AZD0486 1L Therapy for Elderly or Unfit Participants With LBCL

NCT ID: NCT07215585

Last Updated: 2026-01-15

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

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-11

Study Completion Date

2033-07-28

Brief Summary

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The purpose of this study is to measure the efficacy and safety of R-mini-CHOP × 2 followed by AZD0486 compared with R-mini-CHOP × 6 in elderly or unfit participants newly diagnosed with LBCL.

Detailed Description

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Conditions

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Large B-cell Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study consists of 2 sequential parts: a safety run-in (SRI) followed by the phase III.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase III Arm A: R-mini-CHOP and AZD0486

2 cycles of R-mini-CHOP followed sequentially by multiple cycles of AZD0486 at RP3D.

Group Type EXPERIMENTAL

AZD0486

Intervention Type DRUG

Bispecific monoclonal IgG4 antibody

R-mini-CHOP

Intervention Type DRUG

Intravenous administration: Rituximab 375 mg/m2, Cyclophosphamide 400 mg/m2, Doxorubicin 25 mg/m2, Vincristine 1 mg, and Oral administration: Prednisone 40 mg/m2

Phase III Arm B: R-mini-CHOP

6 cycles of R-mini-CHOP per SoC regimen.

Group Type ACTIVE_COMPARATOR

R-mini-CHOP

Intervention Type DRUG

Intravenous administration: Rituximab 375 mg/m2, Cyclophosphamide 400 mg/m2, Doxorubicin 25 mg/m2, Vincristine 1 mg, and Oral administration: Prednisone 40 mg/m2

Safety Run in: R-mini-CHOP and AZD0486

2 cycles of R-mini-CHOP followed sequentially by multiple cycles of AZD0486 at RP2D.

Group Type EXPERIMENTAL

AZD0486

Intervention Type DRUG

Bispecific monoclonal IgG4 antibody

R-mini-CHOP

Intervention Type DRUG

Intravenous administration: Rituximab 375 mg/m2, Cyclophosphamide 400 mg/m2, Doxorubicin 25 mg/m2, Vincristine 1 mg, and Oral administration: Prednisone 40 mg/m2

Interventions

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AZD0486

Bispecific monoclonal IgG4 antibody

Intervention Type DRUG

R-mini-CHOP

Intravenous administration: Rituximab 375 mg/m2, Cyclophosphamide 400 mg/m2, Doxorubicin 25 mg/m2, Vincristine 1 mg, and Oral administration: Prednisone 40 mg/m2

Intervention Type DRUG

Other Intervention Names

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TNB-486

Eligibility Criteria

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Inclusion Criteria

* Participants are either 80 years of age or older, OR 65 to 79 years of age or older and classified as unfit per sGA, and otherwise not considered candidates for full-dose R-CHOP per investigator assessment;
* Histologically confirmed diagnosis of previously untreated LBCL as per WHO-HEM5 (excluding plasmablastic lymphoma) and follicular large cell lymphoma;
* FDG-avid and measurable disease as per Lugano and Ann Arbor staging;
* Stage I bulky (7.5 cm and greater) to Stage IV;
* ECOG performance status 0 to 2;
* Adequate bone marrow, liver, renal and cardiac function.


* As judged by the investigator, any evidence of diseases which make it undesirable for the participant to participate in the study, or that would jeopardise compliance with the protocol
* Diagnosis of post-transplant lymphoproliferative disease, plasmablastic lymphoma, Richter's transformation, prior history of or concurrent indolent lymphoma (including de novo transformed or composite lymphoma).
* History of CNS involvement by their B-NHL or history of clinically relevant CNS medical condition
* Known history of hemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS).
* Active or uncontrolled infection
* Major cardiac abnormalities
* Prior anti-lymphoma therapy except for corticosteroids for symptom control
* Requires chronic immunosuppressive therapy for active autoimmune/inflammatory condition, with some exceptions
Minimum Eligible Age

65 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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Michael Dickinson,, MBBS BS DMSc

Role: PRINCIPAL_INVESTIGATOR

Peter MacCallum Cancer Center

Locations

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Research Site

Melbourne, , Australia

Site Status RECRUITING

Research Site

Nedlands, , Australia

Site Status NOT_YET_RECRUITING

Research Site

Antwerp, , 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

Leuven, , Belgium

Site Status NOT_YET_RECRUITING

Research Site

Roeselare, , Belgium

Site Status NOT_YET_RECRUITING

Research Site

Yvoir, , 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

Calgary, Alberta, Canada

Site Status NOT_YET_RECRUITING

Research Site

Ottawa, Ontario, Canada

Site Status NOT_YET_RECRUITING

Research Site

Beijing, , China

Site Status NOT_YET_RECRUITING

Research Site

Changchun, , China

Site Status NOT_YET_RECRUITING

Research Site

Chengdu, , China

Site Status NOT_YET_RECRUITING

Research Site

Guangzhou, , China

Site Status NOT_YET_RECRUITING

Research Site

Nanchang, , China

Site Status NOT_YET_RECRUITING

Research Site

Shandong, , China

Site Status NOT_YET_RECRUITING

Research Site

Shanghai, , China

Site Status NOT_YET_RECRUITING

Research Site

Shanghai, , China

Site Status NOT_YET_RECRUITING

Research Site

Hong Kong, , Hong Kong

Site Status NOT_YET_RECRUITING

Research Site

Lai Chi Kok, , Hong Kong

Site Status NOT_YET_RECRUITING

Research Site

Shatin, , Hong Kong

Site Status WITHDRAWN

Research Site

Bunkyō City, , Japan

Site Status RECRUITING

Research Site

Kōtoku, , Japan

Site Status RECRUITING

Research Site

Osaka, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Sunto-gun, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Yamagata, , Japan

Site Status RECRUITING

Research Site

Yokohama, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Kielce, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Krakow, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Lodz, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Lublin, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Wroclaw, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Seoul, , South Korea

Site Status RECRUITING

Research Site

Seoul, , South Korea

Site Status RECRUITING

Research Site

Ankara, , Turkey (Türkiye)

Site Status NOT_YET_RECRUITING

Research Site

Antalya, , Turkey (Türkiye)

Site Status NOT_YET_RECRUITING

Research Site

London, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Newcastle upon Tyne, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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Australia Belgium Brazil Canada China Hong Kong Japan Poland South Korea Turkey (Türkiye) United Kingdom

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

1-877-240-9479

Other Identifiers

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2025-522029-37-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

D7402C00001

Identifier Type: -

Identifier Source: org_study_id

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