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Study to Assess the Safety, Tolerability, Pharmacokinetics (PK) and Preliminary Efficacy of AZD2014

A Phase I, Open Label, Multicentre Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of the mTor Kinase Inhibitor AZD2014 Administered Orally to Patients With Advanced Solid Malignancies

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01026402
Enrollment
172
Registered
2009-12-04
Start date
2009-12-31
Completion date
2014-08-31
Last updated
2016-02-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Advanced Solid Malignancies

Keywords

Phase I, cancer, advanced solid malignancies, dose escalation, AZD2014, mTor kinase inhibitor, safety, pharmacokinetics

Brief summary

The main purpose of the study is to establish a safe dose of the drug by providing information on any potential side effects this drug may cause and collecting data about how a patient's cancer responds to the drug. The study will also assess the blood levels and action of AZD2014 in the body over a period of time and will indicate whether the drug has an effect on the types of cancer the patients have.

Interventions

Dose escalation phase: a single dose taken orally (solution or tablet) of AZD2014 on single dose day 1 (visit 2), followed by once or twice daily continuous dosing after a washout period (48 hours - 7 days) at visit 4, until discontinuation or withdrawal or Single or multiple doses taken orally (solution or tablet) of AZD2014 taken intermittently until discontinuation or withdrawal. Expansion phase: twice daily dosing from day 1 until discontinuation or withdrawal or a single dose taken orally of AZD2014 on single dose day 1 (visit 2), followed by a single dose on second single dose day 1 (visit 3) after a washout period (48 hours - 7 days) followed by once or twice daily continuous dosing after a washout period (48 hours - 7 days) at visit 4, until discontinuation or withdrawal or single or multiple doses taken orally (solution or tablet) of AZD2014 taken intermittently until discontinuation or withdrawal.

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 150 Years
Healthy volunteers
No

Inclusion criteria

* Histological or cytological confirmation of a solid, malignant tumour that is refractory to standard therapies or for which no standard therapies exist * At least one lesion (measurable and/or non-measurable) that can be accurately assessed at baseline by computerised tomography (CT) magnetic resonance imaging (MRI) or plain X-ray and is suitable for repeated assessment * World Health Organisation performance status 0-2 with no deterioration over the previous 2 weeks and minimum life expectancy of 12 weeks

Exclusion criteria

* Patients with severe laboratory abnormalities for haematology, liver or renal function. Also treatment with any haemopoietic growth factors are not allowed within two weeks prior to first dose of study drug * Patients with abnormal fasting glucose, type I or uncontrolled type II diabetes * Patients with severe cardiac condition of ischemia, impaired ventricular function and arrhythmias, evidence of severe or uncontrolled systemic or current unstable or uncompensated respiratory or cardiac conditions

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Dose Limiting Toxicities (DLTs)Up to 21 days from first multiple doseMaximum Tolerated Dose (MTD) was determined by testing various doses and schedules of AZD2014 in cohorts of 3-6 evaluable patients. MTD reflects the highest dose of drug at each schedule that did not cause a DLT in \>1 patient

Secondary

MeasureTime frameDescription
Maximum Concentration (Cmax) Single DoseFollowing Single Dose up to 12, 24 or 48 hours post doseMaximum concentration following single dose (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)
Area Under the Curve (AUC) Single DoseFollowing Single Dose up to 12, 24 or 48 hours post doseArea under the curve following single dose Continuous dosing - AUC parameter used Intermittent dosing - AUC(0-12) used (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)
Maximum Concentration (Cmax) at Steady StateMultiple dosing to steady state (up to 12 or 48 hours post dose)Cmax at steady state (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)
Area Under the Curve (AUC) at Steady StateMultiple dosing to steady state (up to 12 or 48 hours post dose)AUC at steady state Continuous dosing - AUCss used Intermittent dosing - Weekly AUC used (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)
Urine PK - Fraction Dose Excreted (fe(0-12)) Single DosePre dose through to 12 hours post doseFraction dose excreted unchanged in the urine from 0-12 hours after a single dose (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)
Urine PK - Fraction Dose Excreted (fe(0-12)) at Steady StatePre dose through to 24 hours post doseFraction dose excreted unchanged in the urine from 0-12 hours after dosing (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)
Urine PK - Renal Clearance (Renal CL) Single DosePre dose through to 24 hours post doseRenal Clearance (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)
Best Objective ResponseAssessed every 8 weeks until progression or withdrawal, whichever came first, estimated to be up to 4 monthsBest Objective Response per Response Evaluation Criteria in Solid Tumours Criteria (RECIST) 1.1 for target and non target lesions assessed by CT, MRI or X-ray; Complete Response (CR), Disappearance of all target lesions since baseline; Partial Response (PR), At least a 30 percent decrease in the sum of diameters of target lesions; Progressive Disease (PD), At least a 20 percent increase in the sum of diameters of target lesions and an absolute increase of at least 5mm
Percent Change From Baseline in p4EBP1 at 2 Hours Post Dosepredose and 2 hours after a single dosePhosphorylation levels of 4EBP1 from peripheral blood mononuclear cell (Patients with undetectable values at baseline have been excluded)
Percent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dosepredose and 2 hours after a single dosePhosphorylation levels of AKT from PRP (Patients with undetectable values at baseline have been excluded)
Partial Metabolic Response (PMR), Cycle 1Cycle 1 Day 8Partial metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)
Partial Metabolic Response (PMR), Cycle 2Cycle 2 Day 8Partial metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)
Complete Metabolic Response (CMR), Cycle 1Cycle 1 Day 8Complete metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)
Complete Metabolic Response (CMR), Cycle 2Cycle 2 Day 8Complete metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)
Urine PK - Renal Clearance (Renal CL) at Steady StatePre dose through to 24 hours post doseRenal Clearance (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Countries

