ClinicalTrials.gg
TerminatedNCT03345784Updated Feb 20, 2024Results posted

Testing AZD1775 inC Combination With Radiotherapy and Chemotherapy in Cervical, Upper Vaginal and Uterine Cancers

A Phase 1 interventional study of Adavosertib and Cisplatin in Cervical Carcinoma, Endometrioid Adenocarcinoma and Malignant Female Reproductive System Neoplasm, sponsored by National Cancer Institute (NCI). Terminated at 8 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-02-20.

Sponsored by National Cancer Institute (NCI) · Phase 1, Interventional, and Treatment

Why this study was terminated
Inadequate accrual rate

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Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 80 studies testing cisplatin in Uterine Cervical Neoplasms — 10 open to participants now, 11 under way, 3 of them phase 3. Cisplatin · Uterine Cervical Neoplasms.

Enrollment
67th of 73
10 · median 50
Started
2018
with 1 other
Phase 1
18 of 80
none open now
Registered
68th of 80
by date
Lead sponsor
6 of 80
National Cancer Institute (NCI)

Among the 80 studies testing cisplatin in Uterine Cervical Neoplasms, this one is the 67th largest by enrollment of the 73 interventional ones that give a count, is one of 2 that started in 2018, is one of 18 in phase 1, and was the 68th registered.

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

Browse Uterine Cervical Neoplasms studies →

Open to participants now

10 of the 80 studies testing cisplatin in Uterine Cervical Neoplasms are open now, in 6 countries. Recruiting first, the newest first:

5 more — sign in →

By country, each count listing its studies:

All 10 open studies →

About cisplatin

Cisplatin: first FDA approval 1978 (PLATINOL-AQ). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 474 Uterine Cervical Neoplasms studies recruiting now, 243 (51%) set no upper age limit and 191 (40%) stop at 75 or younger; 20 take children under 18; 69 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 80 studies testing cisplatin in Uterine Cervical Neoplasms, or all of them as a file.
02

Study summary

This phase I trial studies the side effects and best dose of adavosertib when given together with external beam radiation therapy and cisplatin in treating patients with cervical, vaginal, or uterine cancer. Adavosertib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. External beam radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Drugs used in chemotherapy, such as cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving adavosertib, external beam radiation therapy, and cisplatin may work better in treating patients with cervical, vaginal, or uterine cancer.

Read the detailed description

PRIMARY OBJECTIVE:

I. To determine the recommended phase II dose (RP2D) and safety profile of adavosertib (AZD1775) in combination with radiotherapy and concurrent cisplatin in patients with gynecological cancers.

SECONDARY OBJECTIVES:

I. To determine the acute and late toxicity of AZD1775 when administered to patients with gynecological cancer in combination with standard radiotherapy and concurrent cisplatin.

II. To evaluate the pharmacodynamic effects of AZD1775 when administered in combination with radiotherapy and concurrent cisplatin (in particular, for the 15 patients treated in an expansion cohort at the RP2D).

III. To obtain preliminary information about the progression-free survival, as defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or clinical progression, of AZD1775 in combination with standard radiotherapy and concurrent cisplatin in women with gynecological cancer.

OUTLINE: This is a dose-escalation study of adavosertib.

Patients undergo external beam radiation therapy on days 1-5 and receive adavosertib orally (PO) on days 1, 3, and 5 or once daily (QD) on days 1-5 and cisplatin intravenously (IV) over 1 hour on day 1 or 3. Cycles repeat each week for up to 5 weeks in the absence of disease progression of unacceptable toxicity.

After completion of study treatment, patients are followed up at 28 days and then every 4 months for 2 years.

