Ceralasertib
Ceralasertib is an experimental small-molecule drug from AstraZeneca in phase 3 trials for non-small-cell lung cancer, melanoma and triple-negative breast cancer, aimed at ATR.
Overview
Ceralasertib (AZD6738) is a small-molecule drug developed by AstraZeneca. Its target is ATR (the sponsor names ATR (Ataxia Telangiectasia and Rad3-related) kinase). The sponsor states: Ceralasertib is an oral small-molecule ATR kinase inhibitor, tested here in combination with the PD-L1 inhibitor durvalumab; the CT.gov record's exclusion criterion barring prior ATR inhibitor use is consistent with this. ClinicalTrials.gov describes the intervention as: Participants will receive oral tablet of ceralasertib as stated in arm description. It is the investigational product in 5 recruiting or active industry-led phase 2 and phase 3 interventional cancer trials, including the phase 3 study NCT05450692 (A Phase III Study of Ceralasertib Plus Durvalumab Versus Docetaxel in Patients With Non Small Cell Lung Cancer (NSCLC) Whose Disease Progressed On or After Prior Anti PD (L)1 Therapy And Platinum Based Chemotherapy), in non-small-cell lung cancer, melanoma and triple-negative breast cancer. The largest, NCT05450692, plans to enrol 594 participants (actual) with primary completion expected 2025-10-06. Status reflects the highest phase registered on ClinicalTrials.gov at the 2026-09-11 check; no efficacy results are recorded here.
- AmivantamabApproved
- CamizestrantApproved
- Comprehensive genomic profilingStandard of care
- Liquid biopsy (ctDNA)Standard of care
- LorlatinibApproved
- MRD / molecular residual disease testingEstablished
- ADC payload neutralisersPhase 1
- BGB-16673Phase 3
- Bispecific ADCPhase 3
- BRUIN CLL-321Positive
- CaDAnCe-304Recruiting
- CIRCULATE-Japan (GALAXY / VEGA / ALTAIR)Active
- A clone report from blood at every treatment cycle
- A fast route to the matched drug when it is licensed for another cancer
- A multi-cancer platform trial of adaptive (dose-holiday) therapy
- A national rapid research autopsy network for end-stage cancer
- A standard evolvability score for every tumour
- A standing platform trial that assigns treatment by how the tumour escaped
Background: ADC sequencing, Antigen escape (antigen loss, lineage switch), BCG-unresponsive, Castration-resistant prostate cancer (CRPC), Circulating tumour DNA (ctDNA). Also on OnCo: Resistance atlas · Lines of therapy.
Trials
topTrials recruiting now
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Landmark trials
Latest papers
topQuery for this drug: (TITLE:"Ceralasertib" OR ABSTRACT:"Ceralasertib" OR TITLE:"AZD6738" OR ABSTRACT:"AZD6738") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Ceralasertib, not a curated reading list.
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