Table of Contents
- Trial overview
- Who is being studied
- Treatments being compared
- Trial phase and study design
- Main endpoint and what it means
- What this means for patients
Trial overview
The clinical trial data available for AZD5335 describe one interventional study, which means patients are assigned to treatment groups by the study team.[1] The study is called TREVI-OC-01 and is listed as Authorised.[1]
This study is testing AZD5335 in people with advanced platinum-resistant epithelial ovarian cancer.[1] Platinum-resistant means the cancer does not respond well to platinum-based treatment, or it returns soon after that treatment.[1]
Who is being studied
The trial is focused on participants with platinum-resistant relapsed ovarian cancer, also described in the record as advanced platinum-resistant epithelial ovarian cancer.[1] The study splits patients into two groups based on FRα expression, which is a tumor marker found on some cancer cells.[1]
FRα-high cohort: this group includes people whose tumors have a high level of FRα.[1]
FRα-low cohort: this group includes people whose tumors have a low level of FRα.[1]
This means the trial is not studying all ovarian cancer patients in the same way. It is testing whether tumor marker level helps guide which treatment works better.[1]
Treatments being compared
In the FRα-high group, AZD5335 is compared with mirvetuximab soravtansine.[1] This is a direct comparison to see which treatment gives better disease control.[1]
In the FRα-low group, AZD5335 is compared with investigator’s choice chemotherapy.[1] The trial record lists the chemotherapy options as liposomal doxorubicin, paclitaxel, or topotecan.[1]
These comparison treatments are important because they show that the study is asking a practical question: does AZD5335 work better than the current options used for this type of ovarian cancer?[1]
Trial phase and study design
The study is a Phase 3 trial.[1] Phase 3 studies usually involve large numbers of patients and compare treatments to learn how well they work in real clinical use.[1]
The planned enrollment is 1,100 participants.[1] A study of this size can give stronger evidence about whether the treatment helps patients with this cancer type.[1]
Main endpoint and what it means
The main endpoint is progression-free survival (PFS).[1] This is the time from randomization until the cancer gets worse on scans, using RECIST v1.1, or until death from any cause.[1]
RECIST v1.1 is a standard way doctors measure tumor change on imaging scans.[1] In simple terms, the trial is asking how long patients can stay without their cancer growing or worsening.[1]
What this means for patients
For patients, this trial is important because it is testing AZD5335 against treatments already used for platinum-resistant ovarian cancer.[1] The study is also trying to learn whether the amount of FRα on the tumor can help match the right treatment to the right patient.[1]
Because the trial is divided into FRα-high and FRα-low groups, the results may help show whether different patients benefit from different treatment choices.[1] The main outcome measure, PFS, focuses on disease control rather than just whether a treatment can be given.[1]


