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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2500104541 |
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最近更新日期: Date of Last Refreshed on: |
2025-06-18 17:23:12 |
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注册时间: Date of Registration: |
2025-06-18 00:00:00 |
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注册号状态: |
补注册 |
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Registration Status: |
Retrospective registration |
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注册题目: |
AZD9829治疗CD123+恶行血液疾病的研究 |
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Public title: |
Study of AZD9829 in CD123+ Hematological Malignancies |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项评估 AZD9829在 CD123阳性恶性血液疾病患者中作为单药治疗或联合治疗的安全性、耐受性、药代动力学和初步抗肿瘤活性的开放性、多中心、模块化 I/II期研究 |
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Scientific title: |
A Modular Phase I/II, Open-label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics and Preliminary Antitumor Activity of AZD9829 as Monotherapy or in Combination in Patients with CD123 Positive Hematological Malignancies |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
王晓宇 |
研究负责人: |
王建祥 |
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Applicant: |
Xiaoyu Wang |
Study leader: |
Jianxiang Wang |
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申请注册联系人电话: Applicant telephone: |
+86 186 2775 0453 |
研究负责人电话: Study leader's telephone: |
+86 22 23909120 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
jason.wang4@astrazeneca.com |
研究负责人电子邮件: Study leader's E-mail: |
wangjx@ihcams.ac.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
上海市静安区西藏北路88号 |
研究负责人通讯地址: |
天津市和平区南京路288号 |
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Applicant address: |
No.88 North Xinjiang Road Jing'an District,Shanghai |
Study leader's address: |
288 Nanjing Road, Tianjin |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
阿斯利康全球研发(中国)有限公司 |
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Applicant's institution: |
AstraZeneca Global R&D (China) Co., Ltd |
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研究负责人所在单位: |
中国医学科学院血液病医院(中国医学科学院血液学研究所) |
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Affiliation of the Leader: |
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College. |
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是否获伦理委员会批准: |
是/Yes |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
XY2023088-EC-1 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
中国医学科学院血液病医院(中国医学科学院血液学研究所)伦理审查委员会 |
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Name of the ethic committee: |
Ethics Committee of Blood Diseases Hospital, Chinese Academy of Medical Sciences |
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伦理委员会批准日期: Date of approved by ethic committee: |
2023-12-29 00:00:00 |
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伦理委员会联系人: |
王启柔 |
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Contact Name of the ethic committee: |
Wang QiRou |
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伦理委员会联系地址: |
天津市和平区南京路288号 |
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Contact Address of the ethic committee: |
288 Nanjing Road, Tianjin |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 22 2390 9095 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
wangqirou@ihcams.ac.cn |
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研究实施负责(组长)单位: |
中国医学科学院血液病医院(中国医学科学院血液学研究所) |
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Primary sponsor: |
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College. |
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研究实施负责(组长)单位地址: |
天津市和平区南京路288号 |
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Primary sponsor's address: |
288 Nanjing Road, Tianjin |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
阿斯利康全球研发(中国)有限公司 |
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Source(s) of funding: |
AstraZeneca Global R&D (China) Co., Ltd |
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Target disease: |
CD123+ AML/HR-MDS |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
I期+II期 | ||||||||||||||||||||||
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Study phase: |
1-2 |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
? 评估AZD9829单药治疗或联合治疗CD123+恶性血液疾病的安全性和耐受性。 ? 探索AZD9829单药治疗或联合治疗CD123+恶性血液疾病的抗肿瘤活性。 ? 表征AZD9829的PK特征并确定其免疫原性。 ? 评价与耐药机制相关的药效学和生物学背景。 |
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Objectives of Study: |
? To assess safety and tolerability of AZD9829 in monotherapy or in combination in CD123+ hematological malignancies. ? To explore anti-tumor activity of AZD9829 in monotherapy or in combination in CD123+ hematological malignancies. ? To characterize the PK profile and determine immunogenicity of AZD9829. ? To evaluate pharmacodynamic and biological background related to mechanisms of resistance. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1.受试者在签署知情同意书(包括受试者报告的结果测量指标)时,年龄必须≥18岁。 |
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Inclusion criteria |
