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Large B-cell LymphomaPhase 3SOUNDTRACK-D2NCT07215585

AZD0486 1L Therapy for Elderly or Unfit Participants With LBCL

A Phase 3 study testing AZD0486 and R-mini-CHOP in people with Large B-cell Lymphoma, run by AstraZeneca at 82 sites in 12 countries.

Recruiting

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

Sites and contacts
Official record
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Trial summary

The purpose of this study is to measure the efficacy and safety of R-mini-CHOP × 2 followed by AZD0486 compared with R-mini-CHOP × 6 in elderly or unfit participants newly diagnosed with LBCL. Read more about this study

Who is it for?
Ages 65 to 130 years
Conditions the study is for
Large B-cell Lymphoma
What is being tested?
AZD0486 and R-mini-CHOP
Could I receive a placebo?
No, everyone receives an active treatment
How many people
420 participants
Where
82 sitesin 12 countries
Study dates
11 Nov 2025to 29 Jul 2033
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 65 to 130 years
  • All sexes
  • No healthy volunteers
  • Older adult

Who may be able to join

  • Participants are either 80 years of age or older, OR 65 to 79 years of age or older and classified as unfit per sGA, and otherwise not considered candidates for full-dose R-CHOP per investigator assessment;
  • Histologically confirmed diagnosis of previously untreated LBCL as per WHO-HEM5 (excluding plasmablastic lymphoma) and follicular large cell lymphoma;
  • FDG-avid and measurable disease as per Lugano and Ann Arbor staging;
  • Stage I bulky (7.5 cm and greater) to Stage IV;
  • ECOG performance status 0 to 2;
  • Adequate bone marrow, liver, renal and cardiac function.
Show all 16Show fewer
  • The above is a summary, other inclusion criteria details may apply.
  • As judged by the investigator, any evidence of diseases which make it undesirable for the participant to participate in the study, or that would jeopardise compliance with the protocol
  • Diagnosis of post-transplant lymphoproliferative disease, plasmablastic lymphoma, Richter's transformation, prior history of or concurrent indolent lymphoma (including de novo transformed or composite lymphoma).
  • History of CNS involvement by their B-NHL or history of clinically relevant CNS medical condition
  • Known history of hemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS).
  • Active or uncontrolled infection
  • Major cardiac abnormalities
  • Prior anti-lymphoma therapy except for corticosteroids for symptom control
  • Requires chronic immunosuppressive therapy for active autoimmune/inflammatory condition, with some exceptions
  • The above is a summary, other exclusion criteria details may apply.

Who cannot join

None listed.

