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AZD4512

Phase 1

B-cell Acute Lymphoblastic Leukemia (B-ALL) | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Oct 15, 2026

AZD4512 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Aug 2025

AZD4512 target and mechanism

ModalitySmall molecule

Also known as AZD4512 monotherapy

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials2
Total Enrollment174

FDA Designations

No designations recorded

AZD4512 clinical trials

AZD4512 · 2 trials · 2 indications

Phase 1 2
NCT07109219Study of AZD4512 Monotherapy or in Combination With Anticancer Agents in Participants With Acute Lymphoblastic LeukemiaB-cell Acute Lymphoblastic Leukemia (B-ALL)
RECRUITING83 Analytics
NCT07123454A Phase I/II Study of AZD4512 Monotherapy or in Combination With Anticancer Agents in Participants With Relapsed/Refractory B-cell Non-Hodgkin LymphomaB-cell Non-Hodgkin Lymphoma
RECRUITING91 Analytics
PHASE1RECRUITING
Study of AZD4512 Monotherapy or in Combination With Anticancer Agents in Participants With Acute Lymphoblastic Leukemia
B-cell Acute Lymphoblastic Leukemia (B-ALL)Unlock trial analytics
PHASE1RECRUITING
A Phase I/II Study of AZD4512 Monotherapy or in Combination With Anticancer Agents in Participants With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma
B-cell Non-Hodgkin LymphomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Module 1 (Dose Escalation): Number of participants with dose-limiting toxicities (DLTs).
From first dose up to 21 days (DLT period).

DLTs are dose-limiting toxicities as defined in the study protocol.

Module 1 (Dose Escalation): Frequency, duration and severity of treatment-emergent adverse events (TEAEs), treatment-related adverse events (TRAEs), and serious adverse events (SAEs)
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)

Assessed by the CTCAE criteria version 5.0

Module 1 (Dose Escalation): Frequency of dose interruptions, modifications, delays, and discontinuations due to AEs
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)
Module 1 (Dose Escalation): Number of participants with clinically significant changes in laboratory values, ECGs, performance status, and vital signs
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)
Module 2 (Dose Optimization): Overall response rate (ORR) in participants with R/R Ph(-) B-ALL
From date of first dose of AZD4512 up until end of study, up to 38 months

To evaluate the efficacy based on NCCN response criteria, measured by ORR (CR/CRh)

Module 2 (Dose Optimization): Frequency, duration and severity of treatment-emergent adverse events (TEAEs), treatment-related adverse events (TRAEs), and serious adverse events (SAEs)
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)

Assessed by the CTCAE criteria version 5.0

Module 2 (Dose Optimization): Frequency of dose interruptions, modifications, delays, and discontinuations due to AEs
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)
Module 2 (Dose Optimization): Number of participants with clinically significant changes in laboratory values, ECGs, performance status, and vital signs
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)
Percentage of participants with dose-limiting toxicities (DLTs)
Up to 4 weeks

To identify the maximum tolerated dose (MTD) and/or doses of AZD4512 for subsequent evaluation in participants with R/R B-NHL

Frequency, duration, severity of Treatment-Emergent Adverse Events (TEAEs) and Treatment-Related Adverse Events (TRAEs) and Serious Adverse Events (SAEs)
From the first dose up to and including 30 (+7) days after the last dose of study treatment , but prior to subsequent cancer therapy

To assess the safety and tolerability of AZD4512 in participants with R/R B-NHL

Frequency of SAEs/AEs leading to discontinuation of AZD4512
From the first dose up to and including 30 (+7) days after the last dose of study treatment , but prior to subsequent cancer therapy

To assess the safety and tolerability of AZD4512 in participants with R/R B-NHL

Number of participants with clinically significant alterations in vitals signs and abnormal laboratory parameters
From the first dose up to and including 30 (+7) days after the last dose of study treatment , but prior to subsequent cancer therapy

