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Clinical Trial Finder

Search Results

A Study of Ceralasertib Monotherapy and Ceralasertib Plus Durvalumab in Patients With Melanoma and Resistance to PD-(L)1 Inhibition

Study Purpose

Main study: This is an open-label, phase 2 study that aims to evaluate the efficacy and safety/tolerability of ceralasertib, when administered as monotherapy and in combination with durvalumab in participants with unresectable or advanced melanoma and primary or secondary resistance to PD-(L)1 inhibition.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Participants must have a histologically or cytologically confirmed diagnosis of unresectable or metastatic melanoma of cutaneous, acral or mucosal subtype.
  • - Availability of an archival tumour sample and a fresh tumour biopsy taken at screening.
  • - Patient must have received at least 1 prior immunotherapy (anti-PD-(L)1 ± anti-CTLA-4 [Cytotoxic T-lymphocyte-associated protein 4]) for a minimum of 6 weeks and no more than 2 prior regimens in the metastatic setting.
Patients must have confirmed progression during treatment with a PD-(L)1 inhibitor +/- a CTLA-4 inhibitor.
  • - The interval between the last dose of anti-PD-(L)1, BRAF/MEK (B-Rapidly Accelerated Fibrosarcoma gene/mitogen-activated protein kinase gene) inhibitor and the first dose of the study regimen must be a minimum of 14 days.
  • - Measurable disease by RECIST 1.1.
  • - Patients must have a life expectancy ≥3 months from proposed first dose date.
  • - Biopsy Sub-study: Consent to the provision of 3 mandatory tumour biopsies.

Exclusion Criteria:

  • - Patients must not have experienced a toxicity that led to permanent discontinuation of prior checkpoint inhibitors (CPI) treatment.
  • - History of another primary malignancy except for malignancy treated with curative intent with no known active disease ≥ 3 years before the first dose of study treatment.
  • - Uveal melanoma.
  • - Must not have experienced a Grade ≥ 3 immune-related AE or an immune-related neurologic or ocular AE of any grade while receiving prior immunotherapy.
  • - History of symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardiac arrhythmia, which is symptomatic or requires treatment (CTCAE Grade 3), symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia.
Patients with atrial fibrillation controlled by medication or arrhythmias controlled by pacemakers may be permitted upon discussion with the study clinical lead.
  • - History of organ transplant that requires use of immunosuppressive medications.
  • - Inadequate bone marrow and impaired hepatic or renal function.
  • - Known active infection requiring systemic therapy, active hepatitis infection, positive hepatitis C virus antibody, hepatitis B virus (HBV) surface antigen or HBV core antibody (anti-HBc), at screening.
  • - Patients with confirmed COVID-19 infection by polymearse chain reaction test who have not made a full recovery.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05061134
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

AstraZeneca
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Active, not recruiting
Countries Australia, Belgium, Canada, France, Germany, Italy, Poland, South Korea, Spain, United Kingdom, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Melanoma
Study Website: View Trial Website
Additional Details

Biopsy sub-study: This is an open-label, non-randomised, sub-study planned in participants suitable for 3 mandatory biopsies. Serial tumour biopsies are mandated in participants recruited into the sub-study and will be taken at baseline during the screening period, during treatment with ceralasertib monotherapy and during the off-treatment period of ceralasertib monotherapy.

Arms & Interventions

Arms

Experimental: Main study: Ceralasertib + Durvalumab

Participants will receive ceralasertib on Days 1 to 7 plus durvalumab Day 8, once in 28 days (Q28D), until progressive disease, unacceptable toxicity, withdrawal of consent, or if a study treatment discontinuation criterion is met.

Experimental: Main study: Ceralasertib

Participants will receive ceralasertib on Days 1 to 7, Q28D, until progressive disease, unacceptable toxicity, withdrawal of consent, or if a study treatment discontinuation criterion is met.

Experimental: Biopsy Sub-study: Ceralasertib + Durvalumab

From Cycle 1, participants will receive combination of ceralasertib twice daily (BD) Days 1 to 7 plus durvalumab Day 8, Q28D, until progressive disease, unacceptable toxicity, withdrawal of consent, or a study treatment discontinuation criterion is met.

