AstraZeneca PLC (NASDAQ: AZN) announced on Monday that its Phase III LATIFY clinical trial evaluating ceralasertib in non-small cell lung cancer (NSCLC) did not achieve its primary endpoint. The late-stage study assessed the efficacy and safety of combining ceralasertib, an investigational ATR inhibitor, with Imfinzi (durvalumab), AstraZeneca’s widely used immunotherapy drug.
The LATIFY trial was designed to determine whether the ceralasertib and Imfinzi combination could improve outcomes for patients with NSCLC, one of the most common and deadly forms of lung cancer worldwide. Despite high expectations for the novel treatment approach, the trial results showed that the combination therapy failed to deliver the level of efficacy required to meet the study’s primary goal. As a result, the trial did not demonstrate a statistically significant improvement compared to existing treatment standards.
While the efficacy results were disappointing, AstraZeneca emphasized a key positive aspect of the study. The company reported that the ceralasertib and Imfinzi combination was generally well tolerated by patients, with a safety profile consistent with previous clinical findings. This suggests that, although the treatment did not meet its primary efficacy endpoint in this specific NSCLC population, the drug combination did not raise new safety concerns.
Ceralasertib is an ATR inhibitor developed to target DNA damage response pathways, a strategy believed to potentially enhance the effectiveness of immunotherapy in cancer treatment. Imfinzi, AstraZeneca’s flagship immunotherapy, is already approved for multiple cancer indications, including certain lung cancers. The LATIFY trial aimed to explore whether combining these two therapies could offer additional benefits to patients with advanced NSCLC.
The outcome of the LATIFY Phase III trial highlights the challenges of developing new combination therapies in oncology, particularly in highly competitive areas such as lung cancer treatment. AstraZeneca has not yet disclosed whether further studies of ceralasertib in NSCLC or other cancer types will be pursued. However, the company continues to invest heavily in oncology research, with a broad pipeline focused on innovative cancer therapies.
For investors and the medical community, the LATIFY trial results represent a setback but also underscore the importance of rigorous clinical testing in advancing cancer treatment options.


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