A Study of AZD0486 Monotherapy or in Combination With Other Anti-Cancer Agents for Mature B-Cell Malignancies (Soundtrack-E)
A Phase I/II Open-Label Multi-Centre Master Protocol to Evaluate the Safety and Efficacy of AZD0486 Monotherapy or in Combination With Other Anticancer Agents in Participants With Mature B-Cell Malignancies
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is open-label, multi-center study to evaluate the safety and preliminary efficacy of surovatamig administered as monotherapy and in combination with other anticancer agents in participants with mature B-cell hematologic malignancies.
This master study currently includes 3 substudies and each substudy focusing on a defined population:
Substudy 1: Relapsed/refractory (R/R) Chronic lymphocytic leukaemia (CLL)/ Small lymphocytic lymphoma (SLL) Substudy 2: R/R Mantle-cell lymphoma (MCL) Substudy 3: Large B-cell lymphoma (LBCL) or R/R B-cell non-Hodgkin lymphoma (B-NHL) (not applicable to US)
The study will have the following sequential periods:
- Screening period of 28 days
- Treatment period
- Follow-up period
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: AstraZeneca Clinical Study Information Center
- Phone Number: 1-877-240-9479
- Email: information.center@astrazeneca.com
Study Locations
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Heidelberg, Australia, 3084
- Recruiting
- Research Site
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Melbourne, Australia, 3004
- Recruiting
- Research Site
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Nedlands, Australia, 6009
- Recruiting
- Research Site
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Beijing, China, 100044
- Recruiting
- Research Site
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Guangzhou, China, 510060
- Recruiting
- Research Site
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Jinan, China, 250013
- Withdrawn
- Research Site
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Tianjin, China, 300060
- Recruiting
- Research Site
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Zhengzhou, China, 450008
- Recruiting
- Research Site
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Ostrava - Poruba, Czechia, 708 52
- Recruiting
- Research Site
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Prague, Czechia, 12808
- Recruiting
- Research Site
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Praha 2 - Nové Město, Czechia, 12820
- Recruiting
- Research Site
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Aalborg, Denmark, 9000
- Recruiting
- Research Site
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Aarhus N, Denmark, 8200
- Recruiting
- Research Site
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Copenhagen, Denmark, 2100
- Recruiting
- Research Site
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Odense C, Denmark, 5000
- Recruiting
- Research Site
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Clermont-Ferrand, France, 63000
- Not yet recruiting
- Research Site
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Montpellier, France, 34295
- Recruiting
- Research Site
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Paris, France, 75010
- Recruiting
- Research Site
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Saint-Cloud, France, 92210
- Recruiting
- Research Site
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Villejuif, France, 94805
- Recruiting
- Research Site
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Cologne, Germany, 50937
- Not yet recruiting
- Research Site
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Homburg, Germany, 66421
- Not yet recruiting
- Research Site
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Kiel, Germany, 24105
- Recruiting
- Research Site
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Mainz, Germany, 55131
- Not yet recruiting
- Research Site
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München, Germany, 81377
- Recruiting
- Research Site
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Würzburg, Germany, 97080
- Recruiting
- Research Site
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Bologna, Italy, 40138
- Not yet recruiting
- Research Site
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Milan, Italy, 20141
- Not yet recruiting
- Research Site
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Kōtoku, Japan, 135-8550
- Recruiting
- Research Site
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Matsuyama, Japan, 791-0280
- Recruiting
- Research Site
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Nagoya, Japan, 464-8681
- Recruiting
- Research Site
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Busan, South Korea, 48108
- Recruiting
- Research Site
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Seoul, South Korea, 03080
- Recruiting
- Research Site
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Seoul, South Korea, 06351
- Recruiting
- Research Site
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Seoul, South Korea, 05505
- Recruiting
- Research Site
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Seoul, South Korea, 06591
- Recruiting
- Research Site
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Seoul, South Korea, 02841
- Recruiting
- Research Site
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Barcelona, Spain, 8036
- Recruiting
- Research Site
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Madrid, Spain, 28034
- Recruiting
- Research Site
