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Gastric CancerPhase 1/2NCT06005493

Study of AZD5863 in Adult Participants With Advanced or Metastatic Solid Tumors

A Phase 1/2 study testing AZD5863 and AZD2936 in people with Gastric Cancer and Gastro-esophageal Junction Cancer, run by AstraZeneca at 25 sites in 8 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This research is designed to determine if experimental treatment with AZD5863, a T cell-engaging bispecific antibody that targets Claudin 18.2 (CLDN18.2) and CD3, is safe, tolerable and has anti-cancer activity in patients with advanced solid tumors. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
AZD5863 and AZD2936
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
392 participants
Where
25 sitesin 8 countries
Study dates
11 Jul 2023to 16 Mar 2029
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 at the time of signing the informed consent
  • Histologically confirmed diagnosis of adenocarcinoma of the stomach, gastro-esophageal junction, esophagus, or pancreas
  • Must have at least one measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
  • Must show positive CLDN18.2 expression in tumor cells as determined by central immunohistochemistry (IHC)
  • Eastern Cooperative Oncology Group Performance status (ECOG PS): 0-1 at screening
  • Predicted life expectancy of ≥ 12 weeks
Show all 9Show fewer
  • Adequate organ and bone marrow function measured within 28 days prior to first dose as defined by the protocol
  • Contraceptive use by men or women should be consistent with local regulations, as defined by the protocol
  • Must have received at least one prior line of systemic therapy in the advanced/metastatic setting

Who cannot join

  • Unresolved toxicity from prior anticancer therapy of Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥ 2 except for those defined by the protocol
  • Participant experienced unacceptable cytokine release syndrome (CRS) or Immune Effector Cell Associated Neurotoxicity (ICANS) following prior T cell engagers (TCE) or chimeric antigen receptor T (CAR-T) cell therapy
  • Previous history of hemophagocytic lymphohistiocytosis (HLH) / macrophage activation syndrome (MAS)
  • Active or prior documented autoimmune or inflammatory disorders within 3 years of start of treatment
  • central nervous system (CNS) metastases or CNS pathology, as defined by the protocol, within 3 months prior to consent
  • Infectious disease including active human immunodeficiency virus (HIV), active hepatitis B/C, uncontrolled infection with EBV, uncontrolled active systemic fungal, bacterial or other infection
Show all 11Show fewer
  • Cardiac conditions as defined by the protocol
  • History of thromboembolic event within the past 3 months prior to the scheduled first dose of study intervention
  • Participant requires chronic immunosuppressive therapy
  • Participants on anticoagulation therapy with long-acting anticoagulants or other class of anticoagulants at therapeutic doses Module 3 - Active or ongoing interstitial lung disease / pneumonitis, serious chronic gastrointestinal conditions Module 3 - Any of the following cardiac conditions as determined by investigator: Complex ventricular arrhythmia, symptomatic heart failure, Cardiomyopathy, myocardial infarction or unstable angina (within past 6 months) and uncontrolled hypertension.
  • Module 3 - Known allergy or hypersensitivity to rilvegostomig or its excipients Module 3 - Prior exposure to an anti-TIGIT therapy

