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AZD2936

Phase 3

Non-Small-Cell Lung Carcinoma | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Oct 16, 2026

AZD2936 development status

Highest phase Phase 3 (NCT06868277)
Phase scored for AZNPhase 1
Registered trials 31 across 4 sponsors since Nov 2018

AZD2936 target and mechanism

ModalitySmall molecule

Also known as Rilvegostomig, IV Rilvegostomig, SC Rilvegostomig

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials12
Total Enrollment6,710

FDA Designations

No designations recorded

AZD2936 clinical trials

AZD2936 · 12 trials · 11 indications

Phase 3 6Phase 2 2Phase 1 3Early Phase 1 1
NCT07221253A Study of Rilvegostomig or Durvalumab Plus Chemotherapy for First-Line Treatment of Biliary Tract Cancer (ARTEMIDE-Biliary02)Biliary Tract Cancer
RECRUITING1,100 Analytics
NCT06868277A Global Phase III Study of Rilvegostomig or Pembrolizumab Monotherapy for First-Line Treatment of PD-L1-high Metastatic Non-small Cell Lung CancerCarcinoma, Non-Small Cell Lung
RECRUITING830 Analytics
NCT06764875A Phase Ⅲ Study of Rilvegostomig in Combination With Fluoropyrimidine and Trastuzumab Deruxtecan as the First-line Treatment for HER2-positive Gastric CancerHER2-positive Gastric Cancer
RECRUITING840 Analytics
NCT06627647A Global Phase III Study of Rilvegostomig or Pembrolizumab Plus Chemotherapy for First-Line Treatment of Locally Advanced or Metastatic Non-Squamous NSCLCNon-squamous Non-small Cell Lung Cancer
RECRUITING1,160 Analytics
NCT06692738A Global Phase III Study of Rilvegostomig or Pembrolizumab Plus Chemotherapy for First-Line Treatment of Locally Advanced or Metastatic Squamous Non-small Cell Lung Cancer (NSCLC)Non-small Cell Lung Cancer
RECRUITING1,160 Analytics
NCT06109779Rilvegostomig + Chemotherapy as Adjuvant Therapy for Biliary Tract Cancer After Resection (ARTEMIDE-Biliary01)Biliary Tract Cancer
ACTIVE NOT_RECRUITING760 Analytics
PHASE3RECRUITING
A Study of Rilvegostomig or Durvalumab Plus Chemotherapy for First-Line Treatment of Biliary Tract Cancer (ARTEMIDE-Biliary02)
Biliary Tract CancerUnlock trial analytics
PHASE3RECRUITING
A Global Phase III Study of Rilvegostomig or Pembrolizumab Monotherapy for First-Line Treatment of PD-L1-high Metastatic Non-small Cell Lung Cancer
Carcinoma, Non-Small Cell LungUnlock trial analytics
PHASE3RECRUITING
A Phase Ⅲ Study of Rilvegostomig in Combination With Fluoropyrimidine and Trastuzumab Deruxtecan as the First-line Treatment for HER2-positive Gastric Cancer
HER2-positive Gastric CancerUnlock trial analytics
PHASE3RECRUITING
A Global Phase III Study of Rilvegostomig or Pembrolizumab Plus Chemotherapy for First-Line Treatment of Locally Advanced or Metastatic Non-Squamous NSCLC
Non-squamous Non-small Cell Lung CancerUnlock trial analytics
PHASE3RECRUITING
A Global Phase III Study of Rilvegostomig or Pembrolizumab Plus Chemotherapy for First-Line Treatment of Locally Advanced or Metastatic Squamous Non-small Cell Lung Cancer (NSCLC)
Non-small Cell Lung CancerUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Rilvegostomig + Chemotherapy as Adjuvant Therapy for Biliary Tract Cancer After Resection (ARTEMIDE-Biliary01)
Biliary Tract CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival (OS) in the PDL1 ≥ 1% population
approximately 4 years

Overall Survival is defined as time from randomization until the date of death due to any cause.

Overall Survival (OS)
Up to approximately 5 years

OS is defined as the time from randomization until the date of death due to any cause.

