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AZD0486

Phase 3

Large B-cell Lymphoma | Small molecule | Oncology |AstraZeneca PLC|Last Updated: May 22, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment420
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07215585AZD0486 1L Therapy for Elderly or Unfit Participants With LBCLPHASE3 RECRUITING 420Nov 11, 2025Jul 28, 2033May 22, 202664 Australia, Belgium +9
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Study Endpoints
Primary Endpoints
SRI - Safety evaluation of R-mini-CHOP × 2 followed by AZD0486: Number of participants with treatment-related adverse events.
Up to 1 year

Incidence and severity of AEs, SAEs, AESIs, and events of clinical interest based on NCI CTCAE v5.0/ASTCT, vital signs, laboratory parameters.

SRI - Tolerability evaluation of R-mini-CHOP × 2 followed by AZD0486: Number of participants with treatment-related adverse events.
Up to 1 year

AEs leading to study treatment discontinuation or dose modification based on NCI CTCAE v5.0/ASTCT, vital signs, laboratory parameters.

SRI - Determination of the recommended Phase III dose (RP3D)
Up to 1 year

The RP3D will be the dose of AZD0486 selected for the Phase 3 part based on safety data compiled during the Safety Run-In part

Phase 3 - To demonstrate the superiority of R-mini-CHOP x2 followed by AZD0486 compared to R-mini-CHOP x6 regimen.
Up to 7 years

Progression-free Surival (PFS), based on Lugano 2014 Response Criteria.

Secondary Endpoints
Safety Run-In and Phase 3 - ORR
Up to 7 years
Safety Run-In and Phase 3 - CR Rate
Up to 7 years
Safety Run-In and Phase 3 - DoR
Up to 7 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Phase III Arm A: R-mini-CHOP and AZD0486EXPERIMENTAL2 cycles of R-mini-CHOP followed sequentially by multiple cycles of AZD0486 at RP3D.
Phase III Arm B: R-mini-CHOPACTIVE_COMPARATOR6 cycles of R-mini-CHOP per SoC regimen.
Safety Run in: R-mini-CHOP and AZD0486EXPERIMENTAL2 cycles of R-mini-CHOP followed sequentially by multiple cycles of AZD0486 at RP2D.
Interventions
NameTypeDescription
AZD0486DRUGBispecific monoclonal IgG4 antibody
R-mini-CHOPDRUGIntravenous administration: Rituximab 375 mg/m2, Cyclophosphamide 400 mg/m2, Doxorubicin 25 mg/m2, Vincristine 1 mg, and Oral administration: Prednisone 40 mg/m2
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Eligibility Criteria
Age Range65 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites64

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 p...

Countries:AustraliaBelgiumBrazilCanadaChinaHong KongJapanPolandSouth KoreaTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07215585primaryCompletionDate: changed
LOWMay 24, 2026NCT07215585studyFirstPostDate: changed