Clinical trial Recruiting at 15 sites Phase1; Phase2 Interventional Ages 18 and up

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.

More Locally Advanced trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment355 (estimated)
SponsorAvenzo Therapeutics, Inc.
Industry-sponsored
Locations15 sites (San Francisco, California and 14 other locations)
StatusRecruiting
StartedOctober 2, 2025
Main results expectedMarch 2030
Study endsSeptember 2030
Registry record updatedOctober 5, 2026
Trial IDNCT07193511 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.