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AZD5335

Phase 3

Epithelial Ovarian Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jan 16, 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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,100
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07218809AZD5335 vs. Mirvetuximab Soravtansine in FRα-high and AZD5335 vs. Chemotherapy in FRα-low Platinum-resistant Ovarian CancerPHASE3 RECRUITING 1,100Dec 29, 2025May 27, 2030Jan 16, 2026125 United States, Australia +19
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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.

Secondary Endpoints
Overall survival (OS)
Up to approximately 5 years
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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
Interventions
NameTypeDescription
AZD5335DRUGantibody drug conjugate
Mirvetuximab Soravtansine (MIRV)DRUGantibody drug conjugate
PaclitaxelDRUGchemotherapy
Pegylated liposomal Doxorubicin (PLD)DRUGchemotherapy
TopotecanDRUGchemotherapy
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Eligibility Criteria
Age Range18 Years — N/A
SexFEMALE
Healthy VolunteersNo
Study Sites125

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 StatesAustraliaBelgiumBrazilCanadaChileChinaCzechiaDenmarkFranceGermanyGreeceIndiaIrelandIsraelItalyJapanSpainSwedenTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07218809primaryCompletionDate: changed
LOWMay 24, 2026NCT07218809studyFirstPostDate: changed