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AZD0486

Phase 3

Large B-cell Lymphoma | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jun 18, 2026

Target and mechanism

ModalitySmall molecule

Also known as AZD0486 IV

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment420

FDA Designations

No designations recorded

Clinical trial landscape

AZD0486 · 2 trials · 5 indications

Phase 3 1Phase 1 1
NCT07215585AZD0486 1L Therapy for Elderly or Unfit Participants With LBCLLarge B-cell Lymphoma
RECRUITING420 Analytics
PHASE3RECRUITING
AZD0486 1L Therapy for Elderly or Unfit Participants With LBCL
Large B-cell LymphomaUnlock trial analytics

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.

Incidence of subjects with Dose-limiting toxicities (DLT)
28 days

A DLT is defined as a TEAE that is not unequivocally due to the subject's underlying malignancy or other extraneous cause. DLT evaluable subjects are defined as those subjects who receive either the target dose of AZD0486 or priming dose(s) in any step-up dose schedule and are assessed for toxicities for the 28-day evaluation period. The NCI-CTCAE version 5.0 will be used (except for CRS and NT). A DLT will be evaluated as Non-hematologic, Hematologic, Cytokine Release Syndrome (CRS), or neurotoxicity.

Incidence of subjects with adverse events (AEs) and/or serious adverse events (SAEs)
From screening until 90 Days after end of treatment

The incidence, timing, seriousness, and relationship to study treatment of adverse events will be evaluated.

Maximum Observed Serum Concentration of AZD0486 (Cmax)
4 Weeks

The maximum observed serum concentration on a concentration time curve.

Area under the concentration versus time curve from time zero to the last quantifiable time point prior to the next dose (AUClast)
4 Weeks

Area under the serum concentration-time curve from time zero to time of last measurable concentration.

Apparent terminal half-life (t1/2) of AZD0486
From screening until 90 Days after end of treatment

Terminal half-life (t1/2,) will be determined after infusion in Cycle 1 using non-compartmental methods.

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.
AZD0486 Monotherapy Dose Escalation in Subjects with B-NHLEXPERIMENTALAZD0486 monotherapy will be administered intravenously on day 1 and 15 of 28 day cycles for a maximum of 2 years or until discontinuation criteria are met. Depending on cohort, subjects may receive priming or step-up dosing administered weekly during cycle 1 before reaching the target dose. Additional cohorts may be opened where subjects receive weekly dosing during Cycles 1-2. While on study, subjects will be monitored for safety and efficacy with periodic disease assessment with PET/CT. If subject achieves two consecutive CRs after completing C6, then they may be eligible for monthly dosing

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
AZD0486 IVDRUGAZD0486 is a bispecific antibody targeting CD19 on tumor cells and CD3 on T-cells leading to T cell-mediated cytotoxicity of malignant B cells
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Eligibility Criteria

Age Range65 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites68

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 KingdomUnited StatesTaiwan
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Recent Changes (Last 90 Days)

LOWJun 18, 2026NCT07215585lastUpdatePostDate: changed
MEDIUMJun 18, 2026NCT04594642Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWJun 18, 2026NCT07215585lastUpdatePostDate: changed
MEDIUMJun 18, 2026NCT04594642Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWJun 18, 2026NCT07215585lastUpdatePostDate: changed
MEDIUMJun 18, 2026NCT04594642Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMJun 18, 2026NCT04594642Status: RECRUITING → ACTIVE_NOT_RECRUITING

Frequently asked questions about AZD0486

What is AZD0486 used for?

AZD0486 is an investigational oncology therapy being studied for the treatment of B-cell non-Hodgkin lymphoma and large B-cell lymphoma. It is currently in clinical development for these blood cancers, which include subtypes such as diffuse large B-cell lymphoma, high-grade B-cell lymphoma, and follicular lymphoma.

Who makes AZD0486?

AZD0486 is being developed by AstraZeneca PLC, a global biopharmaceutical company traded on the stock exchange under the ticker symbol AZN. The company is conducting clinical trials to evaluate the safety and efficacy of this investigational therapy in patients with certain types of lymphoma.

What phase is AZD0486 in?

AZD0486 is in Phase 1 clinical development. One active Phase 1 study is evaluating the drug in patients with B-cell non-Hodgkin lymphoma, and a separate Phase 3 trial is also listed as recruiting for large B-cell lymphoma, indicating the program is advancing through clinical testing.

What clinical trials is AZD0486 in?

AZD0486 is being studied in two clinical trials. NCT04594642 is a Phase 1 study in B-cell non-Hodgkin lymphoma with 226 participants, active but not recruiting. NCT07215585 is a Phase 3 trial in large B-cell lymphoma for elderly or unfit patients, currently recruiting 420 participants across multiple countries.

Is AZD0486 the same as AZD0486 IV?

Yes, AZD0486 IV is another name for AZD0486. The intravenous formulation is referenced in clinical trial documentation, and both names refer to the same investigational drug being developed by AstraZeneca for the treatment of B-cell lymphomas.