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Active, not recruitingNCT04439227Updated Oct 6, 2026Results posted

Testing AZD1775 as a Potential Targeted Treatment in Cancers With BRCA Genetic Changes (MATCH-Subprotocol Z1I)

A Phase 2 interventional study of Adavosertib in Advanced Lymphoma, Advanced Malignant Solid Neoplasm and Hematopoietic and Lymphoid Cell Neoplasm, sponsored by National Cancer Institute (NCI). Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 2 months after the study started (first participant enrolled Mar 2017, registered Jun 2020).
Updated Oct 6, 2026Results postedPrimary outcomes revisedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
33
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This phase II MATCH treatment trial identifiesay block the protein tyrosine kinase WEE1 the effects of AZD1775 in patients whose cancer has a genetic change called BRCA mutation. AZD1775 may block a protein called WEE1, which may be needed for growth of cancer cells that express BRCA mutations. Researchers hope to learn if AZD1775 will shrink this type of cancer or stop its growth.

Read the detailed description

PRIMARY OBJECTIVE:

I. To evaluate the proportion of patients with objective response (OR) to targeted study agent(s) in patients with advanced refractory cancers/lymphomas/multiple myeloma.

SECONDARY OBJECTIVES:

I. To evaluate the proportion of patients alive and progression free at 6 months of treatment with targeted study agent in patients with advanced refractory cancers/lymphomas/multiple myeloma.

II. To evaluate time until death or disease progression. III. To identify potential predictive biomarkers beyond the genomic alteration by which treatment is assigned or resistance mechanisms using additional genomic, ribonucleic acid (RNA), protein and imaging-based assessment platforms.

IV. To assess whether radiomic phenotypes obtained from pre-treatment imaging and changes from pre- through post-therapy imaging can predict objective response and progression free survival and to evaluate the association between pre-treatment radiomic phenotypes and targeted gene mutation patterns of tumor biopsy specimens.

OUTLINE:

Patients receive adavosertib (AZD1775) orally (PO) once daily (QD) on days 1-5 and 8-12 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed every 3 months if less than 2 years from study entry, and then every 6 months for an additional year from study entry.

THE MATCH SCREENING TRIAL:

Please see NCT02465060 for information on the MATCH Screening Protocol and applicable documents.

02

Conditions studied

  • Advanced Lymphoma
  • Advanced Malignant Solid Neoplasm
  • Hematopoietic and Lymphoid Cell Neoplasm
  • Refractory Lymphoma
  • Refractory Malignant Solid Neoplasm
  • Refractory Multiple Myeloma

Keywords

  • BRCA1
  • BRCA2
  • Adavosertib
  • NCI-MATCH
03

In context

Hematologic Neoplasms

1,463 studies on the registry are indexed under Hematologic Neoplasms; 432 are open to participants now.

This study's enrollment of 33 is below the median of 45 across 1,068 interventional studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.

Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Patients must have met applicable eligibility criteria in the Master MATCH Protocol prior to registration to treatment subprotocol
  • Patients must have mutation in the BRCA1 or BRCA2 gene in the tumor, or another aberration, as determined via the MATCH Master Protocol. Patients with tumor carrying mutations defined as variants of uncertain significance will not qualify
  • Patients with ovarian cancer or HER2 negative, metastatic breast cancer must have received a PARP inhibitor as part of or as one of their prior lines of therapy
  • Patients must have an electrocardiogram (ECG) within 8 weeks prior to treatment assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG (e.g. complete left bundle branch block, third degree heart block)
  • Patients receiving any medications or substances that are inhibitors or inducers of CYP3A4, or CYP3A4 substrates need to be reviewed by the study investigator. Continuation of such medications will be at the discretion of the study investigator. Concomitant use of aprepitant and fosaprepitant is prohibited
  • Patients have hemoglobin (HgB) >= 9 g/dL, which should be done =\< 4 weeks prior to registration to treatment step
  • Resting corrected QTc interval using the Fridericia formula (QTcF) should be \< 450 msec/male and \< 470 msec/female (as calculated per institutional standards) obtained from electrocardiogram (ECG), prior to enrollment. If resting QTc interval using the Fridericia formula (QTcF) is > 450 msec/male and > 470 msec/female (as calculated per institutional standards), then 2 additional ECGs should be performed 2-5 minutes apart at study entry. In order to be eligible, the mean resting corrected QTc interval using the Fridericia formula (QTcF) should be \< 450 msec/male and \< 470 msec/female (as calculated per institutional standards)

