Clinical Trials

Ceralasertib (AZD6738) is currently being evaluated across numerous clinical trials spanning early to late phases for advanced solid tumors, non-small cell lung cancer, small cell lung carcinoma, melanoma, and gynecological cancers. Supported by industry sponsors such as AstraZeneca alongside academic networks including the National Cancer Institute, these studies comprise recruiting, active not recruiting, completed, and terminated recruitment statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02813135 RECRUITING
Pediatric Cancer
Gustave Roussy, Cancer Campus, Grand Paris
2016-08-03 PHASE1; PHASE2
NCT06769126 RECRUITING
Extensive Stage Lung Small Cell Carcinoma; Lung Small Cell Carcinoma, A Subtype; Lung Small Cell Carcinoma, I Subtype; Lung Small Cell Carcinoma, N Subtype; Lung Small Cell Carcinoma, P Subtype
SWOG Cancer Research Network
2025-11-06 PHASE2
NCT06732401 ACTIVE_NOT_RECRUITING
Lung Non-Small Cell Carcinoma; Stage II Lung Cancer AJCC v8; Stage IIIA Lung Cancer AJCC v8; Stage IIIB Lung Cancer AJCC v8
National Cancer Institute (NCI)
2025-08-07 PHASE3
NCT06680050 RECRUITING
Non Small Cell Lung Cancer NSCLC
Mario Negri Institute for Pharmacological Research
2025-08-07 PHASE2
NCT03682289 ACTIVE_NOT_RECRUITING
Clear Cell Renal Cell Carcinoma; Locally Advanced Pancreatic Cancer; Locally Advanced Malignant Solid Neoplasm; Metastatic Malignant Solid Neoplasm; Metastatic Renal Cell Carcinoma; Metastatic Urothelial Carcinoma; Metastatic Pancreatic Cancer; Stage III Pancreatic Cancer; Stage III Renal Cell Cancer; Stage IV Pancreatic Cancer; Stage IV Renal Cell Cancer; Endometrial Cancer; Metastatic Castration-resistant Prostate Cancer
Rahul Aggarwal
2019-01-17 PHASE2
NCT04090567 RECRUITING
Advanced Breast Carcinoma; Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IIIA Breast Cancer AJCC v8; Anatomic Stage IIIB Breast Cancer AJCC v8; Anatomic Stage IIIC Breast Cancer AJCC v8; Anatomic Stage IV Breast Cancer AJCC v8; Germline BRCA1 Gene Mutation; Germline BRCA2 Gene Mutation; HER2/Neu Negative; Metastatic Breast Carcinoma; Prognostic Stage III Breast Cancer AJCC v8; Prognostic Stage IIIA Breast Cancer AJCC v8; Prognostic Stage IIIB Breast Cancer AJCC v8; Prognostic Stage IIIC Breast Cancer AJCC v8; Prognostic Stage IV Breast Cancer AJCC v8
M.D. Anderson Cancer Center
2020-07-28 PHASE2
NCT05582538 RECRUITING
Triple Negative Breast Cancer Metastatic
IFOM ETS - The AIRC Institute of Molecular Oncology
2022-12-15 PHASE2
NCT04704661 ACTIVE_NOT_RECRUITING
Advanced Breast Carcinoma; Advanced Colon Carcinoma; Advanced Colorectal Carcinoma; Advanced Endometrial Carcinoma; Advanced Gastric Carcinoma; Advanced Gastroesophageal Junction Adenocarcinoma; Advanced Malignant Solid Neoplasm; Advanced Salivary Gland Carcinoma; Anatomic Stage III Breast Cancer AJCC v8; Anatomic Stage IV Breast Cancer AJCC v8; Clinical Stage III Gastric Cancer AJCC v8; Clinical Stage III Gastroesophageal Junction Adenocarcinoma AJCC v8; Clinical Stage IV Gastric Cancer AJCC v8; Clinical Stage IV Gastroesophageal Junction Adenocarcinoma AJCC v8; HER2-Positive Breast Carcinoma; Malignant Hepatobiliary Neoplasm; Metastatic Breast