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A Clinical Trial to Evaluate AZD7648 Alone and in Combination With Other Anti-cancer Agents in Patients With Advanced Cancers.

A Phase I/IIa, Open-Label Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Efficacy of Ascending Doses of AZD7648 Monotherapy or in Combination With Either Cytotoxic Chemotherapies or Novel Anti-Cancer Agents in Patients With Advanced Malignancies

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03907969
Enrollment
30
Registered
2019-04-09
Start date
2019-10-09
Completion date
2022-12-07
Last updated
2024-02-06

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

Conditions

Advanced Malignancies

Keywords

Safety,, Pharmacokinetics,, Pegylated liposomal doxorubicin,, Dose finding

Brief summary

This is a modular Phase I/IIa, open-label, multi-centre, study of AZD7648 administered orally, either as a monotherapy, or in combination with either cytotoxic chemotherapies or novel anti-cancer agents in participants with advanced malignancies.

Detailed description

The modular design allows for an escalation of the dose of AZD7648 alone or in combination with either cytotoxic chemotherapies or novel anti-cancer agents, with intensive safety monitoring to ensure the safety of the participants. The study consists of 2 modules each evaluating the safety and tolerability of AZD7648 monotherapy or with a specific combination partner. Core module of the study is dose escalation (Part A) of AZD7648 monotherapy, administered orally, in participants with advanced solid tumours. Combination module 1 has 2 study parts: Part A consisting of dose escalation cohorts and Part B, a safety and proof of concept Phase IIa expansion. A Safety Review Committee will review evaluable participants at each cohort and assess if the study should progress to Part B.

Interventions

DRUGAZD7648

Core: AZD7648 will be administered orally

DRUGPLD

The starting dose of PLD is 40 mg/m\^2, administered by intravenous infusion once every 4 weeks, for a maximum of 6 cycles

Sponsors

Parexel
CollaboratorINDUSTRY
AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Masking description

This is an open-label study; there will be no blinding.

Eligibility

Sex/Gender
ALL
Age
18 Years to 130 Years
Healthy volunteers
No

Inclusion criteria

1. Capable and willing to give signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF). 2. Participant must be at least 18 years of age, at the time of signing the ICF. 3. Participants must have histological or cytological confirmation of advanced malignancy considered to be suitable for study treatment. 4. Eastern cooperative oncology group performance status 0-1. 5. Life expectancy greater than 12 weeks. 6. Progressive cancer at the time of study entry. 7. Pharmacodynamics expansion cohorts: Participants must have at least 1 tumour suitable for biopsy and consent to having biopsies collected. 8. Negative pregnancy test (urine or serum) prior to start of dosing for women of childbearing potential. 9. Female participants must be post-menopausal, surgically sterile, or using an acceptable method of contraception for the duration of the study (from the time they sign consent) and for 12 weeks after the last dose of study treatment to prevent pregnancy. 10. For the duration of the study (from the time they sign consent) and for 12 weeks after the last dose of study treatment, sexually active male participants must be willing to use contraception. Post-menopausal is defined as: * No menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the post-menopausal range may be used to confirm a post-menopausal state in women not using hormonal contraception or hormonal replacement therapy). However in the absence of 12 months of amenorrhea, a FSH measurement is insufficient. * Radiation-induced oophorectomy with last menses greater than 12 months ago. * Chemotherapy-induced menopause with greater than 12 month interval since last menses. * Surgical sterilisation.

