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AZD9574

Phase 1

Advanced Solid Malignancies | Small molecule | Other |AstraZeneca PLC|Last Updated: Jun 2, 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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment695
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05417594Study of AZD9574 as Monotherapy and in Combination With Anti-cancer Agents in Participants With Advanced Solid MalignanciesPHASE1 RECRUITING 695Jun 24, 2022Oct 13, 2027Jun 2, 202632 United States, Australia +5
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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 — 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)
LOWJun 2, 2026NCT05417594lastUpdatePostDate: changed
LOWJun 2, 2026NCT05417594lastUpdatePostDate: changed
LOWJun 2, 2026NCT05417594lastUpdatePostDate: changed
LOWMay 26, 2026NCT05417594primaryCompletionDate: changed
LOWMay 24, 2026NCT05417594studyFirstPostDate: changed