United Kingdom

Participant flow

Recruitment details

First Subject In: 30th December 2009 Last Subject Last visit: 18th August 2014 2 sites located in the UK Number of participants analyzed in Dose Limiting Toxicity (DLT) outcome measure are patients evaluable for DLT assessment Note - in the Clinical Study Report, combined groups are discussed (e.g. Part A 125mg BD Int and Part B 125mg BD tab Int)

Pre-assignment details

A total of 172 patients were enrolled. 135 of these patients passed screening assessments and were dosed

Participants by arm

ArmCount
Part A 25mg BD Soln Cont
Continuous BD dosing
6
Part A 50mg BD Soln Cont
Continuous BD dosing
8
Part B 50mg BD Soln Cont
Continuous BD dosing
33
Part B Fed/Fasted 50mg BD Tab Cont
Continuous BD dosing
18
Part A 75mg QD Soln Cont
Continuous QD dosing
3
Part A 125mg QD Soln Cont
Continuous QD dosing
5
Part A 100mg QD Tab Cont
Continuous QD dosing
8
Part A 125mg QD Tab Cont
Continuous QD dosing
3
Part A 175mg QD Tab Cont
Continuous QD dosing
7
Part A 100mg BD Tab Int
Intermittent BD dosing
3
Part A 125mg BD Tab Int
Intermittent BD dosing
7
Part A 170mg BD Tab Int
Intermittent BD dosing
8
Part A 225mg BD Tab Int
Intermittent BD dosing
8
Part B 125mg BD Tab Int
Intermittent BD dosing
6
Part B 170mg BD Tab Int
Intermittent BD dosing
3
Part A 70mg BD Soln Cont
Continuous BD dosing
5
Part A 100mg BD Soln Cont
Continuous BD dosing
4
Total135

Baseline characteristics

CharacteristicPart A 25mg BD Soln ContPart A 50mg BD Soln ContPart B 50mg BD Soln ContPart B Fed/Fasted 50mg BD Tab ContPart A 75mg QD Soln ContPart A 125mg QD Soln ContPart A 100mg QD Tab ContPart A 125mg QD Tab ContPart A 175mg QD Tab ContPart A 100mg BD Tab IntPart A 125mg BD Tab IntPart A 170mg BD Tab IntPart A 225mg BD Tab IntPart B 125mg BD Tab IntPart B 170mg BD Tab IntPart A 70mg BD Soln ContPart A 100mg BD Soln ContTotal
Age, Continuous59.2 Years
STANDARD_DEVIATION 15.8
58.3 Years
STANDARD_DEVIATION 14.1
57.2 Years
STANDARD_DEVIATION 10.3
58.6 Years
STANDARD_DEVIATION 14.2
51.7 Years
STANDARD_DEVIATION 11.5
50.0 Years
STANDARD_DEVIATION 16.1
59.4 Years
STANDARD_DEVIATION 11
51.3 Years
STANDARD_DEVIATION 18.9
65.6 Years
STANDARD_DEVIATION 9.8
59.0 Years
STANDARD_DEVIATION 18.7
67.3 Years
STANDARD_DEVIATION 7.9
57.6 Years
STANDARD_DEVIATION 5.4
53.8 Years
STANDARD_DEVIATION 9.9
54.2 Years
STANDARD_DEVIATION 14.2
42.7 Years
STANDARD_DEVIATION 9
47.4 Years
STANDARD_DEVIATION 14.8
50.0 Years
STANDARD_DEVIATION 8.2
56.9 Years
STANDARD_DEVIATION 12.3
Sex: Female, Male
Female
2 Participants8 Participants22 Participants8 Participants2 Participants4 Participants6 Participants2 Participants4 Participants3 Participants4 Participants4 Participants6 Participants5 Participants3 Participants3 Participants2 Participants88 Participants
Sex: Female, Male
Male
4 Participants0 Participants11 Participants10 Participants1 Participants1 Participants2 Participants1 Participants3 Participants0 Participants3 Participants4 Participants2 Participants1 Participants0 Participants2 Participants2 Participants47 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
EG014
affected / at risk
EG015
affected / at risk
EG016
affected / at risk
EG017
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
4 / 48 / 85 / 53 / 37 / 76 / 68 / 85 / 53 / 33 / 37 / 78 / 88 / 832 / 339 / 99 / 96 / 63 / 3
serious
Total, serious adverse events
1 / 44 / 80 / 52 / 34 / 75 / 60 / 82 / 51 / 31 / 33 / 73 / 86 / 811 / 334 / 93 / 93 / 62 / 3