Exclusion criteria

1. Any unresolved toxicities from prior therapy common terminology criteria for adverse event (CTCAE) Grade ≥2 (with the exception of alopecia). 2. Spinal cord compression or brain metastases unless definitively treated, asymptomatic, stable and not requiring steroids for at least 4 weeks. 3. As judged by the Investigator, any evidence of severe or uncontrolled medical conditions including but not limited to: • Uncontrolled diabetes mellitus, uncontrolled seizures, active infection requiring systemic antibiotics, antifungal or antiviral drugs, severe chronic obstructive pulmonary disease, severe Parkinson's disease, active inflammatory bowel disease, psychiatric condition, active bleeding diatheses, renal transplant, or active infection including any participant with active hepatitis B, hepatitis C or human immunodeficiency virus. 4. Any other malignancy which has been active or treated within the past 3 years, with the exception of in situ cancer of the cervix, non-melanoma skin cancer, ductal carcinoma in situ, Stage 1 Grade 1 endometrial carcinoma, or other solid tumours including lymphomas curatively treated with no evidence of disease for ≥5 years. 5. Refractory nausea and vomiting or unable to swallow and retain oral medication, chronic gastrointestinal diseases or previous bowel resection with clinically significant sequelae that would preclude adequate absorption of AZD7648, gastrointestinal symptoms CTCAE Grade \>1, history of gastrointestinal ulceration and gastrointestinal haemorrhage within 6 months of first study drug administration. 6 Receiving or having received anti-cancer treatment within the following periods prior to the first dose of investigational product: (a) Cytotoxic treatment: 3 weeks, (b) Non-cytotoxic drugs: including small molecule investigational products: 3 weeks or 5 half-lives (whichever is longest), (c) Biological products including investigational immuno-oncology agents: 4 weeks, (d) Radiation with a limited field for palliation: 1 week (3 months for radiation to the abdomen or pelvis), (e) Radiation to \>30% of the bone marrow or with a wide field: 4 weeks, (f) Lung radiation: 60 days, (g) Major surgery: 4 weeks; minor surgery or biopsy: 1 week 7. During the 4 weeks prior to the first dose, receiving corticosteroids at a dose of \>10 mg prednisone/day or equivalent for any reason. Ongoing low dose steroids for longer than 3 months (excluding inhalational, nasal, creams, lotions, and gels) are not allowed. 8\. Receiving or having received concomitant medications, herbal supplements and/or foods known to significantly modulate CYP3A4 activity. 9\. Prior exposure to a deoxyribonucleic acid-pharmacokinetics inhibitor or hypersensitivity to any excipient of the product. 10\. Cardiac dysfunction as defined by any of the following within 6 months of study entry: (a) Acute myocardial infarction, (b) New York Heart Association Class II/III/IV heart failure, (c) Unstable angina, (d) Unstable cardiac arrhythmias 11. Any of the following cardiac criteria: (a) Known reduced left ventricular ejection fraction below the institutional lower limit of normal, (b) Mean resting corrected QT interval (QTc) \>470 milliseconds obtained from 3 electrocardiograms in 24 hours using the Fridericia formula, (c) Any factors that increase the risk of QTc prolongation or arrhythmic events such as hypokalaemia, congenital long QT syndrome, immediate family history of long QT syndrome or unexplained sudden death under 40 years of age 12. Inadequate hematological or organ function 13. Involvement in the planning and/or conduct of the study. 14. Judgement by the Investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions and requirements. 15\. Previous enrolment in the present study. 16. For female participant only: currently pregnant or breast-feeding. 17. For food effect cohort only: insulin dependent diabetes. 18. History and/or presence of coronavirus disease 2019.

Design outcomes

Primary

MeasureTime frameDescription
Number of Patients With Adverse Events or Serious Adverse EventsFrom Screening (Day -28) till study drug discontinuation (3.2 years)Safety and tolerability of AZD7648 when given orally to patients with advanced malignancies, as monotherapy and in combination with anti-cancer agents was assessed.
Number of Patients With Dose Limiting Toxicities (DLTs)From Screening (Day -28) till study drug discontinuation (3.2 years)A DLT is defined as an AE that occurs from the first dose of study treatment up to and including Cycle 1, Day 28 (the DLT assessment period) that is assessed as unrelated to the disease, intercurrent illness, or concomitant medications.