Experimental: Biopsy study: Ceralasertib

During Cycle 0, participants will receive ceralasertib on Days 1 to 7, followed by an off-treatment period between Days 8 to 28.

Interventions

Drug: - Ceralasertib

Ceralasertib (240 mg) will be administered orally twice daily.

Biological: - Durvalumab

Durvalumab (1500 mg) will be administered intravenously once every 28 days for participants who weight above > 30 kgs. For participants who weigh below ≤ 30 kgs, weight-based dosing equivalent to 20 mg/kg of durvalumab will be administered.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Research Site, Los Angeles 5368361, California 5332921

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Address

Research Site

Los Angeles 5368361, California 5332921, 90024

Research Site, Sacramento 5389489, California 5332921

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Address

Research Site

Sacramento 5389489, California 5332921, 95816

Research Site, San Francisco 5391959, California 5332921

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Address

Research Site

San Francisco 5391959, California 5332921, 94143

Research Site, Tampa 4174757, Florida 4155751

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Address

Research Site

Tampa 4174757, Florida 4155751, 33612

Research Site, Lutherville-Timonium 7258897, Maryland 4361885

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Address

Research Site

Lutherville-Timonium 7258897, Maryland 4361885, 21093

Research Site, Nashville 4644585, Tennessee 4662168

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Address

Research Site

Nashville 4644585, Tennessee 4662168, 37232

International Sites

Research Site, Darlinghurst 2169378, Australia

Status

Address

Research Site

Darlinghurst 2169378, , 2010

Research Site, East Melbourne 6952201, Australia

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Address

Research Site

East Melbourne 6952201, , 3002

Research Site, Herston 6931014, Australia

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Address

Research Site

Herston 6931014, , 4029

Research Site, Woolloongabba 6943568, Australia

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Address

Research Site

Woolloongabba 6943568, , 4102

Research Site, Belgium, Belgium

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Address

Research Site

Belgium, , 1200

Research Site, Bruges 2800931, Belgium

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Address

Research Site

Bruges 2800931, , 8000

Research Site, Ghent 2797656, Belgium

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Address

Research Site

Ghent 2797656, , 9000

Research Site, Leuven 2792482, Belgium

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Address

Research Site

Leuven 2792482, , 3000

Research Site, Edmonton 5946768, Alberta 5883102, Canada

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Address

Research Site

Edmonton 5946768, Alberta 5883102, t6G1Z2

Research Site, Toronto 6167865, Ontario 6093943, Canada

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Address

Research Site

Toronto 6167865, Ontario 6093943, M4N 3M5

Research Site, Toronto 6167865, Ontario 6093943, Canada

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Address

Research Site

Toronto 6167865, Ontario 6093943, M5G 2M9

Research Site, Ste-Foy, Quebec 6115047, Canada

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Address

Research Site

Ste-Foy, Quebec 6115047, G1V 4G2

Research Site, Bobigny 3032179, France

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Address

Research Site

Bobigny 3032179, , 93009

Research Site, Boulogne-Billancourt 3031137, France

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Address

Research Site

Boulogne-Billancourt 3031137, , 92100

Research Site, Marseille 2995469, France

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Address

Research Site

Marseille 2995469, , 13385

Research Site, Paris 2988507, France

Status

Address

Research Site

Paris 2988507, , 75010

Research Site, Pau 2988358, France

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Address

Research Site

Pau 2988358, , 64046

Research Site, Pierre-Bénite 2987314, France

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Address

Research Site

Pierre-Bénite 2987314, , 69310

Research Site, Poitiers 2986495, France

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Address

Research Site

Poitiers 2986495, , 86021

Research Site, Vandœuvre-lès-Nancy 2970797, France

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Address

Research Site

Vandœuvre-lès-Nancy 2970797, , 54511

Research Site, Villejuif 2968705, France

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Address

Research Site

Villejuif 2968705, , 94805

Research Site, Berlin 2950159, Germany

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Address

Research Site

Berlin 2950159, , 10117

Research Site, Buxtehude 2940451, Germany

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Address

Research Site

Buxtehude 2940451, , 21614

Research Site, Heidelberg 2907911, Germany

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Address

