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AZD9574

Phase 1

Advanced Solid Malignancies | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Aug 12, 2026

Success Probability

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment695

FDA Designations

No designations recorded

Clinical trial landscape

AZD9574 · 1 trial · 1 indication

Phase 1 1
NCT05417594Study of AZD9574 as Monotherapy and in Combination With Anti-cancer Agents in Participants With Advanced Solid MalignanciesAdvanced Solid Malignancies
RECRUITING695 Analytics
PHASE1RECRUITING
Study of AZD9574 as Monotherapy and in Combination With Anti-cancer Agents in Participants With Advanced Solid Malignancies
Advanced Solid MalignanciesUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of Adverse Events (AEs), and Serious Adverse Events (SAEs)
From first dose to post-treatment follow-up (approximately three years)

The safety and tolerability of AZD9574 as monotherapy and in combination with anti-cancer agents and TMZ in participants with advanced malignancies will be assessed.

Changes from baseline in laboratory findings, electrocardiograms (ECGs), and vital signs
From last assessment prior to first dose to post-treatment follow up visit (approximately three years)

The safety and tolerability of AZD9574 as monotherapy and in combination with anti-cancer agents and TMZ in participants with advanced malignancies will be assessed.

Change from baseline Eastern Cooperative Oncology Group performance status (ECOG PS)
From last assessment prior to first dose to post-treatment follow up visit (approximately three years)

The performance status of ECOG will be assessed based on an ECOG grade of 0 to 4 where '0' is a high grade while '4' is a low grade. An ECOG grade of '0' means that the participant is fully active, able to carry on all pre-disease performance without restriction. An ECOG grade of '4' means that the participant is completely disabled, cannot carry on any self-care, and is totally confined to a bed or chair.

Incidence of Dose Limiting Toxicities (DLTs)
Cycle 0 and Cycle 1 (Day 1 to Day 35)

The safety and tolerability of AZD9574 as monotherapy and in combination with anti-cancer agents in participants with advanced malignancies will be assessed at each dose level.

Secondary Endpoints

Area Under the Curve (AUC)
Cycle 0, Cycle 1 Day 1, Cycle 1 Day 16 (Cycle 0 = 7 days; Cycle 1 = 28 days)
Maximum plasma concentration (Cmax)
Cycle 0, Cycle 1 Day 1, Cycle 1 Day 16 (Cycle 0 = 7 days; Cycle 1 = 28 days)
Time to reach maximum plasma concentration (tmax)
Cycle 0, Cycle 1 Day 1, Cycle 1 Day 16 (Cycle 0 = 7 days; Cycle 1 = 28 days)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Module 1 Part A: Dose escalationEXPERIMENTALParticipants with advanced/relapsed ovarian, breast, pancreatic, or prostate cancer who are deemed suitable for a PARPi will receive AZD9574 monotherapy at escalating cohorts.
Module 1 Part B: Dose expansionEXPERIMENTALParticipants with breast cancer who are PARPi naive at doses determined in dose-escalation.
Module 2 Part A: Dose escalationEXPERIMENTALParticipants with IDH 1/2-mutant glioma who are PARPi naive will receive AZD9574 and TMZ at escalating cohorts.
Module 3 Panel 1: AZD9574 monotherapy (Sweden only)EXPERIMENTALParticipants with advanced/relapsed HER2-negative breast, ovarian, prostate, or pancreatic cancer and expressing BRCA1m, BRCA2m, PALB2m, RAD51Cm or RAD51Dm.
Module 3 Panel 2: AZD9574 + TMZ (Sweden only)EXPERIMENTALParticipants with IDH 1/2-mutant glioma who are PARPi naive will receive AZD9574 and TMZ at escalating cohorts.
Module 3 Panel 3: AZD9574 monotherapy (Sweden only)EXPERIMENTALParticipants with breast cancer (without BM).
Module 4 Part A: Dose escalation (AZD9574 + T-DXd)EXPERIMENTALParticipants with advanced, unresectable, or metastatic solid tumours that are HER2-positive will receive a combination of AZD9574 and T-DXd at at escalating cohorts.
Module 4 Part B : Dose expansion (AZD9574 + T-DXd)EXPERIMENTALParticipants with HER2-low/ultralow, HR positive breast cancer will receive a combination of different doses of AZD9574 and T-DXd at expanding cohorts.
Module 5 Part A : Dose escalation (AZD9574 + Dato-DXd)EXPERIMENTALParticipants with advanced, unresectable, or metastatic solid tumours in different types of cancers will receive a combination of AZD9574 and Dato-DXd at escalating cohorts.

Interventions

NameTypeDescription
AZD9574DRUGParticipants will receive AZD9574 orally.
Temozolomide (TMZ)DRUGParticipants will receive temozolomide orally.
[11C]AZ1419 3391DRUGParticipants will receive \[11C\]AZ1419 3391 intravenously.
Trastuzumab Deruxtecan (T-DXd)DRUGParticipants will receive T-DXd intravenously.
Datopotamab Deruxtecan (Dato-DXd)DRUGParticipants will receive Dato-DXd intravenously.
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Eligibility Criteria

Age Range18 Years to 130 Years
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: * Eastern Cooperative Oncology Group performance status (ECOG PS) with no deterioration over the previous 2 weeks. * Progressive cancer at the time of enrollment. * Adequate organ and marrow function. Module 1: Part A: \- Participants must have one of the following: (i) Histo...

Countries:United StatesAustraliaGermanySouth KoreaSpainSwedenUnited Kingdom
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Recent Changes (Last 90 Days)

MEDIUMAug 12, 2026NCT05417594primaryCompletionDate: changed
MEDIUMAug 12, 2026NCT05417594primaryCompletionDate: changed
LOWJul 7, 2026NCT05417594primaryCompletionDate: changed
LOWJul 7, 2026NCT05417594primaryCompletionDate: changed

Frequently asked questions about AZD9574

What is AZD9574 used for?

AZD9574 is an investigational small molecule being studied for the treatment of advanced solid malignancies. It is currently in Phase 1 clinical development as a monotherapy and in combination with other anti-cancer agents for this patient population.

What does AZD9574 target?

The specific molecular target of AZD9574 has not been disclosed in the available information. It is a small molecule being evaluated in oncology for advanced solid malignancies, but its mechanism of action is not publicly detailed.

Who makes AZD9574?

AZD9574 is being developed by AstraZeneca PLC, a multinational pharmaceutical company listed on the stock exchange under the ticker symbol AZN. The company is conducting clinical trials to evaluate the drug's safety and efficacy.

What phase is AZD9574 in?

AZD9574 is currently in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being studied in clinical trials for safety and effectiveness.

What clinical trials is AZD9574 in?

AZD9574 is being studied in a Phase 1 clinical trial with the identifier NCT05417594. This trial is recruiting participants with advanced solid malignancies and is being conducted in the United States, Australia, Germany, South Korea, Spain, Sweden, and the United Kingdom.