Secondary

MeasureTime frameDescription
Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose (each cycle is 28 days)The AUCτ of AZD7648, at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.
Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Monotherapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose, Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 0 Day 1 Pre-dose to 12 hours post dose and Cycle 1 Days 7, 8 Pre-dose to 8 hours post dose (each cycle is 28 days)The Cmax of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.
Time to Reach Maximum Plasma Concentration (Tmax)Monotherapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose, Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 0 Day 1 Pre-dose to 12 hours post dose and Cycle 1 Days 7, 8 Pre-dose to 8 hours post dose (each cycle is 28 days)The tmax of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.
Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose (each cycle is 28 days)The t½λ of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.
Accumulation Ratio for Area Under Curve (Rac AUC)Monotherapy: Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 1 Days 7 and 8 Pre-dose to 8 hours post dose (each cycle is 28 days)The Rac AUC of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents. Accumulation ratio for AUC, calculated by multiple dose AUCτ/single dose AUC(0-12) or AUC(0-24).
Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose [each cycle is 28 days]The AUCinf of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.
Dose Proportionality (TCP)Monotherapy: Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 1 Days 7 and 8 Pre-dose to 8 hours post dose (each cycle is 28 days)The TCP of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents. Temporal change parameter in systemic exposure, calculated as multiple dose AUCtau/single dose AUCinf.
Objective Response Rate (ORR)First dose of study treatment on Cycle 1 Day 1 (each cycle is 28 days) until progression or the last evaluable assessment in the absence of progression (3.2 years)ORR is defined as the percentage of patients who have a confirmed visit response of complete response (CR) or partial response (PR) prior to any evidence of progression (as defined by Response Evaluation Criteria in Solid Tumours 1.1). CR is defined when all target lesions (TLs) and non-target lesions (NTLs) present at baseline have disappeared (with the exception of lymph nodes which must be \<10mm to be considered non pathological) and no new lesions have developed since baseline. PR is defined when the sum of diameters of the TLs has decreased by 30% or more compared to baseline (with no evidence of progression) and the NTLs are at least stable with no evidence of new lesions.
Progression Free Survival (PFS) for MonotherapyAt 12 monthsPFS is defined as the time from first dose of Cycle 1 until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from study therapy or receives another anti-cancer therapy prior to progression. Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as increased by \> 20% or more compared to the smallest sum of diameters on study.
Progression Free Survival (PFS) for Combination TherapyAt 18 monthsPFS is defined as the time from first dose of Cycle 1 until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from study therapy or receives another anti-cancer therapy prior to progression. Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as increased by \> 20% or more compared to the smallest sum of diameters on study.
Accumulation Ratio for Cmax (Rac Cmax)Monotherapy: Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 1 Days 7 and 8 Pre-dose to 8 hours post dose (each cycle is 28 days)The Rac Cmax of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents. Accumulation ratio for Cmax, calculated by multiple dose Cmax/single dose Cmax.
Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose (each cycle is 28 days)The AUClast of AZD7648, following a single dose, when given orally as monotherapy and in combination with anti-cancer agents.

Countries

United Kingdom, United States

Participant flow

Recruitment details

A total of 30 patients were enrolled at two sites in the United States and three sites in the United Kingdom from 09 October 2019 to 07 December 2022.

Pre-assignment details

Patients who met the inclusion and none of the exclusion criteria were enrolled to the study. This study consisted of a screening period of 28 days. All the study assessments were performed as per schedule of assessment.

Participants by arm

ArmCount
Cohort 1: AZD7648 Dose A (Monotherapy)
Patients received single dose A of AZD7648, and after a washout period patients received multiple continuous dosing of dose A of AZD7648 in 28-day cycle regimen orally on an empty stomach.
1
Cohort 2: AZD7648 Dose A1 (Monotherapy)
Patients received single dose A1 of AZD7648, and after a washout period patients received multiple continuous dosing of dose A of AZD7648 in 28-day cycle regimen orally on an empty stomach.
1
Cohort 3: AZD7648 Dose B1 (Monotherapy)
Patients received single dose B1 of AZD7648, and after a washout period patients received multiple continuous dosing of dose B1 of AZD7648 in 28-day cycle regimen orally on an empty stomach.
1
Cohort 4: AZD7648 Dose C1 (Monotherapy)
Patients received single dose C1 of AZD7648, and after a washout period patients received multiple continuous dosing of dose C1 of AZD7648 in 28-day cycle regimen orally on an empty stomach.
1
Cohort 5: AZD7648 Dose D1 (Monotherapy)
Patients received single dose D1 of AZD7648, and after a washout period patients received multiple continuous dosing of dose D1 of AZD7648 in 28-day cycle regimen orally on an empty stomach.
3
Cohort 6: AZD7648 Dose E1 (Monotherapy)
Patients received single dose E1 of AZD7648, and after a washout period patients received multiple continuous dosing of dose E1 of AZD7648 in 28-day cycle regimen orally on an empty stomach.
4
Cohort 7: AZD7648 Dose F1 (Monotherapy)
Patients received single dose F1 of AZD7648, and after a washout period patients received multiple continuous dosing of dose F1 of AZD7648 in 28-day cycle regimen orally on an empty stomach.
3
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)
Patients received continuous dosing of dose C1 of AZD7648 orally on an empty stomach. In combination of AZD7648 patients also received PLD of 40 mg/m\^2, administered by intravenous (IV) infusion once every 4 weeks.
2
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)
Patients received single dosing of dose C of AZD7648 orally on an empty stomach. In combination of AZD7648 patients also received PLD of 40 mg/m\^2, administered by IV infusion once every 4 weeks.
2
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)
Patients received single dosing of dose C2 of AZD7648 orally on an empty stomach. In combination of AZD7648 patients also received PLD of 40 mg/m\^2, administered by IV infusion once every 4 weeks.
5
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)
Patients received single dosing of dose X of AZD7648 orally on an empty stomach. In combination of AZD7648 patients also received PLD of 40 mg/m\^2, administered by IV infusion once every 4 weeks.
7
Total30

