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Trial ยท NCT04865419

Study of AZD0466 Monotherapy or in Combination in Patients With Advanced Haematological Malignancies

NCT04865419, Phase 1, Terminated, AstraZeneca; results first posted 2025-06-15

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of AZD0466 Monotherapy or in Combination in Patients With Advanced Haematological Malignancies. Trials, record NCT04865419. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04865419

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of AZD0466 Monotherapy or in Combination in Patients With Advanced Haematological Malignancies
NCT number
NCT04865419
Status
Terminated
Phases
Phase 1
Enrollment
46 participants, actual
Lead sponsor
AstraZeneca
Conditions
Haematological Malignancies
Interventions
AZD0466, Voriconazole
First posted
2021-04-29
Last updated
2025-06-15
Other registries' IDs
eudract:2020-005106-25
Results first posted
2025-06-15
Limitations and caveats
Trial terminated based on benefit-risk profile assessment. Due to early termination of the study, Module 1 Part A and Module 2 were conducted, Module 1 Part B was not started.

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]From screening (Day -28 to Day 1) up to 28 days after last dose (Approximately 2.1 years)The safety and tolerability of AZD0466 in participants with advanced haematological malignancies were assessed.
PrimaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 2]From screening (Day -28 to Day 1) up to 28 days after last dose (Approximately 2.1 years)The safety and tolerability of AZD0466 in participants with advanced haematological malignancies were assessed.
PrimaryNumber of Participants With Dose-limiting Toxicity (DLT) [Module 1]upto 35 daysThe safety and tolerability of AZD0466 in participants with advanced haematological malignancies were assessed.
SecondaryModule 1: Complete Response RateDay 1 until post treatment follow-up (28 days after last dose) (approximately 2.1 years)Complete response rate (CR+CRi) is defined as the percentage of participants who have a complete remission (CR) or incomplete haematological response (CRi).
SecondaryModule 1: Time to Response (TTR)Day 1 until post treatment follow-up (28 days after last dose) (Approximately 2.1 years)Time to response is defined as the time from date of first dose until the date of first documented CR or CRi.
SecondaryModule 1: Duration of ResponseDay 1 until post treatment follow-up (28 days after last dose) (approximately 2.1 years)Duration of Response (DoR) will be defined as the time from the date of first documented response (CR+CRi) until date of documented progression, relapse or failure or death due to any cause.
SecondaryModule 1: Overall SurvivalDay 1 until post treatment follow-up (28 days after last dose) and survival follow-up (every month after last dose) (approximately 2.1 years)Overall survival (OS) is defined as time from date of first dose until the date of death due to any cause.
SecondaryModule 2: Area Under the Plasma Concentration-curve (AUC) of AZD4320 After Administration of AZD0466 Alone and in Combination With VoriconazoleCycle 1 Days 1, 2, 3, 4, 8 and days 15, 16, 17, 18, 19, and Cycle 2 Day 1, Cycle 3 Day 1 and beyond (Cycle length 28-days) (approximately 2.1 years)
Assessment of AUC to evaluate the drug-drug interaction potential between AZD0466 and the azole antifungal voriconazole. For this outcome measure, pharmacokinetics (PK) analysis set was included which consisted of all dosed participants with reportable plasma concentrations and no important AEs or protocol deviations that may affect PK.
SecondaryModule 2: Maximum Observed Plasma (Peak) Drug Concentration (Cmax) of AZD4320 After Administration of AZD0466 Alone and in Combination With VoriconazoleCycle 1: Days 1, 2, 3, 4, 8 and days 15, 16, 17, 18, 19, and Cycle 2 Day 1, Cycle 3 Day 1 and beyond (Cycle length 28-days) (approximately 2.1 years)
Assessment of Cmax to evaluate the drug-drug interaction potential between AZD0466 and the azole antifungal voriconazole. For this outcome measure, PK analysis set was included which consisted of all dosed participants with reportable plasma concentrations and no important AEs or protocol deviations that may affect PK.
SecondaryModule 1 and Module 2: Plasma Concentration of AZD4320
Module 1: Cycle 1 Days 1-30 (Cycle length 21 days) to Cycle 3 Days 1-28, & beyond (Cycle length 28 days); Module 2: Cycle 1 Days 1-8, Days 15-19 (Cycle length 21 days), Cycle 2 Day 1, Cycle 3 Day 1 & beyond (Cycle length 28-days) (approximately 2.1 Years)
Assessment of AZD4320 to characterise the PK profile of AZD0466 following intravenous administration (via PK profiles of the active moiety AZD4320 in plasma).

