AZD0486 as Monotherapy in Participants With Relapsed/Refractory (R/R) B-cell NHL

Sponsor: AstraZeneca

Sponsor score: 40

ClinicalTrials ID:NCT06526793

This Phase 2 study evaluates the efficacy and safety of AZD0486 IV monotherapy in adults aged 18-80 with relapsed/refractory B-NHL, including FL and DLBCL. Participants must have received at least two prior therapies, have adequate organ function, and measurable disease. AZD0486 is administered as an investigational drug via IV infusion.

Patient Parameters

Program Overview

This is a Phase 2 global, multi-center, open-label study to assess the efficacy, safety and tolerability of AZD0486 monotherapy in adult participants with relapsed/refractory B-cell non-Hodgkin lymphoma (NHL) who have received at least two prior lines of therapies. The study has 2 Modules: Module 1 for FL and Module 2 for DLBCL.

Description

This is a modular, Phase II, multicenter, single-arm, open-label study to evaluate the efficacy and safety of AZD0486 monotherapy administered as an intravenous (IV) infusion in participants with relapsed or refractory B-NHL. The purpose of this study is to determine the efficacy and safety of AZD0486 administered at the RP2D in adults 18 to 80 years of age with relapsed or refractory B-NHL.

Eligibility Criteria

Inclusion Criteria

  • Aged 18 to 80 years old

    • Histologically confirmed relapsed refractory FL (Module 1) and DLBCL (Module 2) after at least 2 prior lines of therapy

    • ECOG performance status 0 to 2

    • Locally confirmed CD-19 expression in lymphoma cells after progression from last CD 19 directed therapy

    • FDG-avid disease with at least one bi-dimensionally measurable nodal lesion (defined as > 1.5 cm in its longest dimension), or extranodal lesion (defined as > 1.0 cm in its longest dimension)

    • Adequate hematological function: ANC ≥ 1000/mm3, platelets

      • 75,000/mm3, hemoglobin ≥ 9 g/dL. Transfusion and/or growth factor are allowed but counts must be stable for at least 72 hours afterwards prior to screening
    • Adequate liver function: total bilirubin <1.5x ULN, AST/ALT ≤ 3xULN Note: Patients with documented history of Gilbert's Syndrome and in whom total bilirubin elevations are accompanied by elevated indirect bilirubin are eligible)

    • Adequate renal function: creatinine clearance (CrCl) of ≥ 45 mL/min

    The above is a summary, other inclusion criteria details may apply.

  1. Key

Exclusion Criteria

  • Diagnosis of CLL, Burkitt lymphoma, or Richter's transformation
    • Active CNS involvement by B-NHL
    • Leukemic presentation of B-NHL
    • History or presence of clinically relevant CNS pathology such as epilepsy, seizure, paresis, aphasia, stroke, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, or psychosis
    • Prior therapy with T-cell engager (TCE) within 8 weeks, CAR T- cell therapy or autologous Hematopoietic Stem Cell Transplantation (HSCT) within 12 weeks, or prior allogeneic HSCT within 24 weeks of first dose of AZD0486
    • Requires chronic immunosuppressive therapy
    • Unresolved non hematological AEs ≥ Grade 2 from prior therapies; history of ≥ Grade 3 CRS or neurotoxicity from prior CAR-T or TCE therapy
    • History of major cardiac abnormalities.
    • If female, participant must not be pregnant or breastfeeding.

The above is a summary, other exclusion criteria details may apply.

Locations

FACILITYZIPCITYSTATE
Research Site33612TampaFlorida
Research Site50314Des MoinesIowa
Research Site66204Overland ParkKansas
Research Site55905RochesterMinnesota
Research Site63110Saint LouisMissouri
Research Site08901New BrunswickNew Jersey
Research Site10016New YorkNew York
Research Site28203CharlotteNorth Carolina
Research Site43210ColumbusOhio
Research Site97239PortlandOregon

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