AZD0486 as Monotherapy in B-cell Acute Lymphoblastic Leukaemia

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age12+
SponsorAstraZeneca

About this trial

This is a Phase 1/2, global multicentre, open-label, single-arm, dose escalation and dose optimization study of surovatamig (AZD0486) to evaluate the safety, tolerability, and efficacy of surovatamig (AZD0486) monotherapy in participants with R/R B ALL. The study will consist of 4 parts. Part A: monotherapy dose escalation in 3L+ B-ALL. Part B: dose optimization in 3L+ B-ALL. Part C: Dose expansion in 3L+ B-ALL. Part D: Dose optimization and efficacy expansion in R/R B-ALL (2L+)

Eligibility criteria

Qualifiers

Age: 12 years and above (Parts A, B, C and D).

Bone marrow infiltration with >/= 5% blasts

Either relapsed or refractory after a minimum of 2 prior therapies or after 1 prior line of therapy if no SOC available option (Parts A, B, C); or relapsed or refractory to ≥1 prior line of therapy (Part D).

Philadelphia positive participants are allowed in all parts of the study, if intolerant or refractory to TKIs.

Disqualifiers

Active CNS involvement by B-ALL, defined by presence of ALL blasts in CSF (CNS2 and CNS3 criteria), or signs of CNS involvement.

Isolated extramedullary disease relapse.

Testicular leukemia

History or presence of clinically relevant CNS pathology such as epilepsy, seizure, paresis, aphasia, stroke, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, or psychosis; or prior Grade 4 neurotoxicity with CAR-T or TCE therapy.

Trial design

Treatments tested in this trial

  • Surovatamig

Treatment groups

255 Participants
are divided into 4 treatment groups

Sponsors and collaborators