Clinical trial Recruiting at 6 sites Phase 1 Interventional Ages 18 and up Women only

AZD5335 given with itraconazole for ovarian, fallopian tube, and primary peritoneal cancer

Official title: An Open-label, Fixed Sequence Phase I Study to Evaluate the Effect of Itraconazole (a Strong CYP3A Inhibitor) on the Pharmacokinetics of AZ14170132, the TOP1 Inhibitor Payload of the Antibody Drug Conjugate AZD5335, in Participants With Ovarian, Primary Peritoneal, or Fallopian Tube Cancer

Run by AstraZeneca · NCT07402915 · Data updated 2026-11-12

This trial will test whether the antifungal itraconazole changes how the investigational drug AZD5335 is processed in the body for people with platinum-resistant ovarian, fallopian tube, or primary peritoneal cancer.

More Ovarian Cancer trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment32 (estimated)
SponsorAstraZeneca
Industry-sponsored
Drugs / interventionsbevacizumab, chemotherapy
Locations9 sites (Batumi and 8 other locations)
StatusRecruiting
StartedJanuary 26, 2026
Main results expectedOctober 15, 2027
Study endsOctober 15, 2027
Registry record updatedSeptember 29, 2026
Trial IDNCT07402915 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with platinum-resistant, relapsed high‑grade epithelial ovarian, primary peritoneal, or fallopian tube cancer who have had at least one prior platinum-containing chemotherapy line, appropriate prior bevacizumab/PARP exposure per local guidance, and an ECOG performance status of 0 or 1.

Probably not a fit

Patients with unresolved Grade ≥2 toxicities from prior therapy, known interstitial lung disease/pneumonitis requiring steroids or oxygen, spinal cord compression or leptomeningeal carcinomatosis, or those who do not meet the platinum-resistant criteria are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an open-label, non-randomized, fixed-sequence Phase 1 study that examines the pharmacokinetic interaction between AZD5335 and the strong CYP3A inhibitor itraconazole. Part A includes screening and three treatment cycles during which participants receive AZD5335 together with itraconazole; Part B covers later treatment cycles and safety follow-up. The study enrolls adults with platinum-resistant, relapsed high-grade epithelial ovarian, primary peritoneal, or fallopian tube cancer who meet protocol safety criteria. Pharmacokinetic sampling and safety assessments will be used to determine how itraconazole affects AZD5335 exposure.

Why it matters

Potential benefit: If successful, results could guide safer dosing when AZD5335 is given with itraconazole or other CYP3A inhibitors, reducing unexpected side effects or underexposure.

How similar studies have gone: Using itraconazole as a prototypical strong CYP3A inhibitor to define drug–drug interactions is a well-established and standard approach, though the specific interaction with AZD5335 is novel and untested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Participants with Platinum-resistant, relapsed, high- grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer and: (a) have received at least 1 prior line of platinum-containing chemotherapy and have progressed on or within 6 months after the date of the last dose of platinum; (b) must have received prior bevacizumab and/or Poly (ADP-ribose) polymerase (PARP) inhibitors according to local guidelines, unless ineligible.
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.

Exclusion Criteria:

* Spinal cord compression or a history of leptomeningeal carcinomatosis.
* Unresolved toxicities of Grade ≥ 2 (National Cancer Institute-Common Terminology Criteria for Adverse Events v5.0) from prior therapy.
* History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required oral or IV steroids or supplemental oxygen, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
* Uncontrolled intercurrent illness within 12 months prior to screening.
* Any other contraindication for receiving itraconazole according to the prescribing information and the Investigator.

Where it's running

  • Research Site
    Dublin, Ireland
    Recruiting
  • Research Site
    Lisbon, Portugal
    Recruiting
  • Research Site
    Barcelona, Spain
    Recruiting
  • Research Site
    Logroño, Spain
    Recruiting
  • Research Site
    Madrid, Spain
    Recruiting
  • Research Site
    Madrid, Spain
    Recruiting
Show 3 more locations
  • Research Site
    Batumi, Georgia
    Withdrawn
  • Research Site
    Tbilisi, Georgia
    Withdrawn
  • Research Site
    Tbilisi, Georgia
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.