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]From screening (Day -28 to Day 1) up to 28 days after last dose (Approximately 2.1 years)Safety analysis set consisted of all enrolled participants who received at least 1 dose of AZD0466.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 2]From screening (Day -28 to Day 1) up to 28 days after last dose (Approximately 2.1 years)Safety analysis set consisted of all enrolled participants who received at least 1 dose of AZD0466.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With Dose-limiting Toxicity (DLT) [Module 1]upto 35 days
DLT-evaluable set consisted of participants enrolled in the dose-escalation that have received at least 3 doses of AZD0466 at the target dose level (75% of target doses from Day 8 to Day 29 in Cycle 1) and have completed the safety follow-up through the DLT evaluation period or have experienced a DLT.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYModule 1: Complete Response RateDay 1 until post treatment follow-up (28 days after last dose) (approximately 2.1 years)Intention to treat (ITT) set consisted of all enrolled participants who received at least 1 dose of AZD0466.Percentage of participantsNUMBER
SECONDARYModule 1: Time to Response (TTR)Day 1 until post treatment follow-up (28 days after last dose) (Approximately 2.1 years)ITT set consisted of all enrolled participants who received at least 1 dose of AZD0466.~Since none of the participants had achieved CR or CRi, TTR could not be calculated.
SECONDARYModule 1: Duration of ResponseDay 1 until post treatment follow-up (28 days after last dose) (approximately 2.1 years)ITT set consisted of all enrolled participants who received at least 1 dose of AZD0466.~Since none of the participants had achieved CR or CRi, DoR could not be calculated.
SECONDARYModule 1: Overall SurvivalDay 1 until post treatment follow-up (28 days after last dose) and survival follow-up (every month after last dose) (approximately 2.1 years)ITT set consisted of all enrolled participants who received at least 1 dose of AZD0466.MonthsMEDIAN
SECONDARYModule 2: Area Under the Plasma Concentration-curve (AUC) of AZD4320 After Administration of AZD0466 Alone and in Combination With VoriconazoleCycle 1 Days 1, 2, 3, 4, 8 and days 15, 16, 17, 18, 19, and Cycle 2 Day 1, Cycle 3 Day 1 and beyond (Cycle length 28-days) (approximately 2.1 years)
It was pre-specified by the Study Protocol to only analyze dosed participants with at least 1 reportable plasma concentration and no important AEs or protocol deviations that may impact PK for this Outcome Measure.~Due to changes in target dose levels and protocol deviations affecting derivation of PK parameters, AUC could not be statistically assessed (summary statistics or inferential statistical comparisons), as no participant met pre-specified criteria for analysis.
hours*nanomole/liter (h*nmol/L)GEOMETRIC_MEAN
SECONDARYModule 2: Maximum Observed Plasma (Peak) Drug Concentration (Cmax) of AZD4320 After Administration of AZD0466 Alone and in Combination With VoriconazoleCycle 1: Days 1, 2, 3, 4, 8 and days 15, 16, 17, 18, 19, and Cycle 2 Day 1, Cycle 3 Day 1 and beyond (Cycle length 28-days) (approximately 2.1 years)
It was pre-specified by the Study Protocol to only analyze dosed participants with at least 1 reportable plasma concentration and no important AEs or protocol deviations that may impact PK for this Outcome Measure.~Due to changes in target dose levels and protocol deviations affecting derivation of PK parameters, Cmax could not be statistically assessed (summary statistics or inferential statistical comparisons), as no participant met pre-specified criteria for analysis.
nanomole (nmol)/liter (L)GEOMETRIC_MEAN
SECONDARYModule 1 and Module 2: Plasma Concentration of AZD4320
Module 1: Cycle 1 Days 1-30 (Cycle length 21 days) to Cycle 3 Days 1-28, & beyond (Cycle length 28 days); Module 2: Cycle 1 Days 1-8, Days 15-19 (Cycle length 21 days), Cycle 2 Day 1, Cycle 3 Day 1 & beyond (Cycle length 28-days) (approximately 2.1 Years)
PK set consisted of all dosed participants with reportable plasma concentrations and no important AEs or protocol deviations that may affect PK.~For PK concentration and parameter data, if there were \<3 values available at a time point or if the value was below the lower limit of quantification (BLQ), descriptive statistics were reported as 'Not calculable (NC)' or 'Not Available (NA)'.
nanomolar (nM)GEOMETRIC_MEAN

