NCT06219941

Brief Summary

The purpose of this study is to assess the safety, tolerability, efficacy, pharmacokinetics (PK), and immunogenicity of AZD0901 as monotherapy and in combination with anti-cancer agents in participants with locally advanced unresectable or metastatic solid tumours expressing CLDN18.2.

Trial Health

88
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
224

participants targeted

Target at P75+ for phase_2 gastric-cancer

Timeline
17mo left

Started Dec 2023

Typical duration for phase_2 gastric-cancer

Geographic Reach
14 countries

52 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress63%
Dec 2023Sep 2027

First Submitted

Initial submission to the registry

November 21, 2023

Completed
22 days until next milestone

Study Start

First participant enrolled

December 13, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 23, 2024

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 11, 2026

Expected
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2027

Last Updated

February 12, 2026

Status Verified

February 1, 2026

Enrollment Period

2.7 years

First QC Date

November 21, 2023

Last Update Submit

February 11, 2026

Conditions

Keywords

Gastric cancerGastroesophageal junction cancerPancreatic Ductal adenocarcinomaBiliary Tract CancerPhase IIClaudin 18.2AZD0901

Outcome Measures

Primary Outcomes (2)

  • Incidence of adverse events (AEs), serious AEs (SAEs). Changes from baseline in clinical laboratory parameters, vital signs, ECGs and physical examination. Rate of AEs leading to discontinuation of AZD0901, Occurrence of DLTs.

    To investigate the safety and tolerability, of AZD0901 monotherapy or in combination with anti-cancer agents in particpants with advanced or metastatic solid tumours expressing CLDN18.2.

    30 days post treatment completion. AE Follow Up for 90 days post AZD0901 discontinuation.

  • Objective Response Rate (ORR).

    Proportion of participants with a confirmed Complete Response (CR) or Partial Response (PR) as determined by the Investigator at local site as per RECIST v1.1.

    From date of first dose of AZD0901 up until progression, or the last evaluable assessment in the absence of progression (approximately 2 years).

Secondary Outcomes (9)

  • Overall Survival (OS)

    From date of first dose/randomisation until the date of death due to any cause (approximately 2 years).

  • Progression Free Survival (PFS)

    From date of first dose/randomisation until disease progression or death in the absence of progression (approximately 2 years).

  • Duration of Response (DoR)

    From the date of first documented confirmed response until date of documented progression (approximately 2 years).

  • Disease control rate (DCR)

    Up to 11 weeks post date of first dose/randomisation

  • Percentage change in tumor size

    From start through to study completion.

  • +4 more secondary outcomes

Study Arms (3)

Sub Study 1 - AZD0901 MONOTHERAPY

EXPERIMENTAL

Sub Study 1 will investigate AZD0901 monotherapy in order to evaluate the safety, tolerability, and efficacy of AZD0901.

Drug: AZD0901

Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA

EXPERIMENTAL

Substudy 2 will investigate the safety and efficacy of AZD0901 as first line systemic treatment used in combination with different chemotherapy agents

Drug: AZD0901Drug: 5-FluorouracilDrug: LeucovorinDrug: l-leucovorinDrug: IrinotecanDrug: Nanoliposomal IrinotecanDrug: Gemcitabine

Sub Study 3: AZD0901 MONOTHERAPY IN BILIARY TRACT CANCER

EXPERIMENTAL

Substudy 3 Further evaluate the preliminary anti-tumour activity of AZD0901 monotherapy by assessment of DRR.

