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Epigenetic Modulator

AZD4573 for Blood Cancers

Phase 1 & 2
Waitlist Available
Research Sponsored by AstraZeneca
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Participant must be ≥ 18 years of age at the time of signing the informed consent.
Diagnosis must be confirmed by biopsy and be immunohistologically characterised.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up cycle 1 (5 weeks in total) on day 1 of week 1, 2 and 3, and cycle 2 (3 weeks in total) on day 1 of week 1
Awards & highlights

Study Summary

This trial is testing a new cancer drug, given in combination with other anti-cancer agents, to people with cancer that has come back or did not respond to other treatments.

Who is the study for?
This trial is for adults with advanced blood cancers who have tried at least two prior treatments without a cure in sight. They should not be eligible for curative therapies like CAR-T cell therapy and must have specific types of relapsed/refractory (r/r) blood cancers, such as DLBCL or MZL. Participants need to show active disease requiring treatment, adequate organ and bone marrow function, no recent transfusions or growth factor support, and an ECOG status ≤ 2.Check my eligibility
What is being tested?
The study tests AZD4573 combined with other anti-cancer agents in patients with advanced blood cancer. It's an open-label Phase I/II trial where the drug is given intravenously. The goal is to find the right dose and see how well it works when paired with different cancer medications.See study design
What are the potential side effects?
Potential side effects may include reactions related to the immune system due to infusion of drugs, changes in blood counts leading to increased risk of infections or bleeding, fatigue from treatment-related anemia, digestive issues due to impact on gastrointestinal tract functions, and possible liver or kidney function alterations.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am 18 years old or older.
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My diagnosis was confirmed through a biopsy and detailed lab tests.
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I can take care of myself but might not be able to do heavy physical work.
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My tumor tissue can be sent to AstraZeneca for testing.
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My disease has come back or worsened after treatment.
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My cancer can be seen on scans and involves lymph nodes or tissues.
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I haven't had blood transfusions or growth factor support in the last 2 weeks.
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I have relapsed or refractory DLBCL or MZL and can provide a recent or archival tumor sample.
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I have tried at least two treatments for my current illness without success and cannot be cured with available treatments.
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My cancer can be seen on scans and involves lymph nodes or tissues.
Select...
I have relapsed or refractory mantle cell lymphoma.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~cycle 1 (5 weeks in total) on day 1 of week 1, 2 and 3, and cycle 2 (3 weeks in total) on day 1 of week 1
This trial's timeline: 3 weeks for screening, Varies for treatment, and cycle 1 (5 weeks in total) on day 1 of week 1, 2 and 3, and cycle 2 (3 weeks in total) on day 1 of week 1 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Module 1 Part A : Number of participants with serious and non-serious adverse events
Module 1 Part B: Overall response rate (ORR) of AZD4573 in combination with acalabrutinib
Module 2 Part A : Number of participants with serious and non-serious adverse events
Secondary outcome measures
Module 1 Part A and Part B; Module 2 Part A: Plasma PK (AUC0-t) of AZD4573 (given as monotherapy for Module 2 only) and acalabrutinib (plus its active metabolite ACP-5862), when given in combination
Module 1 Part A and Part B; Module 2 Part A: Plasma PK (AUCinf) of AZD4573 (given as monotherapy for Module 2 only) and acalabrutinib (plus its active metabolite ACP-5862), when given in combination
Module 1 Part A and Part B; Module 2 Part A: Plasma PK (AUClast) of AZD4573 (given as monotherapy for Module 2 only) and acalabrutinib (plus its active metabolite ACP-5862), when given in combination
+9 more

Side effects data

From 2020 Phase 2 trial • 177 Patients • NCT04346199
2%
Headache
1%
Chronic obstructive pulmonary disease
1%
Septic shock
1%
Ischaemic stroke
100%
80%
60%
40%
20%
0%
Study treatment Arm
BSC Alone
Acalabrutinib + BSC

Trial Design

2Treatment groups
Experimental Treatment
Group I: Module 2: Part A and Part BExperimental Treatment2 Interventions
Participants will receive AZD4573 as monotherapy for Period 1 and AZD4573 + acalabrutinib as combination therapy for Period 2. Part B of Module 2 will be determined from the data emerging from Part A.
Group II: Module 1: Part A and Part BExperimental Treatment2 Interventions
Participants will receive intravenous ascending doses of AZD4573 once weekly with oral acalabrutinib twice daily continuously in Part A. For Part A, cohorts 1, 2, and 3 have different target dose levels respectively. In Part B, participants will receive the RP2D of AZD4573 from Part A.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Acalabrutinib
2020
Completed Phase 2
~2030
AZD4573
2017
Completed Phase 2
~100

Find a Location

Who is running the clinical trial?