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010
Combination Therapy Part AAdverse Event00000000011
Combination Therapy Part ADeath00000000101
Combination Therapy Part AOther than specified main reasons00000000100
Combination Therapy Part APhysician Decision00000001001
Combination Therapy Part AProgressive disease00000001023
Combination Therapy Part AWithdrawal by Subject00000000010
Monotherapy Part ADeath00110100000
Monotherapy Part AProgressive Disease01000120000
Monotherapy Part AWithdrawal by Subject00001100000

Baseline characteristics

CharacteristicCohort 1: AZD7648 Dose A (Monotherapy)Cohort 2: AZD7648 Dose A1 (Monotherapy)Cohort 3: AZD7648 Dose B1 (Monotherapy)Cohort 4: AZD7648 Dose C1 (Monotherapy)Cohort 5: AZD7648 Dose D1 (Monotherapy)Cohort 6: AZD7648 Dose E1 (Monotherapy)Cohort 7: AZD7648 Dose F1 (Monotherapy)Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Total
Age, CustomizedNA YearsNA YearsNA YearsNA Years64.3 Years
STANDARD_DEVIATION 6.35
60.3 Years
STANDARD_DEVIATION 8.18
51.3 Years
STANDARD_DEVIATION 2.08
NA YearsNA Years56.6 Years
STANDARD_DEVIATION 10.16
61.7 Years
STANDARD_DEVIATION 16.18
60.20 Years
STANDARD_DEVIATION 10.2
Race/Ethnicity, Customized
Race
Other
1 Participants1 Participants1 Participants1 Participants3 Participants2 Participants3 Participants0 Participants0 Participants0 Participants2 Participants14 Participants
Race/Ethnicity, Customized
Race
White
0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants2 Participants2 Participants5 Participants5 Participants16 Participants
Sex/Gender, Customized
All
1 Participants1 Participants1 Participants1 Participants1 Participants1 Participants0 Participants2 Participants2 Participants0 Participants1 Participants11 Participants
Sex/Gender, Customized
Female
0 Participants0 Participants0 Participants0 Participants0 Participants3 Participants3 Participants0 Participants0 Participants3 Participants6 Participants15 Participants
Sex/Gender, Customized
Male
0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants4 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
deaths
Total, all-cause mortality
0 / 10 / 11 / 11 / 11 / 31 / 40 / 30 / 21 / 20 / 51 / 7
other
Total, other adverse events
0 / 11 / 11 / 11 / 12 / 34 / 43 / 32 / 22 / 24 / 57 / 7
serious
Total, serious adverse events
0 / 10 / 10 / 10 / 11 / 34 / 40 / 31 / 21 / 20 / 54 / 7

Outcome results

Primary

Number of Patients With Adverse Events or Serious Adverse Events

Safety and tolerability of AZD7648 when given orally to patients with advanced malignancies, as monotherapy and in combination with anti-cancer agents was assessed.