Outcome results

Primary

Number of Participants With Dose Limiting Toxicities (DLTs)

Maximum Tolerated Dose (MTD) was determined by testing various doses and schedules of AZD2014 in cohorts of 3-6 evaluable patients. MTD reflects the highest dose of drug at each schedule that did not cause a DLT in \>1 patient

Time frame: Up to 21 days from first multiple dose

Population: Safety Analysis Set - All patients that received at least 1 dose of AZD2014. This includes dosed patients who are not evaluable for dose escalation decision purposes.

ArmMeasureValue (NUMBER)
Part A 25mg BD Soln ContNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 50mg BD Soln ContNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 75mg QD Soln ContNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 125mg QD Soln ContNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 100mg QD Tab ContNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 125mg QD Tab ContNumber of Participants With Dose Limiting Toxicities (DLTs)2 Participants
Part A 175mg QD Tab ContNumber of Participants With Dose Limiting Toxicities (DLTs)2 Participants
Part A 100mg BD Tab IntNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 125mg BD Tab IntNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 170mg BD Tab IntNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part A 225mg BD Tab IntNumber of Participants With Dose Limiting Toxicities (DLTs)2 Participants
Part B 125mg BD Tab IntNumber of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part B 170mg BD Tab IntNumber of Participants With Dose Limiting Toxicities (DLTs)3 Participants
Part A 70mg BD Soln ContNumber of Participants With Dose Limiting Toxicities (DLTs)2 Participants
Part A 100mg BD Soln ContNumber of Participants With Dose Limiting Toxicities (DLTs)4 Participants
Secondary

Area Under the Curve (AUC) at Steady State

AUC at steady state Continuous dosing - AUCss used Intermittent dosing - Weekly AUC used (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Multiple dosing to steady state (up to 12 or 48 hours post dose)

Population: PK analysis set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A 25mg BD Soln ContArea Under the Curve (AUC) at Steady State2984 ng*h/mLGeometric Coefficient of Variation 78.71
Part A 50mg BD Soln ContArea Under the Curve (AUC) at Steady State6436 ng*h/mLGeometric Coefficient of Variation 57.04
Part B 50mg BD Soln ContArea Under the Curve (AUC) at Steady State7532 ng*h/mLGeometric Coefficient of Variation 120.5
Part A 75mg QD Soln ContArea Under the Curve (AUC) at Steady StateNA ng*h/mL
Part A 125mg QD Soln ContArea Under the Curve (AUC) at Steady StateNA ng*h/mL
Part A 100mg QD Tab ContArea Under the Curve (AUC) at Steady State17230 ng*h/mLGeometric Coefficient of Variation 64.89
Part A 100mg BD Tab IntArea Under the Curve (AUC) at Steady State77690 ng*h/mLGeometric Coefficient of Variation 41.93
Part A 125mg BD Tab IntArea Under the Curve (AUC) at Steady State78150 ng*h/mLGeometric Coefficient of Variation 73.52
Part A 170mg BD Tab IntArea Under the Curve (AUC) at Steady State177100 ng*h/mLGeometric Coefficient of Variation 79.93
Part A 225mg BD Tab IntArea Under the Curve (AUC) at Steady State380200 ng*h/mLGeometric Coefficient of Variation 52.06
Part B 125mg BD Tab IntArea Under the Curve (AUC) at Steady State89530 ng*h/mLGeometric Coefficient of Variation 27.06
Part B 170mg BD Tab IntArea Under the Curve (AUC) at Steady StateNA ng*h/mL
Part A 70mg BD Soln ContArea Under the Curve (AUC) at Steady StateNA ng*h/mL
Part B 50mg BD Tablet FastedArea Under the Curve (AUC) at Steady State5275 ng*h/mLGeometric Coefficient of Variation 53.17
Secondary

