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ZN-c5

Phase 1

Breast Cancer | Small molecule | Oncology |Zentalis Pharmaceuticals, Inc.|Trials Updated: Aug 9, 2024

ZN-c5 development status

Highest phase Phase 1
Registered trials 4 across 1 sponsor since Jun 2018

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials3
Total Enrollment230

FDA Designations

No designations recorded

ZN-c5 clinical trials

ZN-c5 · 3 trials · 1 indication

Phase 1 3
NCT04514159A Study of ZN-c5 and Abemaciclib in Participants With Breast CancerBreast Cancer
COMPLETED14 Analytics
NCT04176757A Study of ZN-c5 in Participants With Breast CancerBreast Cancer
COMPLETED35 Analytics
NCT03560531A Study of ZN-c5 in Subjects With Breast CancerBreast Cancer
COMPLETED181 Analytics
PHASE1COMPLETED
A Study of ZN-c5 and Abemaciclib in Participants With Breast Cancer
Breast CancerUnlock trial analytics
PHASE1COMPLETED
A Study of ZN-c5 in Participants With Breast Cancer
Breast CancerUnlock trial analytics
PHASE1COMPLETED
A Study of ZN-c5 in Subjects With Breast Cancer
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and severity of adverse events from ZN-c5 in combination with abemaciclib
Through study completion, anticipated to be 21 months

Measured by the number of treatment-emergent adverse events and graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0

Corroborate the single agent Recommended Phase 2 Dose
Throughout the study, an average of 15 months
Clinical Benefit Rate (CBR) for ZN-c5 as a Monotherapy
24 weeks

CBR is defined as the number of participants who have at least 1 confirmed response of complete response (CR) or partial response (PR) (only if participant has measurable disease), or stable disease (SD) \>= 24 weeks (or non-CR/non-progressive disease (PD) \>=24 weeks for participants with non-measurable disease) prior to any evidence of progression.

Best Overall Response (BOR) for ZN-c5 as a Monotherapy
24 weeks

Best overall response was summarized categorically based on the four RECIST categories: CR, PR, SD and PD.

Secondary Endpoints

Determine tumor responses to combination treatment
Through study completion, anticipated to be 21 months
Dose-biomarker relationship
Throughout the study, an average of 15 months
Monotherapy Only: Percentage of Participants With Progression-Free Survival (PFS) at 2 Months
2 months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ZN-c5 + abemaciclib combination therapyEXPERIMENTALParticipants will take abemaciclib (150mg) orally twice a day and ZN-c5 (dose escalation) orally once or twice a day to determine the safety, tolerability, and maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D).
ZN-c5EXPERIMENTAL -
ZN-c5 monotherapyEXPERIMENTALDose escalation cohorts are planned to determine maximum tolerated dose(MTD) or recommended phase 2 dose (RP2D) of ZN-c5 as well as expansion cohorts and a Phase 2 cohort.
ZN-c5 + palbociclib combination therapyEXPERIMENTALDose escalation cohorts are planned to determine maximum tolerated dose(MTD) or recommended phase 2 dose (RP2D) of ZN-c5 in combination with palbociclib as well as a Phase 2 cohort.

Interventions

NameTypeDescription
ZN-c5DRUGZN-c5 is the study drug.
AbemaciclibDRUGAbemaciclib (VERZENIO®) is an approved drug.
PalbociclibDRUGPalbociclib (IBRANCE®) is an approved drug
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Age ≥ 18 years of age * Women can be peri- or postmenopausal, as defined by at least one of the following: * Age ≥ 60 years; * Age \< 60 years and cessation of regular menses for at least 12 consecutive months with no alternative pathological or physiological cause; and s...

Countries:United StatesPolandAustraliaBosnia and HerzegovinaBelarusCzechiaHungaryLithuaniaRussiaSerbiaUkraine
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Competitive Landscape -Breast Cancer 609 trials

Frequently asked questions about ZN-c5

What is ZN-c5 used for?

ZN-c5 is an investigational small molecule being studied for the treatment of breast cancer. It has been evaluated in Phase 1 clinical trials in participants with breast cancer, including a biomarker-selected patient population. It is not described as approved for any use, and development has focused on breast cancer as its indication.

Who is developing ZN-c5?

ZN-c5 is being developed by Zentalis Pharmaceuticals, Inc., which trades under the ticker ZNTL. The company has sponsored the Phase 1 clinical program evaluating ZN-c5 in breast cancer, including studies run in the United States and several additional countries across Europe and Australia.

What phase is ZN-c5 in?

ZN-c5 is in Phase 1 clinical development. All three of its recorded trials are Phase 1 studies in breast cancer, and all three are listed as completed. The program has enrolled approximately 230 participants in total across those studies, and no later-phase trials are recorded.

What clinical trials is ZN-c5 in?

ZN-c5 has been studied in three Phase 1 trials in breast cancer: NCT03560531, which enrolled 181 participants; NCT04176757, which enrolled 35 participants; and NCT04514159, which enrolled 14 participants and tested ZN-c5 together with abemaciclib. All three trials are completed, and participants were 18 years or older.

Is ZN-c5 biomarker selected?

Yes, the ZN-c5 clinical program is biomarker selected, meaning trial enrollment was guided by a biomarker rather than an unselected breast cancer population. The Phase 1 studies in breast cancer used this biomarker-selected approach, and the trials enrolled adults 18 years and older, with no healthy volunteers included.