Time frame: From Screening (Day -28) till study drug discontinuation (3.2 years)

Population: All patients who received at least 1 dose of any study treatment.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification0 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction0 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE0 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher0 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE0 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption0 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE1 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76480 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE1 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76480 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction0 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption0 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE0 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE1 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification0 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher0 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE1 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification1 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE2 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption1 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76481 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction0 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76480 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher2 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76480 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76481 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death1 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76482 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76481 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death1 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE4 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher4 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76483 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction1 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76482 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption3 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE4 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification3 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76483 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification2 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE3 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76482 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher2 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76482 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE0 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76480 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction1 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to PLD0 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction1 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to PLD0 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose interruption2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to PLD2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE1 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to PLD2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to PLD1 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76481 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to PLD0 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76480 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76482 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76482 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose modification2 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of PLD0 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose reduction0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to PLD0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose reduction0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE1 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to PLD2 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose modification1 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76481 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of PLD1 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to PLD0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to PLD0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose interruption1 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to PLD0 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption2 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to PLD2 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification2 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE2 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76482 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher2 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76482 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to PLD0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to PLD0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification1 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to PLD0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to PLD0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to PLD0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to PLD4 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76481 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of PLD1 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76484 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose modification1 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose reduction0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE4 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption1 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose interruption1 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE0 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to PLD0 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death1 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose reduction1 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD7648, possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher5 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE7 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE causing discontinuation of AZD76480 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose modification5 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose modification5 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to AZD76484 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE of CTCAE Grade 3 or higher, possibly related to PLD1 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death, possibly related to PLD0 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose interruption4 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to PLD0 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE with outcome of death, possibly related to AZD76480 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE with outcome of death1 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to PLD dose interruption4 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to AZD76487 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to PLD0 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE4 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of PLD1 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to discontinuation of AZD76481 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny SAE, possibly related to AZD76482 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE leading to AZD7648 dose reduction1 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Adverse Events or Serious Adverse EventsAny AE possibly related to PLD4 Participants
Primary

Number of Patients With Dose Limiting Toxicities (DLTs)

A DLT is defined as an AE that occurs from the first dose of study treatment up to and including Cycle 1, Day 28 (the DLT assessment period) that is assessed as unrelated to the disease, intercurrent illness, or concomitant medications.

Time frame: From Screening (Day -28) till study drug discontinuation (3.2 years)

Population: All patients who received at least 1 dose of any study treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1: AZD7648 Dose A (Monotherapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Number of Patients With Dose Limiting Toxicities (DLTs)1 Participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Number of Patients With Dose Limiting Toxicities (DLTs)2 Participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Number of Patients With Dose Limiting Toxicities (DLTs)0 Participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Number of Patients With Dose Limiting Toxicities (DLTs)1 Participants
Secondary

Accumulation Ratio for Area Under Curve (Rac AUC)

The Rac AUC of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents. Accumulation ratio for AUC, calculated by multiple dose AUCτ/single dose AUC(0-12) or AUC(0-24).

Time frame: Monotherapy: Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 1 Days 7 and 8 Pre-dose to 8 hours post dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureValue (GEOMETRIC_MEAN)
Cohort 1: AZD7648 Dose A (Monotherapy)Accumulation Ratio for Area Under Curve (Rac AUC)NA Ratio
Cohort 3: AZD7648 Dose B1 (Monotherapy)Accumulation Ratio for Area Under Curve (Rac AUC)NA Ratio
Cohort 4: AZD7648 Dose C1 (Monotherapy)Accumulation Ratio for Area Under Curve (Rac AUC)NA Ratio
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Accumulation Ratio for Area Under Curve (Rac AUC)NA Ratio
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Accumulation Ratio for Area Under Curve (Rac AUC)NA Ratio
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Accumulation Ratio for Area Under Curve (Rac AUC)NA Ratio
Secondary

Accumulation Ratio for Cmax (Rac Cmax)

The Rac Cmax of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents. Accumulation ratio for Cmax, calculated by multiple dose Cmax/single dose Cmax.

Time frame: Monotherapy: Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 1 Days 7 and 8 Pre-dose to 8 hours post dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1: AZD7648 Dose A (Monotherapy)Accumulation Ratio for Cmax (Rac Cmax)NA Ratio
Cohort 3: AZD7648 Dose B1 (Monotherapy)Accumulation Ratio for Cmax (Rac Cmax)NA Ratio
Cohort 4: AZD7648 Dose C1 (Monotherapy)Accumulation Ratio for Cmax (Rac Cmax)NA Ratio
Cohort 5: AZD7648 Dose D1 (Monotherapy)Accumulation Ratio for Cmax (Rac Cmax)NA Ratio
Cohort 6: AZD7648 Dose E1 (Monotherapy)Accumulation Ratio for Cmax (Rac Cmax)NA Ratio
Cohort 7: AZD7648 Dose F1 (Monotherapy)Accumulation Ratio for Cmax (Rac Cmax)1.348 RatioGeometric Coefficient of Variation 1.272
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Accumulation Ratio for Cmax (Rac Cmax)NA Ratio
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Accumulation Ratio for Cmax (Rac Cmax)NA Ratio
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Accumulation Ratio for Cmax (Rac Cmax)1.157 RatioGeometric Coefficient of Variation 23.99
Secondary

Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)

The AUCinf of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.