Trial locations and contacts

82 sites in 12 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

82 sites in 12 countries

China21 sites, 20 recruiting
  • Research Site

    Beijing, 100730

    Recruiting
  • Research Site

    Changchun, 130021

    Recruiting
  • Research Site

    Chengdu, 610041

    Recruiting
  • Research Site

    Chongqing, 400042

    Not yet recruiting
  • Research Site

    Fuzhou, 350011

    Not yet recruiting
  • Research Site

    Guangzhou, 510060

    Recruiting
  • Research Site

    Guangzhou, 510280

    Not yet recruiting
  • Research Site

    Guiyang, 550044

    Not yet recruiting
  • Research Site

    Haikou, 570311

    Not yet recruiting
  • Research Site

    Harbin, 150081

    Not yet recruiting
  • Research Site

    Hefei, 230012

    Not yet recruiting
  • Research Site

    Jinan, 250117

    Recruiting
  • Research Site

    Kunming, 650101

    Not yet recruiting
  • Research Site

    Nanchang, 330000

    Not yet recruiting
  • Research Site

    Nanning, 530021

    Not yet recruiting
  • Research Site

    Nantong, 226001

    Withdrawn
  • Research Site

    Shanghai, 200003

    Recruiting
  • Research Site

    Shanghai, 20032

    Recruiting
  • Research Site

    Shenyang, 110004

    Not yet recruiting
  • Research Site

    Wuhan, 430030

    Not yet recruiting
  • Research Site

    Xiamen, 361003

    Not yet recruiting

Other trials in China

Japan18 sites, 17 recruiting
  • Research Site

    Akashi, 673-8558

    Withdrawn
  • Research Site

    Bunkyō City, 113-8677

    Recruiting
  • Research Site

    Himeji-shi, 670-8540

    Not yet recruiting
  • Research Site

    Kōtoku, 135-8550

    Recruiting
  • Research Site

    Kumamoto, 860-8556

    Not yet recruiting
  • Research Site

    Matsumoto-shi, 399-8701

    Not yet recruiting
  • Research Site

    Matsuyama, 791-0280

    Not yet recruiting
  • Research Site

    Meguro-ku, 152-8902

    Recruiting
  • Research Site

    Nagoya, 460-0001

    Not yet recruiting
  • Research Site

    Nagoya, 466-8650

    Not yet recruiting
  • Research Site

    Okayama, 701-1192

    Not yet recruiting
  • Research Site

    Osaka, 543-8555

    Not yet recruiting
  • Research Site

    Osaka, 545-8586

    Recruiting
  • Research Site

    Otaki-Shi, 739-0696

    Not yet recruiting
  • Research Site

    Sapporo, 003-0804

    Not yet recruiting
  • Research Site

    Sunto-gun, 411-8777

    Not yet recruiting
  • Research Site

    Yamagata, 990-9585

    Recruiting
  • Research Site

    Yokohama, 241-8515

    Recruiting

Other trials in Japan

Canada7 sites, 6 recruiting
  • Research Site

    Calgary, Alberta, T2N 5G2

    Recruiting
  • Research Site

    Chicoutimi, Quebec, G7H 5H6

    Not yet recruiting
  • Research Site

    Hamilton, Ontario, L8V 5C2

    Withdrawn
  • Research Site

    Oshawa, Ontario, L1G 2B9

    Not yet recruiting
  • Research Site

    Ottawa, Ontario, K1H 8L6

    Recruiting
  • Research Site

    Toronto, Ontario, M5G 2M9

    Not yet recruiting
  • Research Site

    Victoria, British Columbia, V8R 6V5

    Not yet recruiting

Other trials in Canada

Belgium6 sites, 4 recruiting
  • Research Site

    Antwerp, 2030

    Withdrawn
  • Research Site

    Brussels, 1200

    Not yet recruiting
  • Research Site

    Ghent, 9000

    Recruiting
  • Research Site

    Leuven, 3000

    Recruiting
  • Research Site

    Roeselare, 8800

    Withdrawn
  • Research Site

    Yvoir, 5530

    Recruiting

Other trials in Belgium

Australia5 sites, 4 recruiting
  • Research Site

    Clayton, 3168

    Not yet recruiting
  • Research Site

    Macquarie University, 2109

    Withdrawn
  • Research Site

    Melbourne, 3000

    Recruiting
  • Research Site

    Nedlands, 6009

    Not yet recruiting
  • Research Site

    Waratah, 2298

    Not yet recruiting

Other trials in Australia

Poland5 sites, 5 recruiting
  • Research Site

    Kielce, 25-734

    Not yet recruiting
  • Research Site

    Krakow, 30-727

    Recruiting
  • Research Site

    Lodz, 93-513

    Not yet recruiting
  • Research Site

    Lublin, 20-090

    Not yet recruiting
  • Research Site

    Wroclaw, 50-367

    Not yet recruiting

Other trials in Poland

Turkey (Türkiye)5 sites, 5 recruiting
  • Research Site

    Ankara, 06620

    Recruiting
  • Research Site

    Antalya, 07025

    Recruiting
  • Research Site

    Istanbul, 34214

    Not yet recruiting
  • Research Site

    Izmir, 35040

    Not yet recruiting
  • Research Site

    Kocaeli, 41380

    Not yet recruiting

Other trials in Turkey (Türkiye)

