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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, Korea, Republic of, Poland, 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, California

Status

Address

Research Site

Los Angeles, California, 90024

Research Site, Sacramento, California

Status

Address

Research Site

Sacramento, California, 95816

Research Site, San Francisco, California

Status

Address

Research Site

San Francisco, California, 94143

Research Site, Tampa, Florida

Status

Address

Research Site

Tampa, Florida, 33612

Research Site, Lutherville-Timonium, Maryland

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Address

Research Site

Lutherville-Timonium, Maryland, 21093

Research Site, Nashville, Tennessee

Status

Address

Research Site

Nashville, Tennessee, 37232

International Sites

Research Site, Darlinghurst, Australia

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Address

Research Site

Darlinghurst, , 2010

Research Site, East Melbourne, Australia

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Address

Research Site

East Melbourne, , 3002

Research Site, Herston, Australia

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Address

Research Site

Herston, , 4029

Research Site, Woolloongabba, Australia

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Address

Research Site

Woolloongabba, , 4102

Research Site, Belgium, Belgium

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Address

Research Site

Belgium, , 1200

Research Site, Bruges, Belgium

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Address

Research Site

Bruges, , 8000

Research Site, Gent, Belgium

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Address

Research Site

Gent, , 9000

Research Site, Leuven, Belgium

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Address

Research Site

Leuven, , 3000

Research Site, Edmonton, Alberta, Canada

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Address

Research Site

Edmonton, Alberta, t6G1Z2

Research Site, Toronto, Ontario, Canada

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Address

Research Site

Toronto, Ontario, M4N 3M5

Research Site, Toronto, Ontario, Canada

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Address

Research Site

Toronto, Ontario, M5G 2M9

Research Site, Ste-Foy, Quebec, Canada

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Address

Research Site

Ste-Foy, Quebec, G1V 4G2

Research Site, Bobigny, France

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Address

Research Site

Bobigny, , 93009

Research Site, Boulogne Billancourt, France

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Address

Research Site

Boulogne Billancourt, , 92100

Research Site, Marseille Cedex 5, France

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Address

Research Site

Marseille Cedex 5, , 13385

Research Site, Paris, France

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Address

Research Site

Paris, , 75010

Research Site, Pau Cedex, France

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Address

Research Site

Pau Cedex, , 64046

Research Site, Pierre-Benite, France

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Address

Research Site

Pierre-Benite, , 69310

Research Site, Poitiers, France

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Address

Research Site

Poitiers, , 86021

Research Site, Vandoeuvre-Les-Nancy, France

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Address

Research Site

Vandoeuvre-Les-Nancy, , 54511

Research Site, Villejuif Cedex, France

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Address

Research Site

Villejuif Cedex, , 94805

Research Site, Berlin, Germany

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Address

Research Site

Berlin, , 10117

Research Site, Buxtehude, Germany

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Address

Research Site

Buxtehude, , 21614

Research Site, Heidelberg, Germany

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Address

Research Site

Heidelberg, , 69120

Research Site, Heilbronn, Germany

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Address

Research Site

Heilbronn, , 74078

Research Site, Kiel, Germany

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Address

Research Site

Kiel, , 24105

Research Site, Mainz, Germany

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Address

Research Site

Mainz, , 55131

Research Site, München, Germany

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Address

Research Site

München, , 80337

Research Site, Regensburg, Germany

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Address

Research Site

Regensburg, , 93053

Research Site, Schwerin, Germany

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Address

Research Site

Schwerin, , 19049

Research Site, Tuebingen, Germany

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Address

Research Site

Tuebingen, , D-72076

Research Site, Candiolo, Italy

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Research Site

Candiolo, , 10060

Research Site, Milan, Italy

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Research Site

Milan, , 20141

Research Site, Napoli, Italy

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Research Site

Napoli, , 80131

Research Site, Padova, Italy

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Research Site

Padova, , 35128

Research Site, Perugia, Italy

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Research Site

Perugia, , 06156

Research Site, Roma, Italy

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Research Site

Roma, , 00168

Research Site, Siena, Italy

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Research Site

Siena, , 53100

Research Site, Goyang, Korea, Republic of

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Address

Research Site

Goyang, , 410-769

Research Site, Seoul, Korea, Republic of

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Research Site

Seoul, , 03722

Research Site, Seoul, Korea, Republic of

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Research Site

Seoul, , 05505

Research Site, Seoul, Korea, Republic of

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Address

Research Site

Seoul, , 06351

Research Site, Brzozów, Poland

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Address

Research Site

Brzozów, , 36-200

Research Site, Gdańsk, Poland

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Research Site

Gdańsk, , 80-214

Research Site, Kraków, Poland

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Address

Research Site

Kraków, , 31-115

Research Site, Lodz, Poland

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Address

Research Site

Lodz, , 93-513

Research Site, Poznan, Poland

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Address

Research Site

Poznan, , 60-355

Research Site, Warszawa, Poland

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Address

Research Site

Warszawa, , 02-781

Research Site, Barcelona, Spain

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Address

Research Site

Barcelona, , 08041

Research Site, Madrid, Spain

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Address

Research Site

Madrid, , 28007

Research Site, Madrid, Spain

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Address

Research Site

Madrid, , 28027

Research Site, Madrid, Spain

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Address

Research Site

Madrid, , 28034

Research Site, Madrid, Spain

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Address

Research Site

Madrid, , 28040

Research Site, Málaga, Spain

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Address

Research Site

Málaga, , 29009

Research Site, Pamplona, Spain

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Address

Research Site

Pamplona, , 31008

Research Site, Pozuelo de Alarcon, Spain

Status

Address

Research Site

Pozuelo de Alarcon, , 28223

Research Site, Cambridge, United Kingdom

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Address

Research Site

Cambridge, , CB2 0QQ

Research Site, Chelsea, United Kingdom

Status

Address

Research Site

Chelsea, , SW3 6JJ

Research Site, Manchester, United Kingdom

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Address

Research Site

Manchester, , M20 4BX

Research Site, Northwood, United Kingdom

Status

Address

Research Site

Northwood, , HA6 2RN

Resources

  • Patient and Caregiver Survey
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  • Research Resources
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The content provided on clinical trials is for informational purposes only and is not a substitute for medical consultation with your healthcare provider. We do not recommend or endorse any specific study and you are advised to discuss the information shown with your healthcare provider. While we believe the information presented on this website to be accurate at the time of writing, we do not guarantee that its contents are correct, complete, or applicable to any particular individual situation. We strongly encourage individuals to seek out appropriate medical advice and treatment from their physicians. We cannot guarantee the availability of any clinical trial listed and will not be responsible if you are considered ineligible to participate in a given clinical trial. We are also not liable for any injury arising as a result of participation.

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