Untreated Follicular LymphomaPhase 3NCT06549595
A Study of Surovatamig (AZD0486) Plus Rituximab in Previously Untreated Follicular Lymphoma Patients
A Phase 3 study testing Surovatamig, R-CHOP and R-CVP in people with Untreated Follicular Lymphoma, run by AstraZeneca at 244 sites in 25 countries.
Trial 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 more about this study
- Who is it for?
- Ages 18 to 130 years
- Conditions the study is for
- Untreated Follicular Lymphoma
- What is being tested?
- Surovatamig, R-CHOP and R-CVP
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,018 participants
- Where
- 244 sitesin 25 countries
- Study dates
- 7 Aug 2024to 26 Nov 2031
- Phase
- Phase 3
- 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 to 130 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant must be at least 18 years of age, inclusive, at the time of signing the ICF.
- Histologically confirmed diagnosis of classic FL per WHO 2022 classification
- ECOG performance status of 0 to 2
- No prior systemic lymphoma-directed therapy
- Need for systemic treatment meeting at least 1 GELF criteria
- FDG-avid and measurable disease
Show all 9Show fewer
- Stage II to IV and FLIPI 2-5 [Phase III only]
- Adequate liver, hematological, renal and cardiac function.
- The above is a summary, other inclusion criteria details may apply
Who cannot join
- 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
- Contra-indication to BR, RCVP, and R-CHOP
- Participants with or history of CNS lymphoma
- History of a clinically relevant 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
- Presence of >5000 circulating lymphoma cells
- 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
- Known history of hemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS)
- The above is a summary, other exclusion criteria details may apply
Trial locations and contacts
244 sites in 25 countries. Contact the study team or a site near you to ask about taking part.
AstraZeneca Clinical Study Information Center contact
244 sites in 25 countries
United States63 sites, 60 recruiting
- Recruiting
Research Site
Albany, New York, 12206
- Recruiting
Research Site
Anchorage, Alaska, 99508
- Not yet recruiting
Research Site
Ann Arbor, Michigan, 48109
- Not yet recruiting
Research Site
Atlanta, Georgia, 30322
- Withdrawn
Research Site
Aurora, Colorado, 80045
- Not yet recruiting
Research Site
Austin, Texas, 78705
- Not yet recruiting
Research Site
Baltimore, Maryland, 21201
- Not yet recruiting
Research Site
Baton Rouge, Louisiana, 70808
- Recruiting
Research Site
Bethesda, Maryland, 20817
- Not yet recruiting
Research Site
Blue Ash, Ohio, 45242
- Not yet recruiting
Research Site
Boston, Massachusetts, 02114
- Not yet recruiting
Research Site
Boston, Massachusetts, 02215
- Not yet recruiting
Research Site
Brooklyn, New York, 11220
- Not yet recruiting
Research Site
Charlotte, North Carolina, 28204
- Recruiting
Research Site
Charlotte, North Carolina, 28204
- Not yet recruiting
Research Site
Chesterfield, Missouri, 63017
- Not yet recruiting
Research Site
Cincinnati, Ohio, 45219
- Not yet recruiting
Research Site
Clovis, California, 93611
- Not yet recruiting
Research Site
Columbia, Maryland, 21044
- Not yet recruiting
Research Site
Columbus, Ohio, 43210
- Not yet recruiting
Research Site