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Madrid, Spain, 28040
- Recruiting
- Research Site
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Palma de Mallorca, Spain, 7120
- Recruiting
- Research Site
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Santiago de Compostela, Spain, 15706
- Recruiting
- Research Site
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Valencia, Spain, 46026
- Recruiting
- Research Site
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Changhua, Taiwan, 500
- Recruiting
- Research Site
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Kaohsiung City, Taiwan, 83301
- Recruiting
- Research Site
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Tainan, Taiwan, 710
- Recruiting
- Research Site
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Taipei, Taiwan, 100
- Recruiting
- Research Site
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Derriford, United Kingdom, PL6 5FP
- Recruiting
- Research Site
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London, United Kingdom, SE5 9RS
- Recruiting
- Research Site
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Oxford, United Kingdom, 0X3 7LJ
- Recruiting
- Research Site
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Southampton, United Kingdom, SO16 6YD
- Recruiting
- Research Site
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Recruiting
- Research Site
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New Jersey
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Hackensack, New Jersey, United States, 07601
- Recruiting
- Research Site
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New Brunswick, New Jersey, United States, 08901
- Recruiting
- Research Site
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New York
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New York, New York, United States, 10065
- Withdrawn
- Research Site
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New York, New York, United States, 10029
- Recruiting
- Research Site
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Recruiting
- Research Site
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Charlotte, North Carolina, United States, 28204
- Not yet recruiting
- Research Site
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Ohio
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Columbus, Ohio, United States, 43210
- Recruiting
- Research Site
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Oregon
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Portland, Oregon, United States, 97239
- Recruiting
- Research Site
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Research Site
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Pittsburgh, Pennsylvania, United States, 15232
- Recruiting
- Research Site
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Rhode Island
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Providence, Rhode Island, United States, 02903
- Recruiting
- Research Site
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Texas
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Houston, Texas, United States, 77030
- Not yet recruiting
- Research Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Master Inclusion Criteria applicable to all substudies:
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
- Contraception use during treatment and at least 90 days after final dose.
- Confirmed CD19 expression if prior anti-CD19 therapy.
Substudy 1 Specific Inclusion Criteria:
- Participants with CLL must require treatment according to the international workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria.
- SLL: at least 1 measurable site per Lugano.
- Absolute lymphocyte count (ALC) <25000 cells/mcL.
- Cohort 1A and 1C: at least 2 prior lines of systemic therapy for CLL/SLL.
- Cohort 1B: at least 1 prior line of therapy and is bruton tyrosine kinase inhibitor (BTKi)-sensitive.
Substudy 2 Specific Inclusion Criteria:
- MCL diagnosis per WHO.
- Clinical Stage II, III, or IV by Ann Arbor Classification.
- At least 1 measurable site per Lugano.
- ALC < 25000 cells/mcL.
- Cohort 2A and 2C: Relapse or progressed after 2 or more lines of therapy including BTKi.
Substudy 3 Specific Inclusion Criteria:
- At least 1 measurable site as per Lugano.
- Left ventricular ejection fraction (LVEF) ≥50%.
- Participant must be no older than 79 years of age at the time of signing ICF.
- Contraception at least 90 days after last dose of surovatamig or 4 months after last dose of vincristine, and 6 months after the last dose of cyclophosphamide, or doxorubicin.
Cohort 3A:
- Histologically confirmed diagnosis of previously untreated large B-cell Lymphoma (LBCL) per WHO 2022.
- R/R B-NHL after at least 1 prior lines of systemic therapy.
- International Prognostic Index (IPI) 2-5.
Cohort 3B:
- Histologically confirmed diagnosis of previously untreated large B-cell Lymphoma (LBCL) per WHO 2022.
- IPI score of 2 to 5.
Exclusion Criteria:
Master Exclusion Criteria applicable to all substudies:
- Central nervous system (CNS) lymphoma.
- Surgery within 14 days of study drug.
- Clinically significant cardiovascular (CV) disease.
- Unresolved Grade >2 AEs from prior anticancer therapy (except alopecia or fatigue).
- Any systemic therapy within 5 half-lives or 21 days (whichever is shorter) prior to treatment.
- Radiation therapy within 28 days.
- Prior CAR T-cell therapy or autologous-haematopoietic stem cell transplant (HSCT) within 12 weeks or prior T-cell engager (TCE) within 8 weeks.
