Actively Recruiting

Phase 1
Phase 2
Age: 12Years +
All Genders
NCT06137118

AZD0486 as Monotherapy in B-cell Acute Lymphoblastic Leukaemia

Led by AstraZeneca · Updated on 2026-05-01

163

Participants Needed

80

Research Sites

182 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a Phase 1/2, global multicentre, open-label, single-arm, dose escalation and dose optimisation study of AZD0486 to evaluate the safety, tolerability, and efficacy of AZD0486 monotherapy in participants with R/R B ALL who have received ≥ 2 prior lines of therapies. The study will consist of 3 parts. Part A monotherapy dose escalation. Part B dose optimisation. Part C Dose expansion at the recommended phase 2 dose (RP2D)

CONDITIONS

Official Title

AZD0486 as Monotherapy in B-cell Acute Lymphoblastic Leukaemia

Who Can Participate

Age: 12Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 12 years and older
  • Diagnosis of B-cell Acute Lymphoblastic Leukemia with CD19 expression confirmed by local lab
  • Bone marrow infiltration with at least 5% blasts
  • Relapsed or refractory disease after at least 2 prior therapies, or after 1 prior therapy if no standard treatment options exist
  • Philadelphia chromosome-positive patients allowed if intolerant or refractory to tyrosine kinase inhibitors
  • For participants older than 16 years, ECOG Performance Status of 0 to 2
  • For participants 16 years or younger, Lansky score of 50% or higher
Not Eligible

You will not qualify if you...

  • Active central nervous system involvement by B-ALL (presence of blasts in cerebrospinal fluid meeting CNS2 or CNS3 criteria)
  • Isolated extramedullary disease relapse
  • Testicular leukemia
  • History or presence of significant central nervous system diseases such as epilepsy, seizures, paresis, aphasia, stroke, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, psychosis, or prior Grade 4 neurotoxicity with CAR-T or T-cell engager therapy
  • History of other malignancies (with some exceptions)
  • Unresolved adverse events of Grade 2 or higher from previous therapies
  • Prior T-cell engager therapy within 4 weeks, CAR T-cell therapy or autologous stem cell transplant within 8 weeks, or allogeneic stem cell transplant within 12 weeks before starting AZD0486
  • Graft-versus-host disease requiring immunosuppressive therapy within 3 weeks before treatment with AZD0486

