Solid Tumor CancerPhase 1/2NCT07038343
AVENTINE-1: Study of AVZO-1418 as a Single Agent and in Combination Therapy in Patients With Locally Advanced or Metastatic Solid Tumors (AVZO-1418-1001)
A Phase 1/2 study testing AVZO-1418, Combination Agent 1 and Combination Agent 2 in people with Solid Tumor Cancer and Locally Advanced, run by Avenzo Therapeutics, Inc. at 27 sites in 2 countries.
Trial summary
This study, the first clinical trial of AVZO-1418, aims to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, maximum tolerated dose, and antitumor activity of AVZO-1418 when administered intravenously as a monotherapy and potentially in combination therapy to patients with locally advanced or… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Solid Tumor Cancer, Locally Advanced, Metastatic Solid Tumors
- What is being tested?
- AVZO-1418, Combination Agent 1 and Combination Agent 2
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 480 participants
- Where
- 27 sitesin 2 countries
- Study dates
- 4 Jun 2025to Dec 2030
- Phase
- Phase 1/2
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient must be an adult, between 18 and 75 years of age with an Eastern Cooperative Oncology Group (ECOG) Performance Status of ≤ 1 and a life expectancy of > 3 months.
- Patients with histologically or cytologically confirmed locally advanced/metastatic malignancies for tumor types of preferred indications:
- o Locally advanced or metastatic epithelial solid tumors (as specified in the protocol).
- Measurable disease as assessed by Investigator using RECIST v1.1.
- Agree to provide molecular test report results to confirm eligibility and archival tumor samples and/or fresh biopsy, as applicable.
- Other protocol-defined Inclusion criteria apply.
Who cannot join
- Uncontrolled hypertension.
- Patients with active central nervous system (CNS) metastases are not eligible. Patients with asymptomatic and treated brain metastases may participate if they are radiologically stable for at least 4 weeks prior to the first dose of this study and do not require steroid treatment. Patients with suspected or confirmed leptomeningeal disease are not eligible, even if treated.
- History of drug-induced interstitial lung disease (ILD).
- History of any serious cardiovascular condition.
- Infection requiring IV antibiotics, antivirals, or antifungals within 2 weeks prior to first dose.
- History of a solid organ transplant.
- Other protocol-defined Exclusion criteria apply.
Trial locations and contacts
27 sites in 2 countries. Contact the study team or a site near you to ask about taking part.
27 sites in 2 countries
United States19 sites, 19 recruiting
- Recruiting
Avenzo Therapeutics Recruiting Site
Atlanta, Georgia, 30322
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Boston, Massachusetts, 02215
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Dallas, Texas, 75039
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Denver, Colorado, 80218
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Fairfax, Virginia, 22031
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Gilbert, Arizona, 85234
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Houston, Texas, 77054
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Los Angeles, California, 90048
Avenzo Therapeutics, GroupCancerTrialINformation@cshs.org
- Recruiting
Avenzo Therapeutics Recruiting Site
Los Angeles, California, 90095
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
New Haven, Connecticut, 06510
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
New York, New York, 10029
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Orlando, Florida, 32827
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Philadelphia, Pennsylvania, 19107
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
San Antonio, Texas, 78229
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Sarasota, Florida, 34232
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Seattle, Washington, 98109
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Tampa, Florida, 33612
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
Washington D.C., District of Columbia, 20007
Avenzo Therapeutics
- Recruiting
Avenzo Therapeutics Recruiting Site
West Valley City, Utah, 84119
Avenzo Therapeutics
China8 sites, 8 recruiting
- Recruiting
DualityBio Recruiting Site
Beijing, Beijing Municipality, 100142
DualityBio
- Recruiting
DualityBio Recruiting Site
Changsha, Hunan, 410125
DualityBio
- Recruiting
DualityBio Recruiting Site
Chongqing, Chongqing Municipality, 400030
DualityBio
- Recruiting
DualityBio Recruiting Site
Harbin, Heilongjiang, 150006
DualityBio
- Recruiting
DualityBio Recruiting Site
Jinan, Shandong, 250021
DualityBio
- Recruiting
DualityBio Recruiting Site
Nanchang, Jiangxi, 330008
DualityBio
- Recruiting
DualityBio Recruiting Site
Shenyang, Liaoning, 110042
DualityBio
- Recruiting
DualityBio Recruiting Site
Zhengzhou, Henan, 450008
DualityBio
About this study
Official title: A Phase 1/2, First-in-human Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of AVZO-1418 as a Single Agent and in Combination Therapy in Patients With Locally Advanced or Metastatic Solid Tumors
This study, the first clinical trial of AVZO-1418, aims to determine the safety, tolerability, pharmacokinetics, pharmacodynamics, maximum tolerated dose, and antitumor activity of AVZO-1418 when administered intravenously as a monotherapy and potentially in combination therapy to patients with locally advanced or metastatic epithelial solid tumors.
Read the detailed description
This first-in-human, Phase 1/2 study will aim to obtain safety and tolerability data when AVZO-1418 is administered intravenously to patients with locally advanced or metastatic epithelial solid tumors.
Phase 1 is a dose escalation phase which will assess the safety and tolerability of AVZO-1418 and determine the maximum tolerated dose (MTD) and preliminary recommended Phase 2 dose (RP2D) of AVZO-1418 as a monotherapy. This data can guide selection of combination schedules and agents.