United Kingdom5 sites, 3 recruiting
  • Research Site

    Glasgow, Scotland, G12 0YN

    Withdrawn
  • Research Site

    London, NW1 2PG

    Recruiting
  • Research Site

    Manchester, M20 4BX

    Not yet recruiting
  • Research Site

    Newcastle upon Tyne, NE7 7AF

    Recruiting
  • Research Site

    Nottingham, NG5 1PB

    Withdrawn

Other trials in United Kingdom

Germany3 sites, 3 recruiting
  • Research Site

    Berlin, 14165

    Not yet recruiting
  • Research Site

    Dresden, 01307

    Not yet recruiting
  • Research Site

    Rostock, 18057

    Not yet recruiting

Other trials in Germany

Hong Kong3 sites, 2 recruiting
  • Research Site

    Hong Kong, 999077

    Withdrawn
  • Research Site

    Hong Kong, 999077

    Recruiting
  • Research Site

    Lai Chi Kok

    Not yet recruiting

Other trials in Hong Kong

Brazil2 sites, 2 recruiting
  • Research Site

    Porto Alegre, 90035-003

    Recruiting
  • Research Site

    São Paulo, 05652000

    Recruiting

Other trials in Brazil

South Korea2 sites, 2 recruiting
  • Research Site

    Seoul, 03080

    Recruiting
  • Research Site

    Seoul, 5505

    Recruiting

Other trials in South Korea

About this study

Official title: A Phase III, Multicentre, Open-Label, Randomised Study Evaluating the Efficacy and Safety of R-mini-CHOP x2 Followed by AZD0486 Versus R-mini-CHOP x6 in Elderly or Unfit Participants With Newly Diagnosed Large B-cell Lymphoma (SOUNDTRACK-D2)

The purpose of this study is to measure the efficacy and safety of R-mini-CHOP × 2 followed by AZD0486 compared with R-mini-CHOP × 6 in elderly or unfit participants newly diagnosed with LBCL.

Being tested
AZD0486, R-mini-CHOP
Keywords
Large B-cell Lymphoma, LBCL, AZD0486, CD3, CD19, TCE, B-cell malignancies, Soundtrack-D2

What participants receive

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

  • AZD0486Drug

    Also called TNB-486

    Bispecific monoclonal IgG4 antibody

  • R-mini-CHOPDrug

    Intravenous administration: Rituximab 375 mg/m2, Cyclophosphamide 400 mg/m2, Doxorubicin 25 mg/m2, Vincristine 1 mg, and Oral administration: Prednisone 40 mg/m2

Study groups in NCT07215585
Study groupRoleWhat they receive
Phase III Arm A: R-mini-CHOP and AZD0486Experimental2 cycles of R-mini-CHOP followed sequentially by multiple cycles of AZD0486 at RP3D.
Receives: Drug: AZD0486; Drug: R-mini-CHOP
Phase III Arm B: R-mini-CHOPActive comparator6 cycles of R-mini-CHOP per SoC regimen.
Receives: Drug: R-mini-CHOP
Safety Run in: R-mini-CHOP and AZD0486Experimental2 cycles of R-mini-CHOP followed sequentially by multiple cycles of AZD0486 at RP2D.
Receives: Drug: AZD0486; Drug: R-mini-CHOP

What is being measured

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

  1. SRI - Safety evaluation of R-mini-CHOP × 2 followed by AZD0486: Number of participants with treatment-related adverse events.

    Incidence and severity of AEs, SAEs, AESIs, and events of clinical interest based on NCI CTCAE v5.0/ASTCT, vital signs, laboratory parameters.

    Measured: Up to 1 year

  2. SRI - Tolerability evaluation of R-mini-CHOP × 2 followed by AZD0486: Number of participants with treatment-related adverse events.

    AEs leading to study treatment discontinuation or dose modification based on NCI CTCAE v5.0/ASTCT, vital signs, laboratory parameters.

    Measured: Up to 1 year

  3. SRI - Determination of the recommended Phase III dose (RP3D)

    The RP3D will be the dose of AZD0486 selected for the Phase 3 part based on safety data compiled during the Safety Run-In part

    Measured: Up to 1 year

  4. Phase 3 - To demonstrate the superiority of R-mini-CHOP x2 followed by AZD0486 compared to R-mini-CHOP x6 regimen.

    Progression-free Surival (PFS), based on Lugano 2014 Response Criteria.

    Measured: Up to 7 years

Secondary outcomes (16)
  1. Safety Run-In and Phase 3 - ORR

    ORR defined as the proportion of participants achieving either a PR or CR at timepoints defined in the study protocol, based on Lugano 2014 Response Criteria as determined by Investigator assessment.

    Measured: Up to 7 years

  2. Safety Run-In and Phase 3 - CR Rate

    CR rate is defined as the proportion of participants achieving a CR at timepoints defined in the study protocol, based on Lugano 2014 Response Criteria as determined by Investigator assessment.

    Measured: Up to 7 years

  3. Safety Run-In and Phase 3 - DoR

    DoR is defined as the time from the date of first documented response until the date of documented progression based on Lugano 2014 criteria as determined by Investigator assessment or death due to any cause.