Area Under the Curve (AUC) Single Dose

Area under the curve following single dose Continuous dosing - AUC parameter used Intermittent dosing - AUC(0-12) used (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Following Single Dose up to 12, 24 or 48 hours post dose

Population: PK analysis set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A 25mg BD Soln ContArea Under the Curve (AUC) Single Dose1640 ng*h/mLGeometric Coefficient of Variation 51.92
Part A 50mg BD Soln ContArea Under the Curve (AUC) Single Dose5308 ng*h/mLGeometric Coefficient of Variation 63.35
Part B 50mg BD Soln ContArea Under the Curve (AUC) Single Dose3520 ng*h/mLGeometric Coefficient of Variation 81.37
Part A 75mg QD Soln ContArea Under the Curve (AUC) Single Dose8866 ng*h/mLGeometric Coefficient of Variation 50.78
Part A 125mg QD Soln ContArea Under the Curve (AUC) Single Dose20790 ng*h/mLGeometric Coefficient of Variation 39.4
Part A 100mg QD Tab ContArea Under the Curve (AUC) Single Dose11160 ng*h/mLGeometric Coefficient of Variation 64.18
Part A 125mg QD Tab ContArea Under the Curve (AUC) Single Dose23450 ng*h/mLGeometric Coefficient of Variation 24
Part A 175mg QD Tab ContArea Under the Curve (AUC) Single Dose31670 ng*h/mLGeometric Coefficient of Variation 61.45
Part A 100mg BD Tab IntArea Under the Curve (AUC) Single Dose11850 ng*h/mLGeometric Coefficient of Variation 11.29
Part A 125mg BD Tab IntArea Under the Curve (AUC) Single Dose8364 ng*h/mLGeometric Coefficient of Variation 118.6
Part A 170mg BD Tab IntArea Under the Curve (AUC) Single Dose18630 ng*h/mLGeometric Coefficient of Variation 74.75
Part A 225mg BD Tab IntArea Under the Curve (AUC) Single Dose33840 ng*h/mLGeometric Coefficient of Variation 60.95
Part B 125mg BD Tab IntArea Under the Curve (AUC) Single Dose15390 ng*h/mLGeometric Coefficient of Variation 50.33
Part B 170mg BD Tab IntArea Under the Curve (AUC) Single Dose30030 ng*h/mLGeometric Coefficient of Variation 14.13
Part A 70mg BD Soln ContArea Under the Curve (AUC) Single Dose8967 ng*h/mLGeometric Coefficient of Variation 32.54
Part A 100mg BD Soln ContArea Under the Curve (AUC) Single Dose9671 ng*h/mLGeometric Coefficient of Variation 65.88
Part B 50mg BD Tablet FastedArea Under the Curve (AUC) Single Dose3690 ng*h/mLGeometric Coefficient of Variation 98.07
Part B 50mg BD Tablet FedArea Under the Curve (AUC) Single Dose3411 ng*h/mLGeometric Coefficient of Variation 66.71
Secondary

Best Objective Response

Best Objective Response per Response Evaluation Criteria in Solid Tumours Criteria (RECIST) 1.1 for target and non target lesions assessed by CT, MRI or X-ray; Complete Response (CR), Disappearance of all target lesions since baseline; Partial Response (PR), At least a 30 percent decrease in the sum of diameters of target lesions; Progressive Disease (PD), At least a 20 percent increase in the sum of diameters of target lesions and an absolute increase of at least 5mm

Time frame: Assessed every 8 weeks until progression or withdrawal, whichever came first, estimated to be up to 4 months

Population: Efficacy analysis set - Patients who received at least 1 dose of AZD2014 and have a baseline tumour assessment

