Immunotherapy in B-Cell Acute Lymphoblastic Leukemia.
Kara L Davis, Catherine C Yao, Jessica A O Zimmerman...
https://pubmed.ncbi.nlm.nih.gov/41671463/Actively Recruiting
Led by AstraZeneca · Updated on 2026-05-27
236
Participants Needed
80
Research Sites
32 weeks
Total Duration
Researchers are evaluating AZD0486, an investigational drug given alone, in adolescents and adults with relapsed or refractory B-cell Acute Lymphoblastic Leukemia B-ALL who have had at least two prior treatments. This Phase 12 open-label study is designed to assess the safety, tolerability, and clinical activity of AZD0486. The trial includes participants aged 12 and older and aims to find the best dose and understand how the drug behaves in the body. The study has three parts Part A involves increasing doses of AZD0486 to find safe levels Part B focuses on optimizing the dose with participants randomly assigned to one of two dose schedules Part C expands treatment to more participants using the recommended dose from Part B. All doses are given via intravenous infusion. Participants will receive AZD0486 monotherapy throughout the trial. Participants will be monitored closely for side effects and response to treatment over up to 42 months. Researchers will measure treatment safety, complete remission rates within three cycles, and drug levels in the body. Additional assessments include survival outcomes, duration of remission, and immune response to the drug. The study includes safety evaluations from consent through the study period, with follow-up for long-term effects and treatment outcomes.
CONDITIONS
AZD0486 as Monotherapy in B-cell Acute Lymphoblastic Leukaemia
A
AstraZeneca Clinical Study Information Center
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AstraZeneca
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | AZD0486 (investigational antibody) | Current immunotherapy (e.g., blinatumomab, inotuzumab ozogamicin) |
|---|---|---|
| What it is | AZD0486 is an investigational intravenous bispecific antibody being tested for activity against CD19-positive B-cell Acute Lymphoblastic Leukemia (B-ALL) in this trial. | Current guideline-supported immunotherapies for relapsed or refractory B-ALL include approved agents such as blinatumomab (a bispecific T-cell engager) and inotuzumab ozogamicin (an anti-CD22 antibody-drug conjugate), administered intravenously to eligible patients. |
| Role in trial | Tested as a monotherapy for safety, optimal dosing, and early anti-leukemic activity in patients with relapsed or refractory B-ALL. | Used as standard care for treating relapsed or refractory B-ALL when guideline criteria are met; may be a bridge to stem cell transplant for some patients. |
| Primary use | Investigated for single-agent treatment of relapsed or refractory B-ALL, including patients refractory or intolerant to other therapies. | Standard immunotherapy agents provide disease control in patients with relapsed or refractory B-ALL and are routinely used in clinical practice. |
| How it is given or performed | Given as an intravenous infusion in escalating or optimized doses, with therapy cycles studied in sequential parts A, B, and C of the trial. | Current immunotherapies such as blinatumomab are administered as continuous intravenous infusions, while inotuzumab ozogamicin is given through intermittent intravenous infusions according to approved schedules. |
| Evidence status | Ongoing clinical investigation; results for this therapy are not yet established. | Demonstrated efficacy in improving remission rates and event-free survival in relapsed/refractory B-ALL, based on pivotal clinical trials. |
| Important limitations | Safety, optimal dose, and effectiveness are not yet known. The study does not contain a direct comparison to other established therapies, and the investigational drug is available only within the trial. | Treatment can involve significant risks (such as cytokine release syndrome or hepatotoxicity), and some patients may not respond or may relapse after immunotherapy. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to three cycles of 28 days each
Participants receive AZD0486 monotherapy via intravenous infusion in sequential dose escalation, dose optimization, and dose expansion cohorts.
Multiple visits for IV infusions and assessments during each 28-day cycle
Duration - Up to 42 months
Participants are monitored for safety, clinical response, and pharmacokinetics after treatment completion, up to 42 months.
Periodic visits as scheduled for safety and efficacy assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
3
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Kara L Davis, Catherine C Yao, Jessica A O Zimmerman...
https://pubmed.ncbi.nlm.nih.gov/41671463/AstraZeneca
Lead Sponsor