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AZD5335 is an investigational antibody-drug conjugate (ADC) developed by AstraZeneca that specifically targets the Six-Transmembrane Epithelial Antigen of the Prostate 2 (STEAP2). STEAP2 is a cell-surface protein highly expressed in prostate cancer, particularly in metastatic adenocarcinoma and castration-resistant forms, while exhibiting minimal expression in normal tissues. The ADC consists of a humanized anti-STEAP2 monoclonal antibody conjugated to a cytotoxic topoisomerase I inhibitor payload (an exatecan derivative) via a protease-cleavable linker. Upon binding to STEAP2 on the tumor cell surface, the complex is internalized, and the payload is released within the lysosome, leading to DNA damage and subsequent apoptosis. AZD5335 is currently being evaluated in Phase 1/2 clinical trials for the treatment of patients with metastatic castration-resistant prostate cancer (mCRPC).
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