AVZO-103 alone and with other treatments for advanced urothelial and other solid tumors
Official title: A Phase 1/2, First-in-Human Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of AVZO-103, a Nectin4/Trop2 ADC, as a Single Agent and in Combination Therapy in Patients With Locally Advanced or Metastatic Urothelial Cancer or Other Solid Tumors
Run by Avenzo Therapeutics, Inc. · NCT07193511 · Data updated 2026-11-12
This trial will test intravenous AVZO-103, alone and combined with other cancer drugs, to see if it is safe and helps adults with locally advanced or metastatic urothelial cancer or other solid tumors.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 355 (estimated) |
| Sponsor | Avenzo Therapeutics, Inc. Industry-sponsored |
| Locations | 15 sites (San Francisco, California and 14 other locations) |
| Status | Recruiting |
| Started | October 2, 2025 |
| Main results expected | March 2030 |
| Study ends | September 2030 |
| Registry record updated | October 5, 2026 |
| Trial ID | NCT07193511 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with histologically confirmed locally advanced or metastatic urothelial cancer or other eligible solid tumors, measurable disease by RECIST v1.1, ECOG performance status ≤1, life expectancy >3 months, and willingness to provide molecular test results and tumor tissue are the intended participants.
✕Probably not a fit
Patients with active, untreated central nervous system metastases, poor performance status, or non-measurable disease are unlikely to receive benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This first-in-human Phase 1/2 program gives AVZO-103 intravenously as monotherapy and in combination to adults with locally advanced or metastatic urothelial carcinoma and selected other solid tumors. Phase 1 uses dose escalation to characterize safety, tolerability, pharmacokinetics/pharmacodynamics, and to determine the maximum tolerated dose and a preliminary recommended Phase 2 dose. Phase 2 expands selected dose cohorts to measure antitumor activity using RECIST v1.1 and further define safety and PK. Participants must have measurable disease, ECOG performance status ≤1, provide molecular test results and tumor tissue, and are excluded if they have active untreated CNS metastases.
Why it matters
Potential benefit: If successful, AVZO-103 could provide a new treatment option that controls tumor growth for some patients with advanced urothelial or other solid tumors.
How similar studies have gone: AVZO-103 is untested in humans (this is the first clinical trial), although other targeted and combination therapies have shown benefit in urothelial and various solid tumors.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * Patient must be an adult, 18 years of age and older 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 urothelial cancer and other 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. Key Exclusion Criteria: * 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. * Prior Stevens-Johnson syndrome/toxic epidermal necrolysis. * 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 allogenic stem cell or solid organ transplant. * Other protocol-defined Exclusion criteria apply.
Where it's running
-
Avenzo Therapeutics Recruiting Site
San Francisco, California, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Aurora, Colorado, United States Recruiting -
Avenzo Therapeutics Recruiting Site
New Haven, Connecticut, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Orlando, Florida, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Tampa, Florida, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Boston, Massachusetts, United States Recruiting
Show 9 more locations
-
Avenzo Therapeutics Recruiting Site
New York, New York, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Chapel Hill, North Carolina, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Cleveland, Ohio, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Oklahoma City, Oklahoma, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Myrtle Beach, South Carolina, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Nashville, Tennessee, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Austin, Texas, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Houston, Texas, United States Recruiting -
Avenzo Therapeutics Recruiting Site
Irving, Texas, United States Recruiting
Study contacts
- Study coordinator: Medical Information
- Email: ClinicalTrials@avenzotx.com
- Phone: (858) 239-2944
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
AVZO-1418 alone and with other treatments for advanced epithelial solid tumors
This trial will test whether intravenous AVZO-1418, alone or with other cancer drugs, is safe and helps adults with locally advanced or metastatic epithelial solid tumors, including some lung cancers.
-
Dato-DXd in solid tumors (Urothelial Cancer and KRAS-mutant NSCLC) in two sub-studies
This study tests Datopotamab Deruxtecan (Dato-DXd) alone or with other cancer drugs in people with urothelial cancer or KRAS-mutant non-small cell lung cancer.
-
Peripheral neuropathy during perioperative therapy with enfortumab vedotin and pembrolizumab in muscle-invasive urothelial cancer
This study follows adults with muscle-invasive urothelial cancer to see how nerve-related side effects develop when people receive enfortumab vedotin and pembrolizumab around surgery as part of standard care.
-
BL-M07D1: T-bren vs standard platinum chemo for HER2-expressing metastatic urothelial cancer after anti-PD-(L)1 therapy
This trial tests whether T-bren can help people with HER2-expressing metastatic urothelial cancer who progressed after anti-PD-(L)1 therapy, compared with standard platinum-based chemotherapy.
-
Urine samples from adults with solid cancers to explore chemistry linked to nearing end of life
This study tests urine chemistry in adults with solid tumors to see if it reflects how close a patient is to death.
-
MGC030 in adults with advanced solid tumors
This trial tests MGC030 in adults with advanced urothelial, gastric/GEJ, esophageal, colorectal, gastric, pancreatic, or GEJ cancers to see if it is safe and whether it can shrink tumors or stop growth.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.