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

NCT ID: NCT06526793

Condition: B-cell Non-Hodgkin Lymphoma
Follicular Lymphoma (FL)
Diffuse Large B-Cell Lymphoma (DLBCL)

Conditions: Official terms:
Lymphoma
Lymphoma, Follicular
Lymphoma, Non-Hodgkin
Lymphoma, B-Cell
Lymphoma, Large B-Cell, Diffuse

Conditions: Keywords:
AZD0486
Follicular Lymphoma (FL)
Diffuse Large B-Cell Lymphoma (DLBCL)
Non-Hodgkin lymphoma (NHL)
Relapsed/Refractory

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Intervention model description: The trial will assess AZD0486 monotherapy given by IV infusion. Module 1 will evaluate the efficacy and safety of AZD0486 monotherapy at the recommended Phase 2 dose (RP2D), in participants 18 to 80 years of age, with relapsed or refractory (R/R) follicular lymphoma (FL) who have received ≥ 2 prior therapies. Module 2 will evaluate the efficacy and safety of AZD0486 monotherapy at the RP2D for participants 18 to 80 years of age with (R/R) diffuse large B-cell lymphoma (DLBCL).

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: AZD0486
Description: Investigational Product administered via intravenous infusion.
Arm group label: Module 1: AZD0486 Monotherapy in Participants with Relapsed or Refractory Follicular Lymphoma
Arm group label: Module 2: AZD0486 Monotherapy in Participants with Relapsed or Refractory DLBCL

Summary: 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.

Detailed 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.

Criteria for eligibility:
Criteria:
1. Key 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. 2. 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.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

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City: Duarte
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Zip: 3084
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City: Kogarah
Zip: NSW 2217
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City: Macquarie University
Zip: 2109
Country: Australia

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Address:
City: Nedlands
Zip: 6009
Country: Australia

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City: Sao Paulo
Zip: 01401-002
Country: Brazil

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Name: Research Site

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City: Sao Paulo
Zip: 05652-900
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City: Barrie
Zip: L4M 6M2
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City: Ottawa
Zip: K1H 8L6
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Zip: M5G 2M9
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City: Berlin
Zip: 10967
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City: Chemnitz
Zip: 09116
Country: Germany

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City: Essen
Zip: 45122
Country: Germany

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City: Wuerzburg
Zip: 97080
Country: Germany

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Address:
City: Chiba-shi
Zip: 260-8717
Country: Japan

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Name: Research Site

Address:
City: Kashiwa
Zip: 277-8577
Country: Japan

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Address:
City: Koto-ku
Zip: 135-8550
Country: Japan

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City: Kumamoto-shi
Zip: 860-0008
Country: Japan

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City: Niigata-shi
Zip: 951-8520
Country: Japan

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Name: Research Site

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City: Okayama-shi
Zip: 700-8558
Country: Japan

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City: Osaka-shi
Zip: 541-8567
Country: Japan

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Address:
City: Yokohama-shi
Zip: 241-8515
Country: Japan

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Address:
City: Barcelona
Zip: 8035
Country: Spain

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City: Madrid
Zip: 28040
Country: Spain

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Name: Research Site

Address:
City: Pozuelo de Alarcon
Zip: 28223
Country: Spain

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Address:
City: Kaohsiung City
Zip: 833401
Country: Taiwan

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Name: Research Site

Address:
City: Kaohsiung
Zip: 80756
Country: Taiwan

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Name: Research Site

Address:
City: Taichung
Zip: 404
Country: Taiwan

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Name: Research Site

Address:
City: Taichung
Zip: 40705
Country: Taiwan

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Name: Research Site

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City: Tainan City
Zip: 70403
Country: Taiwan

Facility:
Name: Research Site

Address:
City: Taipei City
Zip: 106
Country: Taiwan

Start date: October 28, 2024

Completion date: May 15, 2029

Lead sponsor:
Agency: AstraZeneca
Agency class: Industry

Source: AstraZeneca

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06526793

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