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

PHASE3RECRUITING

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.

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Study details:

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.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Participant must be at least 18 years of age, inclusive, at the time of signing the ICF.
  • Histologically confirmed diagnosis of FL Grades 1-3A per WHO 2016 classification
  • ECOG performance status of 0 to 2
  • No prior systemic lymphoma-directed therapy
  • Need for systemic treatment meeting at least 1 GELF criteria
  • FDG-avid and measurable disease
  • Adequate liver, hematological, renal and cardiac function.
  • Exclusion criteria

  • Follicular lymphoma Grade 3B (WHO 2016 classification) or suspicion for histologic transformation to high-grade/aggressive lymphoma
  • Contra-indication to BR, RCVP, and R-CHOP
  • Participants with or history of CNS lymphoma
  • Presence of >5000 circulating lymphoma cells
  • Active or uncontrolled infection requiring systemic therapy and which places participant at unacceptable risk if he/she were to participate in the study
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2024-08-07

    Primary completion: 2031-04-15

    Study completion finish: 2035-02-28

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE3

    trial

    Trial ID

    NCT06549595

    Intervention or treatment

    DRUG: AZD0486

    DRUG: R-CHOP

    DRUG: R-CVP

    DRUG: BR

    Conditions

    • Untreated Follicular Lymphoma

    Find a site

    Closest Location:

    Research Site

    Research sites nearby

    Select from list below to view details:

    • Research Site

      Macquarie University, Not Specified, Australia

    • Research Site

      Nedlands, Not Specified, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: Rituximab, AZD0486 - A
    • AZD0486 regimen A plus rituximab
    DRUG: AZD0486
    • a fully human bispecific monoclonal IgG4 antibody
    EXPERIMENTAL: Rituximab, AZD0486 - B
    • AZD0486 regimen B plus rituximab
    DRUG: AZD0486
    • a fully human bispecific monoclonal IgG4 antibody
    ACTIVE_COMPARATOR: Chemoimmunotherapy
    • Investigator's choice between 3 standard immunochemotherapy regimen (R-CHOP or R-CVP followed by rituximab maintenance, or B-R)
    DRUG: R-CHOP
    • Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    SRI Primary: Incidence, nature and severity of AEs and SAEs. Incidence and nature of study drug discontinuations, dose reductions, and dose delays due to AEsFrequency, severity, and relationship to study drug of AEs and SAEs; dose modifications; changes in physical examination and safety procedures.Up to 10 years
    SRI Primary: Determination of the recommended Phase III dose (RP3D)The RP3D will be the dose of AZD0486 selected for the Phase 3 part based on safety data compiled during the safety run-in partUp to 1 year
    Phase 3 Primary: To demonstrate the superiority of AZD0486 plus rituximab compared to Investigator's choice of SoC chemoimmunotherapyPFS, based on Lugano 2014 Response Criteria, as assessed by BICR.Up to 10 years

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Safety Run in and Phase 3: ORRORR defined as the proportion of participants achieving either a PR or CR at any time based on Lugano 2014 Response CriteriaUp to 10 years
    Safety Run In and Phase 3: CR RateCR rate is defined as the proportion of participants achieving a CR at any time as based on Lugano 2014 Response CriteriaUp to 10 years
    Safety Run In and Phase 3: CR at EoIProportion of participants achieving CR at End of Induction based on Lugano 2014 Response CriteriaUp to 10 years
    Safety Run In and Phase 3: DoRDoR will be defined as the time from the time of first response until progression based on Lugano 2014 criteriaup to 10 years
    Safety Run In and Phase 3: PFSPFS is defined as time until disease progression based on Lugano 2014 Response CriteriaUp to 10 years
    Safety Run In and Phase 3: OSOS is defined as time until the date of deathUp to 10 years
    Phase 3: CR rate at 30 monthsProportion of participants in CR rate at 30 months (CR30) based on Lugano 2014 Response CriteriaUp to 10 Years

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    References

    Clinical Trials Gov: A Study of AZD0486 Plus Rituximab in Previously Untreated Follicular Lymphoma Patients

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