A Phase 1b Study of ZN-c3 in Combination With Chemotherapy or Bevacizumab in Subjects With Ovarian, Peritoneal, or Fallopian Tube Cancer
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.
⁃ 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:
⁃ In the 1L setting: Complete Response, Partial Response, or Stable Disease to platinum-based chemotherapy.
⁃ In the 2L setting:
∙ Progressive Disease \>183 days after receiving the last dose of platinum chemotherapy in the 1L setting,
‣ 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