Des Moines, Iowa, 50309
- Withdrawn
Research Site
Detroit, Michigan, 48201
- Not yet recruiting
Research Site
Eugene, Oregon, 97401
- Not yet recruiting
Research Site
Evanston, Illinois, 60201
- Not yet recruiting
Research Site
Fairfax, Virginia, 22031
- Recruiting
Research Site
Fort Wayne, Indiana, 46804
- Not yet recruiting
Research Site
Hackensack, New Jersey, 07601
- Recruiting
Research Site
Huntsville, Alabama, 35805
- Not yet recruiting
Research Site
Iowa City, Iowa, 52242
- Recruiting
Research Site
Jacksonville, Florida, 32224
- Not yet recruiting
Research Site
Lexington, Kentucky, 40536
- Recruiting
Research Site
Los Alamitos, California, 90720
- Not yet recruiting
Research Site
Louisville, Kentucky, 40207
- Not yet recruiting
Research Site
Lubbock, Texas, 79430
- Recruiting
Research Site
Macon, Georgia, 31201
- Not yet recruiting
Research Site
Madison, Wisconsin, 53792
- Not yet recruiting
Research Site
Milwaukee, Wisconsin, 53226
- Not yet recruiting
Research Site
Mineola, New York, 11501
- Recruiting
Research Site
Nashville, Tennessee, 37203
- Not yet recruiting
Research Site
New Brunswick, New Jersey, 08901
- Recruiting
Research Site
New Haven, Connecticut, 06510
- Not yet recruiting
Research Site
New Hyde Park, New York, 11042
- Recruiting
Research Site
New York, New York, 10016
- Recruiting
Research Site
New York, New York, 10032
- Recruiting
Research Site
New York, New York, 10065
- Not yet recruiting
Research Site
Newark, Delaware, 19713
- Not yet recruiting
Research Site
Peoria, Illinois, 61615
- Recruiting
Research Site
Phoenix, Arizona, 85054
- Not yet recruiting
Research Site
Pittsburgh, Pennsylvania, 15232
- Withdrawn
Research Site
Portland, Oregon, 97227
- Not yet recruiting
Research Site
Richmond, Virginia, 23219
- Recruiting
Research Site
Rochester, Minnesota, 55905
- Not yet recruiting
Research Site
Saint Paul, Minnesota, 55102
- Not yet recruiting
Research Site
Salt Lake City, Utah, 84112
- Not yet recruiting
Research Site
San Diego, California, 92121
- Not yet recruiting
Research Site
Santa Monica, California, 90404
- Not yet recruiting
Research Site
Shenandoah, Texas, 77380
- Recruiting
Research Site
Springfield, Missouri, 65807
- Recruiting
Research Site
Tacoma, Washington, 98405
- Not yet recruiting
Research Site
Tyler, Texas, 75702
- Not yet recruiting
Research Site
Wilmington, North Carolina, 28401
- Not yet recruiting
Research Site
Winston-Salem, North Carolina, 27103
- Not yet recruiting
Research Site
Ypsilanti, Michigan, 48197
China34 sites, 34 recruiting
- Recruiting
Research Site
Beijing, 100044
- Recruiting
Research Site
Beijing, 100142
- Recruiting
Research Site
Beijing, 100730
- Recruiting
Research Site
Changchun, 130021
- Recruiting
Research Site
Changsha, 410013
- Recruiting
Research Site
Chengdu, 610078
- Recruiting
Research Site
Chongqing, 400030
- Recruiting
Research Site
Fuzhou, 350001
- Recruiting
Research Site
Guangzhou, 510000
- Recruiting
Research Site
Guangzhou, 510060
- Recruiting
Research Site
Guangzhou, 510100
- Recruiting
Research Site
Hangzhou, 310003
- Not yet recruiting
Research Site
Hangzhou, 310022
- Recruiting
Research Site
Harbin, 150081
- Recruiting
Research Site
Hefei, 230031
- Recruiting
Research Site
Lanzhou, 730000
- Recruiting
Research Site
Nanchang, 330006
- Recruiting
Research Site
Nanchang, 330029
