Substudy-1: Chronic lymphocytic leukaemia, Small lymphocytic lymphoma Substudy-2: Mantle cell lymphoma Substudy-3: Large B-cell lymphoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
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 lymphocytes 50%. -Contraception at least 90 days after last dose of AZD0486 or 4 months after last dose of vincristine, and 6 months after the last dose of cyclophosphamide, or doxorubicin.
Exclusion criteria
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 anticancer 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. Substudy 1 Specific Exclusion Criteria -CLL transformation to more aggressive 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Number of Participants with Adverse Events, Serious Adverse Events and Adverse Events of Special Interest - Number of Participants with Dose Limiting Toxicity (DLTs) | — |
Countries
Australia, China, Czech Republic, Denmark, France, Germany, Japan, South Korea, Spain, Taiwan, United Kingdom, United States of America
Contacts
Astrazeneka K.K