Phase 2 is a dose expansion phase that will aim to assess the antitumor activity of AVZO-1418 as a monotherapy and potentially in combination therapy.
- Conditions
- Solid Tumor Cancer, Locally Advanced, Metastatic Solid Tumors, Lung Cancers, Epithelial Tumor, Biliary Tract Cancer (BTC)
- Being tested
- AVZO-1418, Combination Agent 1, Combination Agent 2
- Keywords
- Solid Tumors, Metastatic, Locally Advanced, Lung Cancer, Epithelial Solid Tumors, Biliary Tract Cancer, Urothelial Cancer, SCLC, HER3, EGFR, BTC, Small Cell Lung Cancer, NSCLC
- Medical subject headings
- Lung Neoplasms, Carcinoma, Biliary Tract Neoplasms, Nasopharyngeal Neoplasms, Neoplasm Metastasis, Small Cell Lung Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AVZO-1418Drug
Specific dose in protocol specified schedule
Combination Agent 1Drug
Per label based on combination agent used
Combination Agent 2Drug
Per label based on combination agent used
| Study group | Role | What they receive |
|---|---|---|
| Phase 1, monotherapy | Experimental | Group A Receives: Drug: AVZO-1418 |
| Phase 1, combination | Experimental | Group B Receives: Drug: AVZO-1418; Drug: Combination Agent 1; Drug: Combination Agent 2 |
| Phase 2, monotherapy | Experimental | Part A Receives: Drug: AVZO-1418 |
| Phase 2, combination | Experimental | Part B Receives: Drug: AVZO-1418; Drug: Combination Agent 1; Drug: Combination Agent 2 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Occurrence of Dose Limiting Toxicities (DLTs) during the first cycle (Phase 1)
Number of participants with DLTs assessed for severity using CTCAE v5.0 criteria will be summarized by dose level.
Measured: Approximately 2 years
Determine the maximum tolerated dose (MTD) and/or preliminary recommended Phase 2 dose (RP2D) (Phase 1)
Measured: Approximately 16 months
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and lab abnormalities (Phase 1)
Measured: From baseline until end of study treatment or study completion (approximately 2 years)
Objective Response Rate (ORR) (Phase 2)
Defined as the proportion of patients with a confirmed Complete Response (CR) or Partial Response (PR), as determined by the investigator by radiographic disease assessment according to RECIST v1.1.
Measured: From baseline through disease progression or study completion (approximately 2 years)
Secondary outcomes (17)
Objective Response Rate (ORR) (Phase 1)
Measured: From baseline through disease progression or study completion (approximately 2 years)
Duration of Response (DOR) (Phase 1 and 2)
Defined as the time from the first confirmed response to radiologic/objective progression.
Measured: From baseline through disease progression or study completion (approximately 2 years)
Disease Control Rate (DCR) (Phase 1 and 2)
Defined as the proportion of patients who achieve tumor relief (CR or PR) and stable disease (SD) after treatment; calculated as the sum of CR, PR, and SD.
Measured: From baseline through disease progression or study completion (approximately 2 years)
Progression Free Survival (PFS) (Phase 1 and 2)
Defined as the time from study drug treatment to death or disease progression, as determined by the investigator by radiographic disease assessment according to RECIST v1.1.
Measured: From baseline through time to event on study or study completion (approximately 2 years)
Overall Survival (OS) (Phase 1 and 2)
Defined as the time from study drug treatment initiation to death from any cause.
Measured: Approximately 76 months
PK Parameters: Maximum observed concentration (Cmax) (Phase 1)
Measured: Up to 2 years
PK Parameters: Minimum observed concentration (Cmin) (Phase 1)
Measured: Up to 2 years
PK Parameters: Time to maximum observed concentration (Tmax) (Phase 1)
Measured: Up to 2 years
PK Parameters: Elimination half-life (T1/2) (Phase 1)
Measured: Up to 2 years
PK Parameters: Area under the concentration-time curve from time 0 to the last measurable concentration (AUC0-last) (Phase 1)
Measured: Up to 2 years
PK Parameters: Area under the concentration-time curve from time 0 to infinity (AUCinf) (Phase 1)
Measured: Up to 2 years
PK Parameters: Area under the concentration-time curve from time 0 to the end of the dosing period (AUCτ) (Phase 1)
Measured: Up to 2 years
PK Parameters: Apparent Clearance (CL/F) (Phase 1)
Measured: Up to 2 years
PK Parameters: Apparent volume of distribution at steady-state (Vss) (Phase 1)
Measured: Up to 2 years
PK Parameters: Accumulation ratio (AR) (Phase 1)
Measured: Up to 2 years
Determination of RP2D (Phase 2)
Measured: Approximately 16 months
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and lab abnormalities (Phase 2)
Measured: From baseline until end of study treatment or study completion (approximately 2 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jun 2025
- Study start4 Jun 2025
- Primary completionJun 2030 (estimated)
- Study completionDec 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Solid Tumor CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 480 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Avenzo Therapeutics, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- DualityBio Inc.
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07038343
- Sponsor's protocol ID
- AVZO-1418-1001
- Status last verified
- Aug 2026
- First submitted
- 18 Jun 2025
- Last updated
- 16 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No