1.Participant must be >= 18 years of age at the time of signing the informed consent, including participant reported outcome measures; 2.Participant with hematological malignancy with positive CD123 expression based on flow cytometry or immunohistochemistry by local laboratory; 3.Male and/or female: Contraceptive use by males or females should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies; 4.Capable of giving signed informed consent as described in Appendix A 3 which includes compliance with the requirements and restrictions listed in the ICF and in this protocol; 5.Willing and able to participate in all required evaluations and procedures in this study protocol including receiving IV administration of study treatment and being admitted, when required, for at least 24 hours during the study treatment administration; 6.ECOG performance status of <= 2; 7.Safety laboratory and adequate organ function as detailed in Table 3; 8 . Histologically documented R/R hematologic malignancy based on criteria established by the World Health Organization 2017. Known diagnosis of hematologic malignancy that includes: (a) AML ;(b) HR-MDS defined by IPSS-R criteria at diagnosis, that is R/R to treatment in participants with >= 5% BM blasts at time of inclusion;(c).Had at least 1 prior line of therapy for the treatment of current histology, and have no available treatment options. (d) MDS participants who relapsed after allogenic stem cell transplant can be enrolled, including HMA-na?ve participants. MDS participants who relapsed after receiving only immunosuppressive therapies, immunomodulatory drugs or any lower-risk MDS therapies (ie, erythropoietin analogues, luspatercerpt, etc.) are excluded. (e) Participants with previous allogeneic stem cell transplant are allowed if they do not have active GVHD, and have been off systemic GVHD treatment for at least 4 weeks before the start of study drug. (f) R/R HR-MDS participants who relapsed after or during HMA should have received at least 4 cycles of HMA or clear progression after the first 2 cycles may enroll to dose escalation phase. (g) R/R HR-MDS participants intolerant to HMA therapy without any other SoC option are allowed to enroll into the dose escalation phase. 9.Participant with R/R AML or R/R HR-MDS, with positive CD123 expression based on flow cytometry or immunohistochemistry by local laboratory; 10.White blood cell counts <= 10,000 cells/mm3 (10 × 10^9/L); use of leukapheresis or hydroxyurea before initiation of study treatment is allowed to achieve this entry. |
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排除标准: |
1 血清学检查提示活动性乙型肝炎或丙型肝炎:(a) 抗HBc IgG检测呈阳性的受试者需要在入组前获得阴性HBV PCR结果。HBV表面抗原阳性和使用PCR检测到HBV阳性的患者将被排除。 (b) HCV抗体阳性的受试者在入组前的PCR结果需要为阴性。HCV PCR结果呈阳性的受试者将被排除。 |
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Exclusion criteria: |
1.Serologic status reflecting active hepatitis B or C: (1) Participants who test positive for anti-HBc IgG will need to have a negative HBV PCR result before enrollment. Those who are HBV surface antigen positive and those with detectable HBV using PCR will be excluded. (2) Participants who are HCV antibody positive will need to have a negative PCR result before enrollment. Those who are HCV PCR positive will be excluded; 2.Known to have tested positive for HIV; 3.Cardiovascular disorder defined as: (1).History of arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia), which is symptomatic or requires treatment (CTCAE Grade 3), symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia within 6 months prior to start of study treatment. Participants with atrial fibrillation controlled by medication are permitted;(2).Uncontrolled hypertension; (3).Acute coronary syndrome/acute myocardial infarction, unstable angina pectoris, coronary intervention procedure with percutaneous coronary intervention, or coronary artery bypass grafting within 6 months; (4).History of brain perfusion problems (eg, carotid stenosis) or stroke, or transient ischemic attack in the last 6 months prior to screening; (5).Symptomatic heart failure (as defined by New York Heart Association class >= 2); (6)Prior or current cardiomyopathy that is not adequately controlled; (7).Severe valvular heart disease; (8).Mean resting QTcF > 470 msec obtained from triplicate ECGs and averaged, recorded within 5 minutes. (i) Any factors that increase the risk of QTc prolongation or risk of arrhythmic events such as symptomatic heart failure, congenital LQTS, family history of LQTS or unexplained sudden death under 40 years of age. (j) Concomitant medications known to prolong QTc cannot be used starting with the first dose of study treatment and through the DLT review period (if applicable) or during the scheduled ECG assessments; they can otherwise be used with caution. 4.Known active CMV infection (positive CMV IgM and/or positive PCR result); 5.History of QT prolongation associated with other medications that required discontinuation of that medication; 6.Any unresolved non-hematological toxicity from prior anticancer therapy of CTCAE Grade > 2 with the exception of alopecia, vitiligo, and endocrine disorders that are controlled with replacement hormone therapy; 7.History of another primary malignancy, except for: (a) Malignancy treated with curative intent and with no known active disease for at least 2 years before the first dose of study treatment and with low potential risk for recurrence. Participants with no known active disease for at least 2 years prior to first dose of study treatment who are on maintenance therapy (eg, lenalidomide for multiple myeloma, hormonal maintenance therapy for breast cancer) may be allowed after discussion with the medical monitor. (b) Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease. (c) Adequately treated carcinoma in situ without evidence of disease. (d) Locally non-invasive primary under surveillance or controlled under hormonal therapy (eg, basal cell carcinoma of the skin or prostate cancer under observation or hormone therapy). 