Time frame: Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose [each cycle is 28 days]

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected pharmacokinetic (PK).

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1: AZD7648 Dose A (Monotherapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)NA h*nmol/L
Cohort 2: AZD7648 Dose A1 (Monotherapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)NA h*nmol/L
Cohort 3: AZD7648 Dose B1 (Monotherapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)NA h*nmol/L
Cohort 4: AZD7648 Dose C1 (Monotherapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)NA h*nmol/L
Cohort 5: AZD7648 Dose D1 (Monotherapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)NA h*nmol/L
Cohort 6: AZD7648 Dose E1 (Monotherapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)25180 h*nmol/LStandard Deviation 48.76
Cohort 7: AZD7648 Dose F1 (Monotherapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)29680 h*nmol/LStandard Deviation 19.72
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)NA h*nmol/L
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)NA h*nmol/L
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)3826 h*nmol/LStandard Deviation 55.72
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)5539 h*nmol/LStandard Deviation 52.04
Secondary

Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)

The AUCτ of AZD7648, at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.

Time frame: Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureValue (GEOMETRIC_MEAN)
Cohort 1: AZD7648 Dose A (Monotherapy)Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)NA h*nmol/L
Cohort 3: AZD7648 Dose B1 (Monotherapy)Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)NA h*nmol/L
Cohort 4: AZD7648 Dose C1 (Monotherapy)Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)NA h*nmol/L
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)NA h*nmol/L
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)NA h*nmol/L
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Area Under Plasma Concentration-time Curve in the Dosing Interval τ (AUCτ)NA h*nmol/L
Secondary

Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)

The AUClast of AZD7648, following a single dose, when given orally as monotherapy and in combination with anti-cancer agents.

Time frame: Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1: AZD7648 Dose A (Monotherapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)NA h*nmol/L
Cohort 2: AZD7648 Dose A1 (Monotherapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)NA h*nmol/L
Cohort 3: AZD7648 Dose B1 (Monotherapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)NA h*nmol/L
Cohort 4: AZD7648 Dose C1 (Monotherapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)NA h*nmol/L
Cohort 5: AZD7648 Dose D1 (Monotherapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)NA h*nmol/L
Cohort 6: AZD7648 Dose E1 (Monotherapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)24940 h*nmol/LGeometric Coefficient of Variation 49.04
Cohort 7: AZD7648 Dose F1 (Monotherapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)29540 h*nmol/LGeometric Coefficient of Variation 19.64
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)NA h*nmol/L
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)NA h*nmol/L
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)3798 h*nmol/LGeometric Coefficient of Variation 55.78
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)5509 h*nmol/LGeometric Coefficient of Variation 52.19
Secondary

Dose Proportionality (TCP)

The TCP of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents. Temporal change parameter in systemic exposure, calculated as multiple dose AUCtau/single dose AUCinf.

Time frame: Monotherapy: Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 1 Days 7 and 8 Pre-dose to 8 hours post dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureValue (GEOMETRIC_MEAN)
Cohort 1: AZD7648 Dose A (Monotherapy)Dose Proportionality (TCP)NA Ratio
Cohort 3: AZD7648 Dose B1 (Monotherapy)Dose Proportionality (TCP)NA Ratio
Cohort 4: AZD7648 Dose C1 (Monotherapy)Dose Proportionality (TCP)NA Ratio
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Dose Proportionality (TCP)NA Ratio
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Dose Proportionality (TCP)NA Ratio
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Dose Proportionality (TCP)NA Ratio
Secondary

Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)

The t½λ of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.