Progression-Free Survival (PFS)
Up to approximately 5 years

PFS is defined as the time from randomization until radiological progression per RECIST 1.1 or death due to any cause (in the absence of progression).

Progression free survival (PFS)
Up to approximately 6 years

PFS is defined as time from randomization until progression per RECIST v1.1, or death due to any cause.

Recurrence free survival (RFS) for Arm A vs. Arm B
Approximately 5 years

Recurrence-free survival (RFS) is defined as the time from randomization until the date of radiological recurrence guided by RECIST 1.1 or death due to any cause, whichever occurs first.

Number of participants with adverse events (AE) and serious adverse events (SAE)
Through study completion, an average of 3 years

To assess the safety and tolerability

Objective response rate (ORR)
Through study completion, an average of 3 years

ORR is defined as the proportion of participants who have a confirmed CR (complete response) or confirmed PR (partial response) per RECIST 1.1

ORR (per RECIST 1.1 as assessed by Investigator)
Through substudy completion, an average of 2 years

the proportion of participants who have a confirmed complete response or confirmed partial response, as determined by the Investigator at local site per RECIST 1.1.

PFS6 (per RECIST 1.1 as assessed by Investigator)
Through substudy completion, an average of 2 years

the proportion of participants alive and progression-free at 6 months.

Area under the Concentration-time Curve During One Dosing Interval (AUCtau)
From Day 1 up to end of Cycle 2 in Part 1 and end of Cycle 1 in Part 2 (each cycle will be of 3 weeks)

Bioavailability based on AUCtau at first SC dose will be determined.

Part A and Part B: Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Approximately 46 months

To assess the safety and tolerability and determine RP2D of the combination of novel anti-cancer agents.

Part A: Number of partcipants with dose limiting toxicity (DLT)
Approximately 46 months

To assess the safety and tolerability and determine RP2D of the combination of novel anti-cancer agents.

Part B: Objective response (OR)
Approximately 46 months

The OR is defined as a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR).

Percentage of participants with adverse events (AEs) and immune mediated AEs (imAEs), serious AEs (SAEs), dose limiting toxicities (DLTs), vital signs, and abnormal laboratory parameters
Part A, B, C, D and E: From the time of informed consent until 90 days after the last dose of rilvegostomig

A DLT is a toxicity defined by the study protocol that occurs from the first dose of study intervention up to the end of the DLT evaluation period that is assessed as clearly unrelated to the primary disease or intercurrent illness.

Rate of rilvegostomig discontinuation due to toxicity
Part A, B, C, D and E: From first dose to the last dose of rilvegostomig (an average of 6 months)

Percentage of participants with AEs leading to discontinuation of rilvegostomig

Evaluation of signature scores using Gene Set Variability Analysis within regions injected with microdoses of rilvegostomig, volrustomig, sabestomig, AZD9592, or pembrolizumab as single agents or as AZD9592 drug combinations with the evaluated biologics
1 to 3 days after microdose injection

The localized activity of injected microdoses will be analyzed using the NanoString GeoMx Digital Spatial Profiler (DSP) and the GeoMx Cancer Transcriptome Atlas to comprehensively profile over 1800 genes simultaneously with spatial resolution to describe tumor biology, the TME, and the immune response signatures of each drug at an injection site. DSP outcomes may be validated via IHC, immunofluorescence, or ISH technique.

