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DRUG:

AZD0486

i
Other names: AZD0486, TNB-486
Associations
Trials
Company:
Ancora Biotech, AstraZeneca
Drug class:
CD3 agonist, CD19 inhibitor
Related drugs:
Associations
Trials
16d
Escalating Doses of AZD0486, a Novel CD19xCD3 T-Cell Engager, Result in High Complete Remissions with Rapid Clearance of Minimal Residual Disease in Patients with Relapsed/Refractory Follicular Lymphoma (ASH 2024)
Median prior lines of therapy was 3 (range 2–12), 18 (38%) pts received prior lenalidomide–based therapy, 7 (15%) pts received prior chimeric antigen receptor T-cell therapy (CAR-T), and 4 (9%) received prior CD20 TCE therapy. AZD0486 offers high response rates in pts with R/R FL at target doses ≥2.4 mg. Responses were durable. 2SUD allows safe administration of the target dose up to at least 15 mg.
Clinical • Minimal residual disease
|
CD20 negative
|
Foresight CLARITY™
|
lenalidomide • AZD0486
3ms
A Study of AZD0486 Plus Rituximab in Previously Untreated Follicular Lymphoma Patients (clinicaltrials.gov)
P3, N=1005, Recruiting, AstraZeneca | Not yet recruiting --> Recruiting
Enrollment open
|
Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • AZD0486
3ms
New P1/2 trial • Combination therapy
|
Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • Calquence (acalabrutinib) • vincristine • prednisone • AZD0486
3ms
New P3 trial
|
Rituxan (rituximab) • doxorubicin hydrochloride • cyclophosphamide • AZD0486
4ms
Enrollment change
|
AZD0486
4ms
New P2 trial
|
AZD0486
7ms
Enrollment change
|
CD19 positive
|
AZD0486
10ms
AZD0486 as Monotherapy in B-cell Acute Lymphoblastic Leukaemia (clinicaltrials.gov)
P1/2, N=120, Recruiting, AstraZeneca | Not yet recruiting --> Recruiting
Enrollment open
|
AZD0486
11ms
D7400C00006: A Study of AZD0486 in Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma (clinicaltrials.gov)
P1, N=116, Recruiting, AstraZeneca | Trial completion date: Oct 2025 --> Oct 2026 | Trial primary completion date: Oct 2025 --> Oct 2026
Trial completion date • Trial primary completion date
|
CD19 positive
|
AZD0486
1year
New P1/2 trial
|
AZD0486
1year
A Study of AZD0486 in Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma (clinicaltrials.gov)
P1, N=116, Recruiting, AstraZeneca | Trial completion date: May 2024 --> Oct 2025 | Trial primary completion date: Aug 2023 --> Oct 2025
Trial completion date • Trial primary completion date
|
CD19 positive
|
AZD0486
1year
Double Step-up Dosing (2SUD) Regimen Mitigates Severe Icans and CRS While Maintaining High Efficacy in Subjects with Relapsed/Refractory (R/R) B-Cell Non-Hodgkin Lymphoma (NHL) Treated with AZD0486, a Novel CD19xCD3 T-Cell Engager (TCE): Updated Safety and Efficacy Data from the Ongoing First-in-Human (FIH) Phase 1 Trial (ASH 2023)
AZD0486 (formerly TNB-486) is an active treatment in patients with advanced R/R B-NHL and has a predictable safety profile characterized by mainly low-grade AEs and fully transient and reversible CRS/ICANS events. The 2 SUD schedule reduced the overall rate of low grade CRS and ICANS (Grade 1-2) and abrogated Grade 3 events further improving the risk/benefit profile of AZD0486. Dose escalation is ongoing to identify the RP2D.
Clinical • P1 data
|
CD20 (Membrane Spanning 4-Domains A1) • IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • CXCL8 (Chemokine (C-X-C motif) ligand 8) • IL10 (Interleukin 10)
|
CD20 negative
|
AZD0486
over1year
PHASE II STUDY OF GLOFITAMAB, POSELTINIB AND LENALIDOMIDE IN PATIENTS WITH RELAPSED/REFRACTORY DIFFUSE B CELL LYMPHOMAS (EHA 2023)
Background: Despite the groundbreaking introduction of rituximab for the treatment of diffuse large B cell lymphoma (DLBCL), approximately 30% of the patients ultimately experience refractory / relapse (R/R) disease and so far myriads attempts to improve survival outcomes have not yielded firm positive results...To mitigate the risk of glofitamab associated cytokine release syndrome, obinutuzumab premedication and cycle 1 step-up dosing was implemented...One patient with a previous history of prior COVID19 infection after TNB-486 (CD19/CD3 bispecific) clinical trial, despite receiving vaccination prior to this study enrollment, experienced COVID19 reactivation after cycle 1... Glofitamab, poseltinib and lenalidomide (GPL) is promising combination for thetreatment of R/R DLBCL. (Table) Refractory, DLBCL, Bispecific
Clinical • P2 data
|
BCL6 (B-cell CLL/lymphoma 6)
|
CD20 positive
|
Rituxan (rituximab) • lenalidomide • Gazyva (obinutuzumab) • Columvi (glofitamab-gxbm) • AZD0486 • poseltinib (HM71224)
over1year
HIGH COMPLETE RESPONSE RATE WITH TNB-486, A NOVEL CD19XCD3 T-CELL ENGAGER, IN RELAPSED/REFRACTORY FOLLICULAR LYMPHOMA: INTERIM RESULTS FROM AN ONGOING PHASE 1 STUDY (EHA 2023)
TNB-486 induces high complete remission rates during early phase dose escalation. With limited follow-up, responses appear durable in heavily pretreated FL pts, with a manageable safety profile. Dose escalation is ongoing to identify the RP2D.
Clinical • P1 data
|
CD20 (Membrane Spanning 4-Domains A1) • CD19 (CD19 Molecule)
|
CD19 expression • CD20 negative
|
AZD0486