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Surovatamig (AZD0486) as Monotherapy in Participants With Relapsed/Refractory (R/R) B-cell NHL

  • PhasePhase 2
  • StatusRecruiting
  • Planned enrollment270 people
  • Recruiting US sites16
  • SponsorAstraZeneca
  • RegistryNCT06526793

Recruitment re-checked on ClinicalTrials.gov Oct 30, 2026. Public record; not medical advice.

Surovatamig (AZD0486) as Monotherapy in Participants With Relapsed/Refractory (R/R) B-cell NHL: a one-minute explainerNCT065267931 min

Eligibility

Who can join

The film gives the main points. The full list below is copied from the registry; the study team makes the final decision.

  • Age18 Years to no maximum
  • SexAll
  • Healthy volunteersNo

You may be able to join if

  • Key Inclusion Criteria:
  • Aged 18 years old and above
  • Histologically confirmed relapsed refractory FL (Module 1) and LBCL (Module 2) after at least 2 prior lines of therapy
  • ECOG performance status 0 to 2
  • Locally confirmed CD-19 expression in lymphoma cells after progression from last CD 19 directed therapy
  • FDG-avid disease with at least one bi-dimensionally measurable nodal lesion (defined as > 1.5 cm in its longest dimension), or extranodal lesion (defined as > 1.0 cm in its longest dimension)
  • Adequate hematological function: ANC ≥ 1000/mm3, platelets
  • 75,000/mm3, hemoglobin ≥ 9 g/dL. Transfusion and/or growth factor are allowed but counts must be stable for at least 72 hours afterwards prior to screening
  • Adequate liver function: total bilirubin <1.5x ULN, AST/ALT ≤ 3xULN or < 5 × ULN in the presence of lymphoma involvement of the liver
  • Adequate renal function: creatinine clearance (CrCl) of ≥ 45 mL/min
  • Adequate cardiac function, defined as left ventricular ejection fraction (LVEF) ≥ 45% by echocardiogram or MUGA
  • The above is a summary, other inclusion criteria details may apply.
  • Key Exclusion Criteria:
  • Diagnosis of CLL, Burkitt lymphoma, or Richter's transformation
  • Active CNS involvement by B-NHL
  • Leukemic presentation of B-NHL
  • History of a clinically relevant CNS medical condition or pathology that required treatment in the preceding year, is currently symptomatic, or that the treating investigator considers to have the potential to interfere with the evaluation of safety, such as epilepsy, seizure, paresis, aphasia, stroke, severe brain injuries, dementia, neurodegenerative disorder including Parkinson's disease, cerebellar disease, organic brain syndrome, psychosis or other severe mental illness.
  • Prior therapy with T-cell engager (TCE) within 8 weeks, autologous Hematopoietic Stem Cell Transplantation (HSCT) within 12 weeks, CAR T- cell therapy within 6 months, or prior allogeneic HSCT within 24 weeks of first dose of surovatamig
  • Requires chronic immunosuppressive therapy
  • Unresolved non hematological AEs ≥ Grade 2 from prior therapies; history of ≥ Grade 3 CRS or neurotoxicity from prior CAR-T or TCE therapy
  • History of major cardiac abnormalities.
  • If female, participant must not be pregnant or breastfeeding.
  • The above is a summary, other exclusion criteria details may apply.

The treatment

How it is intended to work

This is how the treatment is meant to work. Whether it helps, and how safe it is, is what this trial is testing.

anti-CD19/CD3 bispecific antibody TNB-486. A human bispecific T-cell engager antibody composed of a fixed-light-chain (FLC) arm targeting the CD3 antigen found on T lymphocytes and a heavy-chain-only (HCO) arm targeting the B-cell-specific membrane protein CD19, with potential immunostimulating and antineoplastic activities. Upon administration, anti-CD19/CD3 bispecific antibody TNB-486 binds to both the CD3 antigen on cytotoxic T lymphocytes (CTLs) and the CD19 antigen expressed on malignant B cells. This activates and redirects CTLs to CD19-expressing tumor cells, resulting in CTL-mediated killing of tumor cells. CD19 is a membrane antigen that is widely expressed during B-cell development, from pro-B-cell to early plasma cell stages. The FLC arm weakly activates CD3. The HCO arm has a high affinity anti-CD19 moiety. NCI Drug Dictionary

Treatments listed in the registry

  • Surovatamig (Drug): Investigational Product administered via intravenous infusion.

The study

Treatment groups

Non Randomized · Sequential · masking: None

Module 1: Surovatamig Monotherapy in Participants with Relapsed or Refractory Follicular Lymphoma (Experimental)

In Module 1, the efficacy and safety of surovatamig at the RP2D will be evaluated in R/R FL. Surovatamig will be administered as intravenous infusion.

Module 2: Surovatamig Monotherapy in Participants with Relapsed or Refractory LBCL (Experimental)

In Module 2, the efficacy and safety of surovatamig at the RP2D will be evaluated in R/R LBCL. Surovatamig will be administered as intravenous infusion.

Goals

What the study measures

Main goals

  • Overall response rate (ORR) (central review) (Module 1: from first dose to end of treatment or data cutoff, whichever comes first, assessed up to approximately 24 months. Module 2: from first dose to end of treatment or data cutoff, whichever comes first, assessed up to approximately 12 months.)

Other goals

  • Incidence, nature and severity of Adverse Events (AEs), Serious AEs and AEs of Special Interest (AESI)
  • Incidence and nature of study drug discontinuation, dose reduction, and dose delay due to Adverse Events (AEs)
  • Duration of response (DoR)
  • Complete response (CR) rate (central review)
  • Complete response (CR) rate (investigator assessment)
  • Overall response rate (ORR) (investigator assessment)
  • Duration of complete response (DoCR)
  • Time to response (TTR)
  • Event-free survival (EFS)
  • Progression-free survival (PFS)
  • Time to next anti-lymphoma (TTNT)
  • Overall survival (OS)
  • Plasma concentrations of surovatamig
  • Area under the concentration time curve (AUC)
  • Maximum plasma concentration (Cmax)
  • Time to maximum plasma concentration (Tmax)
  • A trough concentration (Cthrough)
  • Immunogenecity of surovatamig
  • Change from baseline in EORTC IL233 scales
  • Change from baseline in PGI-TT scale
  • Change from baseline in EORTC IL 232 QL2 scores
  • Change from baseline in FACT-LymS scales
  • Minimal residual disease (MRD)

Planned enrollment: 270 (estimated).

Where

Recruiting US sites

  • Research Site, Duarte, California
  • Research Site, Tampa, Florida
  • Research Site, Chicago, Illinois
  • Research Site, Waukee, Iowa
  • Research Site, Rochester, Minnesota
  • Research Site, New York, New York
  • Research Site, Charlotte, North Carolina
  • Research Site, Columbus, Ohio
  • Research Site, Portland, Oregon
  • Research Site, Philadelphia, Pennsylvania
  • Research Site, Pittsburgh, Pennsylvania
  • Research Site, Nashville, Tennessee
  • Research Site, Austin, Texas
  • Research Site, Houston, Texas
  • Research Site, San Antonio, Texas
  • Research Site, Milwaukee, Wisconsin

64 recruiting sites outside the US. Site status as of Oct 30, 2026. Check the live record before contacting a site.

Sources

Where this comes from

Registry record reviewed as fetched Oct 30, 2026, last updated by the sponsor Oct 13, 2026. Public record; not medical advice.

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