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This is a Phase 1 open-label, multicenter study of ZN-c3 (also known as Azenosertib) monotherapy which consists of Dose Escalation, a Food Effect Cohort, and Dose Expansion.
This study will evaluate the safety, tolerability, efficacy, pharmacokinetics (PK) and pharmacodynamics of ZN-c3.
In Dose Escalation, the study will identify the Maximum Tolerated Dose (MTD) of ZN-c3 monotherapy in solid tumors.
The Food Effect cohort sub-study will examine ZN-c3 PK after a single dose and determine the bioavailability of ZN-c3 under fed and fasted conditions.
In Dose Expansion, single agent ZN-c3 will be evaluated at the RP2D in subjects with recurrent or persistent uterine serous carcinoma (USC) or subjects with locally advanced or metastatic solid tumor malignancies harboring biomarkers related to deoxyribonucleic acid (DNA) damage pathways.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Agent Dose Escalation | Experimental | Subjects with solid tumors with advanced or metastatic disease who are refractory or ineligible to standard therapy(ies) or for whom no standard therapy is available. |
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| Single Agent Food Effect Cohort | Experimental | Subjects with solid tumors with advanced or metastatic disease who are refractory or ineligible to standard therapy(ies) or for whom no standard therapy is available. This cohort will give subjects the option to continue treatment after PK assessments are completed. |
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| Single Agent Dose Expansion | Experimental | Subjects with recurrent, platinum-resistant HGSOC; histologically confirmed USC; or either CCNE1-amplified/cyclinE1-positive solid tumors; or subjects who roll over from ZN-c3 pharmacology studies. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Azenosertib | Drug | Azenosertib (ZN-c3) is a study drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Escalation | To investigate the safety and tolerability of single agent ZN-c3, including identification of the maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D), based on the incidence and severity of adverse events (AEs) and dose-limiting toxicities (DLTs) in DLT-evaluable subjects. | Through completion, average of 1 year |
| Food Effect Cohort | To characterize and compare the PK (Cmax.) of ZN-c3 following a single dose of ZN-c3 under fed and fasting conditions. | Through completion, approx 6 months |
| Food Effect Cohort | To characterize and compare the PK (Tmax) of ZN-c3 following a single dose of ZN-c3 under fed and fasting conditions. | Through completion, approximately 6 months |
| Food Effect Cohort | To characterize and compare the PK (AUC0-last,AUC0-∞) of ZN-c3 following a single dose of ZN-c3 under fed and fasting conditions. | Through completion approximately 6 month |
| Food Effect Cohort | To characterize and compare the PK (T1/2) of ZN-c3 following a single dose of ZN-c3 under fed and fasting conditions. | Through completion, approximately 6 mth |
| Dose Expansion | To investigate the clinical activity of WEE1 inhibition based on the objective response rate (ORR) as defined by the revised Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 | Through completion, approximately 43 month |
| Measure | Description | Time Frame |
|---|---|---|
| Dose Escalation, Food Effect cohort & Dose Expansion | To obtain preliminary estimates of antitumor efficacy of single agent ZN-c3 based on objective response rate (ORR) as defined by the revised Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Through completion |
| Food Effect Cohort |
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Major Eligibility Criteria:
Dose Escalation Inclusion Criteria:
Food Effect Cohort Inclusion Criteria:
Dose Expansion Inclusion Criteria:
Major Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site 0102 | Tucson | Arizona | 85719 | United States | ||
| Site 0167 |
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USC Cohort is Parallel Assignment and MOI Cohort is Single Group
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To investigate electrocardiogram intervals (QTc Interval) via Holter monitoring after a single dose of ZN-c3 under fed and fasting conditions. |
| Through completion |
| Dose Escalation, Food Effect cohort and Dose Expansion | To obtain preliminary estimates of antitumor efficacy of single agent ZN-c3 based on Duration of Response (DOR) as defined by the revised Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Through completion. |
| Dose Escalation, Food Effect cohort and Dose Expansion | To obtain preliminary estimates of antitumor efficacy of single agent ZN-c3 based on Progression Free Survival (PFS) as defined by the revised Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Through completion.. |
| Dose Escalation, Food Effect cohort and Dose Expansion | To obtain preliminary estimates of antitumor efficacy of single agent ZN-c3 based on Clinical Benefit Rate (CBR) defined as complete response, partial response or stable disease according to the revised Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. | Through completion... |
| Newport Beach |
| California |
| 92663 |
| United States |
| Site 0171 | Chicago | Illinois | 60637 | United States |
| Site 0101 | Detroit | Michigan | 48201 | United States |
| Site 0173 | New York | New York | 10029 | United States |
| Site 0179 | Pittsburgh | Pennsylvania | 15213 | United States |
| Site 0103 | Houston | Texas | 77030 | United States |
| Site 0100 | San Antonio | Texas | 78229 | United States |