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Phase 1 N=45 Treatment

Safety and Preliminary Efficacy Assessment of AZD7789 in Patients With Relapsed or Refractory Classical Hodgkin Lymphoma

Relapsed or Refractory Classical Hodgkin Lymphoma

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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