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 80 locations

1

Research Site

Birmingham, Alabama, United States, 35233

Withdrawn

2

Research Site

Duarte, California, United States, 91010

Actively Recruiting

3

Research Site

Los Angeles, California, United States, 90048

Actively Recruiting

4

Research Site

Palo Alto, California, United States, 94304

Actively Recruiting

5

Research Site

Tampa, Florida, United States, 33612

Actively Recruiting

6

Research Site

Atlanta, Georgia, United States, 30322

Actively Recruiting

7

Research Site

Chicago, Illinois, United States, 60637

Actively Recruiting

8

Research Site

New York, New York, United States, 10016

Actively Recruiting

9

Research Site

Houston, Texas, United States, 77030

Actively Recruiting

10

Research Site

Richmond, Virginia, United States, 23298

Actively Recruiting

11

Research Site

Seattle, Washington, United States, 98109

Withdrawn

12

Research Site

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

13

Research Site

Melbourne, Australia, 3000

Actively Recruiting

14

Research Site

Porto Alegre, Brazil, 90035903

Actively Recruiting

15

Research Site

São Paulo, Brazil, 01401-002

Actively Recruiting

16

Research Site

São Paulo, Brazil, 05652-900

Actively Recruiting

17

Research Site

Toronto, Ontario, Canada, M5G 2M9

Actively Recruiting

18

Research Site

Montreal, Quebec, Canada, H3T1C5

Withdrawn

19

Research Site

Montreal, Quebec, Canada, H4A 3J1

Withdrawn

20

Research Site

Changsha, China, 410008

Actively Recruiting

21

Research Site

Chengdu, China, 610041

Actively Recruiting

22

Research Site

Guangzhou, China, 510060

Actively Recruiting

23

Research Site

Guangzhou, China, 510280

Actively Recruiting

24

Research Site

Hangzhou, China, 310003

Actively Recruiting

25

Research Site

Nanjing, China, 210008

Actively Recruiting

26

Research Site

Nanjing, China, 210009

Actively Recruiting

27

Research Site

Suzhou, China, 215006

Actively Recruiting

28

Research Site

Tianjin, China, 300020

Actively Recruiting

29

Research Site

Zhengzhou, China, 450008

Actively Recruiting

30

Research Site

Caen, France, 14033

Actively Recruiting

31

Research Site

Marseille, France, 13009

Actively Recruiting

32

Research Site

Nantes, France, 44000

Actively Recruiting

33

Research Site

Paris, France, 75019

Actively Recruiting

34

Research Site

Pierre-Bénite, France, 69495

Actively Recruiting

35

Research Site

Toulouse, France, 31059

Actively Recruiting

36

Research Site

Cologne, Germany, 50924

Actively Recruiting

37

Research Site

Düsseldorf, Germany, 40225

Actively Recruiting

38

Research Site

Essen, Germany, 45147

Withdrawn

39

Research Site

Frankfurt, Germany, 60590

Actively Recruiting

40

Research Site

Freiburg im Breisgau, Germany, 79106

Actively Recruiting

41

Research Site

Halle, Germany, 06120

Actively Recruiting

42

Research Site

Hamburg, Germany, 20246

Actively Recruiting

43

Research Site

Kiel, Germany, 24105

Actively Recruiting

44

Research Site

München, Germany, D-81337

Actively Recruiting

45

Research Site

Münster, Germany, 48149

Actively Recruiting

46

Research Site

Würzburg, Germany, 97080

Actively Recruiting

47

Research Site

Bergamo, Italy, 24127

Actively Recruiting

48

Research Site

Bologna, Italy, 40138

Actively Recruiting

49

Research Site

Monza, Italy, 20900

Actively Recruiting

50

Research Site

Naples, Italy, 80123

Actively Recruiting

51

Research Site

Roma, Italy, 00165

Actively Recruiting

52

Research Site

Bunkyō City, Japan, 113-8677

Actively Recruiting

53

Research Site

Chiba, Japan, 260-8677

Actively Recruiting

54

Research Site

Chūōku, Japan, 104-0045

Actively Recruiting

55

Research Site

Fukuoka, Japan, 810-8563

Actively Recruiting

56

Research Site

Kashiwa, Japan, 277-8577

Actively Recruiting

57

Research Site

Kyoto, Japan, 606-8507

Actively Recruiting

58

Research Site

Okayama, Japan, 701-1192

Actively Recruiting

59

Research Site

Osaka, Japan, 545-8586

Actively Recruiting

60

Research Site

Sapporo, Japan, 003-0006

Actively Recruiting

61

Research Site

Toyohashi, Japan, 441-8570

Actively Recruiting

62

Research Site

Yamagata, Japan, 990-9585

Actively Recruiting

63

Research Site

Seoul, South Korea, 03080

Actively Recruiting

64

Research Site

Seoul, South Korea, 03722

Actively Recruiting

65

Research Site

Seoul, South Korea, 06351

Actively Recruiting

66

Research Site

Seoul, South Korea, 6591

Actively Recruiting

67

Research Site

Barcelona, Spain, 08036

Actively Recruiting

68

Research Site

Barcelona, Spain, 8035

Actively Recruiting

69

Research Site

Madrid, Spain, 28025

Actively Recruiting

70

Research Site

Madrid, Spain, 28046

Actively Recruiting

71

Research Site

Salamanca, Spain, 37007

Actively Recruiting

72

Research Site

Valencia, Spain, 46026

Active, Not Recruiting

73

Research Site

Kaohsiung City, Taiwan, 833401

Actively Recruiting

74

Research Site

Taichung, Taiwan, 40705

Actively Recruiting

75

Research Site

Tainan, Taiwan, 70403

Actively Recruiting

76

Research Site

Taipei, Taiwan, 10002

Actively Recruiting

77

Research Site

Taoyuan, Taiwan, 333

Actively Recruiting

78

Research Site

London, United Kingdom, EC1A 7BE

Actively Recruiting

79

Research Site

Manchester, United Kingdom, M20 4BX

Actively Recruiting

80

Research Site

Surrey, United Kingdom, SM1 2DL

Actively Recruiting

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Research Team

A

AstraZeneca Clinical Study Information Center

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

3

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