Time frame: Monotherapy and Combination therapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1: AZD7648 Dose A (Monotherapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)NA Hours
Cohort 2: AZD7648 Dose A1 (Monotherapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)NA Hours
Cohort 3: AZD7648 Dose B1 (Monotherapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)NA Hours
Cohort 4: AZD7648 Dose C1 (Monotherapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)NA Hours
Cohort 5: AZD7648 Dose D1 (Monotherapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)NA Hours
Cohort 6: AZD7648 Dose E1 (Monotherapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)10.32 HoursGeometric Coefficient of Variation 39.41
Cohort 7: AZD7648 Dose F1 (Monotherapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)10.64 HoursGeometric Coefficient of Variation 27.39
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)NA Hours
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)NA Hours
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)6.506 HoursGeometric Coefficient of Variation 44.51
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)7.562 HoursGeometric Coefficient of Variation 51.64
Secondary

Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)

The Cmax of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.

Time frame: Monotherapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose, Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 0 Day 1 Pre-dose to 12 hours post dose and Cycle 1 Days 7, 8 Pre-dose to 8 hours post dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
Cohort 1: AZD7648 Dose A (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1NA nmol/L
Cohort 1: AZD7648 Dose A (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 2: AZD7648 Dose A1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1NA nmol/L
Cohort 2: AZD7648 Dose A1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 3: AZD7648 Dose B1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1NA nmol/L
Cohort 3: AZD7648 Dose B1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 4: AZD7648 Dose C1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1NA nmol/L
Cohort 4: AZD7648 Dose C1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 5: AZD7648 Dose D1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 5: AZD7648 Dose D1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1NA nmol/L
Cohort 6: AZD7648 Dose E1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 6: AZD7648 Dose E1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 12463 nmol/LGeometric Coefficient of Variation 56.72
Cohort 7: AZD7648 Dose F1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 85426 nmol/LGeometric Coefficient of Variation 12.75
Cohort 7: AZD7648 Dose F1 (Monotherapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 14026 nmol/LGeometric Coefficient of Variation 13.97
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1NA nmol/L
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1NA nmol/L
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1376.8 nmol/LGeometric Coefficient of Variation 27.66
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8NA nmol/L
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 0 Day 1754.2 nmol/LGeometric Coefficient of Variation 34.29
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Maximum Observed Plasma (Peak) Drug Concentration After Single Dose and Multiple Doses (Cmax)Cycle 1 Day 7 Cycle 1 Day 8944.9 nmol/LGeometric Coefficient of Variation 62.85
Secondary

Objective Response Rate (ORR)

ORR is defined as the percentage of patients who have a confirmed visit response of complete response (CR) or partial response (PR) prior to any evidence of progression (as defined by Response Evaluation Criteria in Solid Tumours 1.1). CR is defined when all target lesions (TLs) and non-target lesions (NTLs) present at baseline have disappeared (with the exception of lymph nodes which must be \<10mm to be considered non pathological) and no new lesions have developed since baseline. PR is defined when the sum of diameters of the TLs has decreased by 30% or more compared to baseline (with no evidence of progression) and the NTLs are at least stable with no evidence of new lesions.

Time frame: First dose of study treatment on Cycle 1 Day 1 (each cycle is 28 days) until progression or the last evaluable assessment in the absence of progression (3.2 years)

Population: Evaluable for objective response set included all patients who had a measurable baseline disease (having at least one measurable target lesion, not previously irradiated, which is ≥ 10 mm in the longest diameter (LD) (except lymph nodes which must have short axis ≥ 15 mm) by RECIST 1.1 assessment and received at least one dose of any study treatment.

ArmMeasureValue (NUMBER)
Cohort 1: AZD7648 Dose A (Monotherapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 2: AZD7648 Dose A1 (Monotherapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 3: AZD7648 Dose B1 (Monotherapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 4: AZD7648 Dose C1 (Monotherapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 5: AZD7648 Dose D1 (Monotherapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 6: AZD7648 Dose E1 (Monotherapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 7: AZD7648 Dose F1 (Monotherapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Objective Response Rate (ORR)50 Percentage of participants
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Objective Response Rate (ORR)0 Percentage of participants
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Objective Response Rate (ORR)0 Percentage of participants
Secondary

Progression Free Survival (PFS) for Combination Therapy

PFS is defined as the time from first dose of Cycle 1 until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from study therapy or receives another anti-cancer therapy prior to progression. Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as increased by \> 20% or more compared to the smallest sum of diameters on study.

Time frame: At 18 months

Population: Evaluable for efficacy set included all patients who received at least 1 dose of any study treatment and have a baseline tumour assessment according to RECIST 1.1.