Exclusion criteria

Exclusion Criteria:

  • Patients must not have known hypersensitivity to AZD1775 or compounds of similar chemical or biologic composition
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Treatment (adavosertib)

    Patients receive adavosertib PO QD on days 1-5 and 8-12 of each cycle. Cycles repeat every 21 days in the absence of disease progression or unacceptable toxicity.

    Drug: Adavosertib

Interventions

  • DrugAdavosertib

    Given PO

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

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    ORR is defined as the percentage of patients whose tumors have a complete or partial response to treatment among analyzable patients. Objective response is defined consistent with Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. Details about how to define complete response and partial response can be found in the master protocol. 90% two-sided binomial exact confidence interval is calculated for ORR.

    Time frame: Tumor assessments occurred at baseline, then every 3 cycles for the first 33 cycles and every 4 cycles thereafter until disease progression, up to 3 years post registration

Secondary outcomes

  1. 6-month Progression-Free Survival (PFS)

    Progression free survival is defined as time from treatment start date to date of progression or death from any cause, whichever occurs first. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro- Oncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression. 6 month PFS rate was estimated using the Kaplan-Meier method, which can provide a point estimate for any specific time point.

    Time frame: Assessed at baseline, then every 3 cycles for the first 33 cycles, and every 4 cycles thereafter until disease progression, up to 3 years post registration, from which 6-month PFS rate is determined

  2. Progression-free Survival

    PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression.

    Time frame: Assessed at baseline, then every 3 cycles for the first 33 cycles and every 4 cycles thereafter until disease progression, up to 3 years post registration

07

Results

Posted Oct 6, 2026

Participant flow

Subprotocol Z1I was activated on March 13, 2017. Thirty-three patients were enrolled on EAY131-Z1I between March 24, 2017, and August 9, 2017.

Participant flow — Overall Study
MilestoneTreatment (Adavosertib)
Started33
Started protocol therapy33
Eligible and treated30
Completed0
Not completed33
Withdrew: Ineligible3
Withdrew: Adverse event4
Withdrew: Death1
Withdrew: Disease progression19
Withdrew: Withdrawal by subject5
Withdrew: Physician decision1

Outcome measures

PrimaryObjective Response Rate (ORR)

ORR is defined as the percentage of patients whose tumors have a complete or partial response to treatment among analyzable patients. Objective response is defined consistent with Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. Details about how to define complete response and partial response can be found in the master protocol. 90% two-sided binomial exact confidence interval is calculated for ORR.

Time frame:
Tumor assessments occurred at baseline, then every 3 cycles for the first 33 cycles and every 4 cycles thereafter until disease progression, up to 3 years post registration
Reported as:
Number · percentage of participants
Objective Response Rate (ORR)
percentage of participantsTreatment (Adavosertib)
Objective Response Rate (ORR)3.3 (0.2 to 14.9)
Secondary6-month Progression-Free Survival (PFS)

Progression free survival is defined as time from treatment start date to date of progression or death from any cause, whichever occurs first. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro- Oncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression. 6 month PFS rate was estimated using the Kaplan-Meier method, which can provide a point estimate for any specific time point.

Time frame:
Assessed at baseline, then every 3 cycles for the first 33 cycles, and every 4 cycles thereafter until disease progression, up to 3 years post registration, from which 6-month PFS rate is determined
Reported as:
Number · percentage of participants
6-month Progression-Free Survival (PFS)
percentage of participantsTreatment (Adavosertib)
6-month Progression-Free Survival (PFS)23.4 (10.7 to 36.2)
SecondaryProgression-free Survival

PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression.