Secondary Endpoints

Overall Survival in the intent to treat (ITT) population
approximately 4 years
Progression Free Survival (PFS) in the PDL1 ≥ 1% population
approximately 4 years
Progression Free Survival (PFS) in the intent to treat (ITT) population
approximately 4 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Control ArmACTIVE_COMPARATORDurvalumab IV infusion + chemotherapy combination (Gemcitabine/Cisplatin)
Experimental ArmEXPERIMENTALRilvegostomig IV infusion + chemotherapy combination (Gemcitabine/Cisplatin)
Arm AEXPERIMENTALDrug: rilvegostomig
Arm BACTIVE_COMPARATORDrug: Pembrolizumab
Arm CACTIVE_COMPARATORRilvegostomig + Trastuzumab + FP (5-FU plus cisplatin) or CAPOX (capecitabine plus oxaliplatin)
Sub-study 1, investigate rilvegostomig± ramucirumab in 1L non-AGA NSCLC with PD-L1 ≥50%EXPERIMENTALParticipants will receive rilvegostomig ± ramucirumab until RECIST 1.1-defined radiological progression, unacceptable toxicity, withdrawal of consent, or other discontinuation criterion
Sub-study 2, investigate rilvegostomig + ramucirumab in 1L non-AGA NSCLC with PD-L1 1-49%EXPERIMENTALParticipants will receive rilvegostomig + ramucirumab until RECIST 1.1-defined radiological progression, unacceptable toxicity, withdrawal of consent, or other discontinuation criterion
Sub-study 3, investigate Dato-DXd + ramucirumab ± rilvegostomig in 2/3L AGA+ NSCLCEXPERIMENTALParticipants will receive Dato-DXd + ramucirumab ± rilvegostomig until RECIST 1.1-defined radiological progression, unacceptable toxicity, withdrawal of consent, or other discontinuation criterion
Substudy 1EXPERIMENTALVolrustomig plus XELOX (oxaliplatin and capecitabine) or FOLFOX (oxaliplatin and 5-FU/CF)
Substudy 2EXPERIMENTALRilvegostomig plus XELOX (oxaliplatin and capecitabine) or FOLFOX (oxaliplatin and 5-FU/CF)
Substudy 3EXPERIMENTALAZD0901 plus volrustomig and 5-fluorouracil or capecitabine
Substudy 4, Cohort 4a1EXPERIMENTALSonesitatug vedotin (AZD0901) plus rilvegostomig and 5-fluorouracil or capecitabine
Substudy 4, Cohort 4a2EXPERIMENTALSonesitatug vedotin (AZD0901) plus rilvegostomig and 5-fluorouracil
Substudy 4, Cohort 4bEXPERIMENTALSonesitatug vedotin (AZD0901) plus capecitabine
Part 1 (dose finding): Cohort A - SC Rilvegostomig Dose Level 1 (DL1) and rHuEXPERIMENTALParticipants will receive IV rilvegostomig (Dose X) as their first dose of study treatment, followed by subsequent treatments with recombinant human hyaluronidase (rHu) and SC rilvegostomig (DL1) at predefined intervals.
Part 1 (dose finding): Cohort B - SC Rilvegostomig DL2 and rHuEXPERIMENTALParticipants will receive IV rilvegostomig (Dose X) as their first dose of study treatment, followed by subsequent treatments with rHu and SC rilvegostomig (DL2) at predefined intervals.
Part 2 (dose confirmation): SC Rilvegostomig and rHuEXPERIMENTALParticipants will receive SC rilvegostomig and rHu.
Sub study 2 Part A: Safety run-inEXPERIMENTALParticipants with squamous and non-squamous NSCLC will receive combination therapy of rilvegostomig, ramucirumab, and platinum-based chemotherapy to assess the safety and tolerability of this regimen.
Sub study 2 Part B: Dose expansionEXPERIMENTALParticipants will be randomised 1:1 into one of 2 treatment arms (rilvegostomig + chemotherapy + ramucirumab OR rilvegostomig + chemotherapy) in non-squamous histology cohorts and into a single arm (rilvegostomig + chemotherapy+ ramucirumab) in squamous histology cohorts.
Dose Escalation Part A: Checkpoint inhibitor (CPI) experienced Non-small Cell Lung Cancer (NSCLC)EXPERIMENTALRilvegostomig Intravenous (IV) monotherapy
Dose Expansion Part B: CPI experienced NSCLCEXPERIMENTALRilvegostomig IV monotherapy
Dose Expansion Part C: CPI Naive NSCLCEXPERIMENTALRilvegostomig IV monotherapy
Dose Expansion Part D: CPI Naive NSCLCEXPERIMENTALRilvegostomig IV monotherapy
Dose Expansion Part E: treatment Naive Squamous NSCLCEXPERIMENTALRilvegostomig IV monotherapy
Rilvegostomig, Volrustomig, Sabestomig, AZD9592, PembrolizumabEXPERIMENTALHNSCC patients presenting with a surface accessible lesion who are scheduled for tumor and/or regional node dissection as part of their standard treatment will be injected one to three days prior to surgery using the CIVO device. The planned injection scheme includes: vehicle control and microdoses of rilvegostomig, volrustomig, sabestomig, AZD9592, and pembrolizumab as single agents and AZD9592 drug combinations with the evaluated biologics.