AstraZenecaLead Sponsor
4,257 Previous Clinical Trials
288,593,746 Total Patients Enrolled
1 Trials studying Blood Cancers
32 Patients Enrolled for Blood Cancers
ParexelIndustry Sponsor
303 Previous Clinical Trials
100,786 Total Patients Enrolled

Media Library

AZD4573 (Epigenetic Modulator) Clinical Trial Eligibility Overview. Trial Name: NCT04630756 — Phase 1 & 2
Blood Cancers Research Study Groups: Module 2: Part A and Part B, Module 1: Part A and Part B
Blood Cancers Clinical Trial 2023: AZD4573 Highlights & Side Effects. Trial Name: NCT04630756 — Phase 1 & 2
AZD4573 (Epigenetic Modulator) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04630756 — Phase 1 & 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Will this research be beneficial for octogenarians?

"According to the age requirements set out in the inclusion criteria, individuals must be aged 18 or older but no more than 130 years old."

Answered by AI

Are there any available vacancies for people who want to participate in this clinical trial?

"Yes, this trial is still enrolling patients as of today. According to the listing on clinicaltrials.gov, the first posting was on February 17th, 2021 and the most recent update was November 8th, 2022."

Answered by AI

How do I sign up for the clinical trial?

"A total of 117 people will be enrolled in this trial for hematologic neoplasms. The patients must meet the following criteria: Be 18 years of age or older, have an ECOG performance status of 2 or lower, have received prior lines of therapy that are no longer effective and clinical study is the best option for next treatment based on response and/or tolerability, have active disease that requires treatment and is refractory or relapsed defined as: Disease progression after previous line(s) of therapy or disease that did not respond to the prior treatment regimen, adequate haematological function, adequate organ function at screening,"

Answered by AI

What are the main goals that researchers hope to achieve with this trial?

"According to the clinical trial sponsor, Parexel, the primary outcome of this study will be measured over a From Screening (Day -30 to Day -1) until disease progression or survival until death (approximately 6 months) time frame. This outcome is defined as the number of participants with serious and non-serious adverse events. Additionally, this study will evaluate secondary outcomes including plasma PK (AUC0-t) of AZD4573 and acalabrutinib (plus its active metabolite ACP-5862), when given in combination; plasma PK (AUClast) of AZD"

Answered by AI

Is this the first time that AZD4573 has been used in a research setting?

"The first clinical trial for AZD4573 was completed in 2014. To date, a total of 25 trials have been completed. Currently, there are 76 active trials taking place with many of them located in Columbus, Ohio."

Answered by AI

What are the conditions that treatment with AZD4573 typically improves?

"AZD4573 is an effective medication for mantle cell lymphoma (mcl), small lymphocytic lymphoma, and chronic lymphocytic leukemia (cll) patients."

Answered by AI

Are there different research facilities participating in this study across America?

"Currently, this clinical trial is taking place in 10 different locations. While the primary sites are in Columbus, Montreal and Toronto, there are also options in other cities to help minimize travel for enrolled patients."

Answered by AI

Has this research been undertaken before?

"There are 76 ongoing clinical trials for AZD4573 in 47 different countries. The first trial began in 2014 and was sponsored by Acerta Pharma BV. That study completed its Phase 1 & 2 approval stages with the help of 306 participants. Since then, 25 more trials have concluded."

Answered by AI

How many people are participating in this clinical trial at most?

"That is correct, the online clinicaltrials.gov registry reveals that this particular study is still looking for participants. Originally appearing on February 17th, 2021, with the most recent update being on November 8th, 2022; this trial is aiming to enroll 117 individuals across 10 different sites."

Answered by AI
~10 spots leftby Apr 2025