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RecruitingNCT04516447MUIRUpdated Apr 7, 2026

A Study of Azenosertib (ZN-c3) in Patients With Ovarian Cancer

A Phase 1 interventional study of Azenosertib and Carboplatin in Solid Tumor, Epithelial Ovarian Cancer and Fallopian Tube Cancer, sponsored by K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. Recruiting at 24 sites in 7 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-07.

Sponsored by K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
172
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a Phase 1b open-label, multicenter study, evaluating the safety, tolerability, preliminary clinical activity, pharmacokinetics (PK), and pharmacodynamics of azenosertib (ZN-c3) in combination with other drugs.

Read the detailed description

This is a Phase 1b open-label, multicenter study evaluating the safety, tolerability, preliminary clinical activity, pharmacokinetics (PK), and pharmacodynamics of azenosertib (also known as ZN-c3) in combination with chemotherapy or bevacizumab. This study consists of 2 parts:

Part 1 (completed and no longer recruiting): Azenosertib in combination with chemotherapy Azenosertib was assessed in combination with chemotherapy in subjects with platinum-resistant advanced ovarian, peritoneal, or fallopian tube cancer.

Part 2: Azenosertib in combination with bevacizumab

  • Dose Escalation (completed and no longer recruiting): Azenosertib was assessed in combination with bevacizumab as first-line (1L) or second-line (2L) maintenance therapy in subjects with advanced ovarian, peritoneal, or fallopian tube cancer after platinum-based chemotherapy to determine a recommended dose for expansion.
  • Dose Expansion: Azenosertib will be assessed in combination with bevacizumab as 2L maintenance therapy in subjects with advanced ovarian, peritoneal, or fallopian tube cancer after platinum-based chemotherapy.
02

Conditions studied

  • Solid Tumor
  • Epithelial Ovarian Cancer
  • Fallopian Tube Cancer
  • Peritoneal Cancer

Keywords

  • Solid Tumor
03

Who can participate

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

Inclusion criteria

For Part 1:

  • Histologically or cytologically confirmed FIGO Stage III/IV high-grade serous or endometrioid ovarian, fallopian tube, or peritoneal carcinoma.
  • Subjects must have received 1 or 2 prior therapeutic regimens/lines of therapy in the advanced or metastatic setting. At least one regimen must have contained cisplatin or carboplatin.
  • The disease must be platinum resistant (ie, the PFI must have been \< 6 months). Platinum refractory disease (ie, PD during first-line platinum-based therapy) is allowed.

For Part 2 Dose Escalation:

Prior therapy:

  • Subjects must have received 6 cycles of platinum-based doublet chemotherapy in the 1L or 2L setting as their most recent therapy

Response to prior platinum therapy:

  1. In the 1L setting: Complete Response, Partial Response, or Stable Disease to platinum-based chemotherapy.
  2. In the 2L setting:

    1. Progressive Disease >183 days after receiving the last dose of platinum chemotherapy in the 1L setting,
    2. Complete Response, Partial Response, or Stable Disease to 2L platinum-based chemotherapy.

      • Adequate hematologic, and organ function

For Part 2 Dose Expansion:

  • Subjects must have at least 4 cycles of platinum-based chemotherapy in 2L and have Complete Response, Partial Response, or Stable Disease
  • Subjects must have progressed while on a PARP inhibitor for 1L maintenance Additional protocol-defined inclusion criteria may apply

Exclusion criteria

EXCLUSION CRITERIA:

  • Histology of abdominal adenocarcinoma of unknown origin or diagnosis of a borderline ovarian tumor.
  • Subjects with carcinosarcomas (even if there is a serous component)
  • A serious illness or medical condition(s)
  • Subjects with active (uncontrolled, metastatic) second malignancies or requiring therapy.

