This is a multinational, non-randomized, open-label, Phase 1/2 clinical study to evaluate the safety, tolerability and anti-tumor efficacy of AZD4205 as monotherapy in patients with peripheral T cell lymphoma (PTCL), who have relapsed from or are refractory/intolerant to standard systemic treatment. Phase 1 part: Around 20\~40 patients will be subsequently enrolled into 2 different dose ascending cohorts. Additional 10\~20 patients may be enrolled to further explore a selected dose defined by dose escalation cohorts. Phase 2 part: After the recommended phase 2 dose (RP2D) is defined, a phase 2 single-arm open-label pivotal study will be conducted to assess anti-tumor efficacy and safety of AZD4205 at RP2D in patients with refractory or relapsed PTCL.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
171
golidocitinib will be administered orally as capsules. golidocitinib treatment will be continued until disease progression or intolerant adverse reactions
Yale Cancer Center
New Haven, Connecticut, United States
Winship Cancer Institute
Atlanta, Georgia, United States
Washington University School of Medicine
St Louis, Missouri, United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Epworth Hospital
East Melbourne, Australia
Part B: CT-based Objective Response Rate (ORR) by Independent Review Committee (IRC)
ORR is the percentage of patients with at least one visit response of Complete Response (CR) or Partial Response (PR) based on CT scans evaluated by IRC per Lugano criteria.
Time frame: Up to approximately 3 years
Part A and Part B: Number of Participants With Adverse Events
To evaluate the safety and tolerability of AZD4205 in patients with PTCL in terms of adverse events (AEs), such as number of participants with AEs
Time frame: The first dose until 28 days after last dose, up to approximately 3 years
Part B: Duration of Response (DoR) Assessed by IRC
DoR is the time from the date of first documented response until the date of documented progression or death due to any cause. Documented response and progression are both identified based on CT scans evaluated by IRC per Lugano criteria.
Time frame: Up to approximately 3 years
Part B: Complete Response Rate (CRR) Assessed by IRC
CRR is the percentage of patients with at least one visit response of CR based on CT scans evaluated by IRC per Lugano criteria.
Time frame: Up to approximately 3 years
Part B: Progression Free Survival (PFS) Assessed by IRC
PFS is the time from the date of first dosing until the date of objective disease progression or death (by any cause) regardless of whether the participant discontinues the study treatments. Progression is identified based on CT scans evaluated by IRC per Lugano criteria.
Time frame: Up to approximately 3 years
Part B: Time to Response (TTR) Assessed by IRC
TTR is the time from the date of first dosing to the time of the initial response of PR or CR. Response is identified based on CT scans evaluated by IRC per Lugano criteria.
Time frame: Up to approximately 3 years
Part A and Part B: ORR Assessed by Investigator
ORR is the percentage of patients with at least one visit response of CR or PR based on CT and/or PET scans evaluated by investigator per Lugano criteria.
Time frame: Up to approximately 3 years
Part A and Part B: DoR Assessed by Investigator
DoR is the time from the date of first documented response until the date of documented progression or death due to any cause. Documented response and progression are both identified based on CT and/or PET scans evaluated by investigator per Lugano criteria.
Time frame: Up to approximately 3 years
Part A and Part B: CRR Assessed by Investigator
CRR is the percentage of patients with at least one visit response of CR based on CT and/or PET scans evaluated by investigator per Lugano criteria.
Time frame: Up to approximately 3 years
Part A and Part B: PFS Assessed by Investigator
PFS is the time from the date of first dosing until the date of objective disease progression or death (by any cause) regardless of whether the participant discontinues the study treatments. Progression is identified based on CT and/or PET scans evaluated by investigator per Lugano criteria.
Time frame: Up to approximately 3 years
Part B: TTR Assessed by Investigator
TTR is the time from the date of first dosing to the time of the initial response of PR or CR. Response is identified based on CT scans evaluated by investigator per Lugano criteria.
Time frame: Up to approximately 3 years
Part A and Part B: Maximum Plasma Concentration (Cmax) of AZD4205
Maximum observed plasma concentration, obtained directly from the observed concentration versus time data. Calculated for the single dose.
Time frame: Cycle 1 Day 1 (each cycle = 21 days): 0 (predose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, and 24 hours postdose (for Group A, B and C); 0 (predose), 1, 2, 4, 6, 8, and 24 hours postdose (for Group D).
Part A and Part B: Area Under the Plasma Concentration-time Curve From Zero to the Last Measurable Concentration (AUC0-t) of AZD4205
Area under the plasma concentration-time curve from time zero to the last quantifiable time point, calculated by the linear up/log down rule.
Time frame: Cycle 1, Day 1 (each cycle = 21 days): 0 (predose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, and 24 hours postdose (for Group A, B and C); 0 (predose), 1, 2, 4, 6, 8, and 24 hours postdose (for Group D).
Part A and Part B: Cmax,ss, at Steady State of AZD4205
Maximum observed plasma concentration (ng/mL) at steady state, obtained directly from the observed concentration versus time data. Calculated for the multiple doses.
Time frame: Cycle 2 Day 1 (each cycle = 21 days): 0 (predose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, and 24 hours postdose (for Group A, B and C); 0 (predose), 1, 2, 4, 6, 8, and 24 hours postdose (for Group D).
Part A and Part B: AUCss, at Steady State of AZD4205
Area under the plasma concentration-time curve from time zero to the last quantifiable time point at steady state, calculated by the linear up/log down rule
Time frame: Cycle 2 Day 1 (each cycle = 21 days): 0 (predose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, and 24 hours postdose (for Group A, B and C); 0 (predose), 1, 2, 4, 6, 8, and 24 hours postdose (for Group D).
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St Vincent's Hospital Melbourne
Fitzroy, Australia
Royal Hobart Hospital
Hobart, Australia
St George Hospital
Kogarah, Australia
Royal Perth Hospital
Perth, Australia
Westmead Hospital
Westmead, Australia
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