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AZD5492

Phase 1

B-cell Malignancies | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Aug 7, 2026

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment174

FDA Designations

No designations recorded

Clinical trial landscape

AZD5492 · 2 trials · 4 indications

Phase 1 2
NCT06916806A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD5492 in Adult Participants With Systemic Lupus Erythematosus or Idiopathic Inflammatory Myopathies or Rheumatoid Arthritis.Systemic Lupus Erythematosus
RECRUITING72 Analytics
NCT06542250A Study to Evaluate Safety, PK, PD and Efficacy of AZD5492, a T Cell-engaging Antibody Targeting CD20 in Subjects With R/R B-Cell Malignancies.B-cell Malignancies
RECRUITING174 Analytics
PHASE1RECRUITING
A Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD5492 in Adult Participants With Systemic Lupus Erythematosus or Idiopathic Inflammatory Myopathies or Rheumatoid Arthritis.
Systemic Lupus ErythematosusUnlock trial analytics
PHASE1RECRUITING
A Study to Evaluate Safety, PK, PD and Efficacy of AZD5492, a T Cell-engaging Antibody Targeting CD20 in Subjects With R/R B-Cell Malignancies.
B-cell MalignanciesUnlock trial analytics

Study Endpoints

Primary Endpoints

Safety evaluation of AZD5492: Number of participants with treatment-emergent adverse events.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with AEs, AESIs, and SAEs

Safety evaluation of AZD5492: Number of participants with related treatment-emergent adverse events.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with AEs related to IMP as assessed by the investigator

Safety evaluation of AZD5492: Frequency of dose limiting toxicities (DLTs).
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with DLTs (dose-limiting toxicities) as defined in the study protocol.

Safety evaluation of AZD5492: Number of SAEs leading to death
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with SAEs leading to death.

Safety evaluation of AZD5492: Number of participants with treatment-emergent adverse events by grade.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with AEs according ASTCT, IEC-HS, and CTCAE grades.

Tolerability evaluation of AZD5492: Number of participants with treatment-emergent vital signs abnormalities.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with treatment-related vital signs abnormalities.

Tolerability evaluation of AZD5492: Number of participants with treatment-emergent clinical laboratory abnormalities.
Day 1 to end of the study (up to 52 weeks)

Number and percentage of participants with treatment-related clinical laboratory abnormalities.

Tolerability evaluation of AZD5492: Number of participants with abnormal ECG.
From Day 1 up to Day 180

Number and percentage of participants with abnormal ECG.

Frequency of dose limiting toxicities (DLTs).
Module 1 - From the first administration of AZD5492 until the end of cycle 1 (up to 5 weeks).

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

Safety evaluation of AZD5492: Number of participants with treatment-related adverse events.
Module 1 - From the first administration of AZD5492 within the duration of the treatment period, up to and including 90 (+7) days after the last dose of study treatment , but prior to subsequent cancer therapy.

Incidence and severity of AEs, AESIs, and SAEs

Tolerability evaluation of AZD5492: Number of participants with treatment-related adverse events.
Module 1 - From the first administration of AZD5492 within the duration of the treatment period, up to and including 90 (+7) days after the last dose of study treatment , but prior to subsequent cancer therapy.

SAEs/AEs leading to discontinuation of AZD5492.

Secondary Endpoints

Serum Pharmacokinetics (PK) parameters of AZD5492 (Cmax)
From Day 1 through Day 60
Serum Pharmacokinetics (PK) parameters of AZD5492 (AUC)
From Day 1 through Day 60
Serum Pharmacokinetics (PK) parameters of AZD5492 (t1/2λz)
From Day 1 through Day 60
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1: Single Ascending Dose with AZD5492EXPERIMENTALParticipants will receive AZD5492 at an assigned dose as subcutaneous (SC) injection on Day 1.
Part 2: Step-Up Dosing with AZD5492EXPERIMENTALParticipants will receive AZD5492 as SC injection at the priming dose determined in Part 1, on Day 1, and at a target dose, based on the emergent safety data, on Day 8.
Module 1: AZD5492 MonotherapyEXPERIMENTALAZD5492 monotherapy for Relapsed or Refractory B-Cell Malignancies.

Interventions

NameTypeDescription
AZD5492DRUGIMP: subcutaneous.
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites37

Inclusion Criteria: 1. Participant must be 18 to 70 years of age inclusive, at the time of signing the informed consent. 2. Diagnosis of SLE: 1. Diagnosis of SLE according to the 2019 EULAR/ACR classification criteria for SLE 2. Positive for one or more of: anti-nuclear antibodies (titre ≥ 1...

Countries:United StatesCanadaChinaFranceGermanyHong KongJapanNetherlandsSpainUnited KingdomAustraliaDenmarkItaly
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Recent Changes (Last 90 Days)

LOWAug 7, 2026NCT06542250lastUpdatePostDate: changed
LOWAug 7, 2026NCT06542250lastUpdatePostDate: changed
LOWJul 24, 2026NCT06916806lastUpdatePostDate: changed
LOWJul 24, 2026NCT06916806lastUpdatePostDate: changed
MEDIUMJul 21, 2026NCT06542250primaryCompletionDate: changed
LOWJun 25, 2026NCT06916806lastUpdatePostDate: changed
LOWJun 25, 2026NCT06916806lastUpdatePostDate: changed
LOWJun 25, 2026NCT06916806lastUpdatePostDate: changed

Frequently asked questions about AZD5492

What is AZD5492 used for?

AZD5492 is an investigational small molecule being developed for B-cell malignancies and autoimmune conditions including systemic lupus erythematosus, idiopathic inflammatory myopathies, and rheumatoid arthritis. It is currently in Phase 1 clinical development.

What does AZD5492 target?

AZD5492 is a T cell-engaging antibody that targets CD20, a protein found on B cells. By engaging T cells to attack CD20-positive cells, it aims to deplete B cells involved in disease.

Who makes AZD5492?

AZD5492 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN.

What phase is AZD5492 in?

AZD5492 is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Two Phase 1 trials are currently recruiting participants.

What clinical trials is AZD5492 in?

AZD5492 is being studied in two Phase 1 trials. NCT06542250 evaluates it in relapsed/refractory B-cell malignancies with 174 participants. NCT06916806 investigates it in systemic lupus erythematosus, idiopathic inflammatory myopathies, and rheumatoid arthritis with 72 participants.

Is AZD5492 the same as a CD20-targeting antibody?

AZD5492 is a T cell-engaging antibody that targets CD20, meaning it binds to CD20 on B cells and engages T cells to destroy them. This mechanism is being studied for its potential in treating B-cell malignancies and autoimmune diseases.