ArmMeasureGroupValue (NUMBER)
Part A 25mg BD Soln ContBest Objective ResponseResponders0 Participants
Part A 25mg BD Soln ContBest Objective ResponseNon-responders6 Participants
Part A 25mg BD Soln ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)2 Participants
Part A 50mg BD Soln ContBest Objective ResponseNon-responders8 Participants
Part A 50mg BD Soln ContBest Objective ResponseResponders0 Participants
Part A 50mg BD Soln ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)1 Participants
Part B 50mg BD Soln ContBest Objective ResponseNon-responders31 Participants
Part B 50mg BD Soln ContBest Objective ResponseResponders2 Participants
Part B 50mg BD Soln ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)12 Participants
Part B Fed/Fasted 50mg BD Tab ContBest Objective ResponseResponders0 Participants
Part B Fed/Fasted 50mg BD Tab ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)7 Participants
Part B Fed/Fasted 50mg BD Tab ContBest Objective ResponseNon-responders18 Participants
Part A 75mg QD Soln ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)1 Participants
Part A 75mg QD Soln ContBest Objective ResponseNon-responders3 Participants
Part A 75mg QD Soln ContBest Objective ResponseResponders0 Participants
Part A 125mg QD Soln ContBest Objective ResponseNon-responders5 Participants
Part A 125mg QD Soln ContBest Objective ResponseResponders0 Participants
Part A 125mg QD Soln ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)1 Participants
Part A 100mg QD Tab ContBest Objective ResponseNon-responders8 Participants
Part A 100mg QD Tab ContBest Objective ResponseResponders0 Participants
Part A 100mg QD Tab ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)4 Participants
Part A 125mg QD Tab ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)0 Participants
Part A 125mg QD Tab ContBest Objective ResponseResponders0 Participants
Part A 125mg QD Tab ContBest Objective ResponseNon-responders3 Participants
Part A 175mg QD Tab ContBest Objective ResponseNon-responders7 Participants
Part A 175mg QD Tab ContBest Objective ResponseResponders0 Participants
Part A 175mg QD Tab ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)1 Participants
Part A 100mg BD Tab IntBest Objective ResponseResponders0 Participants
Part A 100mg BD Tab IntBest Objective ResponseNon-responders3 Participants
Part A 100mg BD Tab IntBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)0 Participants
Part A 125mg BD Tab IntBest Objective ResponseNon-responders7 Participants
Part A 125mg BD Tab IntBest Objective ResponseResponders0 Participants
Part A 125mg BD Tab IntBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)3 Participants
Part A 170mg BD Tab IntBest Objective ResponseResponders0 Participants
Part A 170mg BD Tab IntBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)2 Participants
Part A 170mg BD Tab IntBest Objective ResponseNon-responders8 Participants
Part A 225mg BD Tab IntBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)1 Participants
Part A 225mg BD Tab IntBest Objective ResponseNon-responders8 Participants
Part A 225mg BD Tab IntBest Objective ResponseResponders0 Participants
Part B 125mg BD Tab IntBest Objective ResponseNon-responders6 Participants
Part B 125mg BD Tab IntBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)1 Participants
Part B 125mg BD Tab IntBest Objective ResponseResponders0 Participants
Part B 170mg BD Tab IntBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)0 Participants
Part B 170mg BD Tab IntBest Objective ResponseNon-responders3 Participants
Part B 170mg BD Tab IntBest Objective ResponseResponders0 Participants
Part A 70mg BD Soln ContBest Objective ResponseResponders0 Participants
Part A 70mg BD Soln ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)2 Participants
Part A 70mg BD Soln ContBest Objective ResponseNon-responders5 Participants
Part A 100mg BD Soln ContBest Objective ResponseStable disease ≥8 wks (a subset of non-responders)0 Participants
Part A 100mg BD Soln ContBest Objective ResponseResponders0 Participants
Part A 100mg BD Soln ContBest Objective ResponseNon-responders4 Participants
Secondary

Complete Metabolic Response (CMR), Cycle 1

Complete metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)

Time frame: Cycle 1 Day 8

Population: Efficacy analysis set

ArmMeasureValue (NUMBER)
Part A 25mg BD Soln ContComplete Metabolic Response (CMR), Cycle 10 Participants
Part A 50mg BD Soln ContComplete Metabolic Response (CMR), Cycle 10 Participants
Part B 50mg BD Soln ContComplete Metabolic Response (CMR), Cycle 10 Participants
Secondary

Complete Metabolic Response (CMR), Cycle 2

Complete metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)

Time frame: Cycle 2 Day 8

Population: Efficacy analysis set

ArmMeasureValue (NUMBER)
Part A 25mg BD Soln ContComplete Metabolic Response (CMR), Cycle 20 Participants
Part A 50mg BD Soln ContComplete Metabolic Response (CMR), Cycle 20 Participants
Part B 50mg BD Soln ContComplete Metabolic Response (CMR), Cycle 20 Participants
Secondary

Maximum Concentration (Cmax) at Steady State

Cmax at steady state (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Multiple dosing to steady state (up to 12 or 48 hours post dose)

