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AZD3470

Phase 1

Advanced Solid Tumors That Are MTAP Deficient | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Oct 13, 2026

AZD3470 development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since Nov 2023

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials2
Total Enrollment495

FDA Designations

No designations recorded

AZD3470 clinical trials

AZD3470 · 2 trials · 8 indications

Phase 1 2
NCT06137144AZD3470 as Monotherapy or in Combination With Anticancer Agent(s) in Participants With Haematologic Malignancies.Lymphoma
RECRUITING161 Analytics
NCT06130553A Study of AZD3470, a PRMT5 Inhibitor, Given as Monotherapy and in Combination in Patients With MTAP Deficient Advanced/Metastatic Solid TumorsAdvanced Solid Tumors That Are MTAP Deficient
RECRUITING334 Analytics
PHASE1RECRUITING
AZD3470 as Monotherapy or in Combination With Anticancer Agent(s) in Participants With Haematologic Malignancies.
LymphomaUnlock trial analytics
PHASE1RECRUITING
A Study of AZD3470, a PRMT5 Inhibitor, Given as Monotherapy and in Combination in Patients With MTAP Deficient Advanced/Metastatic Solid Tumors
Advanced Solid Tumors That Are MTAP DeficientUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence and severity of adverse events (AEs) and serious adverse events (SAEs)
From Screening continuously until 28 days after the last dose of study medication.

AEs: Number of patients with adverse events by system organ class and preferred term. SAEs: Number of patients with serious adverse events by system organ class and preferred term.

Incidence of DLTs (Dose Escalation Cohorts only)
From first dose of AZD3470 to end of Cycle 1 (each cycle is 21 days).

In the Dose Escalation cohorts in Part A, the number of participants with at least 1 dose-limiting toxicity (DLT), which is any toxicity defined as a DLT in the Clinical Study Protocol.

All Modules: Incidence of adverse events (AEs) and serious adverse events (SAEs). To determine the RP2D of AZD3470 as monotherapy and in combination with anticancer agents
From time of informed consent to 28 days post last dose of study treatment

Number of participants with AEs and SAEs.

Module 1: Incidence of dose-limiting toxicities (DLT)
From first dose of study treatment until the end of Cycle 1 (each cycle is 21 days)

Incidence of dose-limiting toxicities (DLT) as determined by number of patients with at least 1 dose-limiting toxicity (DLT)

Module 2: Progression Free Survival assessed by the Investigator according to RECIST v1.1
From date of randomization up until progression, or the last evaluable assessment in the absence of progression (approximately 2 years).

PFS - defined as time from date of randomization until progression per RECIST v1.1 as assessed by the Investigator at local site, or death due to any cause.

Secondary Endpoints

Response endpoints as assessed by the investigator according to the Lugano Classification: Objective Response Rate (ORR)/Complete Response Rate (CRR)
From first dose (Cycle 1 Day 1, each cycle is 21 days) until disease progression or the last evaluable assessment in the absence of progression.
Response Endpoints as assessed by investigator according to the Lugano Classification: Conversation rate of Partial Response (PR) to Complete Response (CR)
From First dose (Cycle 1 Day 1, each cycle is 21 days) until disease progression or the last evaluable assessment in the absence of progression.
Response endpoints as assessed by the investigator according to the Lugano Classification: Duration of Response (DoR)
From date of first objective response until documented progression or death due to any cause or censoring (if progression or death have not occurred)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD3470 MonotherapyEXPERIMENTALModule 1 Cohort 1 evaluates safety, tolerability, efficacy of AZD3470 in r/r cHL participants with 2 prior lines of systemic anticancer therapy (including BV and anti-PD1). Participants will be treated according to protocol-defined windows. Part A (dose escalation) assesses AZD3470 at increasing doses in participants aged ≥18 years, r/r cHL. Part B (dose optimization/ expansion) includes participants at certain dose levels evaluated as tolerable in Part A and may include adolescent patients aged ≥12 years, upon SRC agreement. Module 1 Cohort 2 evaluates the safety, tolerability, efficacy of AZD3470 as consolidation for Stage III/IV cHL participants aged ≥50 years after CR or PR to frontline SOC therapy (either N-AVD, A-AVD, AVD, ABVD) Module 1 Cohort 3 evaluates the safety, tolerability, preliminary efficacy of AZD3470 in participants aged ≥18 years with r/r PTCL (PTCL NOS, ALCL, AITL subtypes) with at least 1 prior line of systemic anticancer therapy.
AZD3470 in combination with PembrolizumabEXPERIMENTALModule 2 Cohort 1 will assess participants aged ≥18 years with r/r cHL who have received at least one prior line of anticancer therapy. Participants will receive treatment according to the protocol-defined limit, or until disease progression, unacceptable toxicity as judged by the investigator or until meeting any other discontinuation criteria, as defined in the clinical study protocol, whichever occurs first. Part A (dose escalation) will evaluate the safety and tolerability of AZD3470 in combination with Pembrolizumab. Part B (dose optimization/expansion) will evaluate dose optimization/expansion in certain dose levels of AZD3470 in combination with Pembrolizumab, based on cumulative data from dose escalation part (Part A).
Module 1: AZD3470 MonotherapyEXPERIMENTALPart A dose escalation and back-fill cohorts and Part B dose optimization and expansion cohorts of varying doses of AZD3470
Module 2: AZD3470 in combination with Dato-DXdEXPERIMENTALVarying doses of AZD3470 in combination with Dato-Dxd
Module 2: Dato-DXd aloneEXPERIMENTALControl arm

