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AZD5335 is an investigational antibody-drug conjugate (ADC) developed for the treatment of solid tumors, including ovarian cancer and lung adenocarcinoma. It consists of a human monoclonal antibody targeting folate receptor alpha (FRa; FOLR1), which is overexpressed in certain cancers, conjugated to a camptothecin-based topoisomerase 1 inhibitor payload (AZ14170132). The ADC selectively binds to FRa-expressing tumor cells, delivering the cytotoxic payload directly to these cells and thereby inhibiting DNA topoisomerase I activity. This targeted approach aims to maximize antitumor efficacy while minimizing toxicity to normal tissues. The drug is administered intravenously and is currently in Phase I/II clinical trials for solid tumors, with a primary focus on ovarian cancer[1][2][3][4][5][7].
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