Carcinoma; Metastatic Colon Carcinoma; Metastatic Colorectal Carcinoma; Metastatic Endometrial Carcinoma; Metastatic Gastric Carcinoma; Metastatic Gastroesophageal Junction Adenocarcinoma; Metastatic Malignant Solid Neoplasm; Metastatic Salivary Gland Carcinoma; Stage III Colon Cancer AJCC v8; Stage III Colorectal Cancer AJCC v8; Stage III Major Salivary Gland Cancer AJCC v8; Stage III Uterine Corpus Carcinoma or Carcinosarcoma AJCC v8; Stage IV Colon Cancer AJCC v8; Stage IV Colorectal Cancer AJCC v8; Stage IV Major Salivary Gland Cancer AJCC v8; Stage IV Uterine Corpus Carcinoma or Carcinosarcoma AJCC v8; Unresectable Breast Carcinoma; Unresectable Colon Carcinoma; Unresectable Colorectal Carcinoma; Unresectable Endometrial Carcinoma; Unresectable Gastric Carcinoma; Unresectable Gastroesophageal Junction Adenocarcinoma; Unresectable Malignant Solid Neoplasm; Unresectable Salivary Gland Carcinoma
National Cancer Institute (NCI)
2021-08-09 PHASE1
NCT04699838 ACTIVE_NOT_RECRUITING
Extensive Stage Small Cell Lung Cancer
Muhammad Furqan
2021-04-20 PHASE2
NCT03579316 ACTIVE_NOT_RECRUITING
Recurrent Fallopian Tube Carcinoma; Recurrent Ovarian Carcinoma; Recurrent Primary Peritoneal Carcinoma
M.D. Anderson Cancer Center
2018-12-07 PHASE2
NCT03740893 RECRUITING
Breast Neoplasm; Triple Negative Breast Cancer (TNBC); HRD
Institute of Cancer Research, United Kingdom
2019-10-15 PHASE2
NCT04065269 ACTIVE_NOT_RECRUITING
Gynaecological Cancers
Institute of Cancer Research, United Kingdom
2019-11-27 PHASE2
NCT04550104 RECRUITING
Non Small Cell Lung Cancer
University of Leeds
2021-03-17 PHASE1
NCT02223923 UNKNOWN
Solid Tumour Refractory to Conventional Treatment
Royal Marsden NHS Foundation Trust
2014-07 PHASE1
NCT06754761 TERMINATED
Neoplasm
AstraZeneca
2025-09-22 PHASE1
NCT06929260 TERMINATED
Advanced Solid Tumours
AstraZeneca
2025-05-21 PHASE1
NCT05450692 ACTIVE_NOT_RECRUITING
Advanced or Metastatic Non-Small Cell Lung Cancer
AstraZeneca
2022-09-15 PHASE3
NCT03462342 COMPLETED
High Grade Serous Carcinoma
University of Pennsylvania
2018-03-09 PHASE2
NCT04417062 ACTIVE_NOT_RECRUITING
Osteosarcoma; Osteosarcoma Recurrent
Dana-Farber Cancer Institute
2020-11-24 PHASE2
NCT03770429 ACTIVE_NOT_RECRUITING
Leukemia; Myelodysplastic Syndrome
Massachusetts General Hospital
2019-08-05 PHASE1
NCT03878095 ACTIVE_NOT_RECRUITING
Malignant Solid Neoplasm; Refractory Cholangiocarcinoma; Refractory Malignant Solid Neoplasm
National Cancer Institute (NCI)
2020-01-30 PHASE2
NCT02264678 ACTIVE_NOT_RECRUITING
Adv Solid Malig - H&N SCC, ATM Pro / Def NSCLC, Gastric, Breast and Ovarian Cancer
AstraZeneca
2014-10-31 PHASE1
NCT04564027 COMPLETED
Advanced Solid Tumours
AstraZeneca
2020-12-01 PHASE2
NCT04298021 UNKNOWN
Bile Duct Cancer; Chemotherapy Effect
Seoul National University Hospital
2020-06-25 PHASE2
NCT04298008 UNKNOWN
Bile Duct Cancer; Chemotherapy Effect
Seoul National University Hospital
2020-06-25 PHASE2
NCT03801369 TERMINATED
Anatomic Stage IV Breast Cancer AJCC v8; Metastatic Triple-Negative Breast Carcinoma
Gordon Mills, MD, PhD
2018-12-12 PHASE2
NCT03833440 UNKNOWN
Non-small Cell Lung Cancer
Assistance Publique Hopitaux De Marseille
2019-10-08 PHASE2