Interventions

NameTypeDescription
RilvegostomigDRUGRilvegostomig IV (intravenous) Q3W
DurvalumabDRUGDurvalumab 1500mg IV (intravenous) Q3W for up to 8 cycles (21days). Then Q4W.
Gemcitabine/CisplatinDRUGGemcitabine/Cisplatin IV (Intravenous) 1000 mg/m2 plus cisplatin 25 mg/m2 on Day 1 and Day 8 of each 21-day cycle
PembrolizumabBIOLOGICALAdministered intravenously (IV) on Day 1 of each 21-day cycle
Trastuzumab deruxtecanDRUGQ3W, intravenous infusion
TrastuzumabDRUGQ3W, intravenous infusion
5-fluorouracilDRUGQ3W, intravenous infusion
CapecitabineDRUGBID, oral administration
CisplatinDRUGQ3W, intravenous infusion
OxaliplatinDRUGQ3W, intravenous infusion
CarboplatinDRUGAdministered as one intravenously (IV) on Day 1 of each 21-day cycle up to 4 cycles
PemetrexedDRUGAdministered as one intravenously (IV) on Day 1 of each 21-day cycle
PaclitaxelDRUGAdministered intravenously (IV) on Day 1 of each 21-day cycle up to 4 cycles
Nab-paclitaxelDRUGAdministered intravenously (IV) on Days 1, 8, and 15 of each 21-day cycle up to 4 cycles
PlaceboDRUGPlacebo IV (intravenous) Q3W
S-1 [Tegafur/Oteracil/gimeracil]DRUGS-1 \[Tegafur/Oteracil/gimeracil\] (Oral) BSA (body surface area)-based (40, 50, or 60 mg) BID for 4 weeks on 2 weeks off in 42-day cycles
RamucirumabDRUGRamucirumab will be administered as IV infusion.
Dato-DXdDRUGDato-DXd will be administered as IV infusion.
VolrustomigDRUGan anti PD-1 and anti CTLA-4 bispecific antibody; IV infusion
FOLFOXDRUG5-fluorouracil oxaliplatin, leucovorin (levoleucovorin when locally preferred and available)
XELOXDRUGcapecitabine and oxaliplatin
AZD0901DRUGan anti Claudin18.2 ADC; IV infusion
IV RilvegostomigDRUGRilvegostomig administered IV.
Recombinant Human Hyaluronidase (rHu)DRUGrHu administered subcutaneously.
SC RilvegostomigDRUGRilvegostomig administered subcutaneously.
SC rilvegostomig + rHuDRUGSC rilvegostomig + rHu administered subcutaneously.
AZD2936DRUGAnti-TIGIT/Anti-PD-1 Bispecific Antibody
SabestomigBIOLOGICALIntratumoral microdose injection by the CIVO device.
AZD9592BIOLOGICALIntratumoral microdose injection by the CIVO device.
AZD9592 + RilvegostomigCOMBINATION_PRODUCTIntratumoral microdose injection by the CIVO device.
AZD9592 + VolrustomigCOMBINATION_PRODUCTIntratumoral microdose injection by the CIVO device.
AZD9592 + SabestomigCOMBINATION_PRODUCTIntratumoral microdose injection by the CIVO device.
AZD9592 + PembrolizumabCOMBINATION_PRODUCTIntratumoral microdose injection by the CIVO device.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites183

Key inclusion Criteria: * Histologically confirmed adenocarcinoma of the biliary tract, including intra-hepatic or extra-hepatic cholangiocarcinoma (CCA) and gallbladder carcinoma (GBC). * Unresectable locally advanced or metastatic BTC, previously untreated in the advanced disease setting * Known ...

