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OncoMatch/Clinical Trials/NCT03682289

Ceralasertib (AZD6738) Alone and in Combination With Olaparib or Durvalumab in Patients With Solid Tumors

Is NCT03682289 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Ceralasertib and Olaparib for clear cell renal cell carcinoma.

Phase 2RecruitingRahul AggarwalNCT03682289Data as of May 2026

Treatment: Ceralasertib · Olaparib · DurvalumabThis phase II trial studies how well ceralasertib, am Ataxia telangiectasia and Rad3-related (ATR) kinase inhibitor, works alone or in combination with olaparib or durvalumab in treating participants with renal cell carcinoma (RCC), urothelial carcinoma, all pancreatic cancers, endometrial cancer, and other solid tumors excluding clear cell ovarian cancer that have spread to nearby tissue or lymph nodes or other parts of the body. ATR kinase inhibitor AZD6738 and olaparib or durvalumab may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. It is not known if giving ATR kinase inhibitor AZD6738 with or without olaparib or durvalumab may work better in treating participants with solid tumors.

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Extracted eligibility criteria

Cancer type

Renal Cell Carcinoma

Pancreatic Cancer

Tumor Agnostic

Urothelial Carcinoma

Endometrial Cancer

Prostate Cancer

Biomarker criteria

Required: ARID1A pathogenic mutation

presence of pathogenic ARID1A alteration on CLIA-approved next-generation sequencing panel

Required: ARID1A loss of BAF250a expression

BAF250a expression by ARID1A immunohistochemistry

Required: ATM pathogenic mutation

pathogenic ATM mutation in CLIA-approved assay

Required: ATM loss of expression (< 5% of tumor cells expressing ATM)

loss of ATM expression by IHC (Ventana Ab)

Required: MSH2 intact mismatch repair protein (intact)

presence of intact mismatch repair proteins by immunohistochemistry

Required: MSH6 intact mismatch repair protein (intact)

presence of intact mismatch repair proteins by immunohistochemistry

Required: MLH1 intact mismatch repair protein (intact)

presence of intact mismatch repair proteins by immunohistochemistry

Required: PMS2 intact mismatch repair protein (intact)

presence of intact mismatch repair proteins by immunohistochemistry

Disease stage

Required: Stage III, IV

Excluded: Stage STAGE I UTERINE CANCER

Histologically confirmed locally advanced or metastatic solid tumor malignancy

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: systemic therapy — locally advanced or metastatic

progression on at least one prior systemic therapy

Must have received: androgen signaling inhibitor (abiraterone, enzalutamide, apalutamide, darolutamide) — castration resistant prostate cancer

Prior treatment with at least one androgen signaling inhibitor (e.g. abiraterone, enzalutamide, apalutamide, darolutamide)

Must have received: immune checkpoint inhibitor — endometrial cancer, locally advanced or metastatic

progression on at least one prior line of therapy containing an immune checkpoint inhibitor that was administered for a minimum duration of 6 weeks

Cannot have received: ATR inhibitor

Prior treatment with ATR inhibitor

Lab requirements

Blood counts

Hemoglobin >= 9.0 g/dL (no transfusion within 14 days); Platelets > 100,000 x 10^9/L; ANC > 1.5 x 10^9/L

Kidney function

Estimated GFR >= 45 ml/min (Cockcroft-Gault or 24h urine)

Liver function

AST/ALT < 2.5 x ULN (< 5x ULN in patients with known liver metastases); total bilirubin < 1.5 x ULN (direct bilirubin < 1.5 x ULN in patients with known Gilbert's disease or UGT1A1 homozygote)

Cardiac function

QTcF <= 470 ms (females) or <= 450 ms (males); no recent MI, unstable angina, TIA/CVA, uncontrolled arrhythmia, class III/IV CHF, or LV EF < 50%

Adequate organ function as defined by: Hemoglobin (Hgb) >= 9.0 g/dL in the absence of transfusion within 14 days prior to screening laboratory assessment. Platelets (Plt) count > 100,000 x 10^9/L. Absolute neutrophil count > 1.5 x 10^9/L. Estimated glomerular filtration rate (GFR) >= 45 ml/min based on Cockcroft-Gault equation or 24 hour urine collection. Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) < 2.5 x upper limit of normal (ULN) (< 5x ULN in patients with known liver metastases). Total bilirubin < 1.5 x ULN (direct bilirubin < 1.5 x ULN in patients with known Gilbert's disease or UGT1A1 homozygote). Fridericia's QT correction formula (QTcF) > 470 ms (females) or > 450 ms (males) on screening electrocardiography (ECG), or immediate family history of congenital long QT syndrome or sudden cardiac death at age less than 40.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • City of Hope Comprehensive Cancer Center · Duarte, California
  • University of California, San Francisco · San Francisco, California
  • University of Chicago Comprehensive Cancer Center · Chicago, Illinois

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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