ClinicalTrials.gg
RecruitingNCT06549595Updated Oct 21, 2026

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

A Phase 3 interventional study of Surovatamig and R-CHOP in Untreated Follicular Lymphoma, sponsored by AstraZeneca. Recruiting at 244 sites in 25 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2024; still recruiting 2 years 3 months later.
Updated Oct 21, 2026First site in ItalySite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
1,018
Allocation
Randomized
Ages
18 Years to 130 Years
Sex
All
01

Study 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.

Read the detailed description

The study consists of 2 sequential parts.

  1. Safety Run-in - this part will compare dose levels of Surovatamig (AZD0486) in combination with rituximab in order to establish the RP3D.
  2. Phase III - The Phase III part will assess the superiority of Surovatamig (AZD0486) at RP3D in combination with rituximab, compared to Investigator's choice between 3 standard chemoimmunotherapy regimens. Phase 3 consists of 3 arms

    1. Arm A: treatment with Surovatamig plus rituximab Schedule A
    2. Arm B: treatment with Surovatamig plus rituximab Schedule B
    3. Arm C (Comparator arm): one of the following standard regimens per Investigator's choice: R-CVP + rituximab maintenance, R-CHOP + rituximab maintenance or B-R + rituximab maintenance
02

Conditions studied

  • Untreated Follicular Lymphoma

Keywords

  • Follicular Lymphoma
03

In context

Lymphoma, Follicular

1,891 studies on the registry are indexed under Lymphoma, Follicular; 290 are open to participants now.

This study's planned enrollment of 1,018 is above the median of 48 across 1,503 interventional studies indexed under Lymphoma, Follicular.

Browse Lymphoma, Follicular studies →

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 to 130 Years
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

  1. Participant must be at least 18 years of age, inclusive, at the time of signing the ICF.
  2. confirmed diagnosis of classic FL per WHO 2022 classification
  3. 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
  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

Exclusion criteria

Exclusion Criteria:

  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. to BR, RCVP, and R-CHOP
  3. Participants with or history of CNS lymphoma
  4. History of a 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

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.

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.

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,018 participants (estimated)

Study arms

  • Experimental
    Rituximab, Surovatamig - A

    Surovatamig regimen A plus rituximab

    Drug: Surovatamig

  • Experimental
    Rituximab, Surovatamig - B

    Surovatamig regimen B plus rituximab

    Drug: Surovatamig

  • Active comparator
    Chemoimmunotherapy

    Investigator's choice between 3 standard immunochemotherapy regimen (R-CHOP, R-CVP, or B-R followed by rituximab maintenance)

