A Study of AZD0486 Plus Rituximab in Previously Untreated Follicular Lymphoma Patients

NCT ID: NCT06549595

Last Updated: 2025-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1015 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-07

Study Completion Date

2031-11-26

Brief Summary

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This is a global, randomised, Phase III, multicentre, open-label study evaluating the efficacy, safety and the degree of added benefit of the AZD0486 plus rituximab combination compared to Investigator's choice of 3 standard immunochemotherapy regimen, conducted in participants with untreated FL.

Detailed Description

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The study consists of 2 sequential parts.

1. Safety Run-in - this part will compare dose levels of AZD0486 in combination with rituximab in order to establish the RP3D.
2. Phase III - The Phase III part will assess the superiority of AZD0486 at RP3D in combination with rituximab, compared to Investigator's choice between 3 standard chemoimmunotherapy regimens. Phase 3 consists of 3 arms

1. Arm A: treatment with AZD0486 plus rituximab Schedule A
2. Arm B: treatment with AZD0486 plus rituximab Schedule B
3. Arm C (Comparator arm): one of the following standard regimens per Investigator's choice: R-CVP + rituximab maintenance, R-CHOP + rituximab maintenance and B-R + rituximab maintenance

Conditions

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Untreated Follicular Lymphoma

Keywords

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Follicular Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rituximab, AZD0486 - A

AZD0486 regimen A plus rituximab

Group Type EXPERIMENTAL

AZD0486

Intervention Type DRUG

a fully human bispecific monoclonal IgG4 antibody

Rituximab, AZD0486 - B

AZD0486 regimen B plus rituximab

Group Type EXPERIMENTAL

AZD0486

Intervention Type DRUG

a fully human bispecific monoclonal IgG4 antibody

Chemoimmunotherapy

Investigator's choice between 3 standard immunochemotherapy regimen (R-CHOP or R-CVP followed by rituximab maintenance, or B-R followed by rituximab maintenance)

Group Type ACTIVE_COMPARATOR

R-CHOP

Intervention Type DRUG

Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone

R-CVP

Intervention Type DRUG

Rituximab, Cyclophosphamide, Vincristine and Prednisone

BR

Intervention Type DRUG

Bendamustine, Rituximab

Interventions

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AZD0486

a fully human bispecific monoclonal IgG4 antibody

Intervention Type DRUG

R-CHOP

Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone

Intervention Type DRUG

R-CVP

Rituximab, Cyclophosphamide, Vincristine and Prednisone

Intervention Type DRUG

BR

Bendamustine, Rituximab

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Participant must be at least 18 years of age, inclusive, at the time of signing the ICF.
2. Histologically confirmed diagnosis of classic FL per WHO 2022 classification
3. ECOG performance status of 0 to 2
4. No prior systemic lymphoma-directed therapy
5. Need for systemic treatment meeting at least 1 GELF criteria
6. FDG-avid and measurable disease
7. Stage II to IV and FLIPI 2-5 \[Phase III only\]
8. Adequate liver, hematological, renal and cardiac function.

Exclusion Criteria

1. Follicular large B-cell lymphoma (WHO 2022 classification), formerly Follicular lymphoma Grade 3B (WHO 2016 classification) or suspicion for histologic transformation to high-grade/aggressive lymphoma
2. Contra-indication to BR, RCVP, and R-CHOP
3. Participants with or history of CNS lymphoma
4. Presence of \>5000 circulating lymphoma cells
5. Active or uncontrolled infection requiring systemic therapy and which places participant at unacceptable risk if he/she were to participate in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chan Cheah, MBBS FRACP FRCPA DMSc

Role: PRINCIPAL_INVESTIGATOR

Sir Charles Gairdner Hospital (SCGH)

Locations

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Research Site

Garran, , Australia

Site Status NOT_YET_RECRUITING

Research Site

Heidelberg, , Australia

Site Status RECRUITING

Research Site

Macquarie University, , Australia

Site Status RECRUITING

Research Site

Nedlands, , Australia

Site Status RECRUITING

Research Site

Brussels, , Belgium

Site Status NOT_YET_RECRUITING

Research Site

Brussels, , Belgium

Site Status NOT_YET_RECRUITING

Research Site

Ghent, , Belgium

Site Status NOT_YET_RECRUITING

Research Site

Mechelen, , Belgium

Site Status NOT_YET_RECRUITING

Research Site

Porto Alegre, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

São Paulo, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

São Paulo, , Brazil

Site Status RECRUITING

Research Site

Winnipeg, Manitoba, Canada

Site Status NOT_YET_RECRUITING

Research Site

Halifax, Nova Scotia, Canada

Site Status NOT_YET_RECRUITING

Research Site

Barrie, Ontario, Canada

Site Status NOT_YET_RECRUITING

Research Site

Hamilton, Ontario, Canada

Site Status RECRUITING

Research Site

Oshawa, Ontario, Canada

Site Status RECRUITING

Research Site

Toronto, Ontario, Canada

Site Status NOT_YET_RECRUITING

Research Site

Chicoutimi, Quebec, Canada

Site Status RECRUITING

Research Site

Montreal, Quebec, Canada

Site Status NOT_YET_RECRUITING

Research Site

Québec, Quebec, Canada

Site Status NOT_YET_RECRUITING

Research Site

Saint-Jérôme, Quebec, Canada

Site Status NOT_YET_RECRUITING

Research Site

Beijing, , China

Site Status NOT_YET_RECRUITING

Research Site

Beijing, , China

Site Status RECRUITING

Research Site

Beijing, , China

Site Status NOT_YET_RECRUITING

Research Site

Changchun, , China

Site Status NOT_YET_RECRUITING

Research Site

Changsha, , China

Site Status NOT_YET_RECRUITING

Research Site

Chengdu, , China

Site Status NOT_YET_RECRUITING

Research Site

Chongqing, , China

Site Status NOT_YET_RECRUITING

Research Site

Fuzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Guangzhou, , China

Site Status NOT_YET_RECRUITING

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Guangzhou, , China

Site Status NOT_YET_RECRUITING

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Guangzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Hangzhou, , China

