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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06106945
Registration number
NCT06106945
Ethics application status
Date submitted
11/10/2023
Date registered
30/10/2023
Date last updated
5/07/2024
Titles & IDs
Public title
AZD0305 as Monotherapy or in Combination With Anticancer Agents in Participants With Relapsed/Refractory Multiple Myeloma
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Scientific title
A Modular Phase I/II, Open-label, Multicenter Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Lmmunogenicity, Pharmacodynamics, and Preliminary Efficacy of AZD0305 as Monotherapy or in Combination With Anticancer Agent(s) in Participants With Relapsed or Refractory Multiple Myeloma
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Secondary ID [1]
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2023-508590-89-00
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Secondary ID [2]
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D7230C00001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Condition category
Condition code
Cancer
0
0
0
0
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AZD0305
Experimental: AZD0305 monotherapy - Module 1:
Phase Ia: Dose Escalation Phase Ib: Dose Expansion/Optimization AZD0305 will be prescribed at specified dose levels.
Treatment: Drugs: AZD0305
AZD0305
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Occurrence of dose-limiting toxicity (DLT), as defined in the protocol (Phase Ia dose escalation only)
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Assessment method [1]
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A DLT is defined as any toxicity that occurs from the first dose of study treatment up to and including the planned end of Cycle 1 (the DLT assessment period) that is assessed as unrelated to the disease or disease-related processes under investigation and which includes, any death not clearly due to the underlying disease or extraneous causes, pre-defined haematological and non-haematological toxicities
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Timepoint [1]
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From first dose of study treatment until the end of Cycle 1
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Primary outcome [2]
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Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
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Assessment method [2]
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Number of patients with adverse events and serious adverse events by system organ class and preferred term
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Timepoint [2]
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From time of Informed consent to 30 days post end of treatment
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Secondary outcome [1]
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Phase Ia: Objective Response Rate (ORR)
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Assessment method [1]
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The percentage of patients with a confirmed investigator assessed sCR, CR, VGPR or PR according to IMWG criteria
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Timepoint [1]
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From first dose of AZD0305 to progressive disease or Initiation of subsequent MM therapy (approximately 2 years)
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Secondary outcome [2]
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Phase Ia: Duration of response (DoR)
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Assessment method [2]
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The time from the date of first response until date of disease progression or death in the absence of disease progression
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Timepoint [2]
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From the first documented response to confirmed progressive disease or death (approximately 2 years)
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Secondary outcome [3]
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Phase Ia: Progression free Survival (PFS)
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Assessment method [3]
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The time from first dose until IMWG defined disease progression or death
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Timepoint [3]
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From first dose of AZD0305 to progressive disease or death in the absence of disease progression (approximately 2 years)
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Secondary outcome [4]
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Phase Ia: Overall Survival (OS)
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Assessment method [4]
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The time from the date of the first dose of study treatment until death due to any cause
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Timepoint [4]
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From first dose of AZD0305 to death (approximately 2 years)
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Secondary outcome [5]
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Phase Ia: Pharmacokinetics of AZD0305: Area Under the concentration-time curve (AUC)
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Assessment method [5]
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Area under the plasma concentration-time curve
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Timepoint [5]
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From the first dose of study intervention, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [6]
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Phase Ia: Pharmacokinetics of AZD0305: Maximum plasma concentration of the study drug (Cmax)
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Assessment method [6]
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Maximum observed plasma concentration of the study drug
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Timepoint [6]
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From the first dose of study intervention, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [7]
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Phase Ia: Pharmacokinetics of AZD0305: Time to maximum plasma concentration of the study drug (tmax)
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Assessment method [7]
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Time to maximum observed plasma concentration of the study drug
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Timepoint [7]
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From the first dose of study intervention, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [8]
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Phase Ia: Pharmacokinetics of AZD0305: Clearance
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Assessment method [8]
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A pharmacokinetic measurement of the volume of plasma from which the study drug is completely removed per unit time
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Timepoint [8]
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From the first dose of study intervention, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [9]
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Phase Ia: Pharmacokinetics of AZD0305: Terminal elimination half-life (t 1/2)
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Assessment method [9]
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Terminal elimination half-life
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Timepoint [9]
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From the first dose of study intervention, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [10]
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Phase Ia: Immunogenicity of AZD0305
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Assessment method [10]
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The number and percentage of participants who develop ADAs
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Timepoint [10]
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From the first dose of study intervention, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [11]
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Phase Ib: Objective Response Rate (ORR)
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Assessment method [11]
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The percentage of patients with a confirmed investigator assessed sCR, CR, VGPR or PR according to IMWG criteria
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Timepoint [11]
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From randomization to progressive disease or Initiation of subsequent MM therapy (approximately 2 years)
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Secondary outcome [12]
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Phase Ib: Duration of response (DoR)
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Assessment method [12]
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The time from date of first response until date of disease progression or death in the absence of disease progression
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Timepoint [12]
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From randomization to confirmed progressive disease or death (approximately 2 years)
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Secondary outcome [13]
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Phase Ib: Progression free Survival (PFS)
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Assessment method [13]
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The time from randomization until IMWG defined disease progression or death
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Timepoint [13]
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From randomization to progressive disease or death in the absence of disease progression (approximately 2 years)
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Secondary outcome [14]
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Phase Ib: Overall Survival (OS)
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Assessment method [14]
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The time from randomization until death due to any cause
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Timepoint [14]
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From randomization to death (approximately 2 years)
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Secondary outcome [15]
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Phase Ib: Pharmacokinetics of AZD0305: Area Under the concentration-time curve (AUC)
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Assessment method [15]
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Area under the plasma concentration-time curve
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Timepoint [15]
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From randomization, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [16]
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Phase Ib: Pharmacokinetics of AZD0305: Maximum plasma concentration of the study drug (Cmax)
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Assessment method [16]
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Maximum observed plasma concentration of the study drug
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Timepoint [16]
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From randomization, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [17]
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Phase Ib: Pharmacokinetics of AZD0305: Time to maximum plasma concentration of the study drug (tmax)
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Assessment method [17]
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Time to maximum observed plasma concentration of the study drug
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Timepoint [17]
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From randomization, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [18]
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Phase Ib: Pharmacokinetics of AZD0305: Clearance
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Assessment method [18]
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A pharmacokinetic measurement of the volume of plasma from which the study drug is completely removed per unit time
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Timepoint [18]
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From randomization, at predefined intervals throughout the administration of AZD0305 (approximately 2 years
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Secondary outcome [19]
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Phase Ib: Pharmacokinetics of AZD0305: Terminal elimination half-life (t 1/2)
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Assessment method [19]
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Terminal elimination half-life
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Timepoint [19]
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From randomization, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Secondary outcome [20]
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Phase Ib: Immunogenicity of AZD0305
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Assessment method [20]
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The number and percentage of participants who develop ADAs
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Timepoint [20]
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From randomization, at predefined intervals throughout the administration of AZD0305 (approximately 2 years)
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Eligibility
Key inclusion criteria
Principal
* Participants must be at least 18 years of age or the legal age of consent in the jurisdiction in which the study is taking place.