Countries:United StatesAustraliaBelgiumBrazilCanadaChinaFranceGermanyIndiaItalyJapanNetherlandsPolandSouth KoreaSpainTaiwanThailandTurkey (Türkiye)United KingdomArgentinaBulgariaChileColombiaCosta RicaGeorgiaGreeceIrelandIsraelMalaysiaPortugalRomaniaSwitzerlandAustriaHong KongHungaryPeruPuerto RicoVietnamDenmarkNorwaySingaporeMoldovaSerbia
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Recent Changes (Last 90 Days)

LOWOct 16, 2026NCT06764875lastUpdatePostDate: changed
LOWOct 16, 2026NCT06109779lastUpdatePostDate: changed
LOWOct 16, 2026NCT06764875lastUpdatePostDate: changed
LOWOct 16, 2026NCT06109779lastUpdatePostDate: changed
LOWOct 15, 2026NCT07098338lastUpdatePostDate: changed
LOWOct 15, 2026NCT07098338lastUpdatePostDate: changed
LOWOct 5, 2026NCT07161414lastUpdatePostDate: changed
LOWOct 5, 2026NCT07161414lastUpdatePostDate: changed
LOWOct 1, 2026NCT06996782lastUpdatePostDate: changed
LOWOct 1, 2026NCT06996782lastUpdatePostDate: changed
LOWSep 28, 2026NCT07221253lastUpdatePostDate: changed
LOWSep 28, 2026NCT07221253lastUpdatePostDate: changed
LOWSep 25, 2026NCT06868277lastUpdatePostDate: changed
LOWSep 25, 2026NCT06868277lastUpdatePostDate: changed
LOWSep 23, 2026NCT06627647lastUpdatePostDate: changed
LOWSep 23, 2026NCT06627647lastUpdatePostDate: changed
LOWSep 19, 2026NCT06692738lastUpdatePostDate: changed
LOWSep 19, 2026NCT06692738lastUpdatePostDate: changed
LOWSep 19, 2026NCT06692738lastUpdatePostDate: changed
LOWSep 11, 2026NCT06764875lastUpdatePostDate: changed

Frequently asked questions about AZD2936

What is AZD2936 used for in Non-Small-Cell Lung Carcinoma?

AZD2936 is an investigational small molecule being studied for the treatment of Non-Small-Cell Lung Carcinoma (NSCLC). It is currently in Phase 1 clinical development, with an active trial evaluating its use in participants with advanced or metastatic NSCLC. The drug is not yet approved and remains under clinical investigation.

What does AZD2936 target?

AZD2936 is an anti-TIGIT/anti-PD-1 bispecific antibody, meaning it targets both TIGIT and PD-1, two immune checkpoint proteins involved in regulating T-cell responses. By binding to these targets, it is designed to modulate the immune system's ability to fight cancer cells. This mechanism is being studied in the context of Non-Small-Cell Lung Carcinoma.

Who makes AZD2936?

AZD2936 is being developed by AstraZeneca PLC, a multinational pharmaceutical company listed on the stock exchange under the ticker symbol AZN. AstraZeneca is conducting clinical trials to evaluate the safety and efficacy of AZD2936 in patients with Non-Small-Cell Lung Carcinoma.

What phase is AZD2936 in?

AZD2936 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being tested in clinical trials. The current Phase 1 study is active but not recruiting participants, and it is designed to assess the drug's safety, tolerability, and preliminary efficacy.

What clinical trials is AZD2936 in?

AZD2936 is being evaluated in a single active clinical trial with the identifier NCT04995523. This Phase 1 study, titled 'A Study of AZD2936 Anti-TIGIT/Anti-PD-1 Bispecific Antibody in Participants With Advanced or Metastatic NSCLC,' has an enrollment of 212 participants and is being conducted across multiple countries, including the United States, Australia, Belgium, Brazil, China, and others.