ClinicalTrials.gg
RecruitingNCT06005493Updated Sep 25, 2026

Study of AZD5863 in Adult Participants With Advanced or Metastatic Solid Tumors

A Phase 1/2 interventional study of AZD5863 and AZD2936 in Gastric Cancer, Gastro-esophageal Junction Cancer and Pancreatic Ductal Adenocarcinoma, sponsored by AstraZeneca. Recruiting at 25 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by AstraZeneca · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2023; still recruiting 3 years 4 months later.
Updated Sep 25, 2026Primary completion movedStudy completion moved+3 moreGo to Updates ↓

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Phase
Phase 1/2
Study type
Interventional
Enrollment
392
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 30 studies in Stomach Neoplasms by AstraZeneca — 10 open to participants now, 18 under way, 3 of them phase 3. Stomach Neoplasms · AstraZeneca.

Planned enrollment
9th of 27
392 · median 124
Started
2023
with 2 others
Phase 1/2
7 of 30
2 open now
Primary completion
2029-03
later than 13 of 17 live
Registered
19th of 30
by date

Among the 30 studies in Stomach Neoplasms by AstraZeneca, this one is the 9th largest by planned enrollment of the 27 interventional ones that give a count, is one of 3 that started in 2023, is one of 7 in phase 1/2, reaches primary completion later than 13 of the 17 other live ones, and was the 19th registered.

Stomach Neoplasms

3,401 studies on the registry are indexed under Stomach Neoplasms; 993 are open to participants now.

Browse Stomach Neoplasms studies →

Open to participants now

10 of the 30 studies in Stomach Neoplasms by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

4 more — sign in →

By country, each count listing its studies:

All 10 open studies →

Who these studies take

Of the 704 Stomach Neoplasms studies recruiting now, 376 (53%) set no upper age limit and 194 (28%) stop at 75 or younger; 28 take children under 18; 69 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 30 studies in Stomach Neoplasms by AstraZeneca, or all of them as a file.
02

Study summary

This research is designed to determine if experimental treatment with AZD5863, a T cell-engaging bispecific antibody that targets Claudin 18.2 (CLDN18.2) and CD3, is safe, tolerable and has anti-cancer activity in patients with advanced solid tumors.

Read the detailed description

This is a first-time in human, modular Phase I/II, open-label multicentre study of AZD5863 monotherapy administered intravenously (Module 1), or AZD5863 monotherapy administered subcutaneously (Module 2) in patients with advanced or metastatic solid tumors, or AZD5863 in combination with Rilvegostomig (Module 3). Each module contains dose-escalation (Part A) and dose-expansion (Part B).

03

Conditions studied

  • Gastric Cancer
  • Gastro-esophageal Junction Cancer
  • Pancreatic Ductal Adenocarcinoma
  • Esophageal Adenocarcinoma

Keywords

  • CLDN18.2 / Claudin 18.2
  • CD3
  • T cell-engaging bi-specific antibody
  • Gastric cancer
  • Gastro-esophageal junction cancer
  • Pancreatic ductal adenocarcinoma
  • Solid tumors
  • AZD5863
04

Who can participate

The criteria were revised on the registry on Sep 25, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Age ≥ 18 at the time of signing the
  • confirmed diagnosis of adenocarcinoma of the stomach, gastro-esophageal junction, esophagus, or pancreas
  • Must have at least one according to (RECIST) v1.1
  • Must show positive CLDN18.2 expression in tumor cells as determined by central immunohistochemistry (IHC)
  • Performance status (ECOG PS): 0-1 at screening
  • Predicted of ≥ 12 weeks
  • Adequate organ and bone marrow function measured within 28 days prior to first dose as defined by the protocol
  • use by men or women should be consistent with local regulations, as defined by the protocol
  • Must have received at least one in the advanced/ setting

Key Exclusion Criteria:

  • Unresolved toxicity from prior anticancer therapy of (CTCAE) Grade ≥ 2 except for those defined by the protocol
  • Participant experienced unacceptable cytokine release syndrome (CRS) or Immune Effector Cell Associated Neurotoxicity (ICANS) following prior T cell engagers (TCE) or chimeric antigen receptor T (CAR-T) cell therapy
  • Previous history of hemophagocytic lymphohistiocytosis (HLH) / macrophage activation syndrome (MAS)
  • Active or prior documented or inflammatory disorders within 3 years of start of treatment
  • central nervous system (CNS) metastases or CNS pathology, as defined by the protocol, within 3 months prior to consent
  • Infectious disease including active (HIV), active /C, uncontrolled infection with EBV, uncontrolled active systemic fungal, bacterial or other infection
  • Cardiac conditions as defined by the protocol
  • History of thromboembolic event within the past 3 months prior to the scheduled first dose of study intervention
  • Participant requires chronic therapy
  • Participants on anticoagulation therapy with long-acting anticoagulants or other class of anticoagulants at therapeutic doses Module 3 - Active or ongoing interstitial lung disease / pneumonitis, serious chronic gastrointestinal conditions Module 3 - Any of the following cardiac conditions as determined by investigator: Complex ventricular arrhythmia, symptomatic heart failure, Cardiomyopathy, myocardial infarction or unstable angina (within past 6 months) and uncontrolled hypertension.

Module 3 - Known allergy or to rilvegostomig or its Module 3 - Prior exposure to an anti-TIGIT therapy

Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
392 participants (estimated)

Study arms

  • Experimental
    Module 1: AZD5863 Monotherapy Intravenous (IV)

    Module 1: AZD5863 Intravenous (IV) Monotherapy

    Drug: AZD5863

  • Experimental
    Module 2: AZD5863 Monotherapy Subcutaneous (SC)

    Module 2: AZD5863 Subcutaneous (SC) Monotherapy

    Drug: AZD5863

  • Experimental
    Module 3: AZD5863 Combination and Rilvegostomig

    Module 3: AZD5863 Combination and Rilvegostomig

    Drug: AZD5863 · Drug: AZD2936

Interventions

  • DrugAZD5863

    T cell-engaging bi-specific antibody that targets CLDN18.2 (Claudin18.2) on tumor cells and CD3 on T cells

  • Rilvegostomig is a bi-specific antibody targeting the immunosuppressive PD-1 and TIGIT pathways.

    Also known as: Rilvegostomig

06

What researchers measure

Primary outcomes

  1. The number of patients with adverse events

    Number of patients with adverse events by system organ class and preferred term

    Time frame: From first dose of study drug up to 90 days post last dose and prior to start of subsequent anticancer therapy

  2. The number of patients with adverse events of special interest

    Number of patients with adverse events of special interest by system organ class and preferred term

    Time frame: From first dose of study drug up to 90 days post last dose and prior to start of subsequent anticancer therapy

  3. The number of patients with dose-limiting toxicity (DLT), as defined in the protocol.

    A DLT is a toxicity as defined in the protocol that occurs from the first dose of study drug up to and including the planned end of Cycle 1 (the DLT assessment period) that is assessed as unrelated to the disease or disease-related processes under investigation.

    Time frame: From first dose of study drug until the end of Cycle 1

  4. The number of patients with serious adverse events

    Number of patients with serious adverse events by system organ class and preferred term

    Time frame: From first dose of study drug up to 90 days post last dose and prior to start of subsequent anticancer therapy

  5. Objective Response Rate (ORR)

    The percentage of patients with a confirmed investigator assessed complete or partial response according to response criteria in solid tumours (RECIST 1.1). Dose expansion only.

    Time frame: From first dose of study drug to progressive disease or death in the absence of disease progression (approx. 2 years)

Secondary outcomes

  1. Objective Response Rate (ORR)

    The percentage of patients with a confirmed investigator assessed complete or partial response according to response criteria in solid tumours (RECIST 1.1). Dose escalation only.

    Time frame: From first dose of study drug to progressive disease or death in the absence of disease progression (approx. 2 years)

  2. Disease Control Rate (DCR)

    Percentage of patients with confirmed complete or partial response or having stable disease maintained for \>= 11 weeks from first dose, according to response criteria in solid tumours (RECIST 1.1).