To assess the safety and tolerability of AZD4512 in participants with R/R B-NHL

Secondary Endpoints

Module 1 (Dose Escalation): Plasma PK parameters of AZD4512
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)
Module 1 (Dose Escalation): Total antibody and total unconjugated payload
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)
Module 1 (Dose Escalation): Area Under Curve (AUC)
From date of first dose of AZD4512 up until 30 days post last dose of AZD4512 (on average 6 months, maximum 12 months)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Module 1 Dose EscalationEXPERIMENTALModule 1 will evaluate escalating doses of AZD4512 as monotherapy to determine the maximum tolerated dose (MTD) and/or doses of AZD4512 for subsequent evaluation in Module 2 (dose optimization), in participants with relapsed/refractory (R/R) Philadelphia chromosome positive (Ph\[+\]) and negative (Ph\[-\]) B-ALL, R/R as defined by National Comprehensive Cancer Network (NCCN) guidelines.
Module 2 Dose OptimizationEXPERIMENTALModule 2 will randomize participants with R/R (as defined by NCCN guidelines) Ph(-) BALL only across 2 to 3 dose levels identified in Module 1 to receive AZD4512 monotherapy for further exploration of the doses. The aim of Module 2 is to identify the recommended Phase 2 dose (RP2D) of AZD4512 monotherapy, evaluate the efficacy and further define the safety profile of AZD4512.
Module 1: AZD4512 Monotherapy dose escalation + backfillEXPERIMENTALIn Mod 1, the efficacy and safety of AZD4512 will be evaluated in R/R B-NHL. Module 1 will consist of both dose escalation and Pharmacodynamic/safety backfills which may be used to support MTD and/or Optimal biological dose (OBD)

Interventions

NameTypeDescription
AZD4512 monotherapyCOMBINATION_PRODUCTPatients will receive AZD4512 as monotherapy via intravenous infusion. AZD4512 is an antibody-drug conjugate targeting CD22
AZD4512DRUGAZD4512 is an antibody-drug conjugate targeting cluster of differentiation 22 (CD22) that will be administered via IV infusion
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * 1\. Age: * 16 years old in Module 1 (US only: ≥18year) * 12 years old in Module 2 2\. Diagnosis: Known Diagnosis of CD22-positive B-ALL based on criteria established by WHO (Alaggio et al. 2022). * All Participants must have relapsed or refractory B-ALL ('relapsed' d...

Countries:United StatesAustraliaCanadaChinaJapanSouth KoreaSpainTaiwanUnited KingdomItaly
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Recent Changes (Last 90 Days)

MEDIUMOct 15, 2026NCT07109219primaryCompletionDate: changed
MEDIUMOct 15, 2026NCT07109219primaryCompletionDate: changed
LOWOct 14, 2026NCT07123454lastUpdatePostDate: changed
LOWOct 14, 2026NCT07123454lastUpdatePostDate: changed
LOWAug 28, 2026NCT07123454lastUpdatePostDate: changed
LOWAug 28, 2026NCT07123454lastUpdatePostDate: changed

Frequently asked questions about AZD4512

What is AZD4512?

AZD4512 is an investigational small molecule being developed by AstraZeneca PLC (ticker AZN) for B-cell blood cancers. It is a biomarker-selected therapy being studied in B-cell Acute Lymphoblastic Leukemia (B-ALL) and B-cell Non-Hodgkin Lymphoma. It is currently in Phase 1 clinical development and has not been approved for any indication.

What is AZD4512 used for in B-cell Acute Lymphoblastic Leukemia and B-cell Non-Hodgkin Lymphoma?

AZD4512 is being studied for the treatment of relapsed or refractory B-cell Acute Lymphoblastic Leukemia (B-ALL) and B-cell Non-Hodgkin Lymphoma. It is an investigational agent in Phase 1 testing, so it is not yet available as a treatment outside of clinical trials. Enrollment is biomarker-selected.

Who makes AZD4512?

AZD4512 is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is running the clinical program for the drug across multiple countries, including the United States, United Kingdom, Japan, China, Australia, Canada, South Korea, Taiwan, Italy, and Spain.

What phase is AZD4512 in?

AZD4512 is in Phase 1 clinical development. It is an investigational small molecule and has not been approved by the FDA or any other regulatory agency. Two Phase 1 studies are currently recruiting participants, one in B-cell Non-Hodgkin Lymphoma and one in B-cell Acute Lymphoblastic Leukemia.

What clinical trials is AZD4512 in?

AZD4512 is being evaluated in two recruiting Phase 1 trials. NCT07123454 studies AZD4512 monotherapy or in combination with anticancer agents in relapsed or refractory B-cell Non-Hodgkin Lymphoma, with 91 participants. NCT07109219 studies AZD4512 monotherapy or in combination with anticancer agents in Acute Lymphoblastic Leukemia, with 83 participants.

Is AZD4512 the same as AZD4512 monotherapy?

Yes, AZD4512 monotherapy refers to the same investigational drug, AZD4512, when given as a single agent rather than in combination with other anticancer agents. The ongoing Phase 1 trials are designed to test AZD4512 both as monotherapy and in combination with other anticancer agents.