A Phase I Study of [225Ac]-AZD2284 in Patients With Metastatic Castration-Resistant Prostate Cancer
Conditions
Metastatic Castration-Resistant Prostate CancerDrugs
AZD2287, AZD2275, AZD2284Summary
The main purpose of the study is to assess the safety and tolerability of AZD2284, AZD2287, and AZD2275.
Detailed Description
This is a first-in-human, Phase I, non-randomized, open-label clinical trial designed to evaluate AZD2284, AZD2287, and AZD2275.
This trial will consist of 2 Parts:
Part A (Imaging):
* Part A (Cold Antibody Exploration): aims to determine the optimal dosing regimen, with or without unconjugated antibody (AZD2275) pre-administration to improve the biodistribution of AZD2287.
* Part A Expansion: aims to explore the prevalence of PSMA and STEAP2 expression by imaging.
Part B (Therapeutic):
* Part B (Actinium-225 Dose Escalation): aims to assess the safety, tolerability, and efficacy of escalating doses of AZD2284 informed by the optimal dosing regimen identified in Part A.
* Part B Expansion Cohorts 1 and 2: aims to explore efficacy of AZD2284.
Locations
3 locations Found with status Recruiting
Status
- RECRUITING
Central Contacts
- AstraZeneca Clinical Study Information Center
- 1-877-240-9479
- [email protected]
Status
- RECRUITING
Central Contacts
- AstraZeneca Clinical Study Information Center
- 1-877-240-9479
- [email protected]
Status
- RECRUITING
Central Contacts
- AstraZeneca Clinical Study Information Center
- 1-877-240-9479
- [email protected]
Eligibility Criteria
Main Inclusion Criteria:
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
* Histologically confirmed diagnosis of adenocarcinoma of the prostate or neuroendocrine differentiated prostate cancer.
* Must have had prior bilateral orchiectomy and/or ongoing androgen-deprivation therapy and a castrate level of serum/plasma testosterone (< 50 ng/dL or < 1.7 nmol/L).
* At least one metastatic lesion present on baseline Computed Tomography (CT), Magnetic Resonance Imaging (MRI), or bone scan obtained ≤ 28 days prior to the first dose of Investigational Medicinal Product (IMP). Participants may have non-measurable lesions including bone only metastases.
* Adequate organ function
Main Exclusion Criteria:
* Treatment with any radiopharmaceutical within 6 weeks of the first dose of Investigational Medicinal Product (IMP).
* Radiation therapy (RT) within 28 days prior to the first dose and all RT-related events have not recovered to Grade ≤ 1.
* Administration of any systemic cytotoxic or investigational therapy ≤ 28 days of the first dose of IMP or 5 half-lives, whichever is shorter.
* All prior treatment-related adverse events must have resolved to Grade ≤ 1.
* Concurrent severe and/or uncontrolled illness not related to cancer and/or social situation that would limit compliance with study requirements.
* Known or suspected allergies or contraindications to any of the investigational drugs or any component of the investigational drug formulation.
* Clinically relevant proteinuria
Study Plan
Part A: Cohort A1: AZD2287 (Hot only)
EXPERIMENTAL
Participants will receive 1 dose of AZD2287. If eligible for treatment, will receive low dose of AZD2284.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part A: Cohort A2: AZD2275 + AZD2287 (Cold +Hot)
EXPERIMENTAL
Participants will receive low dose of AZD2275 followed by 1 dose of AZD2287. If eligible for treatment, will receive low dose of AZD2284.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part A: Cohort A3: AZD2275 + AZD2287 (Cold +Hot)
EXPERIMENTAL
Participants will receive medium dose of AZD2275 followed by 1 dose of AZD2287. If eligible for treatment, will receive low dose of AZD2284.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part A Expansion: AZD2287 + AZD2275 (Cold + Hot)
EXPERIMENTAL
Participants will receive dose of AZD2275 determined earlier in the study followed by 1 dose of AZD2287.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.
Part B (Actinium-225 Dose Escalation): low dose: AZD2284
EXPERIMENTAL
Participants will receive AZD2287 (u00b1 AZD2275 as determined in Part A). If eligible for treatment, will receive low dose of AZD2284.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part B (Actinium-225 Dose Escalation): medium dose: AZD2284
EXPERIMENTAL
Participants will receive AZD2287 (u00b1 AZD2275 as determined in Part A). If eligible for treatment, will receive medium dose of AZD2284.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part B (Actinium-225 Dose Escalation): high dose 1: AZD2284
EXPERIMENTAL
Participants will receive AZD2287 (u00b1 AZD2275 as determined in Part A). If eligible for treatment, will receive high dose of AZD2284.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part B (Actinium-225 Dose Escalation): high dose 2: AZD2284
EXPERIMENTAL
Participants will receive AZD2287 (u00b1 AZD2275 as determined in Part A). If eligible for treatment, will receive high dose of AZD2284.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part B: Cohort E1
EXPERIMENTAL
Participants will receive dose of AZD2284 determined by the earlier results. Expansion cohort may be opened to further characterize the safety and efficacy of the dose level.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Part B: Cohort E2
EXPERIMENTAL
Participants will receive dose of AZD2284 determined by the earlier results. Expansion cohort may be opened to further characterize the safety and efficacy of the dose level.
DRUG:
AZD2287Description:
AZD2287 is administered through intravenous injection.DRUG:
AZD2275Description:
AZD2275 is administered through intravenous infusion.DRUG:
AZD2284Description:
AZD2284 is administered through intravenous injection.
Outcome Measures
Primary Outcome Measures
Number of participants with adverse event (AEs)
Number of participants with Dose Limiting Toxicities (DLTs)
Estimates of residence time
Absorbed radiation doses for AZD2287 and AZD2284
Compare organ uptake of AZD2287 with and without pre-dose administration of AZD2275
Tumor uptake of AZD2287 in selected regions of interest on SPECT/CT and/or planar images
Secondary Outcome Measures
Overall Response Rate (ORR)
Proportion of participants with Prostate-Specific Antigen (PSA) 50
Proportion of participants with PSA90
Time to maximum PSA % decline
Duration of Response (DoR)
Radiographic Progression Free Survival (rPFS)
Overall Survival (OS)
Pharmacokinetic Clearance
Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast)
Maximum observed drug concentration (Cmax)
Half-life (t1/2)
Changes in plasma concentrations of AZD2287 and AZD2284 following AZD2275 pre-administration compared to AZD2287 and AZD2284 alone
Number of participants with positive antidrug antibodies (ADAs)
Timeline
Last Updated
July 23, 2025Start Date
March 17, 2025Today
October 27, 2025Completion Date ( Estimated )
April 16, 2029
Sponsors of this trial
Lead Sponsor
AstraZenecaCollaborating Sponsors
Parexel