    Drug: R-CHOP · Drug: R-CVP · Drug: BR

Interventions

  • a fully human bispecific monoclonal IgG4 antibody

    Also known as: AZD0486

  • DrugR-CHOP

    Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone

  • DrugR-CVP

    Rituximab, Cyclophosphamide, Vincristine and Prednisone

  • DrugBR

    Bendamustine, Rituximab

06

What researchers measure

Primary outcomes

  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

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

    Time frame: Up to 10 years

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

    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

    Time frame: Up to 1 year

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

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

    Time frame: Up to 10 years

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

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

    Time frame: Up to 10 years

Secondary outcomes

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

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

    Time frame: Up to 10 years

  2. Safety Run In and Phase 3: CR Rate

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

    Time frame: Up to 10 years

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

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

    Time frame: Up to 10 years

  4. Safety Run In and Phase 3: DoR

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

    Time frame: up to 10 years

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

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

    Time frame: Up to 10 years

  6. Safety Run In and Phase 3: OS

    OS is defined as time until the date of death

    Time frame: Up to 10 years

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

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

    Time frame: Up to 30 months

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

    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

    Time frame: Up to 10 Years

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

    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

    Time frame: Up to 10 Years

07

Study locations

121 of 244 sites recruiting
  • Research Site
    Huntsville, Alabama 35805, United States
    Recruiting
  • Research Site
    Anchorage, Alaska 99508, United States
    Recruiting
  • Research Site
    Phoenix, Arizona 85054, United States
    Recruiting
  • Research Site
    Clovis, California 93611, United States
    Not yet recruiting
  • Research Site
    Los Alamitos, California 90720, United States
    Recruiting
  • Research Site
    San Diego, California 92121, United States
    Not yet recruiting
  • Research Site
    Santa Monica, California 90404, United States
    Not yet recruiting
  • Research Site
    Aurora, Colorado 80045, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    New Haven, Connecticut 06510, United States
    Recruiting
  • Research Site
    Newark, Delaware 19713, United States
    Not yet recruiting
  • Research Site
    Jacksonville, Florida 32224, United States
    Recruiting
  • Research Site
    Atlanta, Georgia 30322, United States
    Not yet recruiting
  • Research Site
    Macon, Georgia 31201, United States
    Recruiting
  • Research Site
    Evanston, Illinois 60201, United States
    Not yet recruiting
  • Research Site
    Peoria, Illinois 61615, United States
    Not yet recruiting
  • Research Site
    Fort Wayne, Indiana 46804, United States
    Recruiting
  • Research Site
    Des Moines, Iowa 50309, United States
    Not yet recruiting
  • Research Site
    Iowa City, Iowa 52242, United States
    Not yet recruiting
  • Research Site
    Lexington, Kentucky 40536, United States
    Not yet recruiting
  • Research Site
    Louisville, Kentucky 40207, United States
    Not yet recruiting
  • Research Site
    Baton Rouge, Louisiana 70808, United States
    Not yet recruiting
  • Research Site
    Baltimore, Maryland 21201, United States
    Not yet recruiting
  • Research Site
    Bethesda, Maryland 20817, United States
    Recruiting
  • Research Site
    Columbia, Maryland 21044, United States
    Not yet recruiting
  • Research Site
    Boston, Massachusetts 02114, United States
    Not yet recruiting
  • Research Site
    Boston, Massachusetts 02215, United States
    Not yet recruiting
  • Research Site
    Ann Arbor, Michigan 48109, United States
    Not yet recruiting
  • Research Site
    Detroit, Michigan 48201, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Ypsilanti, Michigan 48197, United States
    Not yet recruiting
  • Research Site
    Rochester, Minnesota 55905, United States
    Recruiting
  • Research Site
    Saint Paul, Minnesota 55102, United States
    Not yet recruiting
  • Research Site
    Chesterfield, Missouri 63017, United States
    Not yet recruiting
  • Research Site
    Springfield, Missouri 65807, United States