- Recruiting
Research Site
Nanjing, 210029
- Recruiting
Research Site
Nanning, 530021
- Recruiting
Research Site
Shandong, 250117
- Recruiting
Research Site
Shanghai, 200065
- Recruiting
Research Site
Shanghai, 20032
- Recruiting
Research Site
Shenyang, 110001
- Recruiting
Research Site
Shenyang, 110004
- Recruiting
Research Site
Shijiazhuang, 054001
- Recruiting
Research Site
Suzhou, 215006
- Recruiting
Research Site
Tianjin, 300020
- Recruiting
Research Site
Wenzhou, 325000
- Recruiting
Research Site
Wuhan, 430079
- Recruiting
Research Site
Xi'an, 710114
- Recruiting
Research Site
Xiamen, 361003
- Recruiting
Research Site
Zhengzhou, 450000
- Recruiting
Research Site
Zhengzhou, 450008
Japan19 sites, 19 recruiting
- Recruiting
Research Site
Bunkyō City, 113-8677
- Recruiting
Research Site
Chiba, 260-8717
- Recruiting
Research Site
Chuo-shi, 409-3898
- Recruiting
Research Site
Fukuoka, 812-8582
- Recruiting
Research Site
Hirakata-shi, 573-1191
- Recruiting
Research Site
Kobe, 650-0047
- Recruiting
Research Site
Kōtoku, 135-8550
- Recruiting
Research Site
Kumamoto, 860-8556
- Recruiting
Research Site
Kurashiki-shi, 710-8602
- Recruiting
Research Site
Kyoto, 602-8566
- Recruiting
Research Site
Minatoku, 105-8470
- Recruiting
Research Site
Okayama, 700-8558
- Recruiting
Research Site
Osaka, 541-8567
- Recruiting
Research Site
Sapporo, 003-0006
- Recruiting
Research Site
Sapporo, 060-8638
- Recruiting
Research Site
Sunto-gun, 411-8777
- Recruiting
Research Site
Toyoake-shi, 470-1192
- Recruiting
Research Site
Yamagata, 990-9585
- Recruiting
Research Site
Yokohama, 241-8515
Germany17 sites, 17 recruiting
- Not yet recruiting
Research Site
Berlin, 10967
- Not yet recruiting
Research Site
Berlin, 13353
- Not yet recruiting
Research Site
Deggendorf, 94469
- Not yet recruiting
Research Site
Düsseldorf, 40479
- Not yet recruiting
Research Site
Göttingen, 37075
- Not yet recruiting
Research Site
Hamburg, 20246
- Not yet recruiting
Research Site
Heidelberg, 69120
- Not yet recruiting
Research Site
Jena, 07747
- Not yet recruiting
Research Site
Karlsruhe, 76133
- Not yet recruiting
Research Site
Kiel, 24105
- Not yet recruiting
Research Site
Lübeck, 23538
- Not yet recruiting
Research Site
Magdeburg, 39120
- Not yet recruiting
Research Site
Minden, 32429
- Not yet recruiting
Research Site
München, 81377, DE
- Not yet recruiting
Research Site
Münster, 48129
- Not yet recruiting
Research Site
Regensburgs, 93049
- Not yet recruiting
Research Site
Würzburg, 97080
Canada10 sites, 9 recruiting
- Withdrawn
Research Site
Barrie, Ontario, L4M 6M2
- Recruiting
Research Site
Chicoutimi, Quebec, G7H 5H6
- Recruiting
Research Site
Halifax, Nova Scotia, B3H 2Y9
- Recruiting
Research Site
Hamilton, Ontario, L8V 5C2
- Recruiting
Research Site
Montreal, Quebec, H4J 1C5
- Recruiting
Research Site
Oshawa, Ontario, L1G 2B9
- Recruiting
Research Site
Québec, Quebec, G1J 1Z4
- Recruiting
Research Site
Saint-Jérôme, Quebec, J7Z 2V4
- Recruiting
Research Site
Toronto, Ontario, M5G 1X6
- Recruiting
Research Site
Winnipeg, Manitoba, R3E 0V9
Spain10 sites, 4 recruiting
- Not yet recruiting
Research Site
Barcelona, 08035
- Withdrawn
Research Site
Barcelona, 8036
- Withdrawn
Research Site
El Palmar, 30120
- Not yet recruiting
Research Site
Girona, 17007
- Withdrawn
Research Site
Las Palmas de Gran Canaria, 35020
