Could fewer chemo rounds plus a targeted drug beat standard care for older lymphoma patients?
NCT ID NCT07215585
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether older or frail adults newly diagnosed with large B-cell lymphoma can get just 2 rounds of chemo (R-mini-CHOP) followed by a new drug called AZD0486, instead of the usual 6 rounds of chemo. The goal is to see if the shorter chemo-plus-new-drug approach works better and is safer. About 420 participants will be randomly assigned to one of the two treatment plans.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 420 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2025
- Expected to finish
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Jul 2033
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 to 130 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria: * 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. 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.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
64 sites in 11 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Research Site
NOT_YET_RECRUITINGClayton, 3168, Australia
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Research Site
WITHDRAWNMacquarie University, 2109, Australia
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Research Site
RECRUITINGMelbourne, 3000, Australia
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Research Site
NOT_YET_RECRUITINGNedlands, 6009, Australia
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Research Site
NOT_YET_RECRUITINGWaratah, 2298, Australia
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Research Site
WITHDRAWNAntwerp, 2030, Belgium
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Research Site
NOT_YET_RECRUITINGBrussels, 1200, Belgium
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Research Site
RECRUITINGGhent, 9000, Belgium
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Research Site
RECRUITINGLeuven, 3000, Belgium
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Research Site
SUSPENDEDRoeselare, 8800, Belgium
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Research Site
RECRUITINGYvoir, 5530, Belgium
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Research Site
RECRUITINGPorto Alegre, 90035-003, Brazil
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Research Site
RECRUITINGSão Paulo, 05652000, Brazil
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Research Site
RECRUITINGCalgary, Alberta, T2N 5G2, Canada
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Research Site
NOT_YET_RECRUITINGVictoria, British Columbia, V8R 6V5, Canada
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Research Site
NOT_YET_RECRUITINGHamilton, Ontario, L8V 5C2, Canada
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Research Site
RECRUITINGOttawa, Ontario, K1H 8L6, Canada
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Research Site
RECRUITINGBeijing, 100730, China
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Research Site
RECRUITINGChangchun, 130021, China
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Research Site
RECRUITINGChengdu, 610041, China
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Research Site
NOT_YET_RECRUITINGChongqing, 400042, China
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Research Site
NOT_YET_RECRUITINGFuzhou, 350011, China
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Research Site
RECRUITINGGuangzhou, 510060, China
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Research Site
NOT_YET_RECRUITINGGuangzhou, 510280, China
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Research Site
NOT_YET_RECRUITINGHaikou, 570311, China
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Research Site
NOT_YET_RECRUITINGHefei, 230012, China
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Research Site
RECRUITINGJinan, 250117, China
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Research Site
NOT_YET_RECRUITINGKunming, 650101, China
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Research Site
NOT_YET_RECRUITINGNanchang, 330000, China
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Research Site
NOT_YET_RECRUITINGNanning, 530021, China
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Research Site
WITHDRAWNNantong, 226001, China
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Research Site
RECRUITINGShanghai, 200003, China
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Research Site
RECRUITINGShanghai, 20032, China
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NOT_YET_RECRUITINGWuhan, 430030, China
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NOT_YET_RECRUITINGXiamen, 361003, China
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RECRUITINGHong Kong, 999077, Hong Kong
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NOT_YET_RECRUITINGLai Chi Kok, Hong Kong
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Research Site
WITHDRAWNShatin, 00000, Hong Kong
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Research Site
NOT_YET_RECRUITINGAkashi, 673-8558, Japan
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Research Site
RECRUITINGBunkyō City, 113-8677, Japan
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Research Site
NOT_YET_RECRUITINGHimeji-shi, 670-8540, Japan
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Research Site
RECRUITINGKōtoku, 135-8550, Japan
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Research Site
NOT_YET_RECRUITINGKumamoto, 860-8556, Japan
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Research Site
NOT_YET_RECRUITINGMatsumoto-shi, 399-8701, Japan
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Research Site
NOT_YET_RECRUITINGMatsuyama, 791-0280, Japan
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Research Site
NOT_YET_RECRUITINGMeguro-ku, 152-8902, Japan
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Research Site
NOT_YET_RECRUITINGNagoya, 460-0001, Japan
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Research Site
NOT_YET_RECRUITINGOkayama, 701-1192, Japan
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Research Site
NOT_YET_RECRUITINGOsaka, 543-8555, Japan
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Research Site
RECRUITINGOsaka, 545-8586, Japan
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Research Site
NOT_YET_RECRUITINGOtaki-Shi, 739-0696, Japan
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Research Site
NOT_YET_RECRUITINGSapporo, 003-0804, Japan
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Research Site
NOT_YET_RECRUITINGSunto-gun, 411-8777, Japan
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Research Site
RECRUITINGYamagata, 990-9585, Japan
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Research Site
RECRUITINGYokohama, 241-8515, Japan
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Research Site
NOT_YET_RECRUITINGKielce, 25-734, Poland
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Research Site
RECRUITINGKrakow, 30-727, Poland
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Research Site
NOT_YET_RECRUITINGLodz, 93-513, Poland
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Research Site
NOT_YET_RECRUITINGLublin, 20-090, Poland
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Research Site
NOT_YET_RECRUITINGWroclaw, 50-367, Poland
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Research Site
RECRUITINGSeoul, 03080, South Korea
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Research Site
RECRUITINGSeoul, 5505, South Korea
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Research Site
RECRUITINGAnkara, 06620, Turkey (Türkiye)
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Research Site
RECRUITINGAntalya, 07025, Turkey (Türkiye)
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Research Site
NOT_YET_RECRUITINGGlasgow, Scotland, G12 0YN, United Kingdom
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Research Site
RECRUITINGLondon, NW1 2PG, United Kingdom
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Research Site
RECRUITINGNewcastle upon Tyne, NE7 7AF, United Kingdom
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Research Site
NOT_YET_RECRUITINGNottingham, NG5 1PB, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a single shot build a cancer army inside the body?
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- New combo aims to boost lymphoma control in older patients