    Recruiting
  • Research Site
    Hackensack, New Jersey 07601, United States
    Not yet recruiting
  • Research Site
    New Brunswick, New Jersey 08901, United States
    Not yet recruiting
  • Research Site
    Albany, New York 12206, United States
    Recruiting
  • Research Site
    Brooklyn, New York 11220, United States
    Not yet recruiting
  • Research Site
    Mineola, New York 11501, United States
    Not yet recruiting
  • Research Site
    New Hyde Park, New York 11042, United States
    Not yet recruiting
  • Research Site
    New York, New York 10016, United States
    Recruiting
  • Research Site
    New York, New York 10032, United States
    Recruiting
  • Research Site
    New York, New York 10065, United States
    Recruiting
  • Research Site
    Charlotte, North Carolina 28204, United States
    Not yet recruiting
  • Research Site
    Charlotte, North Carolina 28204, United States
    Recruiting
  • Research Site
    Wilmington, North Carolina 28401, United States
    Not yet recruiting
  • Research Site
    Winston-Salem, North Carolina 27103, United States
    Not yet recruiting
  • Research Site
    Blue Ash, Ohio 45242, United States
    Not yet recruiting
  • Research Site
    Cincinnati, Ohio 45219, United States
    Not yet recruiting
  • Research Site
    Columbus, Ohio 43210, United States
    Not yet recruiting
  • Research Site
    Eugene, Oregon 97401, United States
    Not yet recruiting
  • Research Site
    Portland, Oregon 97227, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Pittsburgh, Pennsylvania 15232, United States
    Not yet recruiting
  • Research Site
    Nashville, Tennessee 37203, United States
    Recruiting
  • Research Site
    Austin, Texas 78705, United States
    Not yet recruiting
  • Research Site
    Lubbock, Texas 79430, United States
    Not yet recruiting
  • Research Site
    Shenandoah, Texas 77380, United States
    Not yet recruiting
  • Research Site
    Tyler, Texas 75702, United States
    Not yet recruiting
  • Research Site
    Salt Lake City, Utah 84112, United States
    Not yet recruiting
  • Research Site
    Fairfax, Virginia 22031, United States
    Not yet recruiting
  • Research Site
    Richmond, Virginia 23219, United States
    Not yet recruiting
  • Research Site
    Tacoma, Washington 98405, United States
    Recruiting
  • Research Site
    Madison, Wisconsin 53792, United States
    Not yet recruiting
  • Research Site
    Milwaukee, Wisconsin 53226, United States
    Not yet recruiting
  • Research Site
    Clayton, 3168, Australia
    Not yet recruiting
  • Research Site
    Darlinghurst, 2010, Australia
    Recruiting
  • Research Site
    Garran, 2605, Australia
    Recruiting
  • Research Site
    Heidelberg, 3084, Australia
    Recruiting
  • Research Site
    Macquarie University, 2109, Australia
    Recruiting
  • Research Site
    Nedlands, 6009, Australia
    Recruiting
  • Research Site
    Brussels, 1070, Belgium
    Not yet recruiting
  • Research Site
    Brussels, 1090, Belgium
    Not yet recruiting
  • Research Site
    Ghent, 9000, Belgium
    Not yet recruiting
  • Research Site
    Mechelen, 2800, Belgium
    Not yet recruiting
  • Research Site
    Porto Alegre, 90035-003, Brazil
    Recruiting
  • Research Site
    São Paulo, 04501-000, Brazil
    Recruiting
  • Research Site
    São Paulo, 05652-900, Brazil
    Recruiting
  • Research Site
    Winnipeg, Manitoba R3E 0V9, Canada
    Recruiting
  • Research Site
    Halifax, Nova Scotia B3H 2Y9, Canada
    Recruiting
  • Research Site
    Barrie, Ontario L4M 6M2, Canada
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Hamilton, Ontario L8V 5C2, Canada
    Recruiting
  • Research Site
    Oshawa, Ontario L1G 2B9, Canada
    Recruiting
  • Research Site
    Toronto, Ontario M5G 1X6, Canada
    Recruiting
  • Research Site
    Chicoutimi, Quebec G7H 5H6, Canada
    Recruiting
  • Research Site
    Montreal, Quebec H4J 1C5, Canada
    Recruiting
  • Research Site
    Québec, Quebec G1J 1Z4, Canada
    Recruiting
  • Research Site
    Saint-Jérôme, Quebec J7Z 2V4, Canada
    Recruiting
  • Research Site
    Beijing, 100044, China
    Recruiting
  • Research Site
    Beijing, 100142, China
    Recruiting
  • Research Site
    Beijing, 100730, China
    Recruiting
  • Research Site
    Changchun, 130021, China
    Recruiting
  • Research Site
    Changsha, 410013, China
    Recruiting
  • Research Site
    Chengdu, 610078, China
    Recruiting
  • Research Site
    Chongqing, 400030, China
    Recruiting
  • Research Site
    Fuzhou, 350001, China
    Recruiting
  • Research Site
    Guangzhou, 510000, China
    Recruiting
  • Research Site
    Guangzhou, 510060, China
    Recruiting
  • Research Site
    Guangzhou, 510100, China
    Recruiting
  • Research Site
    Hangzhou, 310003, China
    Recruiting
  • Research Site
    Hangzhou, 310022, China
    Not yet recruiting
  • Research Site
    Harbin, 150081, China
    Recruiting

