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AZD7789

Phase 1

Carcinoma, Non-Small-Cell Lung | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Oct 9, 2025

AZD7789 development status

Highest phase Phase 1
Registered trials 3 across 2 sponsors since Nov 2020

AZD7789 target and mechanism

ModalitySmall molecule

Also known as Sabestomig

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials2
Total Enrollment181

FDA Designations

No designations recorded

AZD7789 clinical trials

AZD7789 · 2 trials · 4 indications

Phase 1 2
NCT05216835Safety and Preliminary Efficacy Assessment of AZD7789 in Patients With Relapsed or Refractory Classical Hodgkin LymphomaRelapsed or Refractory Classical Hodgkin Lymphoma
COMPLETED45 Analytics
NCT04931654A Study to Assess the Safety and Efficacy of AZD7789 in Participants With Advanced or Metastatic Solid CancerCarcinoma, Non-Small-Cell Lung
ACTIVE NOT_RECRUITING136 Analytics
PHASE1COMPLETED
Safety and Preliminary Efficacy Assessment of AZD7789 in Patients With Relapsed or Refractory Classical Hodgkin Lymphoma
Relapsed or Refractory Classical Hodgkin LymphomaUnlock trial analytics
PHASE1ACTIVE NOT_RECRUITING
A Study to Assess the Safety and Efficacy of AZD7789 in Participants With Advanced or Metastatic Solid Cancer
Carcinoma, Non-Small-Cell LungUnlock trial analytics

Study Endpoints

Primary Endpoints

Part A (Dose Escalation): Number of Participants With Adverse Events (AEs)
From start of treatment [Cycle 1 Day 1 (C1D1) (each cycle was 28 days)] up to 90 days post last dose (approximately 2 years 5 months)

The safety and tolerability of sabestomig in participants with r/r cHL were assessed.

Part A (Dose Escalation): Number of Participants With Dose-limiting Toxicities (DLTs)
From first dose (C1D1) until 28 days for each participant [within 28 days DLT period]

DLT was defined as any ≥Grade 3 AE as per NCI CTCAE version 5 unless unequivocally due to underlying malignancy or an extraneous cause. The following conditions were considered as DLTs: * Any death not clearly due to the underlying disease or extraneous causes * Grade 4 imAE or anemia * Any ≥Grade 3 non-infectious pneumonitis or colitis of any duration * Specific liver transaminase elevation as per protocol * Any Grade 3 imAE, including rash, pruritus, or diarrhea, that does not downgrade to Grade 2 or less within 7 days * Grade 3 nausea, vomiting, or diarrhea that does not resolve to Grade 2 or less within 3 days of getting maximal supportive care * ≥Grade 3 neutropenia, without fever or systemic infection, that does not improve by at least one grade within 7 days * Grade 4 thrombocytopenia for more than 7 days or ≥Grade 3 thrombocytopenia along with Grade ≥2 bleeding * Grade 4 Cytokine Release Syndrome (CRS) of any duration or Grade 3 CRS not improving to Grade ≤2 within 72 hours

Part B (Dose Expansion): Cohort B1: Objective Response Rate (ORR)
Up to approximately 2 years 90 days

The anti-tumor activity of sabestomig in participants with r/r cHL was planned to be assessed. ORR was defined as the percentage of participants with an objective response \[Best Overall Response of a complete response (CR) or partial response (PR)\] as per modified Lugano criteria (Lugano 2014), with the denominator defined as the number of participants in the response-evaluable analysis set. Disease response was planned to be assessed according to Blinded Independent Central Review using modified Lugano criteria (Lugano 2014).

Part B (Dose Expansion): Cohort B2: Complete Response Rate (CRR)
Up to approximately 2 years 90 days

The anti-tumor activity of sabestomig in participants with r/r cHL was planned to be assessed. The CRR was defined as the percentage of participants with a CR as per modified Lugano criteria (Lugano 2014), with the denominator defined as the number of participants in the response-evaluable analysis set. Disease response was planned to be assessed according to Blinded Independent Central Review using modified Lugano criteria (Lugano 2014).

Part B (Dose Expansion): Number of Participants With AEs
Up to approximately 2 years 90 days

The safety and tolerability of sabestomig in participants with r/r cHL was planned to be assessed.

Number of participants with adverse events (AE), serious adverse events (SAE) and immune-mediated AEs (imAE)
From time of Informed Consent to 90 days post last dose of study intervention

Number of participants with AEs, SAEs, imAEs including AEs leading to discontinuation of study intervention and clinically significant alterations in vital signs, laboratory parameters and ECG results

Number of participants with dose-limiting toxicity (DLT), as defined in the protoocol
From the first patient until the end of the dose escalation period; approximately 18 months.

