Best Overall Response (BOR)

    To assess the preliminary anti-tumour activity of AZD4956 monotherapy and in combination with anti-cancer agent(s).

    Measured: Up to 3.5 years

  4. Time to response (TTR)

    TTR is defined as the time from the date of first dose of study intervention until the date of first documented OR assessed by RECIST v1.1, in the absence of progression on bone scan assessed by PCWG3, which is subsequently confirmed.

    Measured: Up to 3.5 years

  5. Disease control (DC)

    DC is defined as if a participant has achieved a best OR of confirmed CR or PR or SD as BOR assessed by RECIST v1.1, in the absence of progression on bone scan assessed by PCWG3.

    Measured: Up to 3.5 years

  6. Clinical benefit rate (CBR)

    CBR is defined as the percentage of advanced cancer participants who achieve CR, PR, or at least 16 weeks/24 weeks of stable disease, assessed by RECIST v1.1, in the absence of progression on bone scan assessed by PCWG3, as a result of therapy.

    Measured: Up to 3.5 years

  7. Part A: Progression free survival (PFS)

    PFS 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 participants withdraw from study treatment or receive another anti-cancer therapy prior to progression.

    Measured: Up to 3.5 years

  8. Percentage change from baseline in tumour size

    The best percentage change from baseline in target lesion (TL) tumour size is the largest decrease (or smallest increase) from baseline for a participant, using RECIST v1.1 assessments.

    Measured: Up to 3.5 years

  9. Number of participants with cancer antigen 125 (CA125) response (for ovarian cancer participants)

    CA125 response is defined as if at least a 50% reduction in CA125 levels from a pre-treatment sample.

    Measured: From baseline up to 3.5 years

  10. Radiological progression free survival (rPFS) (for prostate cancer participants)

    PFS 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 participants withdraw from study treatment or receive another anti-cancer therapy prior to progression.

    Measured: Up to 3.5 years

  11. Change from baseline in prostate specific antigen 50 (PSA50) response rate (for prostate cancer participants)

    PSA50 response is defined as if a ≥ 50% decrease in PSA from baseline to the lowest post-baseline PSA result, confirmed by a second consecutive PSA assessment at least 3 weeks later has been achieved.

    Measured: From baseline up to 3.5 years

  12. Change from baseline in PSA90 response rate (for prostate cancer participants)

    PSA90 response is defined as if a ≥ 90% decrease in PSA from baseline to the lowest post-baseline PSA result, confirmed by a second consecutive PSA assessment at least 3 weeks later has been achieved.

    Measured: From baseline up to 3.5 years

  13. Change from baseline in PSA undetectable rate

    Undetectable PSA is defined as a measurement of < 0.2 ng/mL.

    Measured: At 3, 6 and 9 months

  14. Time to PSA50/90 response (for prostate cancer participants)

    Time to PSA50/90 response is defined as the time from the date of first dose of study intervention until the date of first documented PSA response (≥ 50%/90% decrease in PSA from baseline) that is confirmed by a second consecutive PSA assessment at least 3 weeks later.

    Measured: Up to 3.5 years

  15. Time to PSA progression (for prostate cancer participants)

    Time to PSA progression is defined as the time from date of first dose of study intervention until the date of first documented PSA progression or the last PSA result in the absence of progression.

    Measured: Up to 3.5 years

  16. PSA PFS at 6 months (PSA-6)

    PSA progression is defined as an increase in PSA of ≥ 25% from the nadir and an absolute increase of at least 2 ng/mL above nadir beyond 12 weeks. To assess the preliminary anti-tumour activity of AZD4956 monotherapy and in combination with anti-cancer. agent(s)

    Measured: At 6 months

  17. Area under the concentration-time curve (AUC)

    To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s).

    Measured: From date of first dose of study intervention up to 59 days after first dose

  18. Maximum concentration (Cmax)

    To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s).

    Measured: From date of first dose of study intervention up to 59 days after first dose

  19. Time to maximum concentration (Tmax)

    To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s).

    Measured: From date of first dose of study intervention up to 59 days after first dose

  20. Individual and cumulative percentage of dose excreted unchanged in urine from time t1 to time t2 (fe(t1-t2))

    To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s).

    Measured: From date of first dose of study intervention up to 16 days after first dose

  21. Renal clearance (CLR)

    To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s).

    Measured: From date of first dose of study intervention up to 16 days after first dose

  22. Individual and cumulative amount of unchanged drug excreted into urine from time t1 to time t2 (Ae(t1-t2))

    To characterise the pharmacokinetics (PK) of AZD4956 when given orally as monotherapy and in combination with anti-cancer agent(s).

    Measured: From date of first dose of study intervention up to 16 days after first dose

  23. Change in amount of KRAB-associated protein-1 phosphorylated on serine 824 [pKAP1 (Ser824)] biomarker in tumour cells at baseline and during treatment

    To evaluate PD of AZD4956 in tumour cells when given orally as monotherapy and in combination with anti-cancer agent(s).

    Measured: From Baseline up to 3.5 years

Timeline

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

  1. First posted3 Mar 2026
  2. Study start17 Mar 2026
  3. Primary completion29 Mar 2030 (estimated)
  4. Study completion29 Mar 2030 (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
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07446855
Sponsor's protocol ID
D8570C00001
Other IDs
2025-524171-22-00, 2025
Acronym
PARTHENON
Status last verified
Oct 2026
First submitted
26 Feb 2026
Last updated
27 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 Vivli.org. All requests 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.

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AZD4956 and Saruparib in people with Solid Tumours, run by AstraZeneca at 19 sites in 6 countries.

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

Who may be eligible to take part?

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: looking for participants now, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in Spain, United States, United Kingdom, Australia, Japan and 1 more country. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Parts A and B: Number of participants with adverse events (AEs) and serious adverse events (SAEs) (time frame: From Screening (Day -28) to follow-up (up to 3.5 years)). The study lists 3 primary outcomes in all. 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 27 Oct 2026.

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