Population: PK analysis set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A 25mg BD Soln ContMaximum Concentration (Cmax) at Steady State746.9 ng/mLGeometric Coefficient of Variation 72.42
Part A 50mg BD Soln ContMaximum Concentration (Cmax) at Steady State1822 ng/mLGeometric Coefficient of Variation 38.78
Part B 50mg BD Soln ContMaximum Concentration (Cmax) at Steady State1704 ng/mLGeometric Coefficient of Variation 85.92
Part A 75mg QD Soln ContMaximum Concentration (Cmax) at Steady StateNA ng/mL
Part A 125mg QD Soln ContMaximum Concentration (Cmax) at Steady State5517 ng/mLGeometric Coefficient of Variation 29.14
Part A 100mg QD Tab ContMaximum Concentration (Cmax) at Steady State2730 ng/mLGeometric Coefficient of Variation 47.23
Part A 100mg BD Tab IntMaximum Concentration (Cmax) at Steady State3258 ng/mLGeometric Coefficient of Variation 25.2
Part A 125mg BD Tab IntMaximum Concentration (Cmax) at Steady State3534 ng/mLGeometric Coefficient of Variation 25.08
Part A 170mg BD Tab IntMaximum Concentration (Cmax) at Steady State7557 ng/mLGeometric Coefficient of Variation 38.19
Part A 225mg BD Tab IntMaximum Concentration (Cmax) at Steady State11400 ng/mLGeometric Coefficient of Variation 24.23
Part B 125mg BD Tab IntMaximum Concentration (Cmax) at Steady State5649 ng/mLGeometric Coefficient of Variation 27.38
Part B 170mg BD Tab IntMaximum Concentration (Cmax) at Steady StateNA ng/mL
Part A 70mg BD Soln ContMaximum Concentration (Cmax) at Steady StateNA ng/mL
Part B 50mg BD Tablet FastedMaximum Concentration (Cmax) at Steady State1162 ng/mLGeometric Coefficient of Variation 46.37
Secondary

Maximum Concentration (Cmax) Single Dose

Maximum concentration following single dose (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Following Single Dose up to 12, 24 or 48 hours post dose

Population: PK analysis set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part A 25mg BD Soln ContMaximum Concentration (Cmax) Single Dose435 ng/mLGeometric Coefficient of Variation 41.98
Part A 50mg BD Soln ContMaximum Concentration (Cmax) Single Dose1313 ng/mLGeometric Coefficient of Variation 43.62
Part B 50mg BD Soln ContMaximum Concentration (Cmax) Single Dose1089 ng/mLGeometric Coefficient of Variation 62.43
Part A 75mg QD Soln ContMaximum Concentration (Cmax) Single Dose1476 ng/mLGeometric Coefficient of Variation 78.18
Part A 125mg QD Soln ContMaximum Concentration (Cmax) Single Dose4046 ng/mLGeometric Coefficient of Variation 22.46
Part A 100mg QD Tab ContMaximum Concentration (Cmax) Single Dose2048 ng/mLGeometric Coefficient of Variation 47.26
Part A 125mg QD Tab ContMaximum Concentration (Cmax) Single Dose2989 ng/mLGeometric Coefficient of Variation 20.69
Part A 175mg QD Tab ContMaximum Concentration (Cmax) Single Dose3251 ng/mLGeometric Coefficient of Variation 54.69
Part A 100mg BD Tab IntMaximum Concentration (Cmax) Single Dose1868 ng/mLGeometric Coefficient of Variation 32.82
Part A 125mg BD Tab IntMaximum Concentration (Cmax) Single Dose1826 ng/mLGeometric Coefficient of Variation 62.99
Part A 170mg BD Tab IntMaximum Concentration (Cmax) Single Dose3293 ng/mLGeometric Coefficient of Variation 74.44
Part A 225mg BD Tab IntMaximum Concentration (Cmax) Single Dose5223 ng/mLGeometric Coefficient of Variation 39.53
Part B 125mg BD Tab IntMaximum Concentration (Cmax) Single Dose2849 ng/mLGeometric Coefficient of Variation 61.7
Part B 170mg BD Tab IntMaximum Concentration (Cmax) Single Dose4395 ng/mLGeometric Coefficient of Variation 14.92
Part A 70mg BD Soln ContMaximum Concentration (Cmax) Single Dose2382 ng/mLGeometric Coefficient of Variation 38.8
Part A 100mg BD Soln ContMaximum Concentration (Cmax) Single Dose2787 ng/mLGeometric Coefficient of Variation 71.97
Part B 50mg BD Tablet FastedMaximum Concentration (Cmax) Single Dose856.3 ng/mLGeometric Coefficient of Variation 73.47
Part B 50mg BD Tablet FedMaximum Concentration (Cmax) Single Dose643.7 ng/mLGeometric Coefficient of Variation 54.1
Secondary

Partial Metabolic Response (PMR), Cycle 1

Partial metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)

