ClinicalTrials.gg
RecruitingNCT07038343Updated Oct 16, 2026

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 interventional study of AVZO-1418 and Combination Agent 1 in Solid Tumor Cancer, Locally Advanced and Metastatic Solid Tumors, sponsored by Avenzo Therapeutics, Inc.. Recruiting at 27 sites in 2 countries. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Avenzo Therapeutics, Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Updated Oct 16, 2026First site in ChinaStudy contact changed+1 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
480
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study 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 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.

02

Conditions studied

  • Solid Tumor Cancer
  • Locally Advanced
  • Metastatic Solid Tumors
  • Lung Cancers
  • Epithelial Tumor
  • Biliary Tract Cancer (BTC)
  • Urothelial Cancer
  • Nasopharyngeal Cancers

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
03

In context

Lung Neoplasms

5,422 studies on the registry are indexed under Lung Neoplasms; 1,346 are open to participants now.

This study's planned enrollment of 480 is above the median of 60 across 3,656 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

Avenzo Therapeutics, Inc. is the lead sponsor of 4 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria

  • Patient must be an adult, between 18 and 75 years of age with an (ECOG) Performance Status of ≤ 1 and a of > 3 months.
  • Patients with or cytologically confirmed locally advanced/ for tumor types of preferred indications:

    o Locally advanced or metastatic epithelial solid tumors (as specified in the protocol).

  • as assessed by Investigator using v1.1.
  • Agree to provide molecular test report results to confirm eligibility and and/or fresh biopsy, as applicable.
  • Other protocol-defined Inclusion criteria apply.

Key Exclusion Criteria

  • Uncontrolled hypertension.
  • Patients with active central nervous system (CNS) metastases are not eligible. Patients with asymptomatic and treated may participate if they are radiologically stable for at least 4 weeks prior to the first dose of this study and do not require treatment. Patients with suspected or confirmed 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.
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
480 participants (estimated)

Study arms

  • Experimental
    Phase 1, monotherapy

    Group A

    Drug: AVZO-1418

  • Experimental
    Phase 1, combination

    Group B

    Drug: AVZO-1418 · Drug: Combination Agent 1 · Drug: Combination Agent 2

  • Experimental
    Phase 2, monotherapy

    Part A

    Drug: AVZO-1418

  • Experimental
    Phase 2, combination

    Part B

    Drug: AVZO-1418 · Drug: Combination Agent 1 · Drug: Combination Agent 2

Interventions

  • DrugAVZO-1418

    Specific dose in protocol specified schedule

  • DrugCombination Agent 1

    Per label based on combination agent used

  • DrugCombination Agent 2

    Per label based on combination agent used

06

What researchers measure

Primary outcomes

  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.

    Time frame: Approximately 2 years

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

    Time frame: Approximately 16 months

  3. Number of Participants with Treatment Emergent Adverse Events (TEAEs) and lab abnormalities (Phase 1)

    Time frame: 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.

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

Secondary outcomes

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

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: Approximately 76 months

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

    Time frame: Up to 2 years

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

    Time frame: Up to 2 years

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

    Time frame: Up to 2 years

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

    Time frame: 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)

    Time frame: Up to 2 years

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

    Time frame: 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)

    Time frame: Up to 2 years

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

    Time frame: Up to 2 years

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

    Time frame: Up to 2 years

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

    Time frame: Up to 2 years

  16. Determination of RP2D (Phase 2)

    Time frame: Approximately 16 months

  17. Number of Participants with Treatment Emergent Adverse Events (TEAEs) and lab abnormalities (Phase 2)

    Time frame: From baseline until end of study treatment or study completion (approximately 2 years)