- Withdrawn
Research Site
Madrid, 28040
- Not yet recruiting
Research Site
Madrid, 28041
- Withdrawn
Research Site
Oviedo, 33011
- Withdrawn
Research Site
Pamplona, 31008
- Not yet recruiting
Research Site
Santander, 39008
Poland9 sites, 5 recruiting
- Not yet recruiting
Research Site
Gdansk, 80-214
- Withdrawn
Research Site
Gliwice, 44-102
- Not yet recruiting
Research Site
Katowice, 40-519
- Not yet recruiting
Research Site
Krakow, 30-727
- Withdrawn
Research Site
Lublin, 20-081
- Suspended
Research Site
Lublin, 20-090
- Not yet recruiting
Research Site
Warsaw, 02-781
- Not yet recruiting
Research Site
Wroclaw, 50-019
- Withdrawn
Research Site
Wroclaw, 53-439
South Korea9 sites, 9 recruiting
- Recruiting
Research Site
Busan, 49201
- Recruiting
Research Site
Busan, 49241
- Recruiting
Research Site
Goyang-si, 10408
- Recruiting
Research Site
Jeonnam, 519-763
- Recruiting
Research Site
Seoul, 03080
- Recruiting
Research Site
Seoul, 03722
- Recruiting
Research Site
Seoul, 05505
- Recruiting
Research Site
Seoul, 06351
- Recruiting
Research Site
Seoul, 06591
Hungary8 sites, 5 recruiting
- Withdrawn
Research Site
Budapest, 1088
- Withdrawn
Research Site
Budapest, 1122
- Not yet recruiting
Research Site
Debrecen, 4032
- Not yet recruiting
Research Site
Győr, 9024
- Not yet recruiting
Research Site
Kaposvár, 7400
- Withdrawn
Research Site
Nyíregyháza, 4400
- Not yet recruiting
Research Site
Pécs, 7624
- Not yet recruiting
Research Site
Szeged, 6725
India7 sites, 7 recruiting
- Not yet recruiting
Research Site
Delhi, 110029
- Recruiting
Research Site
Delhi, 110085
- Not yet recruiting
Research Site
Gurugram, 122002
- Recruiting
Research Site
Kolkata, 700160
- Recruiting
Research Site
Nashik, 422002
- Recruiting
Research Site
Surat, 396007
- Recruiting
Research Site
Thiruvananthapuram, 695011
United Kingdom7 sites, 6 recruiting
- Recruiting
Research Site
London, EC1M6BQ
- Recruiting
Research Site
London, SE5 9RS
- Recruiting
Research Site
Newcastle upon Tyne, NE7 7DN
- Recruiting
Research Site
Norwich, NR4 7UY
- Recruiting
Research Site
Nottingham, NG5 1PB
- Recruiting
Research Site
Plymouth, PL6 8DH
- Withdrawn
Research Site
Southampton, SO16 6YD
Australia6 sites, 6 recruiting
- Not yet recruiting
Research Site
Clayton, 3168
- Recruiting
Research Site
Darlinghurst, 2010
- Recruiting
Research Site
Garran, 2605
- Recruiting
Research Site
Heidelberg, 3084
- Recruiting
Research Site
Macquarie University, 2109
- Recruiting
Research Site
Nedlands, 6009
France6 sites, 4 recruiting
- Not yet recruiting
Research Site
Bayonne, 64100
- Withdrawn
Research Site
La Tronche, 38700
- Not yet recruiting
Research Site
Lille, 59037
- Not yet recruiting
Research Site
Montpellier, 34295
- Not yet recruiting
Research Site
Saint-Cloud, 92210
- Withdrawn
Research Site
Vandœuvre-lès-Nancy, 54511
Taiwan6 sites, 6 recruiting
- Recruiting
Research Site
Changhua, 50006
- Recruiting
Research Site
Kaohsiung City, 80756
- Recruiting
Research Site
Kaohsiung City, 833
- Recruiting
Research Site
Lukang Township, 505029
- Recruiting
Research Site
Tainan, 704
- Recruiting
Research Site
Taipei, 106
Turkey (Türkiye)5 sites, 4 recruiting
- Not yet recruiting
Research Site
Ankara, 6200
- Not yet recruiting
Research Site
Ankara, 6620
- Not yet recruiting
Research Site
Istanbul, 34010
- Not yet recruiting
Research Site