03

Conditions studied

  • Cervical Carcinoma
  • Endometrioid Adenocarcinoma
  • Malignant Female Reproductive System Neoplasm
  • Recurrent Cervical Carcinoma
  • Stage I Uterine Corpus Cancer AJCC v7
  • Stage I Vaginal Cancer AJCC v6 and v7
  • Stage IA Uterine Corpus Cancer AJCC v7
  • Stage IB Cervical Cancer AJCC v6 and v7
  • Stage IB Uterine Corpus Cancer AJCC v7
  • Stage IB2 Cervical Cancer AJCC v6 and v7
  • Stage II Cervical Cancer AJCC v7
  • Stage II Uterine Corpus Cancer AJCC v7
  • Stage II Vaginal Cancer AJCC v6 and v7
  • Stage IIA Cervical Cancer AJCC v7
  • Stage IIB Cervical Cancer AJCC v6 and v7
  • Stage III Cervical Cancer AJCC v6 and v7
  • Stage III Uterine Corpus Cancer AJCC v7
  • Stage III Vaginal Cancer AJCC v6 and v7
  • Stage IIIA Cervical Cancer AJCC v6 and v7
  • Stage IIIA Uterine Corpus Cancer AJCC v7
  • Stage IIIB Cervical Cancer AJCC v6 and v7
  • Stage IIIB Uterine Corpus Cancer AJCC v7
  • Stage IIIC Uterine Corpus Cancer AJCC v7
  • Vaginal Carcinoma
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients must have one of the following proven gynecological cancer and a decision to treat with radiotherapy and concurrent cisplatin chemotherapy (RT-CT)

    • Newly diagnosed epithelial carcinoma of the cervix, cT1B-3B, N0/1, M0/1

      • Patient may have small volume disease in para-aortic or supraclavicular lymph nodes or at other metastatic sites as long as, in the best judgment of the treatment team, a radical course of pelvic radiotherapy is warranted to assure local disease control
    • Newly diagnosed epithelial carcinoma of the upper 1/3 vagina, T1-3, N0/1, M0/1

      • Patient may have small volume metastatic disease in para-aortic or supraclavicular lymph nodes or at other metastatic sites as long as, in the best judgment of the treatment team, a radical course of pelvic radiotherapy is warranted to assure local disease control
    • Newly diagnosed endometrioid adenocarcinoma of the uterus, cT1-3, N0/1, M0 unsuitable for primary surgery because of the extent of local disease; these patients are eligible if a prior decision has been made to treat radically with chemoradiation followed by surgery or further radiotherapy (including brachytherapy) depending on response
    • Central pelvis or sidewall recurrence of epithelial carcinoma of the cervix of endometrioid adenocarcinoma of the uterus after previous surgery without previous pelvic radiotherapy
  • Patients must be planned to receive whole pelvic radiotherapy to a total dose of 45 Gy or greater
  • Patients must be able to receive weekly cisplatin
  • (ECOG) performance status 0 or 1 ( >= 60%)
  • of greater than 3 months
  • Leukocytes >= 3,000/mcL
  • >= 1,500/mcL
  • >= 100,000/mcL
  • >= 9 g/dL

    • Blood transfusions are allowed at any time during the screening, treatment or follow-up period, according to the center recommendations
  • (PT)/partial thromboplastin time (PTT)/international normalized ratio (INR) =\< 1.5 (ULN)
  • Total : serum bilirubin within normal limits (WNL) or =\< 1.5 x ULN in patients with liver metastases; or total bilirubin =\< 3.0 x ULN with direct bilirubin WNL in patients with documented Gilbert's syndrome
  • (AST) (serum glutamic-oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]): Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =\< 3 x upper limit of normal (ULN) or =\< 5 x ULN if known hepatic metastases
  • (CrCl) >= 60 mL/min as calculated by the Cockcroft-Gault method
  • Patients must be able to swallow whole capsules
  • The effects of AZD1775 on the developing human fetus are unknown; the preclinical chromosomal aberrations assays have shown potential to induce chromosomal aberrations; in addition, cisplatin and radiotherapy are known to be teratogenic; for this reason, women of must agree to use two methods (two barrier methods or a barrier method plus a hormonal method) or abstinence prior to study entry, for the duration of study participation prior to study entry, for the duration of study participation, and for 4 months after coming off study; should a woman become pregnant or suspect she is pregnant while she is participating in this study, she should inform her treating physician immediately
  • Females with child-bearing potential must have had a negative serum pregnancy test result =\< 28 days prior to the first dose of study treatment
  • Ability to understand and the willingness to sign a written document

Exclusion criteria

Exclusion Criteria:

  • Patients who have received any radiotherapy or chemotherapy for their current gynecological cancer
  • Patients who received prior pelvic radiotherapy for any indication
  • Patients who have a mean resting correct (QTc) interval using the Fridericia formula (QTcF) > 470 msec (as calculated per institutional standards) obtained from 3 (ECGs) 2-5 minutes apart at study entry, or congenital long QT syndrome; AZD1775 should not be given to patients who have a history of Torsades de pointes unless all risk factors contributed to Torsades have been corrected; AZD1775 has not been studied in patients with ventricular arrhythmias or recent myocardial infarction
  • Patients requiring para-aortic radiotherapy
  • Patients who are receiving any other agents or anticancer therapy concurrently or within 4 weeks (i.e. 28 days)
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to AZD1775 or cisplatin
  • Uncontrolled intercurrent illness including, but not limited to, myocardial infarction within 6 months, congestive heart failure, symptomatic congestive heart failure, unstable angina pectoris, active cardiomyopathy, unstable ventricular arrhythmia, uncontrolled hypertension, uncontrolled psychotic disorders, serious infections, active peptic ulcer disease, active liver disease or cerebrovascular disease with previous stroke, or psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnant women are excluded from this study because AZD1775 and chemoradiation are agents with the potential for teratogenic or abortifacient effects; because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with AZD1775 and cisplatin, breastfeeding must be discontinued if the mother is treated with AZD1775 and cisplatin; these potential risks may also apply to other agents used in this study
  • Patients with another uncontrolled ; patients with a previous malignancy, treated curatively and without evidence of disease relapse are eligible
  • (HIV)-positive patients on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with AZD1775; in addition, these patients are at increased risk of lethal infections when treated with marrow-suppressive therapy; appropriate studies will be undertaken in patients receiving combination antiretroviral therapy when indicated
  • History of active bleeding
  • History of bowel obstruction or malabsorption syndromes (within the last 3 months) which might limit the absorption of the study drug
Terms in these criteria, in plain language(23)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Treatment (radiation therapy, adavosertib, cisplatin)

    Patients undergo external beam radiation therapy on days 1-5 and receive adavosertib PO on days 1, 3, and 5 or QD on days 1-5 and cisplatin IV over 1 hour on day 1 or 3. Cycles repeat each week for up to 5 weeks in the absence of disease progression of unacceptable toxicity.

    Drug: Adavosertib · Drug: Cisplatin · Radiation: External Beam Radiation Therapy

Interventions

  • Given PO

    Also known as: AZD-1775, AZD1775, MK-1775, MK1775

  • Given IV

    Also known as: Abiplatin, Blastolem, Briplatin, CDDP, Cis-diammine-dichloroplatinum, Cis-diamminedichloridoplatinum, Cis-diamminedichloro Platinum (II), Cis-diamminedichloroplatinum, Cis-dichloroammine Platinum (II), Cis-platinous Diamine Dichloride, Cis-platinum, Cis-platinum II, Cis-platinum II Diamine Dichloride, Cismaplat, Cisplatina, Cisplatinum, Cisplatyl, Citoplatino, Citosin, Cysplatyna, DDP, Lederplatin, Metaplatin, Neoplatin, Peyrone's Chloride, Peyrone's Salt, Placis, Plastistil, Platamine, Platiblastin, Platiblastin-S, Platinex, Platinol, Platinol- AQ, Platinol-AQ, Platinol-AQ VHA Plus, Platinoxan, Platinum, Platinum Diamminodichloride, Platiran, Platistin, Platosin

  • RadiationExternal Beam Radiation Therapy

    Undergo external beam radiation therapy

    Also known as: Definitive Radiation Therapy, EBRT, External Beam Radiation, External Beam Radiotherapy, External Beam Radiotherapy (conventional), External Beam RT, external radiation, External Radiation Therapy, external-beam radiation, Radiation, External Beam, Teleradiotherapy, Teletherapy, Teletherapy Radiation

06

What researchers measure

Primary outcomes

  1. Recommended Phase 2 Dose Defined as the Dose Level With < 1/6 Patients With Dose Limiting Toxicities

    To determine the recommended phase II dose (RP2D) and safety profile of AZD1775 in combination with radiotherapy and concurrent cisplatin in patients with gynecological cancers.