07

Study locations

27 of 27 sites recruiting
  • Avenzo Therapeutics Recruiting Site
    Gilbert, Arizona 85234, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Los Angeles, California 90048, United States
    Recruiting
  • Avenzo Therapeutics Recruiting Site
    Los Angeles, California 90095, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Denver, Colorado 80218, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    New Haven, Connecticut 06510, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Washington D.C., District of Columbia 20007, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Orlando, Florida 32827, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Sarasota, Florida 34232, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Tampa, Florida 33612, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Atlanta, Georgia 30322, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Boston, Massachusetts 02215, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    New York, New York 10029, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Dallas, Texas 75039, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Houston, Texas 77054, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    San Antonio, Texas 78229, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    West Valley City, Utah 84119, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Fairfax, Virginia 22031, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • Avenzo Therapeutics Recruiting Site
    Seattle, Washington 98109, United States
    Recruiting
    • Avenzo Therapeutics · Contact
  • DualityBio Recruiting Site
    Beijing, Beijing Municipality 100142, China
    Recruiting
    • DualityBio · Contact
  • DualityBio Recruiting Site
    Chongqing, Chongqing Municipality 400030, China
    Recruiting
    • DualityBio · Contact
  • DualityBio Recruiting Site
    Harbin, Heilongjiang 150006, China
    Recruiting
    • DualityBio · Contact
  • DualityBio Recruiting Site
    Zhengzhou, Henan 450008, China
    Recruiting
    • DualityBio · Contact
  • DualityBio Recruiting Site
    Changsha, Hunan 410125, China
    Recruiting
    • DualityBio · Contact
  • DualityBio Recruiting Site
    Nanchang, Jiangxi 330008, China
    Recruiting
    • DualityBio · Contact
  • DualityBio Recruiting Site
    Shenyang, Liaoning 110042, China
    Recruiting
    • DualityBio · Contact
  • DualityBio Recruiting Site
    Jinan, Shandong 250021, China
    Recruiting
    • DualityBio · Contact
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2025 (actual). Primary completion is estimated for Jun 2030, 60 months after the start.

Of 79 industry-sponsored phase 1/2 interventional studies under Lung Neoplasms, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 37 and three quarters within 82. This study's planned 60 months is above that.

Counting every sponsor, half of 157 studies reached it within 54 months; a quarter within 40 and three quarters within 93.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 18, 2025
First posted
Jun 26, 2025
StartActual
Jun 4, 2025
Primary completionEst.
Jun 2030
CompletionEst.
Dec 2030
Last update
Oct 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
8 sites added — first site in China
Show 8 added (8 China)
  • DualityBio Recruiting Site · Beijing, China
  • DualityBio Recruiting Site · Chongqing, China
  • DualityBio Recruiting Site · Harbin, China
  • DualityBio Recruiting Site · Zhengzhou, China
  • DualityBio Recruiting Site · Changsha, China
  • DualityBio Recruiting Site · Nanchang, China
  • DualityBio Recruiting Site · Shenyang, China
  • DualityBio Recruiting Site · Jinan, China
Oct 16, 2026
Contact
Study contact changed: added p•••@dualitybiologics.com · •••3946. See the current contact
Oct 16, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Avenzo Therapeutics Recruiting Site · Los Angeles, United StatesContact none listed→G•••@cshs.org
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    8 sites added — first site in China
    Show 8 added (8 China)
    • DualityBio Recruiting Site · Beijing, China
    • DualityBio Recruiting Site · Chongqing, China
    • DualityBio Recruiting Site · Harbin, China
    • DualityBio Recruiting Site · Zhengzhou, China
    • DualityBio Recruiting Site · Changsha, China
    • DualityBio Recruiting Site · Nanchang, China
    • DualityBio Recruiting Site · Shenyang, China
    • DualityBio Recruiting Site · Jinan, China
    Contact Study contact changed: added p•••@dualitybiologics.com · •••3946. See the current contact
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Avenzo Therapeutics Recruiting Site · Los Angeles, United StatesContact none listed→G•••@cshs.org
    + 1 other change: responsible party

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07038343
Lead sponsor
Avenzo Therapeutics, Inc.
Collaborators
DualityBio Inc.
Responsible party
Sponsor
First posted
Jun 26, 2025
Start date
Jun 4, 2025
Primary completion
Jun 2030 (estimated)
Completion
Dec 2030 (estimated)
Last update
Oct 16, 2026

Study contacts

Medical Information
Contact
ClinicalTrials@avenzotx.com
(858) 239-2944
China DualityBio
Contact
phyllis.wu@dualitybiologics.com
+86 13501633946

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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