Capivasertib China PK Study

AstraZeneca

Status and phase

Completed

Phase 1

Conditions

Advanced Solid Tumours

Treatments

Drug: Paclitaxel

Drug: Capivasertib

Study type

Interventional

Funder types

Industry

Identifiers

NCT04742036

D3614C00002

Details and patient eligibility

About

This is an open-label, 2-part Phase I study to assess the PK, safety and tolerability of capivasertib as monotherapy and in combination with paclitaxel in Chinese participants with advanced solid tumours

Full description

A Phase I study is designed to assess the PK, safety and tolerability of single-dose and multiple-dose capivasertib as monotherapy (Part A) and in combination with paclitaxel (Part B) in approximately 16 Chinese participants with advanced solid tumours and to detect any differences in the PK profile between Chinese and Caucasian participants due to ethnicity. Descriptive summary will be conducted on the PK analysis set and safety analysis set.The evaluation of capivasertib PK data will be based on the PK analysis set.The assessment on safety and tolerability will be based on the safety analysis set.

Enrollment

16 patients

Sex

All

Ages

18 to 130 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Key inclusion criteria

Participants must have at least 1 lesion, not previously irradiated, that can be measured accurately at baseline as ≥10 mm in the longest diameter (except lymph nodes which must have short axis ≥15 mm) with computer tomography (CT) or magnetic resonance imaging (MRI) which is suitable for accurate repeated measurements, or Lytic or mixed (lytic + sclerotic) bone lesions that can be assessed by CT or MRI in the absence of measurable disease as defined above; patients with sclerotic/osteoblastic bone lesions only in the absence of measurable disease are not eligible.
Histologically or, where appropriate, cytologically-confirmed malignant solid tumour refractory or resistant to standard therapy and for which no suitable effective standard therapy exists
Participants must have a life expectancy of ≥12 weeks
Participants must be eligible for paclitaxel treatment as per local investigator assessment
ECOG performance status 0-1
Participants must be on a stable concomitant medication regimen, defined as no changes in medication or in dose within 2 weeks prior to start of capivasertib dosing, except for bisphosphonates, denosumab and corticosteroids, which should be stable for at least 4 weeks prior to start of capivasertib dosing

Key Exclusion criteria

Radiotherapy with a wide field of radiation within 4 weeks before the first dose of study treatment
Other malignancies within 5 years prior to treatment initiation (except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or Stage I uterine cancer)
Participants with any ongoing toxicities (>CTCAE grade 2), with the exception of alopecia, caused by previous cancer therapy
Past medical history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease
Any of the following cardiac criteria at screening:
- Mean resting corrected QT interval (QTc) >470 msec obtained from 3 consecutive ECGs
- Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG (eg, complete left bundle branch block, third-degree heart block)
Clinically significant abnormalities of glucose metabolism as defined by any of the following at screening:
- Participants with diabetes mellitus type I or diabetes mellitus type II requiring insulin treatment
- glycosylated haemoglobin (HbA1c) ≥8.0% (63.9 mmol/mol)
Inadequate bone marrow reserve or organ function
Spinal cord compression or brain metastases unless asymptomatic, treated and stable and not requiring steroids for at least 4 weeks prior to start of study treatment
Major surgery (excluding placement of vascular access) within 4 weeks of the first dose of study treatment
Refractory nausea and vomiting, malabsorption syndrome, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection, or other condition that would preclude adequate absorption of capivasertib
Previous allogeneic bone marrow transplant or solid organ transplant
Evidence of dementia-altered mental status or any psychiatric condition that would prohibit understanding or rendering of informed consent
Any other disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding that, in the investigator's opinion, gives reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug, may affect the interpretation of the results, render the patient at high risk from treatment complications or interferes with obtaining informed consent
Any previous treatment with AKT, PI3K, and/or mTOR inhibitors
Participation in another clinical study with an IP administered in the last 30 days or 5 half-lives, whichever is longer.