ClinicalTrials.gg
RecruitingNCT06542250TITANiumUpdated Sep 30, 2026

A Study to Evaluate Safety, PK, PD and Efficacy of AZD5492, a T Cell-engaging Antibody Targeting CD20 in Subjects With R/R B-Cell Malignancies.

A Phase 1/2 interventional study of AZD5492 in B-cell Malignancies, sponsored by AstraZeneca. Recruiting at 31 sites in 10 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Primary conditionnone(registry's first term: Recurrence)No conditionIs this wrong?Recurrence describes something many studies share rather than a condition a study is about. The study names no condition we can place it under, so it is not compared with other studies by condition.

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

From the registry’s dates

  • Started Sep 2024; still recruiting 2 years 1 month later.
Updated Sep 30, 2026Site recruiting status changedGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
174
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase I/II study designed to evaluate if experimental T cell engaging antibody targeting CD20 AZD5492 is safe, tolerable and efficacious in participants with Relapsed or Refractory B-Cell Malignancies.

02

Conditions studied

  • B-cell Malignancies

Keywords

  • CD20
  • CD8
  • T cell engager
  • TCR
  • AZD5492
  • Relapsed, Refractory
  • B-cell malignancies
  • CLL, Chronic lymphocytic leukemia
  • SLL, Small lymphocytic lymphoma
  • MCL, Mantle cell lymphoma
  • LBCL, Large B-cell lymphoma
  • FL, Follicular lymphoma
  • TITANium
  • TCE
03

In context

Lead sponsor

AstraZeneca is the lead sponsor of 3,499 studies on the registry; 270 are open to participants now.

Of its 368 completed or terminated interventional studies of FDA-regulated products, 178 (48%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • ≥18 years of age;
  • documented CD20+ mature B-cell neoplasm

    • Large B-cell lymphoma
    • Follicular lymphoma
    • Mantle cell lymphoma
    • Chronic lymphocytic leukemia
    • Small lymphocytic lymphoma
  • , progressive and/or refractory disease following at least 2 ;
  • performance status of ≤ 2 (\< 2 in EU countries).

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

Exclusion criteria

Exclusion Criteria:

  • Any neoplasm histology not specified in the IC section;
  • Active CNS involvement in lymphoma;
  • CNS pathology including but not limited to any history of seizure disorder/epilepsy;
  • Prior HSCT within 180 days, prior autologous HSCT within 90 days, or cell therapy within 90 days of start of therapy;
  • History of Grade ≥ 3 CRS or Grade ≥ 3 ICANS;
  • Active and uncontrolled infections;
  • Unresolved AEs ≥2 Grade due to prior anticancer therapies, with some exceptions

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

Terms in these criteria, in plain language(5)

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.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
174 participants (estimated)

Study arms

  • Experimental
    Module 1: AZD5492 Monotherapy

    AZD5492 monotherapy for Relapsed or Refractory B-Cell Malignancies.

    Drug: AZD5492

Interventions

  • DrugAZD5492

    CD8/TCR based T-cell engaging antibody targeting CD20, which is administered subcutaneously

06

What researchers measure

Primary outcomes

  1. Frequency of dose limiting toxicities (DLTs).

    DLTs are dose-limiting toxicities as defined in the study protocol.

    Time frame: Module 1 - From the first administration of AZD5492 until the end of cycle 1 (up to 5 weeks).

  2. Safety evaluation of AZD5492: Number of participants with treatment-related adverse events.

    Incidence and severity of AEs, AESIs, and SAEs

    Time frame: Module 1 - From the first administration of AZD5492 within the duration of the treatment period, up to and including 90 (+7) days after the last dose of study treatment , but prior to subsequent cancer therapy.

  3. Tolerability evaluation of AZD5492: Number of participants with treatment-related adverse events.

    SAEs/AEs leading to discontinuation of AZD5492.

    Time frame: Module 1 - From the first administration of AZD5492 within the duration of the treatment period, up to and including 90 (+7) days after the last dose of study treatment , but prior to subsequent cancer therapy.

Secondary outcomes

  1. Overall Response Rate (ORR)

    The proportion of participants with a complete response or partial response, according to Lugano criteria for malignant lymphoma and iwCLL 2018 criteria for CLL.

    Time frame: Module 1 - From first dose of AZD5492 up to 2 years after last dose.

  2. Complete Response Rate (CR Rate)

    The proportion of participants with a complete response (CR), according to Lugano criteria for malignant lymphoma and iwCLL 2018 criteria for CLL.

    Time frame: Module 1 - From first dose of AZD5492 up to 2 years after last dose.

  3. Duration of Response (DoR)

    The time from the date of first documented response until the date of documented progression (according to Lugano criteria for malignant lymphoma and iwCLL 2018 criteria for CLL) or death due to any cause.

    Time frame: Module 1 - From first dose of AZD5492 up to 2 years after last dose.

  4. Progression-free Survival (PFS)

    The time from the date of first dose until the date of documented disease progression (according to Lugano criteria for malignant lymphoma and iwCLL 2018 criteria for CLL) or death due to any cause.

