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Sabestomig

Phase 1

Relapsed or Refractory Classical Hodgkin Lymphoma | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Oct 2, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment45
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05216835Safety and Preliminary Efficacy Assessment of AZD7789 in Patients With Relapsed or Refractory Classical Hodgkin LymphomaPHASE1 COMPLETED 45Mar 18, 2022Sep 4, 2025Oct 2, 202514 United States, Canada +5
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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.

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.
Interventions
NameTypeDescription
Sabestomig (AZD7789)DRUGPatients will receive sabestomig (PD-1/TIM-3 bispecific monoclonal antibody) via intravenous infusion.
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Eligibility Criteria
Age Range16 Years — 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 Kingdom
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