Drug: AZD0901

Interventions

Antibody-drug conjugate/Biologic

Also known as: CMG901
Sub Study 1 - AZD0901 MONOTHERAPYSub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMASub Study 3: AZD0901 MONOTHERAPY IN BILIARY TRACT CANCER

Chemotherapy agents

Also known as: LV
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA

Chemotherapy agents

Also known as: 5-FU
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA

Chemotherapy agents

Also known as: I-LV
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA

Chemotherapy agents

Also known as: Camptosar
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA

Chemotherapy agents

Also known as: ONIVYDE
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA

Chemotherapy agents

Also known as: Gemzar
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participant must be ≥ 18 years or the legal age of consent at the time of signing the ICF.
  • Participants who are CLDN18.2 positive.
  • Must have at least one measurable lesion according to RECIST v1.1.
  • ECOG performance status of 0 to 1 with no deterioration over the previous 2 weeks prior first day of dosing.
  • Predicted life expectancy of ≥ 12 weeks.
  • Adequate organ and bone marrow function as defined by protocol.
  • Body weight \> 35 kg.
  • Participants are willing to comply with contraception requirements.
  • Histologically confirmed adenocarcinoma of the stomach or gastroesophageal junction.
  • Advanced or metastatic GC/GEJC.
  • Maximum 2 prior lines of systemic treatment for unresectable or metastatic disease.
  • Participants diagnosed with histologically confirmed metastatic or advanced PDAC.
  • Availability of an archival sample or a fresh tumour biopsy taken at screening.
  • No prior treatments for unresectable or metastatic disease. Prior neoadjuvant/adjuvant chemotherapy is permitted as long as participants progressed ≥ 6 months (183 days) from the last dose.
  • Histologically confirmed, unresectable advanced, or metastatic adenocarcinoma of biliary tract, including cholangiocarcinoma (intrahepatic or extrahepatic) and gallbladder carcinoma (NOTE: Ampullary cancers are not eligible).
  • +1 more criteria

You may not qualify if:

  • Unstable or active peptic ulcer disease or digestive tract bleeding including but not limited to clinically significant bleeding in the setting of prior CLDN18.2 directed therapy.
  • Participants with clinically significant ascites that require drainage.
  • A history of drug-induced non-infectious ILD/pneumonitis.
  • Central nervous system metastases or CNS pathology.
  • Peripheral neuropathy, sensory, or motor ≥ Grade 2 at screening.
  • History of another primary malignancy.
  • Prior exposure to any MMAE-based ADC.
  • Prior exposure to any CLDN18.2 targeted agents except anti-CLDN18.2 monoclonal antibody.
  • Participants with HER2-positive (3+ by IHC, or 2+ by IHC, and positive by ISH) or indeterminate GC/GEJC unless they have failed/not tolerated/or are not eligible for standard anti-HER2 therapy, where available.
  • Any factors that increase the risk of QTc prolongation or risk of arrhythmic events.
  • The use of concomitant medications known to prolong the QT/QTc interval.
  • Known DPD enzyme deficiency based on local testing where testing is SoC.
  • Use of strong inhibitor or inducer of UGT1A1.
  • Use of strong inhibitors or inducers of CYP3A4.
  • Known homozygous for the UGT1A1\*28 allele based on local testing where testing is SoC.
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (52)

