Status:

RECRUITING

AZD0486 1L Therapy for Elderly or Unfit Participants With LBCL

Lead Sponsor:

AstraZeneca

Conditions:

Large B-cell Lymphoma

Eligibility:

All Genders

65-130 years

Phase:

PHASE3

Brief Summary

The purpose of this study is to measure the efficacy and safety of R-mini-CHOP × 2 followed by AZD0486 compared with R-mini-CHOP × 6 in elderly or unfit participants newly diagnosed with LBCL.

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • Participants are either 80 years of age or older, OR 65 to 79 years of age or older and classified as unfit per sGA, and otherwise not considered candidates for full-dose R-CHOP per investigator assessment;
  • Histologically confirmed diagnosis of previously untreated LBCL as per WHO-HEM5 (excluding plasmablastic lymphoma) and follicular large cell lymphoma;
  • FDG-avid and measurable disease as per Lugano and Ann Arbor staging;
  • Stage I bulky (7.5 cm and greater) to Stage IV;
  • ECOG performance status 0 to 2;
  • Adequate bone marrow, liver, renal and cardiac function.
  • The above is a summary, other inclusion criteria details may apply.
  • As judged by the investigator, any evidence of diseases which make it undesirable for the participant to participate in the study, or that would jeopardise compliance with the protocol
  • Diagnosis of post-transplant lymphoproliferative disease, plasmablastic lymphoma, Richter's transformation, prior history of or concurrent indolent lymphoma (including de novo transformed or composite lymphoma).
  • History of CNS involvement by their B-NHL or history of clinically relevant CNS medical condition
  • Known history of hemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS).
  • Active or uncontrolled infection
  • Major cardiac abnormalities
  • Prior anti-lymphoma therapy except for corticosteroids for symptom control
  • Requires chronic immunosuppressive therapy for active autoimmune/inflammatory condition, with some exceptions
  • The above is a summary, other exclusion criteria details may apply.

Exclusion

    Key Trial Info

    Start Date :

    November 11 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    July 28 2033

    Estimated Enrollment :

    420 Patients enrolled

    Trial Details

    Trial ID

    NCT07215585

    Start Date

    November 11 2025

    End Date

    July 28 2033

    Last Update

    December 4 2025

    Active Locations (39)

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    Page 1 of 10 (39 locations)

    1

    Research Site

    Melbourne, Australia, 3000

    2

    Research Site

    Nedlands, Australia, 6009

    3

    Research Site

    Antwerp, Belgium, 2030

    4

    Research Site

    Brussels, Belgium, 1200