Trial locations and contacts

25 sites in 8 countries. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

25 sites in 8 countries

South Korea4 sites, 4 recruiting
  • Research Site

    Seoul, 03080

    Recruiting
  • Research Site

    Seoul, 03722

    Recruiting
  • Research Site

    Seoul, 05505

    Recruiting
  • Research Site

    Seoul, 06351

    Recruiting

Other trials in South Korea

United Kingdom4 sites, 4 recruiting
  • Research Site

    Dundee, DD1 9SY

    Recruiting
  • Research Site

    London, E1 1BB

    Recruiting
  • Research Site

    Metropolitan Borough of Wirral, CH63 4JY

    Recruiting
  • Research Site

    Oxford, OX3 7LE

    Recruiting

Other trials in United Kingdom

United States3 sites, 2 recruiting
  • Research Site

    Jacksonville, Florida, 32224

    Recruiting
  • Research Site

    New York, New York, 10065

    Withdrawn
  • Research Site

    Rochester, Minnesota, 55905

    Recruiting

Other trials in United States

China3 sites, 3 recruiting
  • Research Site

    Beijing, 100142

    Recruiting
  • Research Site

    Beijing, 101199

    Recruiting
  • Research Site

    Shandong

    Recruiting

Other trials in China

Japan3 sites, 3 recruiting
  • Research Site

    Chūōku, 104-0045

    Recruiting
  • Research Site

    Kashiwa, 227-8577

    Recruiting
  • Research Site

    Kōtoku, 135-8550

    Recruiting

Other trials in Japan

Netherlands3 sites, 3 recruiting
  • Research Site

    Amsterdam, 1081 HV

    Recruiting
  • Research Site

    Groningen, 9713 GZ

    Recruiting
  • Research Site

    Rotterdam, 3015 GD

    Recruiting

Other trials in Netherlands

Taiwan3 sites, 3 recruiting
  • Research Site

    Kaohsiung City, 80756

    Recruiting
  • Research Site

    Tainan, 70403

    Recruiting
  • Research Site

    Taoyuan, 00333

    Recruiting

Other trials in Taiwan

France2 sites, 2 recruiting
  • Research Site

    Toulouse, 31059

    Recruiting
  • Research Site

    Villejuif, 94805

    Recruiting

Other trials in France

About this study

Official title: A Phase I/II Open-label Dose Escalation and Dose Expansion Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of AZD5863, a T Cell-engaging Bispecific Antibody That Targets Claudin 18.2 (CLDN18.2) and CD3 in Adult Participants With Advanced or Metastatic Solid Tumors

This research is designed to determine if experimental treatment with AZD5863, a T cell-engaging bispecific antibody that targets Claudin 18.2 (CLDN18.2) and CD3, is safe, tolerable and has anti-cancer activity in patients with advanced solid tumors.

Read the detailed description

This is a first-time in human, modular Phase I/II, open-label multicentre study of AZD5863 monotherapy administered intravenously (Module 1), or AZD5863 monotherapy administered subcutaneously (Module 2) in patients with advanced or metastatic solid tumors, or AZD5863 in combination with Rilvegostomig (Module 3). Each module contains dose-escalation (Part A) and dose-expansion (Part B).

Being tested
AZD5863, AZD2936
Keywords
CLDN18.2 / Claudin 18.2, CD3, T cell-engaging bi-specific antibody, Gastric cancer, Gastro-esophageal junction cancer, Pancreatic ductal adenocarcinoma, Solid tumors, AZD5863
Medical subject headings
Stomach Neoplasms, Adenocarcinoma Of Esophagus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AZD5863Drug

    T cell-engaging bi-specific antibody that targets CLDN18.2 (Claudin18.2) on tumor cells and CD3 on T cells

  • AZD2936Drug

    Also called Rilvegostomig

    Rilvegostomig is a bi-specific antibody targeting the immunosuppressive PD-1 and TIGIT pathways.

Study groups in NCT06005493
Study groupRoleWhat they receive
Module 1: AZD5863 Monotherapy Intravenous (IV)ExperimentalModule 1: AZD5863 Intravenous (IV) Monotherapy
Receives: Drug: AZD5863
Module 2: AZD5863 Monotherapy Subcutaneous (SC)ExperimentalModule 2: AZD5863 Subcutaneous (SC) Monotherapy
Receives: Drug: AZD5863
Module 3: AZD5863 Combination and RilvegostomigExperimentalModule 3: AZD5863 Combination and Rilvegostomig
Receives: Drug: AZD5863; Drug: AZD2936

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The number of patients with adverse events

    Number of patients with adverse events by system organ class and preferred term

    Measured: From first dose of study drug up to 90 days post last dose and prior to start of subsequent anticancer therapy

  2. The number of patients with adverse events of special interest

    Number of patients with adverse events of special interest by system organ class and preferred term

    Measured: From first dose of study drug up to 90 days post last dose and prior to start of subsequent anticancer therapy

  3. The number of patients with dose-limiting toxicity (DLT), as defined in the protocol.

    A DLT is a toxicity as defined in the protocol that occurs from the first dose of study drug up to and including the planned end of Cycle 1 (the DLT assessment period) that is assessed as unrelated to the disease or disease-related processes under investigation.

    Measured: From first dose of study drug until the end of Cycle 1

  4. The number of patients with serious adverse events

    Number of patients with serious adverse events by system organ class and preferred term

    Measured: From first dose of study drug up to 90 days post last dose and prior to start of subsequent anticancer therapy

  5. Objective Response Rate (ORR)

    The percentage of patients with a confirmed investigator assessed complete or partial response according to response criteria in solid tumours (RECIST 1.1). Dose expansion only.

