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AZD4573

Phase 2

Relapsed/Refractory Peripheral T-cell Lymphoma | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Apr 9, 2025

AZD4573 development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Aug 2017

AZD4573 target and mechanism

ModalitySmall molecule

Also known as AZ13810325

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment136

FDA Designations

No designations recorded

AZD4573 clinical trials

AZD4573 · 3 trials · 14 indications

Phase 2 1Phase 1 2
NCT05140382AZD4573 as Monotherapy or in Combinations With Anti-cancer Agents in Patients With r/r PTCL or r/r cHLRelapsed/Refractory Peripheral T-cell Lymphoma
COMPLETED52 Analytics
PHASE2COMPLETED
AZD4573 as Monotherapy or in Combinations With Anti-cancer Agents in Patients With r/r PTCL or r/r cHL
Relapsed/Refractory Peripheral T-cell LymphomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective Response Rate (ORR)
From Screening (Day -30 to Day-1) until disease progression or survival until death (26 months)

Objective response rate is defined as the proportion of participants who have a tumour response of complete response \[CR\] or partial response \[PR\] according to the Lugano (2014) response criteria for malignant lymphoma.

Module 1: Number of Participants With Adverse Events
From Screening (Day -30 to Day -1) until disease progression or survival until death (approximately 2.5 years)

Safety and tolerability of AZD4573 in combination with acalabrutinib was assessed.

Module 2: Number of Participants With Adverse Events
From Screening (Day -30 to Day -1) until disease progression or survival until death (approximately 2.5 years)

Assessed safety and confirmed the RP2D of AZD4573 monotherapy in MCL participants and assessed the safety and tolerability of AZD4573 in combination with acalabrutinib in participants administered AZD4573 monotherapy.

Module 1: Overall Response Rate (ORR) of AZD4573 in Combination With Acalabrutinib
From Screening (Day -30 to Day -1) until disease progression or survival until death (approximately 2.5 years)

Overall response rate (ORR), defined as the proportion of participants who have a tumour response (complete response \[CR\] and partial response \[PR\]).

Incidence of adverse events
At every treatment and follow up visit from the time of informed consent up to 8 months initially or if clinical benefit continues, until disease progression. Expected to be for 12 months

Number of subjects with adverse events as a measure of safety and tolerability including changes in vital signs, electrocardiograms (ECGs), safety and laboratory parameters

Dose limiting toxicities
From day 1 of first cycle for a period of 8 weeks for cohorts 1 and 2, and for a period of 4 weeks for cohort 3 and for any other subsequent cohort that may be opened

DLTs will be determined from monitoring adverse events (AEs), and abnormal laboratory tests (clinical chemistry, hematology, and urinalysis), physical examinations, vital signs (blood pressure and pulse), and electrocardiogram (ECG).

Maximum tolerated dose
After completion of dose limiting toxicity (DLT) period (8/4 weeks) for the maximum dose cohort

Secondary Endpoints

Complete Response (CR) Rate
From Screening (Day -30 to Day-1) until disease progression or survival until death (26 months).
Duration of Response (DoR)
From Screening (Day -30 to Day-1) until disease progression or survival until death (26 months).
Progression-free Survival (PFS)
From Screening (Day -30 to Day-1) until disease progression or survival until death (26 months).
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD4573 (Monotherapy)EXPERIMENTALEligible participants with either r/r PTCL, r/r NKTCL or r/r cHL will receive AZD4573 as monotherapy.
Module 1: Part A and Part BEXPERIMENTALParticipants will receive intravenous ascending doses of AZD4573 once weekly with oral acalabrutinib twice daily continuously in Part A. For Part A, cohorts 1, 2, and 3 have different target dose levels respectively. In Part B, participants will receive the RP2D of AZD4573 from Part A.
Module 2: Part A and Part BEXPERIMENTALParticipants will receive AZD4573 as monotherapy for Period 1 and AZD4573 + acalabrutinib as combination therapy for Period 2. Part B of Module 2 will be determined from the data emerging from Part A.
Arm A: (Cohort 1-3)EXPERIMENTALdose level 1-3 in subjects with relapsed or refractory haematological malignancies excluding AML/ALL/high-risk MDS/CMML/CLL.
Arm B: (Cohort 1-3)EXPERIMENTALdose level 1-3 in subjects with relapsed or refractory AML, ALL, high-risk MDS, CMML, CLL and Richter's syndrome.

Interventions

NameTypeDescription
AZD4573DRUGAZD4573 will be given intravenously
AcalabrutinibDRUGOral Acalabrutinib capsule will be administered twice daily continuously from Day 1 of Cycle 1 Week 1 in combination with AZD4573.
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Eligibility Criteria

Age Range18 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Participants who are diagnosed with one of the following, as defined by the World Health Organisation: * Peripheral T-cell Lymphoma * Classical Hodgkin Lymphoma * Eastern Cooperative Oncology Group performance status of ≤ 2. * Must have received at least 1 prior line of t...

Countries:United StatesAustraliaFranceItalySouth KoreaSwedenTaiwanUnited KingdomCanadaIrelandPolandSpainGermanyNetherlands
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Frequently asked questions about AZD4573

What is AZD4573 used for?

AZD4573 is an investigational small molecule being studied for the treatment of relapsed or refractory haematological malignancies, including acute myeloid leukemia, acute lymphocytic leukemia, chronic lymphocytic leukemia, high risk myelodysplastic syndrome, chronic myelomonocytic leukemia, Richter's syndrome, B-cell and T-cell non-Hodgkin lymphoma, small lymphocytic lymphoma, multiple myeloma, and relapsed/refractory peripheral T-cell lymphoma.

Who makes AZD4573?

AZD4573 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker symbol AZN.

What phase is AZD4573 in?

AZD4573 is in clinical development. It has completed Phase 1 and Phase 2 trials, but it is not approved by the FDA and remains investigational. The most advanced completed trial was a Phase 2 study in relapsed/refractory peripheral T-cell lymphoma and classical Hodgkin lymphoma.

What clinical trials is AZD4573 in?

AZD4573 has been studied in three completed clinical trials: NCT03263637, a Phase 1 study in relapsed/refractory haematological malignancies; NCT04630756, a Phase 1 study in advanced haematological malignancies; and NCT05140382, a Phase 2 study in relapsed/refractory peripheral T-cell lymphoma and classical Hodgkin lymphoma.

How does AZD4573 work?

AZD4573 is a small molecule designed to target and inhibit CDK9, a cyclin-dependent kinase involved in transcriptional regulation. By inhibiting CDK9, it aims to reduce the expression of genes that promote cancer cell survival and proliferation, potentially leading to antitumor activity in haematological malignancies.

Is AZD4573 the same as any other drug?

AZD4573 is the primary name for this investigational compound. No alternative names have been reported in the clinical trial data, so it is not known to be the same as any other marketed drug.