    Time frame: Up to week 5

Secondary outcomes

  1. Frequency and Severity of AZD1775 Toxicity Events in Patients With Gynecological Cancer in Combination With Standard RT and Concurrent Cisplatin

    To determine the acute and late toxicity of AZD1775 when administered to patients with gynecological cancer in combination with standard radiotherapy and concurrent cisplatin. Frequency and severity of adverse events will be tabulated using counts and proportions detailing frequently occurring, serious and severe events of interest. Adverse events will be summarized using all adverse events experienced, although a subanalysis may be conducted including only those adverse events in which the treating physician deems possibly, probably or definitely attributable to one or both study treatments.

    Time frame: Up to 2 years

  2. Pharmacodynamic Effects of AZD1775 in Combination With RT and Concurrent Cisplatin

    To evaluate the pharmacodynamic effects of AZD1775 drugs when administered in combination with radiotherapy and concurrent cisplatin. Pharmacodynamic biomarkers will include: pCDC2, Ki67, γH2AX, pH3, and CC3. Associations between pharmacokinetic data with toxicity profiles will be performed primarily using descriptive statistics; however, logistic regression may be used if warranted.

    Time frame: Up to 2 years

  3. Progression-free Survival

    To obtain preliminary information about the progression-free survival of AZD1775 in combination with radiotherapy and concurrent cisplatin in women with locally advanced gynecological cancer. Progression is defined a clinical or radiological using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

    Time frame: From start of treatment to time of progression or death, whichever occurs first, assessed up to 2 years

07

Results

Posted Jun 6, 2023
Limitations and caveats
The main limitation of our study is the small number of patients enrolled due to premature closure; yet the study showed the limiting toxicities of this triplet combination.

Participant flow

This study was performed at 5 academic centers in the United States (four sites) and Canada (one site). It enrolled participants from May 2018 to July 2020.

Participant flow — Overall Study
MilestoneTreatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1
Started55
Completed34
Not completed21
Withdrew: Withdrawal by subject21

Outcome measures

PrimaryRecommended Phase 2 Dose Defined as the Dose Level With < 1/6 Patients With Dose Limiting Toxicities

To determine the recommended phase II dose (RP2D) and safety profile of AZD1775 in combination with radiotherapy and concurrent cisplatin in patients with gynecological cancers.

Time frame:
Up to week 5
Reported as:
Count of participants · Participants
Recommended Phase 2 Dose Defined as the Dose Level With < 1/6 Patients With Dose Limiting Toxicities
ParticipantsTreatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1
Recommended Phase 2 Dose Defined as the Dose Level With < 1/6 Patients With Dose Limiting ToxicitiesNANA
SecondaryFrequency and Severity of AZD1775 Toxicity Events in Patients With Gynecological Cancer in Combination With Standard RT and Concurrent Cisplatin

To determine the acute and late toxicity of AZD1775 when administered to patients with gynecological cancer in combination with standard radiotherapy and concurrent cisplatin. Frequency and severity of adverse events will be tabulated using counts and proportions detailing frequently occurring, serious and severe events of interest. Adverse events will be summarized using all adverse events experienced, although a subanalysis may be conducted including only those adverse events in which the treating physician deems possibly, probably or definitely attributable to one or both study treatments.

Time frame:
Up to 2 years
Reported as:
Number · events
Frequency and Severity of AZD1775 Toxicity Events in Patients With Gynecological Cancer in Combination With Standard RT and Concurrent Cisplatin
eventsTreatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1
All Grade 1-2 Toxicities4653
Related Grade 1-2 Toxicities3736
All Grade 3-4 Toxicities83
Related Grade 3-4 Toxicities83
SecondaryPharmacodynamic Effects of AZD1775 in Combination With RT and Concurrent Cisplatin

To evaluate the pharmacodynamic effects of AZD1775 drugs when administered in combination with radiotherapy and concurrent cisplatin. Pharmacodynamic biomarkers will include: pCDC2, Ki67, γH2AX, pH3, and CC3. Associations between pharmacokinetic data with toxicity profiles will be performed primarily using descriptive statistics; however, logistic regression may be used if warranted.

