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NCT00979134

Study is Designed to Assess the Safety and Tolerability of AZD4547 at Increasing Doses in Patients With Advanced Tumours

Terminated Phase 1 Results posted Last updated 15 March 2019
What this trial tests

Phase 1 trial testing AZD4547 in Cancer in 95 participants. Terminated before completion.

Timeline
21 October 2009
Primary endpoint
12 February 2014
5 March 2015

Quick facts

Lead sponsorAstraZeneca
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment95
Start date21 October 2009
Primary completion12 February 2014
Estimated completion5 March 2015
Sites29 locations across France, Italy, Netherlands, United Kingdom, Germany, United States, Spain

Drugs / interventions tested

Conditions studied

Sponsor

AstraZeneca — full company profile →

Who can join

Adults 25 to 149, any sex, with Cancer or Advanced Solid Malignancies. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

AUC(0-infinity) Secondary · PK samples out to 96 hours "0 to 96 hours post-dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.

To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.

GroupValue95% CI
Part B1818± 59.43
Part A2697± 110.8
Tumour Response (Best Objective Response) - Number of Patients With a Confirmed Response of Partial Response (PR) or Confirmed Response (CR) Secondary · Baseline assessment, then assessment every 6 weeks after start of treatment until objective disease progression.

To obtain a preliminary assessment of the anti tumour activity of AZD4547 by evaluation of tumour response using Response Evaluation Criteria in Solid Tumours (RECIST) criteria version 1.1. Objective response = CR + PR; CR=disappearance of all target lesions and PR is \>=30% reduction in sum of longest diameter of target lesions

GroupValue95% CI
Part B0
Part C (FISH Ratio >= 2)1
Part A0
Part C (FISH Ratio < 2)0
Cmax (ng/mL) Secondary · PK samples out to 96 hours "0-96 hours post dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.

To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.

GroupValue95% CI
Part B112.0± 81.47
Part A167.4± 112.1
Css,Max (ng/mL) Secondary · PK samples out to 96 hours "0-96 hours post-dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.

To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.

GroupValue95% CI
Part B289.3± 45.98
Part A297.1± 123.5
AUC,ss(0-infinity) Secondary · PK samples out to 96 hours "0-96 hours post dose" after single dose (in parts A & B only). Steady state PK profile 3 weeks after the start of BD dosing.

To characterise the pharmacokinetics (PK) of AZD4547 following a single administration and at steady state after dosing when given orally.

GroupValue95% CI
Part B2606± 41.32
Part A2337± 125.2
Number of Patients Who Experienced at Least 1 AE Primary · AEs are monitored from screenng through to 30 day follow up period

To investigate the safety and tolerability of AZD4547. System organ class (SOC), preferred term (PT), duration and severity all recorded.

GroupValue95% CI
Part B6
Part C (FISH Ratio >= 2)33
Part C (FISH Ratio <2)12
Part A43
Number of Participants Who Experienced at Least 1 Causally Related AE. Primary · AEs are continually assessed from screening up to 30 day FU period

To investigate the safety and tolerability of AZD4547. A causally related AE is an AE deemed to be causally related to AZD4547.

GroupValue95% CI
Part B6
Part C (FISH Ratio >= 2)31
Part C (FISH Ratio <2)10
Part A42
Number of Participants With at Least 1 AE of CTCAE >=G3 Primary · Ongoing up to discontinuation up to 30 day FU.

To investigate the safety and tolerability of AZD4547

GroupValue95% CI
Part B1
Part C (FISH Ratio >= 2)16
Part C (FISH Ratio <2)5
Part A17
Number of Participants With at Least 1 Causally Related AE of CTCAE >=G3 Primary · Ongoing up to discontinuation up to 30 day FU.

To investigate the safety and tolerability of AZD4547

GroupValue95% CI
Part B0
Part C (FISH Ratio >= 2)8
Part C (FISH Ratio <2)3
Part A12
Number of Participants Who Experienced at Least One SAE Primary · Serious Adverse Events (SAEs) are continually assessed from Screening up to the end of the 30 day FU period.

To investigate the safety and tolerability of AZD4547. A SAE (Serious Adverse Event) is and AE (adverse Event) which fulfills one of the following criteria that the PI assesses closely such as results in death, immediately life-threatening, requires hospitalisation or prolongation of, results in significant disability, results in birth defect, may jepardise the patient or require intervention to prevent any of the previous outcomes.

GroupValue95% CI
Part B1
Part C (FISH Ratio >= 2)10
Part C (FISH Ratio <2)3
Part A11
Number of Participants With at Least 1 Causally Related SAE Primary · SAEs are continually monitored from screening to end of 30 FU period

To investigate the safety and tolerability of AZD4547: SAEs are assessed and deemed as causally related or not to AZD4547

GroupValue95% CI
Part B1
Part C (FISH Ratio >= 2)5
Part C (FISH Ratio <2)0
Part A5

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs were collected on a continual basis from Screening up until the end of the 28 day follow up period.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part B
Serious: 1/6 (17%)
Deaths:
Part C (FISH Ratio >= 2)
Serious: 10/33 (30%)
Deaths:
Part C (FISH Ratio < 2)
Serious: 3/12 (25%)
Deaths:
Part A
Serious: 11/43 (26%)
Deaths:

Serious adverse events (32 terms)

ReactionSystemPart BPart C (FISH Ratio >= 2)Part C (FISH Ratio < 2)Part A
Renal failureRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
General physical health deteriorationGeneral disorders
ChorioretinopathyEye disorders
DehydrationMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
ALT increasedInvestigations
GGT increasedInvestigations
HydronephrosisRenal and urinary disorders
Lung disorderRespiratory, thoracic and mediastinal disorders
NephrolithiasisRenal and urinary disorders
Pelvi-ureteric obstructionRenal and urinary disorders
PyrexiaGeneral disorders
Retinal detachmentEye disorders
Tumour associated feverGeneral disorders
Blood creatinine increasedInvestigations
AstheniaGeneral disorders
Atrial flutterVascular disorders
Bile duct obstructionHepatobiliary disorders
Decreased appetiteGastrointestinal disorders
DeliriumPsychiatric disorders
EpilepsyNervous system disorders
EuthanasiaSocial circumstances
HyponatraemiaMetabolism and nutrition disorders
HypotensionNervous system disorders
Other adverse events (34 terms — click to expand)

ReactionSystemPart BPart C (FISH Ratio >= 2)Part C (FISH Ratio < 2)Part A
ConstipationGastrointestinal disorders
AlopeciaSkin and subcutaneous tissue disorders
HyperphosphataemiaMetabolism and nutrition disorders
Dry mouthGastrointestinal disorders
StomatisGastrointestinal disorders
Dry skinSkin and subcutaneous tissue disorders
Nail disorderSkin and subcutaneous tissue disorders
DiarrhoeaGastrointestinal disorders
FatigueGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Decreased appetiteMetabolism and nutrition disorders
VomitingGastrointestinal disorders
NauseaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
AstheniaGeneral disorders
Dry eyeEye disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
AgeusiaMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
LethargyNervous system disorders
Oedema peripheralEye disorders
HeadacheNervous system disorders
PyrexiaGeneral disorders
Abdominal painGastrointestinal disorders
DysgeusiaNervous system disorders
DyspepsiaNervous system disorders
Muscle spasmsNervous system disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Breath sounds abnormalRespiratory, thoracic and mediastinal disorders
DyspepsiaGastrointestinal disorders
InsomniaNervous system disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
ALT increasedInvestigations
AnaemiaBlood and lymphatic system disorders

Most-reported serious reactions: Renal failure, Dyspnoea, General physical health deterioration, Chorioretinopathy, Dehydration, Anaemia, ALT increased, GGT increased.

Data from ClinicalTrials.gov NCT00979134 adverse events section.

Sponsor's own description

This study is primarily designed to assess the safety and tolerability of AZD4547 at increasing doses in patients with advanced solid malignancies and for whom no standard medication options are available. It also assesses the blood levels and action of AZD4547 in the body over a period of time.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Genomic aberrations in the FGFR pathway: opportunities for targeted therapies in solid tumors.
    Dienstmann R, Rodon J, Prat A, Perez-Garcia J, et al · · 2014 · cited 299× · PMID 24265351 · DOI 10.1093/annonc/mdt419
  2. Inhibition of the fibroblast growth factor receptor (FGFR) pathway: the current landscape and barriers to clinical application.
    Chae YK, Ranganath K, Hammerman PS, Vaklavas C, et al · · 2017 · cited 231× · PMID 28030802 · DOI 10.18632/oncotarget.14109
  3. Molecular pathways and therapeutic targets in lung cancer.
    Shtivelman E, Hensing T, Simon GR, Dennis PA, et al · · 2014 · cited 150× · PMID 24722523 · DOI 10.18632/oncotarget.1891
  4. Molecular and clinical significance of fibroblast growth factor 2 (FGF2 /bFGF) in malignancies of solid and hematological cancers for personalized therapies.
    Akl MR, Nagpal P, Ayoub NM, Tai B, et al · · 2016 · cited 148× · PMID 27007053 · DOI 10.18632/oncotarget.8203
  5. Inhibitor-sensitive FGFR2 and FGFR3 mutations in lung squamous cell carcinoma.
    Liao RG, Jung J, Tchaicha J, Wilkerson MD, et al · · 2013 · cited 142× · PMID 23786770 · DOI 10.1158/0008-5472.can-12-3950
  6. FGFR1 mRNA and protein expression, not gene copy number, predict FGFR TKI sensitivity across all lung cancer histologies.
    Wynes MW, Hinz TK, Gao D, Martini M, et al · · 2014 · cited 137× · PMID 24771645 · DOI 10.1158/1078-0432.ccr-13-3060
  7. Inhibition of FGF-FGFR and VEGF-VEGFR signalling in cancer treatment.
    Liu G, Chen T, Ding Z, Wang Y, et al · · 2021 · cited 131× · PMID 33655556 · DOI 10.1111/cpr.13009
  8. A Phase Ib Open-Label Multicenter Study of AZD4547 in Patients with Advanced Squamous Cell Lung Cancers.
    Paik PK, Shen R, Berger MF, Ferry D, et al · · 2017 · cited 127× · PMID 28615371 · DOI 10.1158/1078-0432.ccr-17-0645

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00979134.

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