Site Status NOT_YET_RECRUITING

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Hangzhou, , China

Site Status NOT_YET_RECRUITING

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Harbin, , China

Site Status NOT_YET_RECRUITING

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Hefei, , China

Site Status NOT_YET_RECRUITING

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Lanzhou, , China

Site Status NOT_YET_RECRUITING

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Nanchang, , China

Site Status NOT_YET_RECRUITING

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Nanchang, , China

Site Status NOT_YET_RECRUITING

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Nanjing, , China

Site Status NOT_YET_RECRUITING

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Nanning, , China

Site Status NOT_YET_RECRUITING

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Shandong, , China

Site Status NOT_YET_RECRUITING

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Shanghai, , China

Site Status NOT_YET_RECRUITING

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Shanghai, , China

Site Status NOT_YET_RECRUITING

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Shenyang, , China

Site Status NOT_YET_RECRUITING

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Shenyang, , China

Site Status NOT_YET_RECRUITING

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Shijiazhuang, , China

Site Status NOT_YET_RECRUITING

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Suzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Tianjin, , China

Site Status RECRUITING

Research Site

Wenzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Wuhan, , China

Site Status NOT_YET_RECRUITING

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Xi'an, , China

Site Status NOT_YET_RECRUITING

Research Site

Xiamen, , China

Site Status NOT_YET_RECRUITING

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Zhengzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Zhengzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Helsinki, , Finland

Site Status NOT_YET_RECRUITING

Research Site

Kuopio, , Finland

Site Status NOT_YET_RECRUITING

Research Site

Tampere, , Finland

Site Status NOT_YET_RECRUITING

Research Site

Hong Kong, , Hong Kong

Site Status RECRUITING

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Shatin, , Hong Kong

Site Status NOT_YET_RECRUITING

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Budapest, , Hungary

Site Status NOT_YET_RECRUITING

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Bunkyō City, , Japan

Site Status NOT_YET_RECRUITING

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Chiba, , Japan

Site Status NOT_YET_RECRUITING

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Chuo-shi, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Fukuoka, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Hirakata-shi, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Kobe, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Kōtoku, , Japan

Site Status RECRUITING

Research Site

Kumamoto, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Kurashiki-shi, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Kyoto, , Japan

Site Status RECRUITING

Research Site

Minatoku, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Okayama, , Japan

Site Status RECRUITING

Research Site

Osaka, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Sapporo, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Sapporo, , Japan

Site Status RECRUITING

Research Site

Sunto-gun, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Toyoake-shi, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Yamagata, , Japan

Site Status RECRUITING

Research Site

Yokohama, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Gliwice, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Busan, , South Korea

Site Status RECRUITING

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Busan, , South Korea

Site Status RECRUITING

Research Site

Goyang-si, , South Korea

Site Status RECRUITING

Research Site

Jeonnam, , South Korea

Site Status RECRUITING

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Seoul, , South Korea

Site Status RECRUITING

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Seoul, , South Korea

Site Status RECRUITING

Research Site

Seoul, , South Korea

Site Status RECRUITING

Research Site

Seoul, , South Korea

Site Status RECRUITING

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Seoul, , South Korea

Site Status RECRUITING

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Barcelona, , Spain

Site Status NOT_YET_RECRUITING

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Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

El Palmar, , Spain

Site Status NOT_YET_RECRUITING

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Girona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Las Palmas de Gran Canaria, , Spain

Site Status NOT_YET_RECRUITING

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Madrid, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Oviedo, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Pamplona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Santander, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Falun, , Sweden

Site Status NOT_YET_RECRUITING

Research Site

Uppsala, , Sweden

Site Status WITHDRAWN

Research Site

Changhua, , Taiwan

Site Status RECRUITING

Research Site

Kaohsiung City, , Taiwan

Site Status RECRUITING

Research Site

Kaohsiung City, , Taiwan

Site Status RECRUITING

Research Site

Lukang Township, , Taiwan

Site Status RECRUITING

Research Site

Tainan, , Taiwan

Site Status RECRUITING

Research Site

Taipei, , Taiwan

Site Status RECRUITING

Research Site

Bangkok, , Thailand

Site Status RECRUITING

Research Site

Bangkok, , Thailand

Site Status NOT_YET_RECRUITING

Research Site

Chiang Mai, , Thailand

Site Status RECRUITING

Research Site

Khon Kaen, , Thailand

Site Status RECRUITING

Research Site

Ankara, , Turkey (Türkiye)

Site Status WITHDRAWN

Research Site

Ankara, , Turkey (Türkiye)

Site Status WITHDRAWN

Research Site

London, , United Kingdom

Site Status RECRUITING

Research Site

London, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Newcastle upon Tyne, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Norwich, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Nottingham, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Plymouth, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Southampton, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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Australia Belgium Brazil Canada China Finland Hong Kong Hungary Japan Poland South Korea Spain Sweden Taiwan Thailand Turkey (Türkiye) United Kingdom

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

Phone: 1-877-240-9479

Email: [email protected]

Other Identifiers

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2023-510098-33-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

D7401C00001

Identifier Type: -

Identifier Source: org_study_id