Research Site

Orange, California, 92868, United States

RECRUITING

Research Site

Palo Alto, California, 94304, United States

RECRUITING

Research Site

Santa Rosa, California, 95403, United States

RECRUITING

Research Site

Louisville, Kentucky, 40202, United States

RECRUITING

Research Site

Commack, New York, 11725, United States

RECRUITING

Research Site

Providence, Rhode Island, 02903, United States

RECRUITING

Research Site

Houston, Texas, 77030, United States

RECRUITING

Research Site

Melbourne, 3000, Australia

RECRUITING

Research Site

Murdoch, WA6150, Australia

RECRUITING

Research Site

Randwick, 2031, Australia

RECRUITING

Research Site

Kingston, Ontario, K7L 2V7, Canada

WITHDRAWN

Research Site

Toronto, Ontario, M5G 2M9, Canada

RECRUITING

Research Site

Montreal, Quebec, H3G 1A4, Canada

RECRUITING

Research Site

Sherbrooke, Quebec, J1G 2E8, Canada

RECRUITING

Research Site

Changsha, 410013, China

NOT YET RECRUITING

Research Site

Chengdu, 610041, China

NOT YET RECRUITING

Research Site

Tbilisi, 0112, Georgia

RECRUITING

Research Site

Chūōku, 104-0045, Japan

RECRUITING

Research Site

Kashiwa, 227-8577, Japan

RECRUITING

Research Site

Kitaadachi-gun, 362-0806, Japan

RECRUITING

Research Site

Kōtoku, 135-8550, Japan

RECRUITING

Research Site

Nagoya, 464-8681, Japan

RECRUITING

Research Site

Osakasayama-shi, 589-8511, Japan

RECRUITING

Research Site

George Town, 10450, Malaysia

RECRUITING

Research Site

Johor Bahru, 81100, Malaysia

COMPLETED

Research Site

Kuala Lumpur, 59100, Malaysia

RECRUITING

Research Site

Kuala Selangor, 62250, Malaysia

RECRUITING

Research Site

Kuching, 93586, Malaysia

RECRUITING

Research Site

Chisinau, MD-2025, Moldova

RECRUITING

Research Site

Krakow, 31-501, Poland

RECRUITING

Research Site

Warsaw, 02-034, Poland

RECRUITING

Research Site

Bukit Merah, 169610, Singapore

RECRUITING

Research Site

Singapore, 119074, Singapore

RECRUITING

Research Site

Singapore, 308433, Singapore

RECRUITING

Research Site

Singapore, 329563, Singapore

RECRUITING

Research Site

Gyeonggi-do, 13620, South Korea

RECRUITING

Research Site

Seoul, 03080, South Korea

RECRUITING

Research Site

Seoul, 03722, South Korea

RECRUITING

Research Site

Seoul, 05505, South Korea

RECRUITING

Research Site

Seoul, 06351, South Korea

RECRUITING

Research Site

Barcelona, 08035, Spain

RECRUITING

Research Site

Madrid, 28007, Spain

RECRUITING

Research Site

Madrid, 28040, Spain

RECRUITING

Research Site

Kaohsiung City, 80756, Taiwan

RECRUITING

Research Site

Taichung, 404, Taiwan

RECRUITING

Research Site

Tainan, 70403, Taiwan

RECRUITING

Research Site

Taipei, 11217, Taiwan

RECRUITING

Research Site

Taoyuan District, 00333, Taiwan

RECRUITING

Research Site

Glasgow, G12 0YN, United Kingdom

WITHDRAWN

Research Site

Leeds, LS9 7TF, United Kingdom

WITHDRAWN

Research Site

London, NW3 2QG, United Kingdom

WITHDRAWN

Research Site

Oxford, OX3 7LE, United Kingdom

WITHDRAWN

MeSH Terms

Conditions

Stomach NeoplasmsBiliary Tract Neoplasms

Interventions

FluorouracilLeucovorinIrinotecanirinotecan sucrosofateGemcitabine

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesStomach DiseasesBiliary Tract Diseases

Intervention Hierarchy (Ancestors)

UracilPyrimidinonesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFormyltetrahydrofolatesTetrahydrofolatesFolic AcidPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingCoenzymesEnzymes and CoenzymesCamptothecinAlkaloidsDeoxycytidineCytidinePyrimidine Nucleosides

Central Study Contacts

AstraZeneca Clinical Study Information Center

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This study is an open-label, multi-centre study of AZD0901 administered via IV, either as monotherapy or in combination with other anti-cancer agents in participants with advanced solid malignancies expressing CLDN18.2. The substudy design allows for a targeted approach to the different tumour types as monotherapy or in combination with other anti-cancer agents. These substudies include: Substudy 1: AZD0901 monotherapy in gastric and gastric esophageal junction cancer patients Substudy 2: AZD0901 in combination with anti-cancer agents in pancreatic cancer patients. Substudy 3: AZD0901 monotherapy in biliary Tract Cancer.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 21, 2023

First Posted

January 23, 2024

Study Start

December 13, 2023

Primary Completion (Estimated)

August 11, 2026

Study Completion (Estimated)

September 30, 2027

Last Updated

February 12, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will share

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 approved.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
Access Criteria
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
More information

Locations