A Study of Surovatamig (AZD0486) Plus Rituximab in Previously Untreated Follicular Lymphoma Patients

Phase
Recruitment status
Participants
Lead sponsor
Start date
Number of sites

Summary
This is a global, randomised, Phase III, multicentre, open-label study evaluating the efficacy, safety and the degree of added benefit of the Surovatamig (AZD0486) plus rituximab combination compared to Investigator's choice of 3 standard immunochemotherapy regimen, conducted in participants with untreated FL.
Short title
A Study of Surovatamig (AZD0486) Plus Rituximab in Previously Untreated Follicular Lymphoma Patients
Official title
A Phase III, Multicentre, Randomised, Open-label Study to Compare the Efficacy and Safety of AZD0486 Plus Rituximab Versus Chemotherapy Plus Rituximab in Previously Untreated Participants With Follicular Lymphoma (SOUNDTRACK-F1)

Control arm
Active comparator
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Registry sponsor category
Lead sponsor
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
No masking
Sources for study design

  1. SRI Primary: Incidence, nature and severity of AEs and SAEs. Incidence and nature of study drug discontinuations, dose reductions, and dose delays due to AEs

    Timeframe: Up to 10 years

    Frequency, severity, and relationship to study drug of AEs and SAEs; dose modifications; changes in physical examination and safety procedures.

  2. SRI Primary: Determination of the recommended Phase III dose (RP3D)

    Timeframe: Up to 1 year

    The RP3D will be the dose of Surovatamig selected for the Phase 3 part based on safety data compiled during the safety run-in part

  3. Phase 3 Dual Primary: To demonstrate the superiority of Surovatamig plus rituximab compared to Investigator's choice of SoC chemoimmunotherapy

    Timeframe: Up to 10 years

    PFS, based on Lugano 2014 Response Criteria, as assessed by BICR.

  4. Phase 3 Dual Primary: To demonstrate the superiority of Surovatamig plus rituximab compared to Investigator's choice of SoC chemoimmunotherapy

    Timeframe: Up to 10 years

    ORR at EoI, based on Lugano 2014 Response Criteria, as assessed by BICR.

  1. Safety Run in and Phase 3: ORR at EoI (Investigator assessed)

    Timeframe: Up to 10 years

    ORR defined as the proportion of participants achieving either a PR or CR at End of Induction based on Lugano 2014 Response Criteria

  2. Safety Run In and Phase 3: CR Rate

    Timeframe: Up to 10 years

    CR rate is defined as the proportion of participants achieving a CR at any time as based on Lugano 2014 Response Criteria

  3. Safety Run In and Phase 3: CR at EoI

    Timeframe: Up to 10 years

    Proportion of participants achieving CR at End of Induction based on Lugano 2014 Response Criteria

  4. Safety Run In and Phase 3: DoR

    Timeframe: up to 10 years

    DoR will be defined from the time of first response until progression based on Lugano 2014 criteria, or death due to any cause

  5. Safety Run In and Phase 3: PFS (Investigator assessed)

    Timeframe: Up to 10 years

    PFS (Investigator assessed) is defined as time from randomization until disease progression based on Lugano 2014 Response Criteria or death due to any cause

  6. Safety Run In and Phase 3: OS

    Timeframe: Up to 10 years

    OS is defined as time until the date of death

  7. Phase 3: CR rate at 30 months (CR30)

    Timeframe: Up to 30 months

    Proportion of participants in CR rate at 30 months (CR30) based on Lugano 2014 Response Criteria

  8. Phase 3: Time to First Subsequent Therapy or Death (TFST)

    Timeframe: Up to 10 Years

    TFST will be defined as the time from randomization until the start date of first subsequent anti-lymphoma therapy or death due to any cause

  9. Phase 3: Time from randomisation to second progression or death (PFS2)

    Timeframe: Up to 10 Years

    PFS2 will be defined as the time from randomization until the earliest of the progression event, after first subsequent therapy, or death due to any cause

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
130 Years
Healthy volunteers
No

  1. Participant must be at least 18 years of age, inclusive, at the time of signing the ICF.
  2. Histologically confirmed diagnosis of classic FL per WHO 2022 classification
  3. ECOG performance status of 0 to 2
  4. No prior systemic lymphoma-directed therapy
  5. Need for systemic treatment meeting at least 1 GELF criteria
  6. FDG-avid and measurable disease
  7. Stage II to IV and FLIPI 2-5 [Phase III only]
  8. Adequate liver, hematological, renal and cardiac function.

The above is a summary, other inclusion criteria details may apply

  1. Follicular large B-cell lymphoma (WHO 2022 classification), formerly Follicular lymphoma Grade 3B (WHO 2016 classification) or suspicion for histologic transformation to high-grade/aggressive lymphoma
  2. Contra-indication to BR, RCVP, and R-CHOP
  3. Participants with or history of CNS lymphoma
  4. History of a clinically relevant CNS medical condition or pathology that required treatment in the preceding year, is currently symptomatic or that which the treating investigator considers to have the potential to interfere with the evaluation of safety
  5. Presence of >5000 circulating lymphoma cells
  6. Active or uncontrolled infection (including EBV) requiring systemic therapy and which places participant at unacceptable risk if he/she were to participate in the study. If a participant has a history of COVID-19 within 1 month of C1D1 or contracts COVID while on study treatment, participant must have 2 consecutive negative tests (PCR testing is preferable) performed at least 48 hours apart prior to resuming dosing. All symptoms related to COVID-19 infection should have fully resolved before initiating or resuming treatment
  7. Known history of hemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS)

The above is a summary, other exclusion criteria details may apply

Sources for eligibility

  • Research SiteHuntsville, United StatesNot yet recruiting
  • Research SiteAnchorage, United StatesRecruiting
  • Research SitePhoenix, United StatesNot yet recruiting
  • Research SiteClovis, United StatesNot yet recruiting
  • Research SiteLos Alamitos, United StatesNot yet recruiting
  • Research SiteSan Diego, United StatesNot yet recruiting
  • Research SiteSanta Monica, United StatesNot yet recruiting
  • Research SiteAurora, United StatesWithdrawn
  • Research SiteNew Haven, United StatesNot yet recruiting
  • Research SiteNewark, United StatesNot yet recruiting
  • Research SiteJacksonville, United StatesNot yet recruiting
  • Research SiteAtlanta, United StatesNot yet recruiting
  • Research SiteMacon, United StatesNot yet recruiting
  • Research SiteEvanston, United StatesNot yet recruiting
  • Research SitePeoria, United StatesNot yet recruiting
  • Research SiteFort Wayne, United StatesNot yet recruiting
  • Research SiteDes Moines, United StatesNot yet recruiting
  • Research SiteIowa City, United StatesNot yet recruiting
  • Research SiteLexington, United StatesNot yet recruiting
  • Research SiteLouisville, United StatesNot yet recruiting
  • Research SiteBaton Rouge, United StatesNot yet recruiting
  • Research SiteBaltimore, United StatesNot yet recruiting
  • Research SiteBethesda, United StatesNot yet recruiting
  • Research SiteColumbia, United StatesNot yet recruiting
  • Research SiteBoston, United StatesNot yet recruiting

And 203 more, listed on the interactive page.

Sources for sites

  • 2023
  • 2023-510098-33-00
Sources for references

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)