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.

Preliminary anti-tumour activity of AZD7789
From first participant until last participant assessment; a duration of approximately 4 years. Disease assessments will be performed until progression or initiation of another anticancer therapy.

Objective response rate as defined by RECIST v1.1

Secondary Endpoints

Part A (Dose Escalation): Complete Response Rate (CRR)
From start of treatment [C1D1 (each cycle was 28 days)] until first documented disease progression, or last evaluable assessment in the absence of progression (up to 2 years 5 months)
Part A (Dose Escalation): Objective Response Rate (ORR)
From start of treatment [C1D1 (each cycle was 28 days)] until progression, or last evaluable assessment in the absence of progression (up to 2 years 5 months)
Part A (Dose Escalation): Duration of Response (DoR)
From first documented response until date of first documented disease progression or death from any cause, or data cut-off or end of study (whichever came first, assessed up to 2 years 5 months)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort A: Dose EscalationEXPERIMENTALPatients with anti-PD-1/PD-L1 exposed r/r cHL will receive sabestomig to determine the recommended phase 2 dose (RP2D).
Cohort B1: Dose ExpansionEXPERIMENTALPatients with anti-PD-1/PD-L1 exposed r/r cHL will receive sabestomig once the RP2D has been determined.
Cohort B2: Dose ExpansionEXPERIMENTALPatients with anti-PD-1/PD-L1 naïve r/r cHL will receive sabestomig once the RP2D has been determined.
Dose Escalation Part A: NSCLC Immuno-oncology (IO) acquired or primary resistanceEXPERIMENTALAZD7789 monotherapy
Dose Expansion Part B1: NSCLC IO acquired resistance - RP2D level 1EXPERIMENTALAZD7789 Monotherapy
Dose Expansion Part B2: NSCLC IO naive, PD-L1 50% or greater - RP2D level 1EXPERIMENTALAZD7789 Monotherapy
Dose Expansion Part B3: NSCLC IO acquired resistance - RP2D level 2EXPERIMENTALAZD7789 Monotherapy
Dose Expansion Part B4: advanced or metastatic gastric and GEJC IO acquired resistance- RP2D level 1EXPERIMENTALAZD7789 monotherapy
Dose Expansion Part B5: NSCLC IO naive, PD-L1 1-49% - RP2D Level 1EXPERIMENTALAZD7789 monotherapy

Interventions

NameTypeDescription
Sabestomig (AZD7789)DRUGPatients will receive sabestomig (PD-1/TIM-3 bispecific monoclonal antibody) via intravenous infusion.
AZD7789DRUGanti-PD-1 and anti-TIM-3 bispecific antibody
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Eligibility Criteria

Age Range16 Years to 101 Years
SexALL
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * ≥ 16 years of age at the time of obtaining informed consent * Eastern Cooperative Oncology Group performance status of 0 or 1 at screening * At least one positron emission tomography (PET)-avid measurable lesion according to Modified Lugano Criteria after the last line of ther...

Countries:United StatesCanadaDenmarkFranceItalySpainUnited KingdomChinaGeorgiaJapanMoldovaNetherlandsTurkey (Türkiye)
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Frequently asked questions about AZD7789

What is AZD7789 used for?

AZD7789 is an investigational small molecule being studied for the treatment of advanced or metastatic solid cancers, including non-small-cell lung carcinoma, gastric cancer, and gastroesophageal junction cancer. It is in Phase 1 clinical development and has not been approved for any indication.

Who is developing AZD7789?

AZD7789 is being developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca is the sponsor of the Phase 1 clinical trial evaluating the drug in patients with advanced or metastatic solid cancers.

What phase is AZD7789 in?

AZD7789 is in Phase 1 clinical development. The single registered trial, NCT04931654, is a Phase 1 study that is currently active but not recruiting. The drug remains investigational and has not received FDA approval.

What clinical trials is AZD7789 in?

AZD7789 is being evaluated in one clinical trial, NCT04931654, titled "A Study to Assess the Safety and Efficacy of AZD7789 in Participants With Advanced or Metastatic Solid Cancer." The trial is active but not recruiting, with an enrollment of 136 participants across the United States, Canada, China, France, Georgia, Japan, Moldova, Netherlands, Spain, and Turkey.

Is AZD7789 biomarker-selected?

Yes, the AZD7789 Phase 1 trial NCT04931654 is biomarker-selected, meaning participants are enrolled based on specific biomarker criteria. The study is randomized and controlled, evaluating the drug in adults with advanced or metastatic solid cancers including non-small-cell lung carcinoma, gastric cancer, and gastroesophageal junction cancer.