AZD0901 in Participants With Advanced Solid Tumours Expressing Claudin18.2
A Phase II, Open-label, Multi-centre Study to Evaluate Safety, Tolerability, Efficacy, PK, and Immunogenicity of AZD0901 as Monotherapy and in Combination With Anti-cancer Agents in Participants With Advanced Solid Tumours Expressing Claudin 18.2 (CLARITY-PanTumour01)
1 other identifier
interventional
224
14 countries
52
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 gastric-cancer
Started Dec 2023
Typical duration for phase_2 gastric-cancer
52 active sites
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
First Submitted
Initial submission to the registry
November 21, 2023
CompletedStudy Start
First participant enrolled
December 13, 2023
CompletedFirst Posted
Study publicly available on registry
January 23, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 11, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2027
February 12, 2026
February 1, 2026
2.7 years
November 21, 2023
February 11, 2026
Conditions
Keywords
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
EXPERIMENTALSub Study 1 will investigate AZD0901 monotherapy in order to evaluate the safety, tolerability, and efficacy of AZD0901.
Sub Study 2 - AZD0901 IN COMBINATION WITH ANTI-CANCER AGENTS IN PANCREATIC DUCTAL ADENOCARCINOMA
EXPERIMENTALSubstudy 2 will investigate the safety and efficacy of AZD0901 as first line systemic treatment used in combination with different chemotherapy agents
Sub Study 3: AZD0901 MONOTHERAPY IN BILIARY TRACT CANCER
EXPERIMENTALSubstudy 3 Further evaluate the preliminary anti-tumour activity of AZD0901 monotherapy by assessment of DRR.
Interventions
Antibody-drug conjugate/Biologic
Chemotherapy agents
Chemotherapy agents
Chemotherapy agents
Chemotherapy agents
Chemotherapy agents
Chemotherapy agents
Eligibility Criteria
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
- AstraZenecalead
Study Sites (52)
Research Site
Orange, California, 92868, United States
Research Site
Palo Alto, California, 94304, United States
Research Site
Santa Rosa, California, 95403, United States
Research Site
Louisville, Kentucky, 40202, United States
Research Site
Commack, New York, 11725, United States
Research Site
Providence, Rhode Island, 02903, United States
Research Site
Houston, Texas, 77030, United States
Research Site
Melbourne, 3000, Australia
Research Site
Murdoch, WA6150, Australia
Research Site
Randwick, 2031, Australia
Research Site
Kingston, Ontario, K7L 2V7, Canada
Research Site
Toronto, Ontario, M5G 2M9, Canada
Research Site
Montreal, Quebec, H3G 1A4, Canada
Research Site
Sherbrooke, Quebec, J1G 2E8, Canada
Research Site
Changsha, 410013, China
Research Site
Chengdu, 610041, China
Research Site
Tbilisi, 0112, Georgia
Research Site
Chūōku, 104-0045, Japan
Research Site
Kashiwa, 227-8577, Japan
Research Site
Kitaadachi-gun, 362-0806, Japan
Research Site
Kōtoku, 135-8550, Japan
Research Site
Nagoya, 464-8681, Japan
Research Site
Osakasayama-shi, 589-8511, Japan
Research Site
George Town, 10450, Malaysia
Research Site
Johor Bahru, 81100, Malaysia
Research Site
Kuala Lumpur, 59100, Malaysia
Research Site
Kuala Selangor, 62250, Malaysia
Research Site
Kuching, 93586, Malaysia
Research Site
Chisinau, MD-2025, Moldova
Research Site
Krakow, 31-501, Poland
Research Site
Warsaw, 02-034, Poland
Research Site
Bukit Merah, 169610, Singapore
Research Site
Singapore, 119074, Singapore
Research Site
Singapore, 308433, Singapore
Research Site
Singapore, 329563, Singapore
Research Site
Gyeonggi-do, 13620, South Korea
Research Site
Seoul, 03080, South Korea
Research Site
Seoul, 03722, South Korea
Research Site
Seoul, 05505, South Korea
Research Site
Seoul, 06351, South Korea
Research Site
Barcelona, 08035, Spain
Research Site
Madrid, 28007, Spain
Research Site
Madrid, 28040, Spain
Research Site
Kaohsiung City, 80756, Taiwan
Research Site
Taichung, 404, Taiwan
Research Site
Tainan, 70403, Taiwan
Research Site
Taipei, 11217, Taiwan
Research Site
Taoyuan District, 00333, Taiwan
Research Site
Glasgow, G12 0YN, United Kingdom
Research Site
Leeds, LS9 7TF, United Kingdom
Research Site
London, NW3 2QG, United Kingdom
Research Site
Oxford, OX3 7LE, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
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
- 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
- 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.
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.