8.As judged by the investigator, any evidence of any of the following: (a) severe or uncontrolled systemic disease (including but not limited to serious chronic gastrointestinal conditions associated with diarrhea, severe hepatic impairment, interstitial lung disease), or (b) psychiatric illness/social situations that would limit compliance with study requirement, substantially increase risk of incurring AEs or compromise the ability of the participant to give written informed consent, or (c) history of, or active, bleeding diatheses (eg, hemophilia or von Willebrand disease) or (d) uncontrolled active systemic fungal, bacterial, viral, or other infection (defined as exhibiting ongoing signs/symptoms related to the infection and without improvement, despite appropriate antibiotics or other treatment); 9.Active idiopathic thrombocytopenic purpura; 10.Any severe and uncontrolled medical condition (eg, uncontrolled hypertension, hepatic failure, unstable respiratory or cardiac conditions,) requiring treatment which in the investigator’s opinion makes it undesirable or pose a safety risk for the participant to participate in the study; 11.Previous treatment with any CD123 directed targeting therapy; 12.Immunosuppression for GVHD or GVHD prophylaxis within 4 weeks prior to the first dose of study treatment. The following are permitted: (a) Topical steroids for ≤ Grade 2 GVHD of the skin may continue indefinitely. (b) Stable or tapering systemic steroids for GVHD up to 4 weeks prior to the first dose of study treatment; 13.Any concomitant medications known to be associated with Torsades de Pointes or strong inhibitors of CYP3A4. Alternative treatments that are not strong inhibitors of CYP3A will be sought, if possible, when treating participants according to SoC practices; 14.Treatment with any of the following at study entry: (a) Received any investigational drug within 14 days or 5 half-lives (whichever is longer) of the first scheduled dose. (b) Received cytotoxic chemotherapy within 14 days of the first scheduled dose. With the exception of Hydroxyurea for participants with leukocytosis > 10,000 cells/mm3 or rapidly progressive disease. (c) Received radiation therapy with curative intent within 14 days (localized palliative radiotherapy is permitted) of the first scheduled dose. (d) Received prior allogeneic HSCT, unless > 90 days prior to the first scheduled dose and the participant has no active GVHD requiring treatment, except ≤ Grade 2 GVHD of the skin. (e) Received prior autologous HSCT unless the transplant occurred > 90 days prior to the first scheduled dose and transplant-related toxicities are resolved to at least a Grade 1. (f) Received adoptive cellular therapy such as autologous or donor natural killer cell or T lymphocyte infusions (eg, chimeric antigen receptor-T cells), unless > 60 days prior to the first dose of study treatment and treatment-related toxicities are resolved to at least a Grade 1. (g) Received major surgery within 28 days of first dose of study treatment; 15.Receipt of live, attenuated vaccine within 28 days before the first dose of study treatment(s); 16.Requires ongoing corticosteroid therapy, including systemic (eg, intravenous or oral) corticosteroids (> 10 mg prednisone equivalent dose) for treatment of lymphoid cancer or other conditions (refer to Section 6.9, Table 5 [Prohibited concomitant medication - Core Protocol]). Except for stable doses for autoimmune diseases (≤ 10 mg prednisolone equivalent dose). 17.Participants with a known hypersensitivity to AZD9829 or any of the excipients of the IMP; 18.Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site); 19.Judgment by the investigator that the participant should not participate in the study if the participant is unlikely to comply with study procedures, restrictions, and requirements. 20.Previous enrollment in the present study; 21.For females only – currently pregnant (confirmed with positive pregnancy test) or breastfeeding. A sample for pregnancy test will be collected from all female participants of childbearing potential. Urine dipsticks can be used for initial testing. If a urine dipstick test is positive or indeterminate, quantitative serum tests will be performed for confirmation. Additional testing may be performed at investigator discretion, for example in the event of suspected contraception failure. |
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研究实施时间: Study execute time: |
从 From 2023-10-06 00:00:00至 To 2026-11-17 00:00:00 |
征募观察对象时间: Recruiting time: |
从From 2024-09-23 00:00:00 至 To 2026-01-21 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
正在进行 Recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
开放标签 |
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Blinding: |
Open-label study |
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是否共享原始数据: IPD sharing |
Yes |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
2026年10月公示平台,合理要求经研究者同意后可邮箱获取 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
The public disclosure platform will be available in October 2026, and it can be obtained via email with the researcher's consent. |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
eCRF |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
eCRF |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
无/No |