Time frame:
Assessed at baseline, then every 3 cycles for the first 33 cycles and every 4 cycles thereafter until disease progression, up to 3 years post registration
Reported as:
Median · months
Progression-free Survival
monthsTreatment (Adavosertib)
Progression-free Survival2.0 (1.5 to 2.1)

Adverse events

Collected over Assessed every 21 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (Adavosertib)27/33 (81.8%)18/33 (54.5%)26/33 (78.8%)
Most frequent serious events
Showing 10 of 29
Most frequent serious events
EventTreatment (Adavosertib)
Neutrophil count decreasedInvestigations7/33
FatigueGeneral disorders4/33
NauseaGastrointestinal disorders4/33
Platelet count decreasedInvestigations4/33
White blood cell decreasedInvestigations4/33
HyperglycemiaMetabolism and nutrition disorders4/33
AnemiaBlood and lymphatic system disorders3/33
VomitingGastrointestinal disorders3/33
HypophosphatemiaMetabolism and nutrition disorders3/33
DiarrheaGastrointestinal disorders2/33
Most frequent other events
Showing 10 of 43
Most frequent other events
EventTreatment (Adavosertib)
FatigueGeneral disorders17/33
DiarrheaGastrointestinal disorders15/33
NauseaGastrointestinal disorders13/33
AnemiaBlood and lymphatic system disorders12/33
Aspartate aminotransferase increasedInvestigations8/33
HypoalbuminemiaMetabolism and nutrition disorders8/33
VomitingGastrointestinal disorders7/33
Alkaline phosphatase increasedInvestigations7/33
White blood cell decreasedInvestigations7/33
HyperglycemiaMetabolism and nutrition disorders7/33

Baseline characteristics

Patients who were eligible and started protocol therapy were the analyzable patients

Age, Continuous
Age, Continuous(years)Treatment (Adavosertib)
Median61.5 (36 to 79)
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (Adavosertib)
Female19
Male11
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment (Adavosertib)
Hispanic or Latino2
Not Hispanic or Latino27
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment (Adavosertib)
American Indian or Alaska Native0
Asian2
Native Hawaiian or Other Pacific Islander0
Black or African American4
White23
More than one race1
Unknown or Not Reported0
08

Study locations

1 site
  • ECOG-ACRIN Cancer Research Group
    Philadelphia, Pennsylvania 19103, United States
09

References and documents

Publications

  • Kummar S, Song Z, Reiss KA, Ford JM, Chen L, Rolig AS, Zwiebel JA, Gore SD, Gray RJ, Wang V, McShane LM, Rubinstein LV, Patton D, Gross J, Brunnquell D, Jackson LF, Williams PM, Hamilton SR, Takebe N, Brufsky A, Tricoli JV, Conley BA, Arteaga CL, Harris LN, O'Dwyer PJ, Chen AP, Flaherty KT. Phase II Study of Adavosertib in Patients With Tumors Containing BRCA1 and BRCA2 Mutations: Results From the NCI-MATCH ECOG-ACRIN Cancer Research Group (EAY131) Subprotocol Z1I. JCO Precis Oncol. 2026 Jun;10(6):e2500769. doi: 10.1200/PO-25-00769. Epub 2026 Jun 17. PubMed 42308463 ↗

Study documents

  • Study protocol · Nov 10, 2022
  • Informed consent form · Nov 10, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Individual participant data may be made available upon request as per the ECOG-ACRIN Data Sharing Policy.

10

Updates

1 registry update since Sep 25, 2026
Results
Results posted
posted Oct 6, 2026
Also revised
primary outcomes
Show all 1 update
  1. Oct 6, 2026
    Results posted
    Primary outcomes Revised (2 changes)
    + 8 other changes: verification date, description, conditions, secondary outcomes, references, data sharing statement, index terms and documents

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

11

Registry details

Key details

Study ID
NCT04439227
Lead sponsor
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jun 19, 2020
Start date
Mar 24, 2017
Primary completion
May 29, 2020
Completion
Dec 31, 2026 (estimated)
Results posted
Oct 6, 2026
Last update
Oct 6, 2026

Study contacts

Shivaani Kummar
principal investigator · ECOG-ACRIN Cancer Research Group

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 active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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