    Time frame: From first dose of study drug to progressive disease or death in the absence of disease progression (approx. 2 years)

  3. Duration of response (DoR)

    The time from the date of first response until date of disease progression or death in the absence of disease progression, according to response criteria in solid tumours (RECIST 1.1).

    Time frame: From the first documented response to progressive disease or death in the absence of disease progression (approx. 2 years)

  4. Progression free Survival (PFS)

    The time from the start of study treatment/date of randomization until RECIST 1.1 defined disease progression or death in the absence of disease progression.

    Time frame: From the start of study treatment/date of randomization to progressive disease or death in the absence of disease progression (approx. 2 years)

  5. Overall Survival (OS)

    The time from the start of study treatment/date of randomization until death due to any cause.

    Time frame: From the start of study treatment/date of randomization to death (to be followed-up for approx. 2 years)

  6. Pharmacokinetics of AZD5863: Maximum plasma concentration of the study drug (Cmax)

    Maximum observed plasma concentration of the study drug

    Time frame: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  7. Pharmacokinetics of AZD5863: Area Under the concentration-time curve (AUC)

    Area under the plasma concentration-time curve

    Time frame: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  8. Pharmacokinetics of AZD5863: Clearance

    A pharmacokinetic measurement of the volume of plasma from which the study drug is completely removed per unit time.

    Time frame: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  9. Pharmacokinetics of AZD5863: Terminal elimination half-life (t 1/2)

    Terminal elimination half life.

    Time frame: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  10. Immunogenicity of AZD5863

    The number and percentage of participants who develop anti-drug antibodies (ADAs) measured in serum

    Time frame: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  11. Preliminary antitumor activity with target expression pre- and post-delivery of AZD5863

    Measure CLDN18.2 expression (IHC) in baseline and/or on-treatment tumor biopsies and correlate with clinical outcome

    Time frame: From time of Informed consent, at predefined intervals (including screening, on-treatment or end of treatment) throughout the study (over approx. 2 years)

07

Study locations

24 of 25 sites recruiting
  • Research Site
    Jacksonville, Florida 32224, United States
    Recruiting
  • Research Site
    Rochester, Minnesota 55905, United States
    Recruiting
  • Research Site
    New York, New York 10065, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Beijing, 100142, China
    Recruiting
  • Research Site
    Beijing, 101199, China
    Recruiting
  • Research Site
    Shandong, China
    Recruiting
  • Research Site
    Toulouse, 31059, France
    Recruiting
  • Research Site
    Villejuif, 94805, France
    Recruiting
  • Research Site
    Chūōku, 104-0045, Japan
    Recruiting
  • Research Site
    Kashiwa, 227-8577, Japan
    Recruiting
  • Research Site
    Kōtoku, 135-8550, Japan
    Recruiting
  • Research Site
    Amsterdam, 1081 HV, Netherlands
    Recruiting
  • Research Site
    Groningen, 9713 GZ, Netherlands
    Recruiting
  • Research Site
    Rotterdam, 3015 GD, Netherlands
    Recruiting
  • Research Site
    Seoul, 03080, South Korea
    Recruiting
  • Research Site
    Seoul, 03722, South Korea
    Recruiting
  • Research Site
    Seoul, 05505, South Korea
    Recruiting
  • Research Site
    Seoul, 06351, South Korea
    Recruiting
  • Research Site
    Kaohsiung City, 80756, Taiwan
    Recruiting
  • Research Site
    Tainan, 70403, Taiwan
    Recruiting
  • Research Site
    Taoyuan, 00333, Taiwan
    Recruiting
  • Research Site
    Dundee, DD1 9SY, United Kingdom
    Recruiting
  • Research Site
    London, E1 1BB, United Kingdom
    Recruiting
  • Research Site
    Metropolitan Borough of Wirral, CH63 4JY, United Kingdom
    Recruiting
  • Research Site
    Oxford, OX3 7LE, United Kingdom
    Recruiting
08