- Prior Grade > 3 cytokine release syndrome (CRS) or immune effector cell-associated neurotoxicity syndrome (ICANS) event.
- Prior allogeneic HSCT or solid organ transplantation within 24 weeks of starting Cycle 1 Day 1.
- Active, significant, uncontrolled infection or autoimmune disease requiring systemic therapy including participants with known history of haemophagocytic lymphohistiocytosis (HLH).
Substudy 1 Specific Exclusion Criteria:
- CLL/SLL transformation to more aggressive form of lymphoma.
- Cohort 1B: bleeding diathesis, CYP3A inhibitor or inducer, history of ICH or stroke within 24 weeks, GI malabsorption, receiving vitamin K antagonist.
Substudy 3 Specific Exclusion Criteria:
- Mediastinal grey-zone lymphoma, Burkitt, Richter's transformation, primary effusion large B-cell lymphoma (LBCL).
- Cumulative dose of anthracycline >150 mg/m2.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Substudy 1 (RR CLL/SLL): Cohort 1A (Surovatamig Monotherapy)
Participants will receive surovatamig monotherapy as subcutaneous (SC) injection.
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Surovatamig will be administered as either SC injection or IV infusion.
Other Names:
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Experimental: Substudy 1 (RR CLL/SLL): Cohort 1B (Surovatamig + Acalabrutinib)
Participants will receive surovatamig as SC injection.
Participants will receive acalabrutinib tablet orally twice daily.
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Acalabrutinib will be administered orally
Surovatamig will be administered as either SC injection or IV infusion.
Other Names:
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Experimental: Substudy 1 (RR CLL/SLL): Cohort 1C (Surovatamig Monotherapy)
Participants will receive surovatamig monotherapy as intravenous (IV) infusion.
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Surovatamig will be administered as either SC injection or IV infusion.
Other Names:
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Experimental: Substudy 2 (RR MCL): Cohort 2A (Surovatamig Monotherapy)
Participants will receive surovatamig monotherapy as SC injection.
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Surovatamig will be administered as either SC injection or IV infusion.
Other Names:
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Experimental: Substudy 2 (RR MCL): Cohort 2C (Surovatamig Monotherapy)
Participants will receive surovatamig monotherapy as IV infusion.
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Surovatamig will be administered as either SC injection or IV infusion.
Other Names:
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Experimental: Substudy 3 (LBCL): Cohort 3A 2SUD (Surovatamig + RCHOP)
Participants will receive surovatamig as IV infusion with a 2SUD (double step-up dosing) schedule for priming in combination with RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) chemotherapy.
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Rituximab will be administered as IV infusion as per standard of care.
Cyclophosphamide will be administered as IV infusion as per standard of care.
Vincristine will be administered as IV infusion as per standard of care.
Doxorubicin will be administered as IV infusion as per standard of care.
Prednisone (or equivalent) will be administered either oral or IV infusion as per standard of care.
Surovatamig will be administered as either SC injection or IV infusion.
Other Names:
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Experimental: Substudy 3 (LBCL): Cohort 3B 3SUD (Surovatamig + RCHOP)
Participants will receive surovatamig as IV infusion with a 3SUD (triple step-up dosing) schedule for priming in combination with RCHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone) chemotherapy.
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Rituximab will be administered as IV infusion as per standard of care.
Cyclophosphamide will be administered as IV infusion as per standard of care.
Vincristine will be administered as IV infusion as per standard of care.
Doxorubicin will be administered as IV infusion as per standard of care.
Prednisone (or equivalent) will be administered either oral or IV infusion as per standard of care.
Surovatamig will be administered as either SC injection or IV infusion.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants with Adverse Events, Serious Adverse Events and Adverse Events of Special Interest
Time Frame: Up to 6 years 4 months
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Safety and tolerability of surovatamig as monotherapy and in combination with other anticancer agents across mature B-cell malignancies.
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Up to 6 years 4 months
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Number of Participants with Dose Limiting Toxicity (DLTs)
Time Frame: Up to 2 months
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Safety and tolerability of surovatamig as monotherapy and in combination with other anticancer agents across mature B-cell malignancies.