Istanbul, 34890
- Withdrawn
Research Site
Izmir, 35340
Belgium4 sites, 4 recruiting
- Not yet recruiting
Research Site
Brussels, 1070
- Not yet recruiting
Research Site
Brussels, 1090
- Not yet recruiting
Research Site
Ghent, 9000
- Not yet recruiting
Research Site
Mechelen, 2800
Denmark4 sites, 2 recruiting
- Withdrawn
Research Site
Aalborg, 9100
- Recruiting
Research Site
Copenhagen, 2100
- Recruiting
Research Site
Odense C, 5000
- Withdrawn
Research Site
Roskilde, 4000
Thailand4 sites, 4 recruiting
- Recruiting
Research Site
Bangkok, 10330
- Recruiting
Research Site
Bangkok, 10700
- Recruiting
Research Site
Chiang Mai, 50200
- Recruiting
Research Site
Khon Kaen, 40002
Brazil3 sites, 3 recruiting
- Recruiting
Research Site
Porto Alegre, 90035-003
- Recruiting
Research Site
São Paulo, 04501-000
- Recruiting
Research Site
São Paulo, 05652-900
Czechia3 sites, 3 recruiting
- Not yet recruiting
Research Site
Brno, 625 00
- Not yet recruiting
Research Site
Hradec Králové, 500 05
- Not yet recruiting
Research Site
Prague, 12808
Finland3 sites
- Withdrawn
Research Site
Helsinki, 00029
- Withdrawn
Research Site
Kuopio, 70029
- Withdrawn
Research Site
Tampere, 33520
Italy3 sites, 3 recruiting
- Not yet recruiting
Research Site
Bologna, 40138
- Not yet recruiting
Research Site
Milan, 20141
- Not yet recruiting
Research Site
Reggio Emilia, 42100
Sweden2 sites
- Withdrawn
Research Site
Falun, 79182
- Withdrawn
Research Site
Uppsala, 75185
About this study
Official title: A Phase III, Multicentre, Randomised, Open-label Study to Compare the Efficacy and Safety of AZD0486 Plus Rituximab Versus Chemotherapy Plus Rituximab in Previously Untreated Participants With Follicular Lymphoma (SOUNDTRACK-F1)
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.
- Safety Run-in - this part will compare dose levels of Surovatamig (AZD0486) in combination with rituximab in order to establish the RP3D.
- 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
- Arm A: treatment with Surovatamig plus rituximab Schedule A
- Arm B: treatment with Surovatamig plus rituximab Schedule B
- 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
- Conditions
- Untreated Follicular Lymphoma
- Being tested
- Surovatamig, R-CHOP, R-CVP, BR
- Keywords
- Follicular Lymphoma
- Medical subject headings
- Lymphoma, Follicular
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SurovatamigDrug
Also called AZD0486
a fully human bispecific monoclonal IgG4 antibody
R-CHOPDrug
Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone
R-CVPDrug
Rituximab, Cyclophosphamide, Vincristine and Prednisone
BRDrug
Bendamustine, Rituximab
| Study group | Role | What they receive |
|---|---|---|
| Rituximab, Surovatamig - A | Experimental | Surovatamig regimen A plus rituximab Receives: Drug: Surovatamig |
| Rituximab, Surovatamig - B | Experimental | Surovatamig regimen B plus rituximab Receives: Drug: Surovatamig |
| Chemoimmunotherapy | Active comparator | Investigator's choice between 3 standard immunochemotherapy regimen (R-CHOP, R-CVP, or B-R followed by rituximab maintenance) Receives: Drug: R-CHOP; Drug: R-CVP; Drug: BR |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: Up to 10 years
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
Measured: Up to 1 year
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.
