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Azenosertib

Phase 2

Uterine Serous Carcinoma | Small molecule | Oncology |Zentalis Pharmaceuticals, Inc.|Last Updated: Mar 18, 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
UNCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment117
FDA Designations
FAST_TRACK
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06369155Azenosertib in Uterine Serous Carcinoma: Biomarker StudyPHASE2 RECRUITING 25Mar 5, 2025Jan 31, 2028Mar 2, 20262 United States
NCT04814108A Study of Azenosertib (ZN-c3) in Women With Recurrent or Persistent Uterine Serous CarcinomaPHASE2 COMPLETED 92Jul 28, 2021Oct 22, 2025Mar 18, 202656 United States, Australia +2
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Study Endpoints
Primary Endpoints
Percentage Change in Replication Fork Speed in Overall Response
Up to 7 months

Replication fork speed assessed by DNA fiber assays in PDO models. Responder defined as participants achieving complete response (CR) or partial response (PR) based on RECISTv1.1 criteria. Wilcoxon rank sum tests will be used to compare the percentage change in replication fork speed with exposure to WEE1 inhibition in co-clinical models between overall response responder and non-responder.

Percentage Change in Replication Fork Speed in 6 Month Progression Free Survival (PFS6)
At 6 months

Replication fork speed assessed by DNA fiber assays in PDO models. PFS6 is a binary endpoint where patients that are alive and progression free (per RECIST 1.1) at 6 months are considered responders. All other patients (those that died or progressed prior to 6 months or those with less than 6 months of follow-up for progression) are considered non-responders. Wilcoxon rank sum tests will be used to compare the percentage change in replication fork speed with exposure to WEE1 inhibition in co-clinical models between overall response responder and non-responder.

Frequency and severity of TEAEs
2 years

To determine the safety and tolerability of ZN-c3 in subjects with recurrent or persistent USC.

Objective Response Rate as defined by the revised RECIST v1.1 as assessed by ICR
2 years

To investigate the antitumor activity of ZN-c3 in subjects with recurrent or persistent USC

Secondary Endpoints
Overall Response Rate (ORR)
Up to 7 months
6-month Progression-Free Survival (PFS6)
At 6 months
Clinical Benefit Rate (CBR)
Up to 7 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AzenosertibEXPERIMENTAL25 participants will be enrolled and will complete study procedures as follows: * Baseline visit with assessments and CT or MRI scan. * CT or MRIs scans every 2 cycles. * Cycle 1 through End of Treatment: --Days 1 through 5, 8 through 12, and 15 through 19: Predetermined dose of Azenosertib 1x daily. * End of Treatment visit.
Azenosertib Single AgentEXPERIMENTALAzenosertib (ZN-c3) taken orally with food
Interventions
NameTypeDescription
AzenosertibDRUGWee1 inhibitor, 25mg and 100mg tablets, taken orally per protocol.
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Eligibility Criteria
Age Range18 Years — N/A
SexFEMALE
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Participants must have histologically or cytologically confirmed recurrent or persistent uterine serous carcinoma. For the purposes of this study, uterine carcinomas (with the exception of carcinosarcomas) that have any component that is considered serous will be considered a ...

Countries:United StatesAustraliaCanadaGeorgia
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT06369155studyFirstPostDate: changed
MEDIUMMay 21, 2026NCT04814108TRIAL_REMOVED: changed
MEDIUMMay 21, 2026NCT04814108TRIAL_REMOVED: changed