Showing the first 100 of 244 sites across 25 countries. Choose a country and city above to see the rest.

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. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer 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

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Sites
9 sites added — first site in Italy. 17 sites changed recruiting status (9 now recruiting, 7 now withdrawn, …)
Show 17 sites
  • Research Site · Phoenix, United StatesNot yet recruiting→Recruiting
  • Research Site · Jacksonville, United StatesNot yet recruiting→Recruiting
  • Research Site · New York, United StatesNot yet recruiting→Recruiting
  • Research Site · Nashville, United StatesNot yet recruiting→Recruiting
  • Research Site · Tacoma, United StatesNot yet recruiting→Recruiting
  • Research Site · Copenhagen, DenmarkNot yet recruiting→Recruiting
  • Research Site · Odense C, DenmarkNot yet recruiting→Recruiting
  • Research Site · Vandœuvre-lès-Nancy, FranceSuspended→Withdrawn
  • Research Site · Delhi, IndiaNot yet recruiting→Recruiting
  • Research Site · Thiruvananthapuram, IndiaNot yet recruiting→Recruiting
  • Research Site · Lublin, PolandNot yet recruiting→Suspended
  • Research Site · Wroclaw, PolandNot yet recruiting→Withdrawn
  • Research Site · Barcelona, SpainNot yet recruiting→Withdrawn
  • Research Site · Las Palmas de Gran Canaria, SpainNot yet recruiting→Withdrawn
  • Research Site · Oviedo, SpainNot yet recruiting→Withdrawn
  • Research Site · Pamplona, SpainNot yet recruiting→Withdrawn
  • Research Site · Izmir, Turkey (Türkiye)Not yet recruiting→Withdrawn
Show 9 added (4 United States, 3 Italy, 1 France, 1 Germany)
  • Research Site · Rochester, United States
  • Research Site · Brooklyn, United States
  • Research Site · Mineola, United States
  • Research Site · Charlotte, United States
  • Research Site · La Tronche, France
  • Research Site · München, Germany
  • Research Site · Bologna, Italy
  • Research Site · Milan, Italy
  • Research Site · Reggio Emilia, Italy
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    9 sites added — first site in Italy. 18 sites changed recruiting status (9 now recruiting, 8 now withdrawn, …)
    Show 18 sites
    • Research Site · Phoenix, United StatesNot yet recruiting→Recruiting
    • Research Site · Jacksonville, United StatesNot yet recruiting→Recruiting
    • Research Site · New York, United StatesNot yet recruiting→Recruiting
    • Research Site · Nashville, United StatesNot yet recruiting→Recruiting
    • Research Site · Tacoma, United StatesNot yet recruiting→Recruiting
    • Research Site · Copenhagen, DenmarkNot yet recruiting→Recruiting
    • Research Site · Odense C, DenmarkNot yet recruiting→Recruiting
    • Research Site · Vandœuvre-lès-Nancy, FranceSuspended→Withdrawn
    • Research Site · Delhi, IndiaNot yet recruiting→Recruiting
    • Research Site · Thiruvananthapuram, IndiaNot yet recruiting→Recruiting
    • Research Site · Lublin, PolandNot yet recruiting→Withdrawn
    • Research Site · Lublin, PolandNot yet recruiting→Suspended
    • Research Site · Wroclaw, PolandNot yet recruiting→Withdrawn
    • Research Site · Barcelona, SpainNot yet recruiting→Withdrawn
    • Research Site · Las Palmas de Gran Canaria, SpainNot yet recruiting→Withdrawn
    • Research Site · Oviedo, SpainNot yet recruiting→Withdrawn
    • Research Site · Pamplona, SpainNot yet recruiting→Withdrawn
    • Research Site · Izmir, Turkey (Türkiye)Not yet recruiting→Withdrawn
    Show 9 added (4 United States, 3 Italy, 1 France, 1 Germany)
    • Research Site · Rochester, United States
    • Research Site · Brooklyn, United States
    • Research Site · Mineola, United States
    • Research Site · Charlotte, United States
    • Research Site · La Tronche, France
    • Research Site · München, Germany
    • Research Site · Bologna, Italy
    • Research Site · Milan, Italy
    • Research Site · Reggio Emilia, Italy
    + 2 other changes: identifiers and 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
NCT06549595
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Aug 12, 2024
Start date
Aug 7, 2024
Primary completion
Nov 26, 2031 (estimated)
Completion
Nov 26, 2031 (estimated)
Last update
Oct 21, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479
Chan Cheah, MBBS FRACP FRCPA DMSc
principal investigator · Sir Charles Gairdner Hospital (SCGH)

Oversight

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

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Studies of the drug tested here: Surovatamig

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