Research Site

Heidelberg 2907911, , 69120

Research Site, Heilbronn 2907669, Germany

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Address

Research Site

Heilbronn 2907669, , 74078

Research Site, Kiel 2891122, Germany

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Address

Research Site

Kiel 2891122, , 24105

Research Site, Mainz 2874225, Germany

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Address

Research Site

Mainz 2874225, , 55131

Research Site, München 2867711, Germany

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Address

Research Site

München 2867711, , 80337

Research Site, Regensburg 2849483, Germany

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Address

Research Site

Regensburg 2849483, , 93053

Research Site, Schwerin 2834282, Germany

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Address

Research Site

Schwerin 2834282, , 19049

Research Site, Tübingen 2820860, Germany

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Address

Research Site

Tübingen 2820860, , D-72076

Research Site, Candiolo 3180861, Italy

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Research Site

Candiolo 3180861, , 10060

Research Site, Milan 3173435, Italy

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Address

Research Site

Milan 3173435, , 20141

Research Site, Napoli 9031661, Italy

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Address

Research Site

Napoli 9031661, , 80131

Research Site, Padua 3171728, Italy

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Address

Research Site

Padua 3171728, , 35128

Research Site, Perugia 3171180, Italy

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Address

Research Site

Perugia 3171180, , 06156

Research Site, Roma 8957247, Italy

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Address

Research Site

Roma 8957247, , 00168

Research Site, Siena 3166548, Italy

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Address

Research Site

Siena 3166548, , 53100

Research Site, Brzozów 775086, Poland

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Address

Research Site

Brzozów 775086, , 36-200

Research Site, Gdansk 3099434, Poland

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Research Site

Gdansk 3099434, , 80-214

Research Site, Krakow 3094802, Poland

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Address

Research Site

Krakow 3094802, , 31-115

Research Site, Lodz 3093133, Poland

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Research Site

Lodz 3093133, , 93-513

Research Site, Poznan 3088171, Poland

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Research Site

Poznan 3088171, , 60-355

Research Site, Warsaw 756135, Poland

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Address

Research Site

Warsaw 756135, , 02-781

Research Site, Goyang 10913391, South Korea

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Address

Research Site

Goyang 10913391, , 410-769

Research Site, Seoul 1835848, South Korea

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Address

Research Site

Seoul 1835848, , 03722

Research Site, Seoul 1835848, South Korea

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Address

Research Site

Seoul 1835848, , 05505

Research Site, Seoul 1835848, South Korea

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Address

Research Site

Seoul 1835848, , 06351

Research Site, Barcelona 3128760, Spain

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Address

Research Site

Barcelona 3128760, , 08041

Research Site, Madrid 3117735, Spain

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Address

Research Site

Madrid 3117735, , 28007

Research Site, Madrid 3117735, Spain

Status

Address

Research Site

Madrid 3117735, , 28027

Research Site, Madrid 3117735, Spain

Status

Address

Research Site

Madrid 3117735, , 28034

Research Site, Madrid 3117735, Spain

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Address

Research Site

Madrid 3117735, , 28040

Research Site, Málaga 2514256, Spain

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Address

Research Site

Málaga 2514256, , 29009

Research Site, Pamplona 3114472, Spain

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Address

Research Site

Pamplona 3114472, , 31008

Research Site, Pozuelo de Alarcón 3112989, Spain

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Address

Research Site

Pozuelo de Alarcón 3112989, , 28223

Research Site, Cambridge 2653941, United Kingdom

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Address

Research Site

Cambridge 2653941, , CB2 0QQ

Research Site, Chelsea 2653265, United Kingdom

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Address

Research Site

Chelsea 2653265, , SW3 6JJ

Research Site, Manchester 2643123, United Kingdom

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Address

Research Site

Manchester 2643123, , M20 4BX

Research Site, Northwood 2641216, United Kingdom

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Address

Research Site

Northwood 2641216, , HA6 2RN

Resources

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