Time frame:
Up to 2 years

No measurements were reported for this outcome.

SecondaryProgression-free Survival

To obtain preliminary information about the progression-free survival of AZD1775 in combination with radiotherapy and concurrent cisplatin in women with locally advanced gynecological cancer. Progression is defined a clinical or radiological using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Time frame:
From start of treatment to time of progression or death, whichever occurs first, assessed up to 2 years
Reported as:
Count of participants · Participants
Progression-free Survival
ParticipantsTreatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1
4 Months Post Treatment — Alive and progression-free post-treatment34
4 Months Post Treatment — Lost to Follow-Up00
2 Years Post Treatment — Alive and progression-free post-treatment33
2 Years Post Treatment — Lost to Follow-Up01

Adverse events

Collected over 2 years. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 10/4 (0%)1/4 (25%)4/4 (100%)
Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -10/5 (0%)1/5 (20%)5/5 (100%)
Most frequent serious events
Most frequent serious events
EventTreatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1
Grade 3 DiarrheaGastrointestinal disorders1/40/5
Grade 3 Lymphocyte Count DecreasedBlood and lymphatic system disorders0/41/5
Most frequent other events
Showing 10 of 55
Most frequent other events
EventTreatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1
NauseaGastrointestinal disorders4/45/5
DiarrheaGastrointestinal disorders3/44/5
VomitingGastrointestinal disorders1/44/5
FatigueGeneral disorders3/43/5
HypomagnesemiaMetabolism and nutrition disorders3/40/5
ThrombocytopeniaInvestigations3/40/5
AnemiaBlood and lymphatic system disorders3/40/5
AnorexiaMetabolism and nutrition disorders3/41/5
DermatitisInjury, poisoning and procedural complications0/43/5
Abdominal painGastrointestinal disorders2/41/5

Baseline characteristics

Age, Continuous
Age, Continuous(years)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
Median48 (43 to 78)53 (35 to 63)50.5 (35 to 78)
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
Female5510
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
Hispanic or Latino000
Not Hispanic or Latino459
Unknown or Not Reported101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American000
White358
More than one race000
Unknown or Not Reported101
Region of Enrollment
Region of Enrollment(participants)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
Canada213
United States347
ECOG Performance Status
ECOG Performance Status(Participants)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
0145
1415
Primary Site
Primary Site(Participants)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
Cervical459
Uterine101
Prior Therapy
Prior Therapy(Participants)Treatment (Radiation Therapy, AZD1775 3 Days/Week, Cisplatin) Dose Level 1Treatment (Radiation Therapy, AZD1775 2 Days/Week, Cisplatin) Dose Level -1Total
Surgery5510
Radiation000

3 further baseline measures are reported on the registry.

08

Study locations

8 sites
  • University of California Davis Comprehensive Cancer Center
    Sacramento, California 95817, United States
  • UCHealth University of Colorado Hospital
    Aurora, Colorado 80045, United States
  • University of Kentucky/Markey Cancer Center
    Lexington, Kentucky 40536, United States
  • Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital
    New Brunswick, New Jersey 08903, United States
  • Rutgers Cancer Institute of New Jersey
    New Brunswick, New Jersey 08903, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • BCCA-Vancouver Cancer Centre
    Vancouver, British Columbia V5Z 4E6, Canada
  • University Health Network-Princess Margaret Hospital
    Toronto, Ontario M5G 2M9, Canada
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2018 to primary completion in May 2022, 47 months.

Results were first posted in Jun 2023, 1 year after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 16, 2017
First posted
Nov 17, 2017
StartActual
May 29, 2018
Primary completionActual
May 10, 2022
CompletionActual
May 10, 2022
Results first posted
Jun 6, 2023
Last update
Feb 20, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03345784
Responsible party
Sponsor
First posted
Nov 17, 2017
Start date
May 29, 2018
Primary completion
May 10, 2022
Completion
May 10, 2022
Results posted
Jun 6, 2023
Last update
Feb 20, 2024

Study contacts

Stephanie Lheureux
principal investigator · University Health Network Princess Margaret Cancer Center LAO

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Adavosertib · Cisplatin

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