    Measured: From first dose of study drug to progressive disease or death in the absence of disease progression (approx. 2 years)

Secondary outcomes (11)
  1. Objective Response Rate (ORR)

    The percentage of patients with a confirmed investigator assessed complete or partial response according to response criteria in solid tumours (RECIST 1.1). Dose escalation only.

    Measured: From first dose of study drug to progressive disease or death in the absence of disease progression (approx. 2 years)

  2. Disease Control Rate (DCR)

    Percentage of patients with confirmed complete or partial response or having stable disease maintained for >= 11 weeks from first dose, according to response criteria in solid tumours (RECIST 1.1).

    Measured: From first dose of study drug to progressive disease or death in the absence of disease progression (approx. 2 years)

  3. Duration of response (DoR)

    The time from the date of first response until date of disease progression or death in the absence of disease progression, according to response criteria in solid tumours (RECIST 1.1).

    Measured: From the first documented response to progressive disease or death in the absence of disease progression (approx. 2 years)

  4. Progression free Survival (PFS)

    The time from the start of study treatment/date of randomization until RECIST 1.1 defined disease progression or death in the absence of disease progression.

    Measured: From the start of study treatment/date of randomization to progressive disease or death in the absence of disease progression (approx. 2 years)

  5. Overall Survival (OS)

    The time from the start of study treatment/date of randomization until death due to any cause.

    Measured: From the start of study treatment/date of randomization to death (to be followed-up for approx. 2 years)

  6. Pharmacokinetics of AZD5863: Maximum plasma concentration of the study drug (Cmax)

    Maximum observed plasma concentration of the study drug

    Measured: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  7. Pharmacokinetics of AZD5863: Area Under the concentration-time curve (AUC)

    Area under the plasma concentration-time curve

    Measured: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  8. Pharmacokinetics of AZD5863: Clearance

    A pharmacokinetic measurement of the volume of plasma from which the study drug is completely removed per unit time.

    Measured: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  9. Pharmacokinetics of AZD5863: Terminal elimination half-life (t 1/2)

    Terminal elimination half life.

    Measured: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  10. Immunogenicity of AZD5863

    The number and percentage of participants who develop anti-drug antibodies (ADAs) measured in serum

    Measured: From the first dose of study intervention, at predefined intervals throughout the study (approx. 2 years)

  11. Preliminary antitumor activity with target expression pre- and post-delivery of AZD5863

    Measure CLDN18.2 expression (IHC) in baseline and/or on-treatment tumor biopsies and correlate with clinical outcome

    Measured: From time of Informed consent, at predefined intervals (including screening, on-treatment or end of treatment) throughout the study (over approx. 2 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Aug 2023
  2. Study start11 Jul 2023
  3. Primary completion16 Mar 2029 (estimated)
  4. Study completion16 Mar 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Sequential
Model description
The study consists of individual modules each evaluating the safety and tolerability of AZD5863 dosed as monotherapy: * Module 1: AZD5863 intravenous administration * Module 2: AZD5863 subcutaneous administration * Module 3: AZD5863 + Rilvegostomig administration Modules 1, 2 and 3 each consist of two parts: Part A, Dose Escalation and Part B, Dose Expansion.
Masking
None (open label)
Enrolment
392 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06005493
Sponsor's protocol ID
D9750C00001
Other IDs
2023-504139-42-00, 2023-000154-20, 2023
Status last verified
Sep 2026
First submitted
16 Jun 2023
Last updated
25 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
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://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be approved.

Publications

  • Gaspar M, Natoli M, Castan L, Rahmy S, Korade M 3rd, Kelton C, Mulgrew K, Huhn O, Rees DG, Sigurdardottir A, Lloyd C, Taylor JJ, Brailey PM, Dallaway L, Toloczko A, Giraldo N, Broggi MAS, Kunihiro A, Abhishek S, He Y, Rong Y, Eyles J, Ball K, Fitzgerald J, Hammond SA, Cemerski S, Dovedi SJ, Cobbold M. An affinity-modulated T cell engager targeting Claudin 18.2 shows potent anti-tumor activity with limited cytokine release. J Immunother Cancer. 2025 Aug 4;13(8):e011857. doi: 10.1136/jitc-2025-011857.

    PubMed 40759445

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing AZD5863 and AZD2936 in people with Gastric Cancer and Gastro-esophageal Junction Cancer, run by AstraZeneca at 25 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in South Korea, United Kingdom, United States, China, Japan and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The number of patients with adverse events (time frame: From first dose of study drug up to 90 days post last dose and prior to start of subsequent anticancer therapy). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06005493, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026.

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