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AZD2287

Phase 1

Metastatic Castration-Resistant Prostate Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: May 12, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment136
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06879041A Phase I Study of [225Ac]-AZD2284 in Patients With Metastatic Castration-Resistant Prostate CancerPHASE1 RECRUITING 136Mar 10, 2025Apr 16, 2029May 12, 202616 United States, Australia +1
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Study Endpoints
Primary Endpoints
Number of participants with adverse event (AEs)
Part A: Up to Day 28; Part B: Up to 5 years
Number of participants with Dose Limiting Toxicities (DLTs)
Part B: Up to 84 days of receiving AZD2284
Estimates of residence time
Part A: Up to 8 days after a dose of AZD2287
Absorbed radiation doses for AZD2287 and AZD2284
Part A: Up to 8 days after a dose of AZD2287; Part B: Up to 7 days after a dose of AZD2287
Compare organ uptake of AZD2287 with and without pre-dose administration of AZD2275
Part A: Up to 8 days after a dose of AZD2287; Part B: Up to 7 days after a dose of AZD2287
Tumor uptake of AZD2287 in selected regions of interest on SPECT/CT and/or planar images
Part A: Up to 8 days after a dose of AZD2287; Part B: Up to 7 days after a dose of AZD2287
Secondary Endpoints
Overall Response Rate (ORR)
Up to 12 months after the last dose of AZD2284
Proportion of participants with Prostate-Specific Antigen (PSA) 50
Up to 12 months after the last dose of AZD2284
Proportion of participants with PSA90
Up to 12 months after the last dose of AZD2284
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part A: Cohort A1: AZD2287 (Hot only)EXPERIMENTALParticipants will receive AZD2287. If eligible for treatment, will receive dose level (DL)1 of AZD2284.
Part A: Cohort A2: AZD2275 + AZD2287 (Cold +Hot)EXPERIMENTALParticipants will receive DL1 of AZD2275 followed by AZD2287. If eligible for treatment, will receive DL1 of AZD2284.
Part A: Cohort A3: AZD2275 + AZD2287 (Cold +Hot)EXPERIMENTALParticipants will receive DL2 of AZD2275 followed by AZD2287. If eligible for treatment, will receive DL1 of AZD2284.
Part B (Actinium-225 Dose Escalation): DL1: AZD2284EXPERIMENTALParticipants will receive AZD2287 (± AZD2275 as determined in Part A). If eligible for treatment, will receive DL1 of AZD2284.
Part B (Actinium-225 Dose Escalation): DL2: AZD2284EXPERIMENTALParticipants will receive AZD2287 (± AZD2275 as determined in Part A). If eligible for treatment, will receive DL2 of AZD2284.
Part B (Actinium-225 Dose Escalation): DL3: AZD2284EXPERIMENTALParticipants will receive AZD2287 (± AZD2275 as determined in Part A). If eligible for treatment, will receive DL3 of AZD2284.
Part B (Actinium-225 Dose Escalation): DL4: AZD2284EXPERIMENTALParticipants will receive AZD2287 (± AZD2275 as determined in Part A). If eligible for treatment, will receive DL4 of AZD2284.
Part B: Cohort E1EXPERIMENTALParticipants will receive dose of AZD2284 determined by the earlier results. Expansion cohort may be opened to further characterize the safety and efficacy of the dose level.
Part B: Cohort E2EXPERIMENTALParticipants will receive dose of AZD2284 determined by the earlier results. Expansion cohort may be opened to further characterize the safety and efficacy of the dose level.
Interventions
NameTypeDescription
AZD2287DRUGParticipants will receive AZD2287
AZD2275DRUGParticipants will receive AZD2275
AZD2284DRUGParticipants will receive AZD2284
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Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersNo
Study Sites16

Main Inclusion Criteria: * Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. * Histologically confirmed diagnosis of adenocarcinoma of the prostate without strong clinical suspicion of majority neuroendocrine differentiation. * Must have had prior bilateral orchiectomy and/or ...

Countries:United StatesAustraliaSouth Africa
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT06879041Enrollment: 95 → 136
LOWMay 24, 2026NCT06879041studyFirstPostDate: changed