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Torvutatug samrotecan

Phase 1

Ovarian Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jun 3, 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
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment506
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05797168Phase I/IIa Study of AZD5335 as Monotherapy and Combination Therapy in Participants With Solid TumorsPHASE1 RECRUITING 506Jun 5, 2023Jan 6, 2028Jun 3, 202660 United States, Australia +10
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Study Endpoints
Primary Endpoints
Number of participants with adverse events/serious adverse events
From time of Informed Consent to 30 days post last dose.

Number of participants with incidence of adverse events and with serious adverse events including changes from baseline in laboratory parameters, vital signs, ECGs, and physical examination.

The number of participants with dose limiting toxicity(DLT), as defined in the protocol
From the first dose of torvu-sam on Cycle 1 Day 1 up to and including the planned end of Cycle 1 (At the end of 21 days)

A DLT is defined as any ≥ Grade 3 treatment-emergent AE that occurs during the DLT evaluation period, not attributable to the underlying disease or extraneous causes (as defined in the protocol)

Secondary Endpoints
Objective Response Rate (ORR)
From time of Informed Consent to progressive disease or withdrawal of consent.(approx 2 years)
Duration of Response (DoR)
From the first documented response to confirmed progression or death in the absence of disease progression.(approx 2 years)
Disease Control Rate (DCR)
From time of Informed Consent until progression.(approx 15 weeks)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Module 1: Torvu-sam MonotherapyEXPERIMENTALTorvu-sam Monotherapy
Module 2: Torvu-sam + SaruparibEXPERIMENTALTorvu-sam + Saruparib
Module 3: Torvu-sam + BevacizumabEXPERIMENTALTorvu-sam + Bevacizumab
Module 4: Torvu-sam + Carboplatin +/- BevacizumabEXPERIMENTALTorvu-sam + Carboplatin +/- Bevacizumab
Module 5: Torvu-sam + Palacaparib +/- BevacizumabEXPERIMENTALTorvu-sam + Palacaparib +/- Bevacizumab
Module 6: Torvu-sam + Pembrolizumab +/- PalacaparibEXPERIMENTALTorvu-sam + Pembrolizumab +/- Palacaparib
Interventions
NameTypeDescription
Torvutatug samrotecanDRUGIV Antibody-drug conjugate
SaruparibDRUGOral PARP inhibitor
BevacizumabDRUGIV Monoclonal antibody
CarboplatinDRUGIV Alkylating agent
PalacaparibDRUGOral PARP inhibitor
PembrolizumabDRUGIV Biologic
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites60

Core Inclusion Criteria: * Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol. * Provision of signed and dated written Optional Genetic Research Information informed consent prior to collection of sample...

Countries:United StatesAustraliaCanadaChinaGermanyIsraelJapanSouth KoreaSpainTaiwanTurkey (Türkiye)United Kingdom
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Competitive Landscape -Ovarian Cancer 180 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK5PHASE3Pembrolizumab, Paclitaxel, Bevacizumab, Docetaxel, Sacituzumab tirumotecan
AstraZeneca PLCAZN19PHASE3Olaparib, Bevacizumab, Durvalumab, Carboplatin+Paclitaxel, AZD5335
Eli Lilly and CompanyLLY8PHASE3Sofetabart Mipitecan, Paclitaxel, Topotecan, Gemcitabine, Pegylated liposomal doxorubicin
AbbVie, Inc.ABBV13PHASE3Mirvetuximab soravtansine plus Bevacizumab, Bevacizumab, Mirvetuximab soravtansine, Carboplatin, Mirvetuximab Soravtansine
GSK plc Sponsored ADRGSK4PHASE3Niraparib, Dostarlimab, Mocertatug rezetecan, Paclitaxel, Pegylated liposomal doxorubicin
Bristol-Myers Squibb CompanyBMY4PHASE3Rucaparib, Nivolumab, BMS-986340, BMS-936558-01, Docetaxel
Pfizer Inc.PFE5PHASE3Avelumab, Lorlatanib, Talazoparib, Pemetrexed, Axitinib
Genmab A/S Sponsored ADRGMAB5PHASE3Rina-S, Paclitaxel, Topotecan, Pegylated liposomal doxorubicin, Gemcitabine
Corcept Therapeutics Incorporated.CORT2PHASE3Nab-paclitaxel /m^2, Relacorilant once daily, Bevacizumab /kg
Verastem, Inc.VSTM4PHASE3avutometinib, Defactinib, Pegylated liposomal doxorubicin, Paclitaxel, Letrozole
Imunon, Inc.IMNN3PHASE3IMNN-001, Paclitaxel, Carboplatin, Olaparib, Niraparib
Zentalis Pharmaceuticals, Inc.ZNTL3PHASE3Azenosertib, azenosertib, Carboplatin, Pegylated liposomal doxorubicin, Paclitaxel
Incyte CorporationINCY2PHASE3INCB123667
Genelux Corp.GNLX1PHASE3olvimulogene nanivacirepvec, Platinum chemotherapy: carboplatin or cisplatin, Non-platinum chemotherapy: Physician's Choice of gemcitabine, taxane or pegylated liposomal doxorubicin, Bevacizumab
Regeneron Pharmaceuticals, Inc.REGN4PHASE2Ubamatamab, Bevacizumab, Cemiplimab, Fianlimab, PLD
Novartis AG Sponsored ADRNVS4PHASE2Dabrafenib, Trametinib, KFA115, pembrolizumab, Tulmimetostat
BeOne Medicines Ltd. Sponsored ADRONC2PHASE3Pamiparib, BG-68501, Fulvestrant, BGB-43395
IQVIA Holdings IncIQV1PHASE3Oregovomab, Paclitaxel, Carboplatin
Exelixis, Inc.EXEL2PHASE2Cabozantinib, cabozantinib, atezolizumab
Xencor, Inc.XNCR3PHASE2vudalimab, XmAb541, XmAb808
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Recent Changes (Last 90 Days)
MEDIUMJun 4, 2026NCT05797168lastUpdatePostDate: changed
MEDIUMJun 4, 2026NCT05797168lastUpdatePostDate: changed
MEDIUMJun 4, 2026NCT05797168lastUpdatePostDate: changed
MEDIUMJun 4, 2026NCT05797168lastUpdatePostDate: changed
MEDIUMJun 4, 2026NCT05797168lastUpdatePostDate: changed
LOWMay 26, 2026NCT05797168primaryCompletionDate: changed
LOWMay 24, 2026NCT05797168studyFirstPostDate: changed