Time frame: Cycle 1 Day 8

Population: Efficacy analysis set

ArmMeasureValue (NUMBER)
Part A 25mg BD Soln ContPartial Metabolic Response (PMR), Cycle 10 Participants
Part A 50mg BD Soln ContPartial Metabolic Response (PMR), Cycle 10 Participants
Part B 50mg BD Soln ContPartial Metabolic Response (PMR), Cycle 14 Participants
Secondary

Partial Metabolic Response (PMR), Cycle 2

Partial metabolic responses measured by 2-\[F-18\]-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) (or FDG-PET/Computed Tomography (CT)) with a comparison to baseline (pre-dose)

Time frame: Cycle 2 Day 8

Population: Efficacy analysis set

ArmMeasureValue (NUMBER)
Part A 25mg BD Soln ContPartial Metabolic Response (PMR), Cycle 20 Participants
Part A 50mg BD Soln ContPartial Metabolic Response (PMR), Cycle 20 Participants
Part B 50mg BD Soln ContPartial Metabolic Response (PMR), Cycle 25 Participants
Secondary

Percent Change From Baseline in p4EBP1 at 2 Hours Post Dose

Phosphorylation levels of 4EBP1 from peripheral blood mononuclear cell (Patients with undetectable values at baseline have been excluded)

Time frame: predose and 2 hours after a single dose

Population: Efficacy analysis set

ArmMeasureValue (MEDIAN)
Part A 50mg BD Soln ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-47.422 Percent change
Part B 50mg BD Soln ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-31.067 Percent change
Part B Fed/Fasted 50mg BD Tab ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-21.710 Percent change
Part A 75mg QD Soln ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-78.760 Percent change
Part A 125mg QD Soln ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-74.053 Percent change
Part A 100mg QD Tab ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-66.855 Percent change
Part A 125mg QD Tab ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-68.966 Percent change
Part A 175mg QD Tab ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-82.249 Percent change
Part A 100mg BD Tab IntPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-57.317 Percent change
Part A 125mg BD Tab IntPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-76.977 Percent change
Part A 170mg BD Tab IntPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-67.275 Percent change
Part A 225mg BD Tab IntPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-55.847 Percent change
Part B 125mg BD Tab IntPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-42.632 Percent change
Part B 170mg BD Tab IntPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-64.855 Percent change
Part A 70mg BD Soln ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-57.143 Percent change
Part A 100mg BD Soln ContPercent Change From Baseline in p4EBP1 at 2 Hours Post Dose-62.775 Percent change
Secondary

Percent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose

Phosphorylation levels of AKT from PRP (Patients with undetectable values at baseline have been excluded)

Time frame: predose and 2 hours after a single dose

Population: Efficacy analysis set

ArmMeasureValue (MEDIAN)
Part A 25mg BD Soln ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-63.633 Percent change
Part A 50mg BD Soln ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-76.202 Percent change
Part B 50mg BD Soln ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-65.375 Percent change
Part B Fed/Fasted 50mg BD Tab ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-62.942 Percent change
Part A 75mg QD Soln ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-67.349 Percent change
Part A 125mg QD Soln ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-82.737 Percent change
Part A 100mg QD Tab ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-76.364 Percent change
Part A 125mg QD Tab ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-49.476 Percent change
Part A 175mg QD Tab ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-86.422 Percent change
Part A 100mg BD Tab IntPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-57.326 Percent change
Part A 125mg BD Tab IntPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-63.350 Percent change
Part A 170mg BD Tab IntPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-62.839 Percent change
Part A 225mg BD Tab IntPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-85.376 Percent change
Part B 125mg BD Tab IntPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-92.031 Percent change
Part B 170mg BD Tab IntPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-66.958 Percent change
Part A 70mg BD Soln ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-90.374 Percent change
Part A 100mg BD Soln ContPercent Change From Baseline in pAKT (S473) in Platelet Rich Plasma (PRP) at 2 Hours Post Dose-88.343 Percent change
Secondary

Urine PK - Fraction Dose Excreted (fe(0-12)) at Steady State

Fraction dose excreted unchanged in the urine from 0-12 hours after dosing (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Pre dose through to 24 hours post dose

Population: PK analysis set - A subset of Safety Analysis set who have reportable plasma concentrations and PK parameter data and who have no important protocol deviations/AEs that may impact PK

ArmMeasureValue (MEAN)Dispersion
Part A 75mg QD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) at Steady StateNA Percent concentration
Part A 125mg QD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) at Steady State0.9056 Percent concentrationStandard Deviation 0.6456
Part A 100mg QD Tab ContUrine PK - Fraction Dose Excreted (fe(0-12)) at Steady State1.026 Percent concentrationStandard Deviation 0.3658
Secondary

