Phase 1
N=45
Safety and Preliminary Efficacy Assessment of AZD7789 in Patients With Relapsed or Refractory Classical Hodgkin Lymphoma
Relapsed or Refractory Classical Hodgkin Lymphoma
Bottom Line
View on ClinicalTrials.gov: NCT05216835 ↗Enrolled (actual)
45
Serious AEs
26.7%
Results posted
May 2025
Primary outcome: Primary: Part A (Dose Escalation): Number of Participants With Adverse Events (AEs) — 1; 1; 1; 1 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Sabestomig (AZD7789) (Drug)
- Age
- Pediatric, Adult, Older Adult · 16+ yrs
- Sex
- All
- Sponsor
- AstraZeneca
- Primary completion
- Aug 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part A (Dose Escalation): Number of Participants With Adverse Events (AEs) |
1; 1; 1; 1; 4; 12 | — |
| PRIMARY Part A (Dose Escalation): Number of Participants With Dose-limiting Toxicities (DLTs) |
0; 0; 0; 0; 1; 0 | — |
| PRIMARY Part B (Dose Expansion): Cohort B1: Objective Response Rate (ORR) |
— | — |
| PRIMARY Part B (Dose Expansion): Cohort B2: Complete Response Rate (CRR) |
— | — |
| PRIMARY Part B (Dose Expansion): Number of Participants With AEs |
— | — |
| SECONDARY Part A (Dose Escalation): Complete Response Rate (CRR) |
NA; NA; NA; NA; 0; 33.3 | — |
| SECONDARY Part A (Dose Escalation): Objective Response Rate (ORR) |
NA; NA; NA; NA; 0.0; 50.0 | — |
| SECONDARY Part A (Dose Escalation): Duration of Response (DoR) |
NA; NA; NA; NA; NA; 7.7 | — |
| SECONDARY Part A (Dose Escalation): Duration of Complete Response (DoCR) |
NA | — |
| SECONDARY Part A (Dose Escalation): Progression-free Survival (PFS) |
NA; NA; NA; NA; 1.9; 4.8 | — |
| SECONDARY Part A (Dose Escalation): Overall Survival (OS) |
NA; NA; NA; NA; NA; NA | — |
| SECONDARY Part A (Dose Escalation): Number of Participants With Positive Anti-drug Antibodies (ADA) Against Sabestomig in Serum |
1; 0; 0; 0; 3; 4 | — |
| SECONDARY Part A (Dose Escalation): Maximum Observed Concentration (Cmax) |
NA; NA; NA; NA; 52.49; 256.00 | — |
| SECONDARY Part A (Dose Escalation): Area Under the Concentration-time Curve (AUC) |
NA; NA; NA; 273.00; 2256.00; 4687.00 | — |
| SECONDARY Part A (Dose Escalation): Clearance (CL) |
NA; NA; NA; 0.4925; 0.2321; 0.2211 | — |
| SECONDARY Part A (Dose Escalation): Terminal Elimination Half-life (t½λz) |
NA; NA; NA; 9.136; 12.720; 16.440 | — |
| SECONDARY Part B (Dose Expansion): Duration of Response (DoR) |
— | — |
| SECONDARY Part B (Dose Expansion): Duration of Complete Response (DoCR) |
— | — |
| SECONDARY Part B (Dose Expansion): Progression-free Survival (PFS) |
— | — |
| SECONDARY Part B (Dose Expansion): Overall Survival (OS) |
— | — |
| SECONDARY Part B (Dose Expansion): Number of Participants With Positive ADA Against Sabestomig in Serum |
— | — |
| SECONDARY Part B (Dose Expansion): Maximum Observed Concentration (Cmax) |
— | — |
| SECONDARY Part B (Dose Expansion): Area Under the Concentration-time Curve (AUC) |
— | — |
| SECONDARY Part B (Dose Expansion): Terminal Elimination Half-life (t½λz) |
— | — |
| SECONDARY Part B (Dose Expansion): Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) |
— | — |
| SECONDARY Part B (Dose Expansion): Pediatric Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (Peds-PRO-CTCAE) |
— | — |
| SECONDARY Part B (Dose Expansion): Patient Global Impression of Treatment Tolerability (PGI-TT) |
— | — |
| SECONDARY Part B (Dose Expansion): European Organization for Research and Treatment of Cancer (EORTC) Item List (IL)XX QL2 [2-item Global Health-related Quality of Life (HRQoL)] |
— | — |
Summary
The study is intended to assess the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of sabestomig (AZD7789) in patients with relapsed/refractory classical Hodgkin Lymphoma (r/r cHL).
Eligibility Criteria
Inclusion Criteria
- ≥ 16 years of age at the time of obtaining informed consent
- Eastern Cooperative Oncology Group performance status of 0 or 1 at screening
- At least one positron emission tomography (PET)-avid measurable lesion according to Modified Lugano Criteria after the last line of therapy.
- Confirmed histological diagnosis of active relapse/refractory cHL
- Failed at least 2 prior lines of systemic therapy.
- No previous treatment with anti-TIM-3.
- Adequate organ and bone marrow function
- Non-pregnant women and willingness of female patients to avoid pregnancy or male participants willing to avoid fathering children through highly effective methods of contraception
- Minimum body weight ≥ 40 kg for all participants.
Exclusion Criteria
- Unresolved toxicities of ≥ Grade 2 from prior therapy
- Any prior ≥ Grade 3 imAE while receiving prior checkpoint inhibitor immunotherapy
- Patients with central nervous system (CNS) involvement or leptomeningeal disease.
- History of allogeneic stem cell transplant or organ transplantation.
- Any venous or arterial thromboembolic event within ≤ 6 months prior to the first dose of study intervention.
- Active infection including Tuberculosis (TB), human immunodeficiency virus (HIV), hepatitis A, chronic or active hepatitis B, chronic or active hepatitis C, active COVID-19 infection
- History of arrhythmia which is requires treatment, symptomatic or uncontrol led atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia
- Uncontrolled intercurrent illness.
- Active or prior documented pathologically confirmed autoimmune or inflammatory disorders.
- Past medical history of interstitial lung disease (ILD), drug-induced ILD, radiation pneumonitis requiring steroid treatment, or any evidence of clinically active ILD
- Other invasive malignancy within 2 years prior to screening
- Congenital long QT syndrome or history of QT prolongation associated with other medications that cannot be changed or discontinued based on a cardiologist assessment
- Current or prior use of immunosuppressive medication within 14 days prior to the first dose of study intervention
- Any concurrent chemotherapy, radiotherapy, investigational, biologic, or hormonal therapy for cancer treatment.
Data sourced from ClinicalTrials.gov (NCT05216835). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.