    Time frame: Module 1 - From first dose of AZD5492 up to 2 years after last dose.

  5. Overall Survival (OS)

    The time from the date of first dose until date of death due to any cause.

    Time frame: Module 1 - From first dose of AZD5492 up to 2 years after last dose.

  6. Pharmacokinetics of AZD5492: serum concentration of study drug

    Maximum observed serum concentration of AZD5492.

    Time frame: Module 1 - From informed consent until 90 days after last dose of AZD5492.

  7. Pharmacokinetics of AZD5492: Maximum plasma concentration of the study drug (Cmax).

    Maximum observed plasma concentration of AZD5492.

    Time frame: Module 1 - From informed consent until 90 days after last dose of AZD5492.

  8. Pharmacokinetics of AZD5492: Area under the concentration time curve (AUC).

    Area under the plasma concentration-time curve.

    Time frame: Module 1 - From informed consent until 90 days after last dose of AZD5492.

  9. Pharmacokinetics of AZD5492: apparent clearance

    The volume of plasma from which the study drug is completely removed per unit time.

    Time frame: Module 1 - From informed consent until 90 days after last dose of AZD5492.

  10. Pharmacokinetics of AZD5492: Half-life (t 1/2)

    Terminal elimination half-life.

    Time frame: Module 1 - From informed consent until 90 days after last dose of AZD5492.

  11. To determine the immunogenicity of AZD5492

    The number of participants who develop ADAs measured in serum.

    Time frame: Module 1 - From informed consent until 90 days after last dose of AZD5492.

  12. To determine the immunogenicity of AZD5492

    The percentage of participants who develop ADAs measured in serum.

    Time frame: Module 1 - From informed consent until 90 days after last dose of AZD5492.

07

Study locations

30 of 31 sites recruiting
  • Research Site
    La Jolla, California 92093, United States
    Recruiting
  • Research Site
    Boston, Massachusetts 02215, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Rochester, Minnesota 55905, United States
    Recruiting
  • Research Site
    Hackensack, New Jersey 07601, United States
    Recruiting
  • Research Site
    New York, New York 10021, United States
    Recruiting
  • Research Site
    New York, New York 10029, United States
    Recruiting
  • Research Site
    Charlotte, North Carolina 28203, United States
    Recruiting
  • Research Site
    Winston-Salem, North Carolina 27157, United States
    Recruiting
  • Research Site
    Houston, Texas 77030, United States
    Recruiting
  • Research Site
    Seattle, Washington 98109, United States
    Recruiting
  • Research Site
    Melbourne, 3000, Australia
    Recruiting
  • Research Site
    Nedlands, 6009, Australia
    Recruiting
  • Research Site
    Calgary, Alberta T2N 5G2, Canada
    Recruiting
  • Research Site
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
  • Research Site
    Montreal, Quebec H3T 1R2, Canada
    Recruiting
  • Research Site
    Hangzhou, 310003, China
    Recruiting
  • Research Site
    Shanghai, 200025, China
    Recruiting
  • Research Site
    København Ø, 2100, Denmark
    Recruiting
  • Research Site
    Pessac, 33604, France
    Recruiting
  • Research Site
    Villejuif, 94805, France
    Recruiting
  • Research Site
    Göttingen, DE-37099, Germany
    Recruiting
  • Research Site
    München, 81675, Germany
    Recruiting
  • Research Site
    Ulm, 89081, Germany
    Recruiting
  • Research Site
    Würzburg, 97080, Germany
    Recruiting
  • Research Site
    Bologna, 40138, Italy
    Recruiting
  • Research Site
    Milan, 20133, Italy
    Recruiting
  • Research Site
    Chūōku, 104-0045, Japan
    Recruiting
  • Research Site
    Kashiwa, 277-8577, Japan
    Recruiting
  • Research Site
    Barcelona, 08035, Spain
    Recruiting
  • Research Site
    L'Hospitalet de Llobregat, 08908, Spain
    Recruiting
  • Research Site
    Madrid, 28040, Spain
    Recruiting
08

References and documents

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://www.astrazenecaclinicaltrials.com/our-transparency-commitments/. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Supporting information: Study protocol

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://www.astrazenecaclinicaltrials.com/our-transparency-commitments/.

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 ↗ · www.vivli.org

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2024 (actual). Primary completion is estimated for Dec 2029, 63 months after the start.

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

Registered
Jul 29, 2024
First posted
Aug 7, 2024
StartActual
Sep 18, 2024
Primary completionEst.
Dec 18, 2029
CompletionEst.
Dec 18, 2029
Last update
Sep 30, 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.
Sites
Research Site is now Recruiting
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Research Site is now Recruiting
    + 1 other change: verification date

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
NCT06542250
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Aug 7, 2024
Start date
Sep 18, 2024
Primary completion
Dec 18, 2029 (estimated)
Completion
Dec 18, 2029 (estimated)
Last update
Sep 30, 2026

Study contacts

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

Oversight

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

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