ArmMeasureValue (MEDIAN)
Cohort 1: AZD7648 Dose A (Monotherapy)Progression Free Survival (PFS) for Combination TherapyNA Months
Cohort 2: AZD7648 Dose A1 (Monotherapy)Progression Free Survival (PFS) for Combination TherapyNA Months
Cohort 3: AZD7648 Dose B1 (Monotherapy)Progression Free Survival (PFS) for Combination Therapy1.74 Months
Cohort 4: AZD7648 Dose C1 (Monotherapy)Progression Free Survival (PFS) for Combination Therapy2.07 Months
Secondary

Progression Free Survival (PFS) for Monotherapy

PFS is defined as the time from first dose of Cycle 1 until the date of objective disease progression or death (by any cause in the absence of progression) regardless of whether the patient withdraws from study therapy or receives another anti-cancer therapy prior to progression. Disease progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as increased by \> 20% or more compared to the smallest sum of diameters on study.

Time frame: At 12 months

Population: Evaluable for efficacy set included all patients who received at least 1 dose of any study treatment and have a baseline tumour assessment according to RECIST 1.1.

ArmMeasureValue (MEDIAN)
Cohort 1: AZD7648 Dose A (Monotherapy)Progression Free Survival (PFS) for MonotherapyNA Months
Cohort 2: AZD7648 Dose A1 (Monotherapy)Progression Free Survival (PFS) for MonotherapyNA Months
Cohort 3: AZD7648 Dose B1 (Monotherapy)Progression Free Survival (PFS) for MonotherapyNA Months
Cohort 4: AZD7648 Dose C1 (Monotherapy)Progression Free Survival (PFS) for MonotherapyNA Months
Cohort 5: AZD7648 Dose D1 (Monotherapy)Progression Free Survival (PFS) for Monotherapy1.91 Months
Cohort 6: AZD7648 Dose E1 (Monotherapy)Progression Free Survival (PFS) for Monotherapy2.50 Months
Cohort 7: AZD7648 Dose F1 (Monotherapy)Progression Free Survival (PFS) for Monotherapy1.51 Months
Secondary

Time to Reach Maximum Plasma Concentration (Tmax)

The tmax of AZD7648, following a single dose and at steady state after multiple dosing, when given orally as monotherapy and in combination with anti-cancer agents.

Time frame: Monotherapy: Cycle 0 Day 1 Pre-dose to 72 hours post-dose, Cycle 1 Day 8 Pre-dose to 12 hours post dose; Combination therapy: Cycle 0 Day 1 Pre-dose to 12 hours post dose and Cycle 1 Days 7, 8 Pre-dose to 8 hours post dose (each cycle is 28 days)

Population: All patients who received at least 1 dose of any study treatment and had at least 1 reportable post first dose concentration without any protocol deviations that might have affected PK.

ArmMeasureGroupValue (MEDIAN)
Cohort 1: AZD7648 Dose A (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 1NA Hours
Cohort 1: AZD7648 Dose A (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 2: AZD7648 Dose A1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 1NA Hours
Cohort 2: AZD7648 Dose A1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 3: AZD7648 Dose B1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 1NA Hours
Cohort 3: AZD7648 Dose B1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 4: AZD7648 Dose C1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 1NA Hours
Cohort 4: AZD7648 Dose C1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 5: AZD7648 Dose D1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 1NA Hours
Cohort 5: AZD7648 Dose D1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 6: AZD7648 Dose E1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 6: AZD7648 Dose E1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 12.050 Hours
Cohort 7: AZD7648 Dose F1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 12.033 Hours
Cohort 7: AZD7648 Dose F1 (Monotherapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 82.167 Hours
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 1: AZD7648 Dose C1 + PLD (Combination Therapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 1NA Hours
Cohort 1: AZD7648 Dose C + PLD (Combination Therapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 1NA Hours
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 8NA Hours
Cohort 2: AZD7648 Dose C2 + PLD (Combination Therapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 13.058 Hours
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 0 Day 11.150 Hours
Cohort 3: AZD7648 Dose X + PLD (Combination Therapy)Time to Reach Maximum Plasma Concentration (Tmax)Cycle 1 Day 7 Cycle 1 Day 81.100 Hours

Source: ClinicalTrials.gov · Data processed: Feb 19, 2026