Additional protocol-defined exclusion criteria may apply

04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
172 participants (estimated)

Study arms

  • Experimental
    Part 1: Azenosertib + carboplatin

    Azenosertib in combination with carboplatin

    Drug: Azenosertib · Drug: Carboplatin

  • Experimental
    Part 1: Azenosertib + PLD

    Azenosertib in combination with pegylated liposomal doxorubicin (PLD)

    Drug: Azenosertib · Drug: Pegylated liposomal doxorubicin

  • Experimental
    Part 1: Azenosertib + paclitaxel

    Azenosertib in combination with paclitaxel

    Drug: Azenosertib · Drug: Paclitaxel

  • Experimental
    Part 1: Azenosertib + gemcitabine

    Azenosertib in combination with gemcitabine

    Drug: Azenosertib · Drug: Gemcitabine

  • Experimental
    Part 2: Azenosertib + bevacizumab

    Azenosertib in combination with bevacizumab

    Drug: Azenosertib · Biological: Bevacizumab

Interventions

  • DrugAzenosertib

    Investigational drug

    Also known as: ZN-c3

  • DrugCarboplatin

    Carboplatin is an approved drug

  • DrugPegylated liposomal doxorubicin

    Pegylated liposomal doxorubicin (PLD) is an approved drug

  • DrugPaclitaxel

    Paclitaxel is an approved drug

  • DrugGemcitabine

    Gemcitabine is an approved drug

  • BiologicalBevacizumab

    Bevacizumab is an approved drug

05

What researchers measure

Primary outcomes

  1. Part 1: To investigate the safety and tolerability of azenosertib in combination with PLD, carboplatin, paclitaxel, or gemcitabine

    Incidence and severity of adverse events (AEs)

    Time frame: Through study completion, an average of 1 year

  2. Part 1: To identify the maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D) of azenosertib in combination with PLD, carboplatin, paclitaxel, or gemcitabine

    Incidence and severity of dose-limiting toxicities (DLTs)

    Time frame: Through Cycle 1 (cycle is 28 days for PLD or paclitaxel, and 21 days for carboplatin, or gemcitabine)

  3. Part 2: To estimate the safety/tolerability of azenosertib in combination with bevacizumab

    Incidence and severity of adverse events (AEs) Incidence of dose interruptions, reductions, and discontinuations due to treatment-related AEs

    Time frame: Through study completion, an average of 1 year

  4. Part 2: To identify the recommended dose for Part 2 Dose Expansion

    Time frame: Through Cycle 1 (21 days)

06

Study locations

10 of 24 sites recruiting
  • Site 0264
    Aurora, Colorado 80045, United States
    Recruiting
  • Site 0104
    Boston, Massachusetts 02215, United States
    Recruiting
  • Site 0111
    St Louis, Missouri 53110, United States
    Recruiting
  • Site 0173
    New York, New York 10029, United States
    Recruiting
  • Site 0259
    Durham, North Carolina 27710, United States
    Recruiting
  • Site 0191
    Providence, Rhode Island 02905, United States
    Recruiting
  • Site 0196
    Nashville, Tennessee 37203, United States
    Completed
  • Site 0103
    Houston, Texas 77030, United States
    Recruiting
  • Site 2707
    South Brisbane, Queensland 4101, Australia
    Completed
  • Site 2708
    Sunshine Coast, Queensland 4556, Australia
    Completed
  • Site 2709
    Adelaide, South Australia 5000, Australia
    Completed
  • Site 2716
    Melbourne, Victoria 3121, Australia
    Recruiting
  • Site 2706
    Melbourne, Victoria 3144, Australia
    Recruiting
  • Site 2705
    Nedlands, Western Australia 6009, Australia
    Recruiting
  • Site 1001
    Banja Luka, 78000, Bosnia and Herzegovina
    Completed
  • Site 1002
    Sarajevo, 71000, Bosnia and Herzegovina
    Completed
  • Site 1003
    Tuzla, 75000, Bosnia and Herzegovina
    Completed
  • Site 1202
    Panagyurishte, 4500, Bulgaria
    Completed
  • Site 1201
    Sofia, 1632, Bulgaria
    Completed
  • Site 1401
    Tbilisi, 0112, Georgia
    Completed
  • Site 1902
    Belgrade, 11080, Serbia
    Completed
  • Site 2901
    Busan, South Korea
    Completed
  • Site 2903
    Seoul, 03080, South Korea
    Completed
  • Site 2904
    Seoul, 05505, South Korea
    Completed
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT04516447
Lead sponsor
K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc
Responsible party
Sponsor
First posted
Aug 18, 2020
Start date
Oct 26, 2020
Primary completion
Jun 30, 2028 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Apr 7, 2026

Study contacts

K-Group, Beta, Inc., a subsidiary of Zentalis Pharmaceuticals
Contact
medicalaffairs@zentalis.com
8582634333

Oversight

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

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