Measured: Up to 10 years
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.
Measured: Up to 10 years
Secondary outcomes (9)
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
Measured: Up to 10 years
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
Measured: Up to 10 years
Safety Run In and Phase 3: CR at EoI
Proportion of participants achieving CR at End of Induction based on Lugano 2014 Response Criteria
Measured: Up to 10 years
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
Measured: up to 10 years
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
Measured: Up to 10 years
Safety Run In and Phase 3: OS
OS is defined as time until the date of death
Measured: Up to 10 years
Phase 3: CR rate at 30 months (CR30)
Proportion of participants in CR rate at 30 months (CR30) based on Lugano 2014 Response Criteria
Measured: Up to 30 months
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
Measured: Up to 10 Years
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
Measured: Up to 10 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Aug 2024
- Study start7 Aug 2024
- Primary completion26 Nov 2031 (estimated)
- Study completion26 Nov 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Untreated Follicular LymphomaStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,018 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Chan Cheah, MBBS FRACP FRCPA DMSc, Principal investigator, Sir Charles Gairdner Hospital (SCGH)
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06549595
- Sponsor's protocol ID
- D7401C00001
- Other IDs
- 2023-510098-33-00, 2023
- Status last verified
- Oct 2026
- First submitted
- 29 Jul 2024
- Last updated
- 21 Oct 2026
- Results posted
- 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. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
Study at a glance
From the registry record, last updated by the sponsor on 21 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Multicentre, Randomised, Open-label Study to Compare the Efficacy and Safety of AZD0486 Plus Rituximab Versus Chemotherapy Plus Rituximab in Previously Untreated Participants With Follicular Lymphoma (SOUNDTRACK-F1)
- ClinicalTrials.gov ID
- NCT06549595
- Acronym / sponsor ID
- D7401C00001
- Conditions
- Untreated Follicular Lymphoma
- Keywords
- Follicular Lymphoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,018 participants (estimated)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Study start
- 7 Aug 2024 (actual)
- Primary completion
- 26 Nov 2031 (estimated)
- Study completion
- 26 Nov 2031 (estimated)
- First posted
- 12 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
The study consists of 2 sequential parts.
- Safety Run-in - this part will compare dose levels of Surovatamig (AZD0486) in combination with rituximab in order to establish the RP3D.
- 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
- Arm A: treatment with Surovatamig plus rituximab Schedule A
- Arm B: treatment with Surovatamig plus rituximab Schedule B
- 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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Rituximab, Surovatamig - A | Experimental | Drug: SurovatamigSurovatamig regimen A plus rituximab |
| Rituximab, Surovatamig - B | Experimental | Drug: SurovatamigSurovatamig regimen B plus rituximab |
| Chemoimmunotherapy | Active comparator | Drug: R-CHOP, Drug: R-CVP, Drug: BRInvestigator's choice between 3 standard immunochemotherapy regimen (R-CHOP, R-CVP, or B-R followed by rituximab maintenance) |
Who may qualify
- Ages
- 18 to 130 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Participant must be at least 18 years of age, inclusive, at the time of signing the ICF.
- Histologically confirmed diagnosis of classic FL per WHO 2022 classification
- ECOG performance status of 0 to 2
- No prior systemic lymphoma-directed therapy
- Need for systemic treatment meeting at least 1 GELF criteria
Key exclusion criteria (8 listed)
- 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
- Contra-indication to BR, RCVP, and R-CHOP
- Participants with or history of CNS lymphoma
- History of a clinically relevant 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
- Presence of >5000 circulating lymphoma cells
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SurovatamigAlso: AZD0486a fully human bispecific monoclonal IgG4 antibody | Drug | Rituximab, Surovatamig - A, Rituximab, Surovatamig - B |
| R-CHOPRituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone | Drug | Chemoimmunotherapy |
| R-CVPRituximab, Cyclophosphamide, Vincristine and Prednisone | Drug | Chemoimmunotherapy |
| BRBendamustine, Rituximab | Drug | Chemoimmunotherapy |
Primary outcome
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
Time frame: Up to 10 years
Frequency, severity, and relationship to study drug of AEs and SAEs; dose modifications; changes in physical examination and safety procedures.