    Measured: Up to 7 years

  4. Safety Run-In and Phase 3 - DoCR

    DoCR is defined as the time from the date of first documented CR until the date of documented progression or death due to any cause, as assessed by the Investigator.

    Measured: Up to 7 years

  5. Safety Run-In and Phase 3 - PFS

    PFS is defined as the time from date of the first dose to date of documented objective disease progression as per Lugano 2014 or death (by any cause in the absence of progression), as determined by Investigator assessment.

    Measured: Up to 7 years

  6. Safety Run In and Phase 3 - OS

    OS defined as the time from date of the first dose until death due to any cause.

    Measured: Up to 7 years

  7. Phase 3 - Time from randomisation to second progression or death (PFS2)

    PFS2 is defined as the time from randomisation to the earliest of the progression event (following the initial investigator-assessed progression), after first subsequent therapy, or death.

    Measured: Up to 7 years

  8. Phase 3 - Time to First Subsequent Therapy or Death (TFST)

    TFST is defined as time from randomisation until the start date of first subsequent anti-lymphoma therapy after discontinuation of randomised treatment, or death due to any cause.

    Measured: Up to 7 Years

  9. Phase 3 - Safety evaluation of R-mini-CHOP × 2 followed by AZD0486: Number of participants with treatment-related adverse events.

    Incidence and severity of AEs, SAEs, AESIs, and events of clinical interest based on NCI CTCAE v5.0/ASTCT, vital signs, laboratory parameters.

    Measured: Up to 7 years

  10. Phase 3 - Tolerability evaluation of R-mini-CHOP × 2 followed by AZD0486: Number of participants with treatment-related adverse events.

    AEs leading to study treatment discontinuation or dose modification based on NCI CTCAE v5.0/ASTCT, vital signs, laboratory parameters.

    Measured: Up to 7 years

  11. Safety Run-In and Phase 3 - Pharmacokinetics of AZD0486: serum concentration of study drug

    Maximum observed serum concentration of AZD0486.

    Measured: Up to 7 years

  12. Safety Run-In and Phase 3 - Pharmacokinetics of AZD0486: Maximum plasma concentration of the study drug (Cmax).

    Maximum observed plasma concentration of AZD0486.

    Measured: Up to 7 years

  13. Safety Run-In and Phase 3 - Pharmacokinetics of AZD0486: Concentration of study drug reached before next dose (Ctrough).

    Observed plasma concentration of AZD0486 right before next dose of AZD0486.

    Measured: Up to 7 years

  14. Safety Run-In and Phase 3 - To determine the immunogenicity of AZD0486

    Summary of pre-existing and treatment induced ADAs for AZD0486 (positive or negative, titres) and the impact on PK, efficacy or safety.

    Measured: Up to 7 years

  15. Phase 3 - Safety evaluation of R-mini-CHOP × 2 followed by AZD0486 versus R-mini-CHOP × 6

    Evaluation of key participant-reported side effects (pain, fatigue) and overall treatment tolerability, lymphoma-specific concerns, and HRQoL.

    Measured: Up to 7 years

  16. Phase 3 - Efficacy evaluation of R-mini-CHOP × 2 followed by AZD0486 versus R-mini-CHOP × 6

    Evaluation of key participant-reported side effects (pain, fatigue) and overall treatment tolerability, lymphoma-specific concerns, and HRQoL.

    Measured: Up to 7 years

Timeline

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

  1. First posted10 Oct 2025
  2. Study start11 Nov 2025
  3. Primary completion10 Jun 2030 (estimated)
  4. Study completion29 Jul 2033 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study consists of 2 sequential parts: a safety run-in (SRI) followed by the phase III.
Masking
None (open label)
Enrolment
420 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07215585
Sponsor's protocol ID
D7402C00001
Other IDs
2025-522029-37-00, 2025
Acronym
SOUNDTRACK-D2
Status last verified
Oct 2026
First submitted
7 Oct 2025
Last updated
9 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

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing AZD0486 and R-mini-CHOP in people with Large B-cell Lymphoma, run by AstraZeneca at 82 sites in 12 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 16 inclusion and 0 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 9 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 82 sites in China, Japan, Canada, Belgium, Australia and 7 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 - Safety evaluation of R-mini-CHOP × 2 followed by AZD0486: Number of participants with treatment-related adverse events. (time frame: Up to 1 year). 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 9 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.

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