NCT06921928

Brief Summary

The purpose of this study is to evaluate the safety, tolerability, PK, immunogenicity, pharmacodynamics, and preliminary efficacy of AZD4360 in adult participants with locally advanced or metastatic solid tumours selected for expression of CLDN18.2.

Trial Health

83
On Track

Trial Health Score

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

Enrollment
117

participants targeted

Target at P75+ for phase_1 gastric-cancer

Timeline
20mo left

Started Apr 2025

Geographic Reach
5 countries

18 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 Progress39%
Apr 2025Dec 2027

First Submitted

Initial submission to the registry

March 25, 2025

Completed
16 days until next milestone

First Posted

Study publicly available on registry

April 10, 2025

Completed
19 days until next milestone

Study Start

First participant enrolled

April 29, 2025

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2027

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 16, 2027

Last Updated

April 23, 2026

Status Verified

April 1, 2026

Enrollment Period

1.9 years

First QC Date

March 25, 2025

Last Update Submit

April 22, 2026

Conditions

Keywords

Gastric CancerGastroesophageal Junction CancerBiliary Tract CancerPancreatic Ductal AdenocarcinomaAdvanced Solid TumoursAZD4360Claudin 18.2

Outcome Measures

Primary Outcomes (1)

  • Incidence of participants with Dose-Limiting Toxicity (in dose escalation cohort), Adverse events (AEs) , Serious Adverse Events (SAEs) and AEs leading to discontinuation of AZD4360

    To investigate the safety and tolerability, and to determine the Maximum Tolerated Dose (MTD) and/or a Recommended Phase II Dose (R2PD) of AZD4360 in previously treated participants with advanced solid tumours, through the assessment of Dose Limiting Toxicities, Adverse Events and Severe Adverse Events.

    Through study completion, up to approximately 2 years

Secondary Outcomes (11)

  • Objective Response Rate (ORR)

    Through study completion, up to approximately 2 years

  • Duration of Response (DoR)

    Through study completion, up to approximately 2 years

  • Disease Control Rate (DCR)

    Through study completion, up to approximately 2 years

  • Progression Free Survival (PFS)

    Through study completion, up to approximately 2 years

  • Overall Survival (OS)

    Through study completion, up to approximately 2 years

  • +6 more secondary outcomes

Study Arms (1)

AZD4360 Monotherapy

EXPERIMENTAL

AZD4360 Monotherapy

Drug: AZD4360

Interventions

Antibody-Drug Conjugate targeting Claudin 18.2 (CLDN18.2)

AZD4360 Monotherapy

Eligibility Criteria

Age18 Years - 130 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participant must be ≥ 18 at the time of signing the ICF.
  • Eastern cooperative oncology group performance status of 0-1 with no deterioration over the previous 2 weeks prior to baseline or day of first dosing.
  • Minimum life expectancy of 12 weeks in the opinion of the Investigator.
  • Adequate organ and marrow function, as defined by protocol.
  • \. Contraceptive use by men or women should be consistent with local regulations, as defined by protocol.
  • \. Histologically confirmed advanced or metastatic Pancreatic ductal adenocarcinoma (PDAC), Gastric or Gastroesophageal junction cancer (G/GEJC), and Biliary tract cancer (BTC) with documented positive CLDN18.2 expression.
  • \. Participants must have received at least one prior line of systemic therapy in the advanced/metastatic disease.
  • \. At least one measurable lesion according to RECIST v1.1.

You may not qualify if:

  • Human Epidermal Growth Factor Receptor 2 (HER2) positive (3+ by IHC or 2+ by IHC and positive by in situ hybridisation) or indeterminate G/GEJC participants.
  • 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.
  • Central nervous system (CNS) metastases or CNS pathology, as defined by protocol.
  • With spinal cord compression or with high risk of paralysis.
  • History of non-infectious interstitial lung disease/pneumonitis.
  • Participant has cardiac abnormalities, as defined by protocol.
  • History of another primary malignancy within 2 years prior to screening.
  • Known serologic status reflecting active hepatitis B or hepatitis C.
  • Known HIV infection that is not well controlled.
  • Active tuberculosis infection.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Research Site

Santa Monica, California, 90404, United States

RECRUITING

Research Site

Providence, Rhode Island, 02903, United States

RECRUITING

Research Site

Houston, Texas, 77030, United States

RECRUITING

Research Site

Beijing, 100730, China

RECRUITING

Research Site

Chengdu, 610041, China

RECRUITING

Research Site

Shanghai, 201318, China

RECRUITING

Research Site

Wuhan, 430040, China

RECRUITING

Research Site

Berlin, 12200, Germany

NOT YET RECRUITING

Research Site

Dresden, 01307, Germany

RECRUITING

Research Site

Frankfurt, 60488, Germany

RECRUITING

Research Site

Chūōku, 104-0045, Japan

RECRUITING

Research Site

Kashiwa, 227-8577, Japan

RECRUITING

Research Site

Kōtoku, 135-8550, Japan

RECRUITING

Research Site

Sendai, 980-8574, Japan

NOT YET RECRUITING

Research Site

Glasgow, G12 0YN, United Kingdom

NOT YET RECRUITING

Research Site

Leeds, LS9 7TF, United Kingdom

NOT YET RECRUITING

Research Site

London, EC1A 7BE, United Kingdom

RECRUITING

Research Site

Oxford, OX3 7LE, United Kingdom

NOT YET RECRUITING

MeSH Terms

Conditions

Stomach NeoplasmsBiliary Tract Neoplasms

Condition Hierarchy (Ancestors)

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

Central Study Contacts

AstraZeneca Clinical Study Information Center

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 25, 2025

First Posted

April 10, 2025

Study Start

April 29, 2025

Primary Completion (Estimated)

March 31, 2027

Study Completion (Estimated)

December 16, 2027

Last Updated

April 23, 2026

Record last verified: 2026-04

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 shared.

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 rerefer 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. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
More information

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