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CompletedNCT07885267Updated Oct 21, 2026

Safety and Tolerability of AT-0174 in Adults With Advanced Solid Tumors

A Phase 1 interventional study of AT-0174 in Advanced Solid Tumor, sponsored by Antido Therapeutics (Australia) Pty Ltd. Completed at 7 sites in Australia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Antido Therapeutics (Australia) Pty Ltd · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 10 months after the study started (first participant enrolled Nov 2023, registered Oct 2026).
Updated Oct 21, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
26
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a first-in-human, open-label, multicenter Phase 1 study of AT-0174, an investigational oral dual TDO2/IDO1 inhibitor. It is being conducted in adults with advanced solid tumors that have progressed on, or are not suitable for, standard therapy. The main goals are to evaluate the safety and tolerability of AT-0174 and to identify a recommended dose for further study.

02

Conditions studied

  • Advanced Solid Tumor

Keywords

  • AT-0174
  • TDO2/IDO1 dual inhibitor
  • TDO2 inhibitor
  • IDO1 inhibitor
  • Kynurenine pathway
  • Tryptophan metabolism
  • Immuno-oncology
  • First-in-human
  • Dose escalation
  • Advanced solid tumor
03

In context

Lead sponsor

This is the only study on the registry with Antido Therapeutics (Australia) Pty Ltd as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older
  • or cytologically confirmed unresectable, locally advanced or solid tumor that is to, or not suitable for, standard therapy
  • Measurable or evaluable disease
  • performance status 0-1
  • of at least 3 months
  • Adequate bone marrow, liver and kidney function

Exclusion criteria

Exclusion Criteria:

  • - Recent anticancer therapy, radiotherapy, major surgery or agent before the first dose
  • Active or untreated central nervous system
  • cardiovascular disease
  • Active , or known infection
  • Need for medicines that increase serotonin levels
  • Pregnancy or breastfeeding
Terms in these criteria, in plain language(10)

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.

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
26 participants (actual)

Study arms

  • Experimental
    AT-0174

    Participants receive AT-0174 orally once daily in 28-day cycles at assigned dose levels.

    Drug: AT-0174

Interventions

  • DrugAT-0174

    Oral capsules taken once daily.

06

What researchers measure

Primary outcomes

  1. Number of participants with dose-limiting toxicities (DLTs)

    DLTs graded per NCI CTCAE v5.0.

    Time frame: Cycle 1 (28 days)

  2. Number of participants with treatment-emergent adverse events

    Adverse events graded per NCI CTCAE v5.0.

    Time frame: From first dose through 30 days after last dose

  3. Recommended Phase 2 dose (RP2D) of AT-0174

    Determined from safety and tolerability data.

    Time frame: Through study completion, approximately 33 months

Secondary outcomes

  1. Percent change from baseline in plasma kynurenine (KYN) and tryptophan (TRP) concentrations

    Plasma KYN and TRP measured before and after AT-0174 dosing, as a pharmacodynamic measure of TDO2/IDO1 pathway inhibition.

    Time frame: Baseline (pre-dose) through Cycle 4 (28-day cycles)

07

Study locations

7 sites
  • Southside Cancer Care Centre
    Miranda, New South Wales NSW 2228, Australia
  • Royal North Shore Hospital
    St Leonards, New South Wales NSW 2065, Australia
  • Wollongong Hospital
    Wollongong, New South Wales NSW 2500, Australia
  • Sunshine Coast University Private Hospital
    Birtinya, Queensland QLD 4575, Australia
  • The Queen Elizabeth Hospital
    Adelaide, South Australia SA 5011, Australia
  • Grampians Health
    Ballarat, Victoria VIC 3350, Australia
  • St Vincent's Hospital Melbourne
    Fitzroy, Victoria VIC 3065, Australia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    First appeared on the registry

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 ↗

10

Registry details

Key details

Study ID
NCT07885267
Lead sponsor
Antido Therapeutics (Australia) Pty Ltd
Responsible party
Sponsor
First posted
Oct 21, 2026
Start date
Nov 15, 2023
Primary completion
Jul 29, 2026
Completion
Aug 28, 2026
Last update
Oct 21, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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