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AZD5335

Phase 3

Epithelial Ovarian Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jul 21, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,100

FDA Designations

No designations recorded

Clinical trial landscape

AZD5335 · 2 trials · 4 indications

Phase 3 1Phase 1 1
NCT07218809AZD5335 vs. Mirvetuximab Soravtansine in FRα-high and AZD5335 vs. Chemotherapy in FRα-low Platinum-resistant Ovarian CancerEpithelial Ovarian Cancer
RECRUITING1,100 Analytics
PHASE3RECRUITING
AZD5335 vs. Mirvetuximab Soravtansine in FRα-high and AZD5335 vs. Chemotherapy in FRα-low Platinum-resistant Ovarian Cancer
Epithelial Ovarian CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression free Survival (PFS)
Up to approximately 5 years

PFS is defined as the time from randomization to radiographic progression as assessed by the Investigator per RECIST v1.1, or death due to any cause.

Area under curve from time 0 to time 17 days (AUC0-17days)
Cycle 2 and Cycle 3 (each cycle is of 21 days)

The effect of itraconazole on the pharmacokinetics (PK) of AZ14170132 will be assessed.

Maximum plasma drug concentration (Cmax)
Cycle 2 and Cycle 3 (each cycle is of 21 days)

The effect of itraconazole on the PK of AZ14170132 will be assessed.

Secondary Endpoints

Overall survival (OS)
Up to approximately 5 years
Maximum plasma drug concentration (Cmax)
Cycle 2 and Cycle 3 (each cycle is of 21 days)
Area under curve from time 0 to time 17 days (AUC0-17days)
Cycle 2 and Cycle 3 (each cycle is of 21 days)
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AZD5335 in FRa-high cohortEXPERIMENTALAZD5335 IV (intravenous) in FRa-high cohort
Mirvetuximab Soravtansine (MIRV) in FRa-high cohortACTIVE_COMPARATORMIRV AIBW IV in FRa-high cohort
AZD5335 in FRa-low cohortEXPERIMENTALAZD5335 IV (intravenous) in FRa-low cohort
Investigator´s choice chemotherapy in FRa-low cohortACTIVE_COMPARATORInvestigator's choice of chemotherapy Paclitaxel IV Pegylated liposomal Doxorubicin (PLD) IV or Topotecan IV in FRa-low cohor
AZD5335/AZD5335 + ItraconazoleEXPERIMENTALIn Part A, participants will receive AZD5335 alone as an intravenous (IV) infusion, and in combination with oral itraconazole, every 3 weeks (Q3W) from cycle 1 to cycle 3. In Part B, participants will receive AZD5335 as an IV infusion Q3W, from Day 1 of Cycle 4 until progression, unacceptable toxicity or any other specified criteria for discontinuation occurs.

Interventions

NameTypeDescription
AZD5335DRUGantibody drug conjugate
Mirvetuximab Soravtansine (MIRV)DRUGantibody drug conjugate
PaclitaxelDRUGchemotherapy
Pegylated liposomal Doxorubicin (PLD)DRUGchemotherapy
TopotecanDRUGchemotherapy
ItraconazoleDRUGItraconazole capsule will be administered orally.
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites299

Key Inclusion criteria * Participants with confirmed diagnosis of high-grade serous EOC, primary peritoneal cancer, or fallopian tube cancer. * Participants must have platinum-resistant disease: * Participants who have only had one prior line of platinum-based therapy must have received at least 4 ...

Countries:United StatesAustraliaBelgiumBrazilCanadaChileChinaCzechiaDenmarkFranceGermanyGreeceIndiaIrelandIsraelItalyJapanSouth KoreaSpainSwedenSwitzerlandTaiwanThailandUnited KingdomGeorgiaPortugal
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Recent Changes (Last 90 Days)

LOWJul 21, 2026NCT07218809Completion: 2030-05-27 → 2029-12-27
LOWJul 7, 2026NCT07402915lastUpdatePostDate: changed
LOWJul 7, 2026NCT07402915lastUpdatePostDate: changed

Frequently asked questions about AZD5335

What is AZD5335 used for?

AZD5335 is an investigational small molecule being developed for the treatment of epithelial ovarian cancer and fallopian tube cancer. It is currently being studied in a Phase 3 clinical trial for platinum-resistant ovarian cancer, specifically in patients whose tumors are classified as FRα-high or FRα-low.

Who makes AZD5335?

AZD5335 is being developed by AstraZeneca PLC, a multinational pharmaceutical company traded on the NASDAQ under the ticker symbol AZN. The company is currently conducting clinical trials to evaluate the drug's safety and efficacy in patients with ovarian and fallopian tube cancers.

What phase is AZD5335 in?

AZD5335 is currently in Phase 3 clinical development. The most advanced trial, NCT07218809, is a Phase 3 study comparing AZD5335 against mirvetuximab soravtansine in FRα-high patients and against chemotherapy in FRα-low patients with platinum-resistant ovarian cancer. The trial is actively recruiting participants.

What clinical trials is AZD5335 in?

AZD5335 is being evaluated in two clinical trials. The first is NCT07218809, a Phase 3 study with an enrollment of 1,100 participants comparing AZD5335 to mirvetuximab soravtansine or chemotherapy in platinum-resistant ovarian cancer. The second is NCT07402915, a Phase 1 drug-drug interaction study with itraconazole in patients with ovarian, primary peritoneal, or fallopian tube cancer.

Is AZD5335 the same as mirvetuximab soravtansine?

No, AZD5335 is not the same as mirvetuximab soravtansine. AZD5335 is a small molecule being developed by AstraZeneca, while mirvetuximab soravtansine is an antibody-drug conjugate used as a comparator in the Phase 3 trial NCT07218809. The study is designed to compare the two treatments in patients with FRα-high platinum-resistant ovarian cancer.