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RECRUITINGPhase 2INTERVENTIONAL

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)

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

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.

Who May Be Eligible (Plain English)

The list below is a summarised eligibility criteria for the study - refer to the study protocol for full criteria. Master Inclusion Criteria applicable to all sub studies: - 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. - You should be able to carry out daily activities with 0 level of ability (ECOG 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. Sub study 1 Specific Who May Qualify: - diagnosed by tissue sample (biopsy-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. Sub study 2 Specific Who May Qualify: - Participants diagnosed with diagnosed by tissue sample (biopsy-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. Sub study 3 Specific Inclusion criteria - diagnosed by tissue sample (biopsy-confirmed), unresectable advanced, or metastatic adenocarcinoma of biliary tract, including cholangiocarcinoma (intrahepatic or extrahepatic) and gallbladder carcinoma (NOTE: Ampullary cancers are not eligible). - Documented radiographic or clinical disease progression on or after at least one prior regimen and maximum 2 prior lines of systemic treatment for unresectable or metastatic disease. Master Exclusion Criteria applicable to all sub studies: ...See full criteria on ClinicalTrials.gov Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
The list below is a summarised eligibility criteria for the study - refer to the study protocol for full criteria. Master Inclusion Criteria applicable to all sub studies: * 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. Sub study 1 Specific Inclusion criteria: * 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. Sub study 2 Specific Inclusion criteria: * 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. Sub study 3 Specific Inclusion criteria * Histologically confirmed, unresectable advanced, or metastatic adenocarcinoma of biliary tract, including cholangiocarcinoma (intrahepatic or extrahepatic) and gallbladder carcinoma (NOTE: Ampullary cancers are not eligible). * Documented radiographic or clinical disease progression on or after at least one prior regimen and maximum 2 prior lines of systemic treatment for unresectable or metastatic disease. Master Exclusion Criteria applicable to all sub studies: * 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. Sub study 1 Specific Exclusion criteria: * 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. Sub study 2 Specific Exclusion criteria: * 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. Sub study 3 Specific Exclusion criteria • Clinically significant biliary obstruction that has not resolved before enrollment.

Treatments Being Tested

DRUG

AZD0901

Antibody-drug conjugate/Biologic

DRUG

5-Fluorouracil

Chemotherapy agents

DRUG

Leucovorin

Chemotherapy agents

DRUG

l-leucovorin

Chemotherapy agents

DRUG

Irinotecan

Chemotherapy agents

DRUG

Nanoliposomal Irinotecan

Chemotherapy agents

DRUG

Gemcitabine

Chemotherapy agents

Locations (20)

Research Site
Orange, California, United States
Research Site
Palo Alto, California, United States
Research Site
Santa Rosa, California, United States
Research Site
Louisville, Kentucky, United States
Research Site
Commack, New York, United States
Research Site
Providence, Rhode Island, United States
Research Site
Houston, Texas, United States
Research Site
Melbourne, Australia
Research Site
Murdoch, Australia
Research Site
Randwick, Australia
Research Site
Kingston, Ontario, Canada
Research Site
Toronto, Ontario, Canada
Research Site
Montreal, Quebec, Canada
Research Site
Sherbrooke, Quebec, Canada
Research Site
Changsha, China
Research Site
Chengdu, China
Research Site
Tbilisi, Georgia
Research Site
Chūōku, Japan
Research Site
Kashiwa, Japan
Research Site
Kitaadachi-gun, Japan