SRI Primary: Determination of the recommended Phase III dose (RP3D)
Time frame: Up to 1 year
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
Phase 3 Dual Primary: To demonstrate the superiority of Surovatamig plus rituximab compared to Investigator's choice of SoC chemoimmunotherapy
Time frame: Up to 10 years
PFS, based on Lugano 2014 Response Criteria, as assessed by BICR.
Phase 3 Dual Primary: To demonstrate the superiority of Surovatamig plus rituximab compared to Investigator's choice of SoC chemoimmunotherapy
Time frame: Up to 10 years
ORR at EoI, based on Lugano 2014 Response Criteria, as assessed by BICR.
9 secondary outcomes
Safety Run in and Phase 3: ORR at EoI (Investigator assessed)
Time frame: Up to 10 years
Safety Run In and Phase 3: CR Rate
Time frame: Up to 10 years
Safety Run In and Phase 3: CR at EoI
Time frame: Up to 10 years
Safety Run In and Phase 3: DoR
Time frame: up to 10 years
Safety Run In and Phase 3: PFS (Investigator assessed)
Time frame: Up to 10 years
Safety Run In and Phase 3: OS
Time frame: Up to 10 years
Phase 3: CR rate at 30 months (CR30)
Time frame: Up to 30 months
Phase 3: Time to First Subsequent Therapy or Death (TFST)
Time frame: Up to 10 Years
Phase 3: Time from randomisation to second progression or death (PFS2)
Time frame: Up to 10 Years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Oct 2026.
- Individual participant dataSharing planned: 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
Related trials for Untreated Follicular Lymphoma
RecruitingPhase 2
Phase 2 Trial of Obinutuzumab and CC-99282 for Patients With Previously Untreated High Tumor Burden Follicular Lymphoma
Follicular Lymphoma, Tumor
RecruitingPhase 3
A Trial to Learn if Odronextamab is Safe and Well-Tolerated and How Well it Works Compared to Rituximab Combined With Different Types of Chemotherapy for Adult Participants With Previously Untreated Follicular Lymphoma
Follicular Lymphoma (FL)
RecruitingPhase 2
Acalabrutinib, Lenalidomide, and Rituximab for the Treatment of CD20 Positive Stage III-IV, Grade 1-3a Follicular Lymphoma
Ann Arbor Stage III Grade 1 Follicular Lymphoma, Ann Arbor Stage III Grade 2 Follicular Lymphoma
RecruitingPhase 2
Testing the Addition of Duvelisib or CC-486 to the Usual Treatment for Peripheral T-Cell Lymphoma
Angioimmunoblastic T-cell Lymphoma, Enteropathy-Associated T-Cell Lymphoma
Active, not recruitingPhase 3
Study of Mosunetuzumab Plus Lenalidomide Compared to Anti-CD20 Anti-body + Chemotherapy in Follicular Lymphoma FLIPI2-5
Follicular Lymphoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
AstraZeneca Clinical Study Information Center contact
Chan Cheah, MBBS FRACP FRCPA DMSc principal investigator
Sir Charles Gairdner Hospital (SCGH)
244 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Surovatamig, R-CHOP and R-CVP in people with Untreated Follicular Lymphoma, run by AstraZeneca at 244 sites in 25 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 8 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 21 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 244 sites in United States, China, Japan, Germany, Canada and 20 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 phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
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 (time frame: Up to 10 years). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 21 Oct 2026.