Results by group196

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 300 mgAny AE4Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 600 mgAny AE4Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 1200 mgAny AE6Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 2400 mgAny AE5Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 3600 mgAny AE9Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 5400 mgAny AE2Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 300 mgAny SAE4Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 600 mgAny SAE0Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 1200 mgAny SAE3Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) [Module 1]Module 1: AZD0466 Monotherapy- 2400 mgAny SAE3Participants

Participant flow33

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDModule 1: AZD0466 Monotherapy- 300 mg4
Overall StudySTARTEDModule 1: AZD0466 Monotherapy- 600 mg4
Overall StudySTARTEDModule 1: AZD0466 Monotherapy- 1200 mg7
Overall StudySTARTEDModule 1: AZD0466 Monotherapy- 2400 mg5
Overall StudySTARTEDModule 1: AZD0466 Monotherapy- 3600 mg10
Overall StudySTARTEDModule 1: AZD0466 Monotherapy- 5400 mg2
Overall StudySTARTEDModule 2: AZD0466 300 mg+ Voriconazole1
Overall StudySTARTEDModule 2: AZD0466 600 mg+ Voriconazole3
Overall StudySTARTEDModule 2: AZD0466 1200 mg+ Voriconazole4
Overall StudySTARTEDModule 2: AZD0466 2400 mg+ Voriconazole4

Adverse events2,475

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBacteraemiaInfections and infestationsModule 1: AZD0466 Monotherapy- 300 mg04
otherBacteraemiaInfections and infestationsModule 1: AZD0466 Monotherapy- 600 mg04
otherBacteraemiaInfections and infestationsModule 1: AZD0466 Monotherapy- 1200 mg17
otherBacteraemiaInfections and infestationsModule 1: AZD0466 Monotherapy- 2400 mg05
otherBacteraemiaInfections and infestationsModule 1: AZD0466 Monotherapy- 3600 mg010
otherBacteraemiaInfections and infestationsModule 1: AZD0466 Monotherapy- 5400 mg02
otherBacteraemiaInfections and infestationsModule 2: AZD0466 300 mg+ Voriconazole01
otherBacteraemiaInfections and infestationsModule 2: AZD0466 600 mg+ Voriconazole13
otherBacteraemiaInfections and infestationsModule 2: AZD0466 1200 mg+ Voriconazole04
otherBacteraemiaInfections and infestationsModule 2: AZD0466 2400 mg+ Voriconazole04

Adverse event totals33

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityModule 1: AZD0466 Monotherapy- 300 mg34
Total, all-cause mortalityModule 1: AZD0466 Monotherapy- 600 mg14
Total, all-cause mortalityModule 1: AZD0466 Monotherapy- 1200 mg47
Total, all-cause mortalityModule 1: AZD0466 Monotherapy- 2400 mg25
Total, all-cause mortalityModule 1: AZD0466 Monotherapy- 3600 mg510
Total, all-cause mortalityModule 1: AZD0466 Monotherapy- 5400 mg22
Total, all-cause mortalityModule 2: AZD0466 300 mg+ Voriconazole11
Total, all-cause mortalityModule 2: AZD0466 600 mg+ Voriconazole13
Total, all-cause mortalityModule 2: AZD0466 1200 mg+ Voriconazole24
Total, all-cause mortalityModule 2: AZD0466 2400 mg+ Voriconazole24

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04865419

GET https://conductscience.org/api/trials/v1/NCT04865419/results?page=2