NCT03334617 ACTIVE_NOT_RECRUITING
Non-Small Cell Lung Cancer
AstraZeneca
2017-12-18 PHASE2
NCT05941897 ACTIVE_NOT_RECRUITING
Advanced or Metastatic NSCLC
AstraZeneca
2023-06-21 PHASE2
NCT05061134 ACTIVE_NOT_RECRUITING
Melanoma
AstraZeneca
2022-08-11 PHASE2
NCT02664935 COMPLETED
Non-Small Cell Lung Cancer; Carcinoma, Squamous Cell; Adenocarcinoma
University of Birmingham
2015-05-13 PHASE2
NCT04361825 COMPLETED
Small Cell Lung Cancer
Se-Hoon Lee
2020-06-17 PHASE2
NCT05514132 ACTIVE_NOT_RECRUITING
Advanced Solid Tumours
AstraZeneca
2022-09-23 PHASE1
NCT03669601 UNKNOWN
Cancer
CCTU- Cancer Theme
2019-10-15 PHASE1
NCT05469919 COMPLETED
Advanced Solid Malignancies
AstraZeneca
2022-06-09 PHASE1
NCT05941897 Active not recruiting
Advanced or Metastatic NSCLC
AstraZeneca
2023-06-21 Phase 2
NCT03787680 ACTIVE_NOT_RECRUITING
Prostate Cancer
University of Michigan Rogel Cancer Center
2019-10-31 PHASE2
NCT03780608 UNKNOWN
Gastric Adenocarcinoma; Malignant Melanoma
Samsung Medical Center
2019-07-30 PHASE2
NCT03182634 UNKNOWN
Advanced Breast Cancer
Institute of Cancer Research, United Kingdom
2016-12-15 PHASE2
NCT05514132 Active not recruiting
Advanced Solid Tumours
AstraZeneca
2022-09-23 Phase 1
NCT05450692 Recruiting
Advanced or Metastatic Non-Small Cell Lung Cancer
AstraZeneca|Parexel
2022-09-15 Phase 3
NCT05061134 Active not recruiting
Melanoma
AstraZeneca
2022-08-11 Phase 2
NCT05469919 Active not recruiting
Advanced Solid Malignancies
AstraZeneca
2022-06-09 Phase 1
NCT03328273 ACTIVE_NOT_RECRUITING
Chronic Lymphocytic Leukemia
Acerta Pharma BV
2018-01-31 PHASE1
NCT04704661 Recruiting
Advanced Breast Carcinoma|Advanced Colon Carcinoma|Advanced Colorectal Carcinoma|Advanced Endometrial Carcinoma|Advanced Gastric Carcinoma|Advanced Gastroesophageal Junction Adenocarcinoma|Advanced Malignant Solid Neoplasm|Advanced Salivary Gland Carcinoma|Anatomic Stage III Breast Cancer AJCC v8|Anatomic Stage IIIA Breast Cancer AJCC v8|Anatomic Stage IIIB Breast Cancer AJCC v8|Anatomic Stage IIIC Breast Cancer AJCC v8|Anatomic Stage IV Breast Cancer AJCC v8|Clinical Stage III Gastric Cancer AJCC v8|Clinical Stage III Gastroesophageal Junction Adenocarcinoma AJCC v8|Clinical Stage IV Gastric Cancer AJCC v8|Clinical Stage IV Gastroesophageal Junction Adenocarcinoma AJCC v8|Clinical Stage IVA Gastric Cancer AJCC v8|Clinical Stage IVA Gastroesophageal Junction Adenocarcinoma AJCC v8|Clinical Stage IVB Gastric Cancer AJCC v8|Clinical Stage IVB Gastroesophageal Junction Adenocarcinoma AJCC v8|HER2-Positive Breast Carcinoma|Malignant Hepatobiliary Neoplasm|Metastatic Breast Carcinoma|Metastatic Gastroesophageal Junction Adenocarcinoma|Metastatic Malignant Solid Neoplasm|Pathologic Stage III Gastric Cancer AJCC v8|Pathologic Stage III Gastroesophageal Junction Adenocarcinoma AJCC v8|Pathologic Stage IIIA Gastric Cancer AJCC v8|Pathologic Stage IIIA Gastroesophageal Junction Adenocarcinoma AJCC v8|Pathologic Stage IIIB Gastric Cancer AJCC v8|Pathologic Stage IIIB Gastroesophageal Junction Adenocarcinoma AJCC v8|Pathologic Stage IIIC Gastric Cancer AJCC v8|Pathologic Stage IV Gastric Cancer AJCC v8|Pathologic Stage IV Gastroesophageal Junction Adenocarcinoma