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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.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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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
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
  • 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

    Recruiting

Other trials in United States

China8 sites, 8 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

    Recruiting

Other trials in China

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.

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 groups in NCT07038343
Study groupRoleWhat they receive
Phase 1, monotherapyExperimentalGroup A
Receives: Drug: AVZO-1418
Phase 1, combinationExperimentalGroup B
Receives: Drug: AVZO-1418; Drug: Combination Agent 1; Drug: Combination Agent 2
Phase 2, monotherapyExperimentalPart A
Receives: Drug: AVZO-1418
Phase 2, combinationExperimentalPart 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.

  1. 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

  2. Determine the maximum tolerated dose (MTD) and/or preliminary recommended Phase 2 dose (RP2D) (Phase 1)

    Measured: Approximately 16 months

  3. 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)

  4. 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)
  1. Objective Response Rate (ORR) (Phase 1)

    Measured: From baseline through disease progression or study completion (approximately 2 years)

  2. 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)

  3. 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)

  4. 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)

  5. 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

  6. PK Parameters: Maximum observed concentration (Cmax) (Phase 1)

    Measured: Up to 2 years

  7. PK Parameters: Minimum observed concentration (Cmin) (Phase 1)

    Measured: Up to 2 years

  8. PK Parameters: Time to maximum observed concentration (Tmax) (Phase 1)

    Measured: Up to 2 years

  9. PK Parameters: Elimination half-life (T1/2) (Phase 1)

    Measured: Up to 2 years

  10. 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

  11. PK Parameters: Area under the concentration-time curve from time 0 to infinity (AUCinf) (Phase 1)

    Measured: Up to 2 years

  12. 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

  13. PK Parameters: Apparent Clearance (CL/F) (Phase 1)

    Measured: Up to 2 years

  14. PK Parameters: Apparent volume of distribution at steady-state (Vss) (Phase 1)

    Measured: Up to 2 years

  15. PK Parameters: Accumulation ratio (AR) (Phase 1)

    Measured: Up to 2 years

  16. Determination of RP2D (Phase 2)

    Measured: Approximately 16 months

  17. 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.

  1. First posted26 Jun 2025
  2. Study start4 Jun 2025
  3. Primary completionJun 2030 (estimated)
  4. Study completionDec 2030 (estimated)

Resources

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)
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

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