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Up to 2 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Complete Response (CR) Rate
Time Frame: Up to 6 years 4 months
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CR rate is defined as percentage of participants achieving CR as best response based on response criteria for iwCLL 2018 and Lugano 2014 assessed by investigator (substudy 1) and percentage of participants achieving CR as best response based on Lugano 2014 Response Criteria by investigator assessment (substudies 2 and 3).
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Up to 6 years 4 months
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Duration of Response (DoR)
Time Frame: Up to 6 years 4 months
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DoR is defined as time from the date of first documented response until date of documented progression based on response criteria for iwCLL 2018 and Lugano 2014 assessed by investigator, relapse or death (substudy 1) and time from the date of first documented response until date of documented progression based on Lugano 2014 Response Criteria by investigator assessment, relapse or death (substudies 2 and 3).
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Up to 6 years 4 months
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Overall Response Rate (ORR)
Time Frame: Up to 6 years 4 months
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ORR is defined as percentage of participants achieving either a partial response (PR) or complete response (CR) based on response criteria for International Workshop on Chronic Lymphocytic Leukemia (iwCLL) 2018 and Lugano 2014 assessed by investigator (substudy 1) and percentage of participants achieving either PR or CR based on Lugano 2014 Response Criteria by investigator assessment (substudies 2 and 3).
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Up to 6 years 4 months
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Maximum Observed Concentration (Cmax)
Time Frame: Up to 90 days after last dose
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The PK (Cmax) of surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Area Under the Concentration-time Curve (AUC)
Time Frame: Up to 90 days after last dose
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The PK (AUC) of surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Minimum Observed Concentration (Cmin)
Time Frame: Up to 90 days after last dose
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The PK (Cmin) of surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Time to Reach Maximum Concentration (tmax)
Time Frame: Up to 90 days after last dose
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The PK (tmax) of surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Trough Plasma Concentration (Ctrough)
Time Frame: Up to 90 days after last dose
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The PK (Ctrough) of surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Half Life (t1/2) of surovatamig
Time Frame: Up to 90 days after last dose
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The PK (t1/2) of surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Clearance (CL) of surovatamig
Time Frame: Up to 90 days after last dose
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The PK (CL) of surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Number of Participants with Anti-drug Antibody (ADA) for surovatamig
Time Frame: Up to 90 days after last dose
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The incidence of immunogenicity of SC surovatamig as monotherapy and in combination with other anti-cancer agents will be evaluated.
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Up to 90 days after last dose
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Chronic Disease
- Disease Attributes
- Immune System Diseases
- Neoplasms by Histologic Type
- Hematologic Diseases
- Lymphatic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Lymphoma, Non-Hodgkin
- Lymphoma
- Leukemia, Lymphoid
- Leukemia
- Pathological Conditions, Signs and Symptoms
- Hemic and Lymphatic Diseases
- Lymphoma, B-Cell
- Leukemia, Lymphocytic, Chronic, B-Cell
- Lymphoma, Mantle-Cell
- Leukemia, B-Cell
- Amino Acids, Peptides, and Proteins
- Proteins
- Organic Chemicals
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Hydrocarbons
- Hydrocarbons, Cyclic
- Carbohydrates
- Alkaloids
- Polycyclic Aromatic Hydrocarbons
- Hydrocarbons, Aromatic
- Polycyclic Compounds
- Glycosides
- Indoles
- Antibodies, Monoclonal
- Antibodies
- Immunoglobulins
- Immunoproteins
- Blood Proteins
- Serum Globulins
- Globulins
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Phosphoramide Mustards
- Nitrogen Mustard Compounds
- Mustard Compounds
- Hydrocarbons, Halogenated
- Phosphoramides
- Organophosphorus Compounds
- Pregnadienediols
- Vinca Alkaloids
- Secologanin Tryptamine Alkaloids
- Indole Alkaloids
- Indolizidines
- Indolizines
- Anthracyclines
- Naphthacenes
- Aminoglycosides
- Antibodies, Monoclonal, Murine-Derived
- Daunorubicin
- Rituximab
- Prednisone
- Cyclophosphamide
- Doxorubicin
- Vincristine
- acalabrutinib
Other Study ID Numbers
Other Study ID Numbers
- D7407C00001
- 2024-515034-33-00 (Registry Identifier: EU CT)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via there quest portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure."Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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