References and documents

Publications

  • Gaspar M, Natoli M, Castan L, Rahmy S, Korade M 3rd, Kelton C, Mulgrew K, Huhn O, Rees DG, Sigurdardottir A, Lloyd C, Taylor JJ, Brailey PM, Dallaway L, Toloczko A, Giraldo N, Broggi MAS, Kunihiro A, Abhishek S, He Y, Rong Y, Eyles J, Ball K, Fitzgerald J, Hammond SA, Cemerski S, Dovedi SJ, Cobbold M. An affinity-modulated T cell engager targeting Claudin 18.2 shows potent anti-tumor activity with limited cytokine release. J Immunother Cancer. 2025 Aug 4;13(8):e011857. doi: 10.1136/jitc-2025-011857. PubMed 40759445 ↗

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · astrazenecagroup-dt.pharmacm.com

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2023 (actual). Primary completion is estimated for Mar 2029, 68 months after the start.

Of 89 industry-sponsored phase 1/2 interventional studies under Stomach Neoplasms, half reached primary completion within 60 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 109. This study's planned 68 months is above that.

Counting every sponsor, half of 156 studies reached it within 60 months; a quarter within 41 and three quarters within 109.

Since we started tracking on Sep 25, 2026, the dates moved once, on Sep 25, 2026: primary completion Jul 2027 → Mar 2029 and completion Jul 2027 → Mar 2029.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jun 16, 2023
First posted
Aug 22, 2023
StartActual
Jul 11, 2023
Primary completionEst.
Mar 16, 2029was Jul 2027
CompletionEst.
Mar 16, 2029was Jul 2027
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
Jul 16, 2027→Mar 16, 2029
Sep 25, 2026
Study completion
Jul 16, 2027→Mar 16, 2029
Sep 25, 2026
Enrollment
280→392
Sep 25, 2026
Eligibility
2 criteria added, 1 removed
What changed in the criteria
  • RemovedParticipants on anticoagulation therapy with long-acting anticoagulants or other class of anticoagulants at therapeutic doses
  • AddedParticipants on anticoagulation therapy with long-acting anticoagulants or other class of anticoagulants at therapeutic doses Module 3 - Active or ongoing interstitial lung disease / pneumonitis, serious chronic gastrointestinal conditions Module 3 - Any of the following cardiac conditions as determined by investigator: Complex ventricular arrhythmia, symptomatic heart failure, Cardiomyopathy, myocardial infarction or unstable angina (within past 6 months) and uncontrolled hypertension.
  • AddedModule 3 - Known allergy or hypersensitivity to rilvegostomig or its excipients Module 3 - Prior exposure to an anti-TIGIT therapy
Sep 25, 2026
Interventions
Added Drug: AZD2936. Arms added: Module 3: AZD5863 Combination and Rilvegostomig
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Primary completion Jul 16, 2027→Mar 16, 2029
    Study completion Jul 16, 2027→Mar 16, 2029
    Enrollment 280→392
    Eligibility 2 criteria added, 1 removed
    What changed in the criteria
    • RemovedParticipants on anticoagulation therapy with long-acting anticoagulants or other class of anticoagulants at therapeutic doses
    • AddedParticipants on anticoagulation therapy with long-acting anticoagulants or other class of anticoagulants at therapeutic doses Module 3 - Active or ongoing interstitial lung disease / pneumonitis, serious chronic gastrointestinal conditions Module 3 - Any of the following cardiac conditions as determined by investigator: Complex ventricular arrhythmia, symptomatic heart failure, Cardiomyopathy, myocardial infarction or unstable angina (within past 6 months) and uncontrolled hypertension.
    • AddedModule 3 - Known allergy or hypersensitivity to rilvegostomig or its excipients Module 3 - Prior exposure to an anti-TIGIT therapy
    Interventions Added Drug: AZD2936. Arms added: Module 3: AZD5863 Combination and Rilvegostomig
    + 4 other changes: identifiers, verification date, description and design details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06005493
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Aug 22, 2023
Start date
Jul 11, 2023
Primary completion
Mar 16, 2029 (estimated)
Completion
Mar 16, 2029 (estimated)
Last update
Sep 25, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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