AJCC v8|Pathologic Stage IVA Gastroesophageal Junction Adenocarcinoma AJCC v8|Pathologic Stage IVB Gastroesophageal Junction Adenocarcinoma AJCC v8|Prognostic Stage III Breast Cancer AJCC v8|Prognostic Stage IIIA Breast Cancer AJCC v8|Prognostic Stage IIIB Breast Cancer AJCC v8|Prognostic Stage IIIC Breast Cancer AJCC v8|Prognostic Stage IV Breast Cancer AJCC v8|Stage III Colon Cancer AJCC v8|Stage III Colorectal Cancer AJCC v8|Stage III Major Salivary Gland Cancer AJCC v8|Stage III Uterine Corpus Cancer AJCC v8|Stage IIIA Colon Cancer AJCC v8|Stage IIIA Colorectal Cancer AJCC v8|Stage IIIA Uterine Corpus Cancer AJCC v8|Stage IIIB Colon Cancer AJCC v8|Stage IIIB Colorectal Cancer AJCC v8|Stage IIIB Uterine Corpus Cancer AJCC v8|Stage IIIC Colon Cancer AJCC v8|Stage IIIC Colorectal Cancer AJCC v8|Stage IIIC Uterine Corpus Cancer AJCC v8|Stage IIIC1 Uterine Corpus Cancer AJCC v8|Stage IIIC2 Uterine Corpus Cancer AJCC v8|Stage IV Colon Cancer AJCC v8|Stage IV Colorectal Cancer AJCC v8|Stage IV Major Salivary Gland Cancer AJCC v8|Stage IV Uterine Corpus Cancer AJCC v8|Stage IVA Colon Cancer AJCC v8|Stage IVA Colorectal Cancer AJCC v8|Stage IVA Major Salivary Gland Cancer AJCC v8|Stage IVA Uterine Corpus Cancer AJCC v8|Stage IVB Colon Cancer AJCC v8|Stage IVB Colorectal Cancer AJCC v8|Stage IVB Major Salivary Gland Cancer AJCC v8|Stage IVB Uterine Corpus Cancer AJCC v8|Stage IVC Colon Cancer AJCC v8|Stage IVC Colorectal Cancer AJCC v8|Stage IVC Major Salivary Gland Cancer AJCC v8|Unresectable Colorectal Carcinoma|Unresectable Gastroesophageal Junction Adenocarcinoma|Unresectable Malignant Solid Neoplasm
National Cancer Institute (NCI)
2021-08-09 Phase 1
NCT03527147 COMPLETED
NHL; DLBCL; Non-hodgkin's Lymphoma; Diffuse Large B Cell Lymphoma
Acerta Pharma BV
2018-06-19 PHASE1
NCT04239014 WITHDRAWN
Ovarian Cancer
AstraZeneca
2020-08-07 PHASE2
NCT03022409 COMPLETED
Head and Neck Squamous Cell Carcinoma
AstraZeneca
2017-09-18 PHASE1
NCT03428607 COMPLETED
SCLC
Samsung Medical Center
2018-10-17 PHASE2
NCT02630199 COMPLETED
Refractory Cancer
Samsung Medical Center
2015-12 PHASE1
NCT03330847 ACTIVE_NOT_RECRUITING
Metastatic Triple Negative Breast Cancer
AstraZeneca
2018-03-07 PHASE2
NCT02937818 COMPLETED
Platinum Refractory Extensive-Stage Small Cell Lung Carcinoma
AstraZeneca
2016-11-28 PHASE2
NCT02576444 TERMINATED
Cancer
Joseph Paul Eder
2015-11 PHASE2
NCT01955668 COMPLETED
11q-deleted Relapsed/Refractory Chronic Lymphocytic Leukaemia (CLL),; Prolymphocytic Leukaemia (PLL); B Cell Lymphomas
AstraZeneca
2013-11 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-07-10)

Check the Ceralasertib (AZD6738) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Ceralasertib selectively binds to and inhibits ataxia telangiectasia and Rad3-related (ATR) kinase, disrupting DNA damage repair signaling and inducing replication fork collapse with double-strand DNA break accumulation. This failure to repair genomic damage forces cancer cells into apoptotic cell death, underlying its antitumor activity observed in clinical trials for advanced non-small cell lung cancer and other solid tumors.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.