* Eastern Cooperative Oncology group (ECOG) performance status of = 2.
* Documentation of Multiple Myeloma (MM) as defined by International Myeloma Working Group (IMWG) Diagnostic Criteria for Multiple Myeloma. Site should ensure that Multiple Myeloma diagnosis is confirmed in accordance with the IMWG Diagnostic Criteria.
* Participants must have one or more of the following measurable disease criteria:
1. Serum M-protein level = 0.5 g/dL.
2. Urine M-protein level = 200 mg/24h.
3. Serum immunoglobulin free light chain = 10 mg/dL and abnormal serum immunoglobulin kappa lambda free light chain ratio.
* Adequate organ and bone marrow function assessment at screening according to the hematological, hepatic, and renal parameters listed in the CSP.
* Participants must have received at least 3 prior lines of treatment which include a proteasome inhibitor (e.g., bortezomib), an immunomodulator (e.g., lenalidomide), and an anti-CD38 antibody (e.g., daratumumab).
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Participants exhibiting clinical signs of central nervous system involvement of MM.
* Participants with known COPD, or previous history of ILD.
* Participants with known moderate or severe persistent asthma within the past 5 years, or uncontrolled asthma of any classification.
* Participants who have severe cardiovascular disease which is not adequately controlled.
* Participants who have a history of immunodeficiency disease.
* Participants with peripheral neuropathy = Grade 2.
* Primary refractory MM.
* Participants who have previously received anti-GPRC5D or MMAE-containing treatment.
* Participants who have previously received allogenic stem cell transplant, or participant has received autologous stem cell transplant within 3 months before the first dose of study intervention.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/12/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
11/11/2025
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Actual
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Sample size
Target
84
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Research Site - Melbourne
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Recruitment hospital [2]
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Research Site - Perth
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Recruitment postcode(s) [1]
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3000 - Melbourne
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Recruitment postcode(s) [2]
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WA 6009 - Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Georgia
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Country [3]
0
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United States of America
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State/province [3]
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Michigan
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Country [4]
0
0
United States of America
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State/province [4]
0
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Missouri
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Country [5]
0
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United States of America
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State/province [5]
0
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New York
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Country [6]
0
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United States of America
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State/province [6]
0
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Pennsylvania
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Country [7]
0
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United States of America
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State/province [7]
0
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Virginia
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Country [8]
0
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Canada
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State/province [8]
0
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Ontario
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Country [9]
0
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Canada
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State/province [9]
0
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Quebec
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Country [10]
0
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China
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State/province [10]
0
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Beijing
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Country [11]
0
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China
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State/province [11]
0
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Changsha
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Country [12]
0
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China
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State/province [12]
0
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Guangzhou
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Country [13]
0
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China
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State/province [13]
0
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Shenyang
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Country [14]
0
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France
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State/province [14]
0
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Lille
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Country [15]
0
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France
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State/province [15]
0
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Nantes
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Country [16]
0
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Germany
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State/province [16]
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Freiburg
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Country [17]
0
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Germany
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State/province [17]
0
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Hamburg
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Country [18]
0
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Germany
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State/province [18]
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Lübeck
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Country [19]
0
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Germany
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State/province [19]
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Nürnberg
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Country [20]
0
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Germany
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State/province [20]
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Wuerzburg
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Country [21]
0
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Japan
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State/province [21]
0
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Kashiwa
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Country [22]
0
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Japan
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State/province [22]
0
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Nagoya-shi
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Country [23]
0
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Japan
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State/province [23]
0
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Yamagata-shi
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Country [24]
0
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Spain
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State/province [24]
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Madrid
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Country [25]
0
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Spain
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State/province [25]
0
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Pamplona
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Country [26]
0
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Spain
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State/province [26]
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Salamanca
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AstraZeneca
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase I/II, modular, open-label, multicenter, dose escalation, and dose expansion/optimization study to evaluate the safety, tolerability, PK, immunogenicity, pharmacodynamics, and preliminary efficacy of AZD0305 in participants with RRMM.
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Trial website
https://clinicaltrials.gov/study/NCT06106945
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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AstraZeneca Clinical Study Information Center
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Address
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Country
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Phone
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1-877-240-9479
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06106945
Download to PDF