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A Study to Evaluate the Safety and Efficacy of AZD4547 Combination With Tislelizumab in Patients With mUC

Primary Purpose

Urothelial Carcinoma

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
AZD4547
Tislelizumab
Sponsored by
Abbisko Therapeutics Co, Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Urothelial Carcinoma

Eligibility Criteria

25 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Volunteer to participate in this clinical trial, understand the study procedures, and be able to sign a written informed consent. Age of 25 years old at the time of signing the informed consent (or the age range specifically required by the regulatory agency or ethics), without gender limitation; By histologically confirmed, surgical unresectable local advanced or metastatic urothelial cancer patients, can be accompanied by other histological type differentiation (including adenoid, squamous or other types) The ECOG PS (performance status) score is 0-1 point; The estimated survival period of 3 months; Good organ function level meets the following laboratory examination requirements, and the examination results should be obtained within 14 days before the first administration of the study treatment Fertility female or male subjects must agree to use a medically approved contraceptive measure during the study treatment and within 6 months after the end of the study treatment period; fertile female subjects must have a negative blood β -hCG test within 7 days before the first dose and must be non-lactating; Exclusion Criteria: Known allergic to AZD4547 tablets or components; allergic to monoclonal antibody drugs and fusion protein drugs. Patients with imaging progression after previously receiving selective FGFR inhibitors or receiving immune checkpoint inhibitors Subjects with a history of an active autoimmune disease or a possible recurrence of an autoimmune disease, as judged by the investigator, should be excluded. Patients are admitted for the following diseases: hypothyroidism that can be controlled by hormone replacement therapy only, skin diseases without systemic treatment A history of idiopathic pulmonary fibrosis (including pneumonia), drug-related pneumonia, organic pneumonia Subjects requiring systemic treatment with corticosteroids (prednisone or similar drug> 10 mg / day) or other immunosuppressive agents within 14 days prior to enrollment.a) Other malignant tumors requiring treatment were present within 6. 3 years 7 The electrolyte disorders that cannot be corrected and affect serum potassium, blood calcium or blood phosphorus levels. 8. Unstable or symptomatic CNS transfer 9. The researchers judge that the subject has factors that significantly affect the absorption of oral drugs. 10 Current active infection or fever of unknown origin> 38.5℃ 11. Previous allograft or stem cell transplantation or organ transplantation. 12. Use of any live or attenuated vaccine against infectious diseases (e. g., influenza, chickenpox, etc.) 13. End time of other anti-tumor treatment from first study drug: 14. Patients with reversible adverse events caused by previous antitumor therapy, not returning to grade CTCAE 15 Patients are using, or are using, the following drugs or foods within 7 days before the first administration of the study treatment: CYP3A4 and CYP2D6 strong inhibitors or inducers. 16. Presence of uncontrolled cardiovascular disease or medical history, including: a) Congestive heart failure 17. Any abnormal corneal or retinal changes that may increase the risk of ocular toxicity during screening, including: 18. Human immunodeficiency virus (HIV) infection (HIV antibody serotest positive) or previously acquired / hereditary immunodeficiency disease 19 Patients with refractory / uncontrolled ascites or pleural effusion. Patients were allowed to use an indwelling catheter. 20 Severe unhealed skin / mucosal ulcers, chronic ulcers of the lower extremities, known gastric ulcers, or incisions are present. 21. Any other medical treatment (e. g., respiratory, metabolic, infectious, immune, congenital, endocrine, or central nervous system diseases), mental or social factors that may sign informed consent, cooperation, participate in clinical studies or affect the interpretation of the research results.

Sites / Locations

  • Fudan University Shanghai Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

An open evaluation of AZD4547 combined with Tislelizumab in UC patients

Arm Description

AZD4547 : Initiation dose 80mg BID,po;Until disease progression, death, loss to follow-up, voluntary withdrawal of informed consent, development of intolerable toxicity, investigator decision to discontinue treatment, or completion of the entire study. Tislelizumab:200mg Q3W, Until disease progression, death, loss to follow-up, voluntary withdrawal of informed consent, development of intolerable toxicity, investigator decision to discontinue treatment, or completion of the entire study.