Interventions

NameTypeDescription
AZD3470DRUGAZD3470 is a novel, potent and selective, second-generation, Methylthioadenosine (MTA)-selective, small molecule inhibitor of PRMT5.
PembrolizumabDRUGPembrolizumab (CAS nr: 1374853-91-4 )
Datopotamab deruxtecanDRUGAZD3470 in combination with Dato-DXd + Dato-Dxd monotherapy
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: Core Inclusion criteria: 1. Adequate adult (ECOG) or adolescent (Karnofsy or Lanksy) Performance Score assessments 2. Adequate organ and bone marrow function. Module 1 Cohort 1: 1. Age: 1. Part A (dose escalation): aged ≥ 18 years at the time of signing the informed conse...

Countries:United StatesAustraliaBrazilChinaFranceGermanyItalyJapanSouth KoreaSpainUnited KingdomNetherlands
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Recent Changes (Last 90 Days)

LOWOct 13, 2026NCT06137144lastUpdatePostDate: changed
LOWOct 13, 2026NCT06137144lastUpdatePostDate: changed
LOWSep 15, 2026NCT06137144lastUpdatePostDate: changed
LOWSep 15, 2026NCT06137144lastUpdatePostDate: changed
LOWSep 15, 2026NCT06137144lastUpdatePostDate: changed
LOWAug 27, 2026NCT06130553lastUpdatePostDate: changed
LOWAug 27, 2026NCT06130553lastUpdatePostDate: changed

Frequently asked questions about AZD3470

What is AZD3470?

AZD3470 is an investigational small molecule developed by AstraZeneca PLC (ticker AZN) for oncology. It is being studied in Phase 1 clinical trials as a monotherapy and in combination with other anticancer agents in adults and adolescents with certain advanced solid tumors and hematologic malignancies, including lymphoma.

What is AZD3470 used for?

AZD3470 is being evaluated for the treatment of MTAP deficient advanced solid tumors and for hematologic malignancies including lymphoma, non-Hodgkin lymphoma, Hodgkin lymphoma, peripheral T-cell lymphoma (PTCL), PTCL-NOS, ALCL and AITL. It is investigational and has not been approved for any indication.

What does AZD3470 target?

AZD3470 is a PRMT5 inhibitor. It targets protein arginine methyltransferase 5 (PRMT5), and its clinical development focuses on MTAP deficient tumors, a biomarker-selected population in which PRMT5 inhibition is being tested as monotherapy and in combination with other anticancer agents.

Who makes AZD3470?

AZD3470 is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is running the Phase 1 clinical program for the drug across sites in the United States, Europe, Asia, Australia and Brazil.

What phase is AZD3470 in?

AZD3470 is in Phase 1 clinical development. It is investigational and has not been approved by the FDA or any other regulatory authority. Two Phase 1 trials are currently recruiting, one in MTAP deficient advanced solid tumors and one in hematologic malignancies.

What clinical trials is AZD3470 in?

AZD3470 is being studied in two recruiting Phase 1 trials. NCT06130553 evaluates AZD3470 as monotherapy and in combination in patients with MTAP deficient advanced or metastatic solid tumors, with planned enrollment of 334. NCT06137144 evaluates AZD3470 as monotherapy or in combination with anticancer agents in participants with hematologic malignancies, including lymphoma, with planned enrollment of 161.