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AZD8421

Phase 1

ER+ HER2- Advanced Breast Cancer | Small molecule | Oncology |AstraZeneca PLC|Trials Updated: Aug 6, 2026

AZD8421 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Jan 2024

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials1
Total Enrollment564

FDA Designations

No designations recorded

AZD8421 clinical trials

AZD8421 · 1 trial · 2 indications

Phase 1 1
NCT06188520A First-in-human Dose Escalation and Expansion Study to Evaluate the Safety, and Tolerability of AZD8421 Alone or in Combination in Participants With Selected Advanced or Metastatic Solid TumorsER+ HER2- Advanced Breast Cancer
RECRUITING564 Analytics
PHASE1RECRUITING
A First-in-human Dose Escalation and Expansion Study to Evaluate the Safety, and Tolerability of AZD8421 Alone or in Combination in Participants With Selected Advanced or Metastatic Solid Tumors
ER+ HER2- Advanced Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of dose limiting toxicities (DLTs) as defined in the protocol.
From start of treatment until the end of DLT period, assessed up to 28 days.

Percentage of participants with incidence of DLTs.

Incidence of AEs/SAEs
From start of treatment until the end of safety follow-up, approximately 18 months.

Percentage of participants with incidence of AEs/SAEs.

Clinically significant changes from baseline in clinical laboratory parameters, vital signs and ECGs.
From start of treatment until the end of safety follow-up, approximately 18 months.

Percentage of participants with clinically significant changes from baseline in clinical laboratory parameters, vital signs and ECGs.

Discontinuation of AZD8421 due to toxicity
From start of treatment until the end of safety follow-up, approximately 18 months.

Percentage of participants that have discontinued AZD8421 due to toxicity.

Secondary Endpoints

Overall Response Rate (ORR)
8 weeks from start of treatment until end of treatment or objective disease progression, approximately 18 months.
Duration of Response (DoR)
8 weeks from start of treatment until end of treatment or objective disease progression, approximately 18 months.
Disease control rate (DCR)
24 weeks after the start of treatment.
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Module 1EXPERIMENTALAZD8421 monotherapy
Module 2AEXPERIMENTALAZD8421 with camizestrant and CDK4/6 inhibitor

Interventions

NameTypeDescription
AZD8421DRUGCDK2 inhibitor
CamizestrantDRUGSERD
RibociclibDRUGCDK4/6 inhibitor
PalbociclibDRUGCDK4/6 inhibitor
AbemaciclibDRUGCDK4/6 inhibitor
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites14

Inclusion Criteria: * Female participants only, aged 18 or above * Participants with advanced solid tumors must have received prior adequate therapy in accordance with local practice for their tumor type and stage of disease, or, in the opinion of the Investigator, a clinical study is the best opti...

Countries:United StatesAustraliaSouth KoreaSpainUnited Kingdom
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Competitive Landscape -Breast Cancer 609 trials (matched to "ER+ HER2- Advanced Breast Cancer")

Recent Changes (Last 90 Days)

LOWAug 6, 2026NCT06188520lastUpdatePostDate: changed
LOWAug 6, 2026NCT06188520lastUpdatePostDate: changed

Frequently asked questions about AZD8421

What is AZD8421?

AZD8421 is an investigational small molecule being developed by AstraZeneca for ER+ HER2- advanced breast cancer and other selected advanced or metastatic solid tumors. It is in Phase 1 clinical development and is not yet approved for any indication.

What is AZD8421 used for in ER+ HER2- advanced breast cancer?

AZD8421 is being studied for the treatment of ER+ HER2- advanced breast cancer, a form of breast cancer that expresses estrogen receptors but not HER2. It is also being evaluated in high-grade serous ovarian cancer. The drug remains investigational and has not been approved for any use.

Who makes AZD8421?

AZD8421 is developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca is the sponsor of the ongoing first-in-human clinical study evaluating the compound in selected advanced or metastatic solid tumors.

What phase is AZD8421 in?

AZD8421 is in Phase 1 clinical development. It is being evaluated in a first-in-human dose escalation and expansion study, and it is not FDA approved. The program remains investigational, with safety and tolerability as primary objectives in the ongoing trial.

What clinical trials is AZD8421 in?

AZD8421 is being studied in the Phase 1 trial NCT06188520, a first-in-human dose escalation and expansion study in participants with selected advanced or metastatic solid tumors, including ER+ HER2- advanced breast cancer and high-grade serous ovarian cancer. The trial is currently recruiting and has an enrollment of 564.

Who can enroll in the AZD8421 clinical trial?

The Phase 1 trial NCT06188520 enrolls female participants aged 18 years and older with selected advanced or metastatic solid tumors, including ER+ HER2- advanced breast cancer and high-grade serous ovarian cancer. It is a biomarker-selected study and does not enroll healthy volunteers. Sites are in the United States, Australia, South Korea, Spain, and the United Kingdom.