Outcomes

Primary Outcome Measures

Safety index
Part A:Dose limiting toxicity (DLT) incidence
Effectiveness indicators
Part B: Objective remission rate

Secondary Outcome Measures

Full Information

First Posted
October 8, 2022
Last Updated
March 8, 2023
Sponsor
Abbisko Therapeutics Co, Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05775874
Brief Title
A Study to Evaluate the Safety and Efficacy of AZD4547 Combination With Tislelizumab in Patients With mUC
Official Title
A Sigle-arm,Open Label,Multicenter Study of AZD4547 Combination With Tislelizumab for Patients With Metastatic or Locally Advanced Urothelial Carcinoma (mUC) Harboring Fibroblast Growth Factor Receptor Alterations
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 30, 2022 (Actual)
Primary Completion Date
September 30, 2025 (Anticipated)
Study Completion Date
December 30, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbisko Therapeutics Co, Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This trial is an open, phase II clinical study. The study is divided into two parts: A and B, and the part A evaluate the safety and tolerability of AZD4547 combined with Tislelizumab in patients with locally advanced or metastatic urothelial cancer, determine the recommended dose of midoral AZD4547 combined with Tislelizumab in a Chinese patient population. Part B study will evaluate the efficacy of this recommended dose combined with Tislelizumab in patients with locally advanced or metastatic urothelial cancer with FGFR2 / 3 alterations , and will also further evaluate the safety, tolerability, and PK and PD characteristics of AZD4547 in combination with Tislelizumab.
Detailed Description
Part A of the study In Part A, subjects will receive AZD4547 80mg BID orally for cycles every 21 days and terelizumab 200mg will be an intravenous infusion (IV) 200mg every 3 weeks. Subsequent subjects in Part A should be administered at least 7 days after the first dose of the first subject (sentinel subject). . Tolerability will be assessed based on the incidence of dose-limiting toxicity (DLT) observed in cycle 1 (21 days). Part B; If a DLT event occurs in> 1 of the 6 DLT-evaluable subjects, With the consent of the investigator and the sponsor, An additional combined regimen cohort of six patients with a lower AZD4547 dose (AZD4547 60mg BID + Tislelizumab 200mg Q3W) will be initiated. I A specific dose / regimen of subjects and no more than one subject with DLT events will be selected to confirmation for confirmation for use in the Part B study. After cycle 1, subjects will continue to receive combination therapy in one cycle every 21 days until disease progression, death, loss to follow-up, voluntary withdrawal of informed consent, occurrence of intolerable toxicity, investigator decision to terminate treatment, or the end of the entire study. Safety assessments will be performed in each visit cycle, including the incidence and severity of adverse events (according to CTCAEv5.0) and laboratory abnormalities Study Part B Patients with locally advanced or metastatic urothelial carcinoma harboring FGFR2 / 3 alterations will follow the Simon's optimal two-stage design. It was considered "efficacy evaluable" when tumor assessment results were available at both baseline and after treatment