Urine PK - Fraction Dose Excreted (fe(0-12)) Single Dose

Fraction dose excreted unchanged in the urine from 0-12 hours after a single dose (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Pre dose through to 12 hours post dose

Population: PK analysis set - A subset of Safety Analysis set who have reportable plasma concentrations and PK parameter data and who have no important protocol deviations/AEs that may impact PK

ArmMeasureValue (MEAN)Dispersion
Part A 25mg BD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.3709 Percent concentrationStandard Deviation 0.2953
Part A 50mg BD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.5459 Percent concentrationStandard Deviation 0.4828
Part A 75mg QD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single DoseNA Percent concentration
Part A 125mg QD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.7094 Percent concentrationStandard Deviation 0.3569
Part A 100mg QD Tab ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.7728 Percent concentrationStandard Deviation 0.4854
Part A 175mg QD Tab ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.8344 Percent concentrationStandard Deviation 0.569
Part A 125mg BD Tab IntUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.8991 Percent concentrationStandard Deviation 0.735
Part A 170mg BD Tab IntUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.4744 Percent concentrationStandard Deviation 0.2252
Part A 225mg BD Tab IntUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose1.106 Percent concentrationStandard Deviation 0.8091
Part B 125mg BD Tab IntUrine PK - Fraction Dose Excreted (fe(0-12)) Single DoseNA Percent concentration
Part B 170mg BD Tab IntUrine PK - Fraction Dose Excreted (fe(0-12)) Single DoseNA Percent concentration
Part A 70mg BD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.3288 Percent concentrationStandard Deviation 0.1359
Part A 100mg BD Soln ContUrine PK - Fraction Dose Excreted (fe(0-12)) Single Dose0.7680 Percent concentrationStandard Deviation 0.7217
Secondary

Urine PK - Renal Clearance (Renal CL) at Steady State

Renal Clearance (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Pre dose through to 24 hours post dose

Population: PK analysis set

ArmMeasureValue (MEAN)Dispersion
Part A 25mg BD Soln ContUrine PK - Renal Clearance (Renal CL) at Steady State0.03702 L/hStandard Deviation 0.02688
Part A 50mg BD Soln ContUrine PK - Renal Clearance (Renal CL) at Steady State0.04242 L/hStandard Deviation 0.01126
Part A 70mg BD Soln ContUrine PK - Renal Clearance (Renal CL) at Steady StateNA L/h
Secondary

Urine PK - Renal Clearance (Renal CL) Single Dose

Renal Clearance (n varies between PK outcome measures as a subset of the PK analysis set was used with reportable AZD2014 plasma concentrations and PK parameters at that visit who have no important adverse events or protocol deviations that may impact PK at that visit, which means that different amounts of data were available for different parameters depending on what visits the parameter covered)

Time frame: Pre dose through to 24 hours post dose

Population: PK analysis set

ArmMeasureValue (MEAN)Dispersion
Part A 25mg BD Soln ContUrine PK - Renal Clearance (Renal CL) Single Dose0.07304 L/hStandard Deviation 0.07247
Part A 50mg BD Soln ContUrine PK - Renal Clearance (Renal CL) Single Dose0.03994 L/hStandard Deviation 0.02933
Part A 75mg QD Soln ContUrine PK - Renal Clearance (Renal CL) Single DoseNA L/h
Part A 125mg QD Soln ContUrine PK - Renal Clearance (Renal CL) Single Dose0.04338 L/hStandard Deviation 0.009039
Part A 100mg QD Tab ContUrine PK - Renal Clearance (Renal CL) Single Dose0.07526 L/hStandard Deviation 0.03353
Part A 175mg QD Tab ContUrine PK - Renal Clearance (Renal CL) Single Dose0.08576 L/hStandard Deviation 0.02948
Part A 125mg BD Tab IntUrine PK - Renal Clearance (Renal CL) Single Dose0.1081 L/hStandard Deviation 0.01434
Part A 170mg BD Tab IntUrine PK - Renal Clearance (Renal CL) Single Dose0.06049 L/hStandard Deviation 0.05774
Part A 225mg BD Tab IntUrine PK - Renal Clearance (Renal CL) Single Dose0.07377 L/hStandard Deviation 0.05802
Part B 125mg BD Tab IntUrine PK - Renal Clearance (Renal CL) Single DoseNA L/h
Part B 170mg BD Tab IntUrine PK - Renal Clearance (Renal CL) Single DoseNA L/h
Part A 70mg BD Soln ContUrine PK - Renal Clearance (Renal CL) Single Dose0.03083 L/hStandard Deviation 0.01394
Part A 100mg BD Soln ContUrine PK - Renal Clearance (Renal CL) Single Dose0.09813 L/hStandard Deviation 0.04768

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026