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Urothelial Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
An open evaluation of AZD4547 combined with Tislelizumab in UC patients
Arm Type
Other
Arm Description
AZD4547 : Initiation dose 80mg BID,po;Until disease progression, death, loss to follow-up, voluntary withdrawal of informed consent, development of intolerable toxicity, investigator decision to discontinue treatment, or completion of the entire study. Tislelizumab:200mg Q3W, Until disease progression, death, loss to follow-up, voluntary withdrawal of informed consent, development of intolerable toxicity, investigator decision to discontinue treatment, or completion of the entire study.
Intervention Type
Drug
Intervention Name(s)
AZD4547
Other Intervention Name(s)
FGFR1/2/3/4 inhibitor
Intervention Description
Initiation dose: 80mg BID,po.
Intervention Type
Drug
Intervention Name(s)
Tislelizumab
Other Intervention Name(s)
PD1 inhibitor
Intervention Description
Tislelizumab:200mg Q3W
Primary Outcome Measure Information:
Title
Safety index
Description
Part A:Dose limiting toxicity (DLT) incidence
Time Frame
At the end of Cycle 1 (each cycle is 28 days)
Title
Effectiveness indicators
Description
Part B: Objective remission rate
Time Frame
at least 8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Volunteer to participate in this clinical trial, understand the study procedures, and be able to sign a written informed consent. Age of 25 years old at the time of signing the informed consent (or the age range specifically required by the regulatory agency or ethics), without gender limitation; By histologically confirmed, surgical unresectable local advanced or metastatic urothelial cancer patients, can be accompanied by other histological type differentiation (including adenoid, squamous or other types) The ECOG PS (performance status) score is 0-1 point; The estimated survival period of 3 months; Good organ function level meets the following laboratory examination requirements, and the examination results should be obtained within 14 days before the first administration of the study treatment Fertility female or male subjects must agree to use a medically approved contraceptive measure during the study treatment and within 6 months after the end of the study treatment period; fertile female subjects must have a negative blood β -hCG test within 7 days before the first dose and must be non-lactating; Exclusion Criteria: Known allergic to AZD4547 tablets or components; allergic to monoclonal antibody drugs and fusion protein drugs. Patients with imaging progression after previously receiving selective FGFR inhibitors or receiving immune checkpoint inhibitors Subjects with a history of an active autoimmune disease or a possible recurrence of an autoimmune disease, as judged by the investigator, should be excluded. Patients are admitted for the following diseases: hypothyroidism that can be controlled by hormone replacement therapy only, skin diseases without systemic treatment A history of idiopathic pulmonary fibrosis (including pneumonia), drug-related pneumonia, organic pneumonia Subjects requiring systemic treatment with corticosteroids (prednisone or similar drug> 10 mg / day) or other immunosuppressive agents within 14 days prior to enrollment.a) Other malignant tumors requiring treatment were present within 6. 3 years 7 The electrolyte disorders that cannot be corrected and affect serum potassium, blood calcium or blood phosphorus levels. 8. Unstable or symptomatic CNS transfer 9. The researchers judge that the subject has factors that significantly affect the absorption of oral drugs. 10 Current active infection or fever of unknown origin> 38.5℃ 11. Previous allograft or stem cell transplantation or organ transplantation. 12. Use of any live or attenuated vaccine against infectious diseases (e. g., influenza, chickenpox, etc.) 13. End time of other anti-tumor treatment from first study drug: 14. Patients with reversible adverse events caused by previous antitumor therapy, not returning to grade CTCAE 15 Patients are using, or are using, the following drugs or foods within 7 days before the first administration of the study treatment: CYP3A4 and CYP2D6 strong inhibitors or inducers. 16. Presence of uncontrolled cardiovascular disease or medical history, including: a) Congestive heart failure 17. Any abnormal corneal or retinal changes that may increase the risk of ocular toxicity during screening, including: 18. Human immunodeficiency virus (HIV) infection (HIV antibody serotest positive) or previously acquired / hereditary immunodeficiency disease 19 Patients with refractory / uncontrolled ascites or pleural effusion. Patients were allowed to use an indwelling catheter. 20 Severe unhealed skin / mucosal ulcers, chronic ulcers of the lower extremities, known gastric ulcers, or incisions are present. 21. Any other medical treatment (e. g., respiratory, metabolic, infectious, immune, congenital, endocrine, or central nervous system diseases), mental or social factors that may sign informed consent, cooperation, participate in clinical studies or affect the interpretation of the research results.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yuan Lu, Director
Phone
021-68910052
Email
clinical@abbisko.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dingwei Ye, Professor
Organizational Affiliation
Fudan University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fudan University Shanghai Cancer Center
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dingwei Ye, Professor
Phone
02164175590
Email
dwyeli@163.com
First Name & Middle Initial & Last Name & Degree
Dingwei Ye, professor

12. IPD Sharing Statement

Learn more about this trial

A Study to Evaluate the Safety and Efficacy of AZD4547 Combination With Tislelizumab in Patients With mUC

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