ORION-1: Study of AVZO-023 as a Single Agent and in Combination With AVZO-021, and/or Endocrine Therapy in Advanced Solid Tumors
A Phase 1/2, First-in-human Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Antitumor Activity of AVZO-023 as a Single Agent, and in Combination With AVZO-021 and/or Endocrine Therapy in Patients With Advanced Solid Tumors
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests AVZO-023, a pill that blocks a protein called CDK4, in adults with advanced solid tumors. It tests the drug alone or with AVZO-021 and/or hormone therapy. Researchers will study its safety, how it works in the body, the highest dose people can tolerate, and its effects on cancer.
This study, the first clinical trial of AVZO-023, aims to determine the safety, tolerability, pharmacokinetics (PK), pharmacodynamics, maximum tolerated dose, and anti-tumor effects of AVZO-023 in patients with advanced solid tumors. AVZO-023 is an oral medication that inhibits cyclin-dependent kinase 4 (CDK4).
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- Age 18 or older, fully active or limited only in hard physical activity, and expected to live more than 3 months.
- Have an advanced cancer of a type chosen for the study, confirmed by a tissue or cell test.
- Have tumors that meet the study’s measurement rules. Cancer only in the bones is allowed during the dose-testing part.
- Agree to share molecular test results and provide stored tumor tissue and/or a new tissue sample, as needed.
- Have kidneys, liver, and bone marrow that work well enough.
Who can't join
- Past use of certain experimental drugs that block CDK2, CDK4, or combinations of CDK proteins; or past high-dose chemotherapy that needed a stem cell rescue.
- Active cancer spread to the brain, or cancer in the tissues and fluid around the brain and spinal cord.
- Another invasive cancer now, or treatment for one completed within the past 3 years. Exceptions include certain treated skin cancers, cancers that have not spread beyond where they started, and certain colon polyps.
- Cancer treatment too close to the first study dose: usually within 2 weeks, or 4 weeks for certain treatments. A shorter wait may apply based on how quickly the drug leaves the body. Major surgery within 4 weeks also excludes you.
- Radiation to a small area for symptom relief within 7 days, whole-brain radiation within 4 weeks, or radiation to over 25% of bone marrow. Ongoing radiation side effects, needing steroids after radiation, or active radiation-related lung swelling also exclude you.
- Recent use of medicines that strongly or moderately change how the liver protein CYP3A4 works. The wait is 2 weeks, or a shorter time based on how quickly the drug leaves the body.
- Serious heart or blood vessel problems within 6 months, or a history of drug-caused lung swelling or scarring.
- Side effects from earlier treatment that are more than mild, with exceptions for hair loss, loss of skin color, and mild or moderate nerve damage. A confirmed missing or nonworking Rb1 gene also excludes you.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Key Inclusion Criteria: * Male or female aged ≥ 18 years old at screening with Eastern Cooperative Oncology Group (ECOG) 0-1 and life expectancy \> 3 months * Patients with histologically or cytologically proven advanced malignancies of preferred indications * Measurable disease (as assessed by investigator using RECIST v1.1) is preferred in Phase 1 dose escalation, unless otherwise specified in the protocol, and in all patients in Phase 2. Bone only disease is allowed in dose escalation. * Agree to provide molecular test report results to confirm eligibility and archival tumor samples and/or fresh biopsy, as applicable * Adequate renal, liver, and bone marrow function Key Exclusion Criteria: * Patients should not have received any prior selective investigational CDK (CDK2, CDK4, CDK2/4, CDK2/4/6) inhibitors * Has known active brain metastasis (have either previously untreated intracranial CNS metastasis or previously treated intracranial central nervous system (CNS) metastasis with radiologically documented new or progressing CNS lesions) or leptomeningeal disease * Other concurrent invasive malignancy or a prior invasive malignancy for which treatment was completed within 3 years before the first dose on study except for adequately treated basal cell or squamous cell skin cancer, carcinoma in situ, or colorectal adenomatous polyps * Last anticancer treatment within 2 weeks (4 weeks for biologic, immunotherapy or ADC) or 5 half-lives of the drug, whichever is shorter, prior to first dose on study * Major surgery within 4 weeks prior to first dose on study * Have received radiotherapy with a limited field of radiation for palliation within 7 days of the first dose of study treatment, except for patients receiving whole brain radiotherapy, which must be completed at least 4 weeks prior to the first dose of study treatment. Patients must have recovered from all radiation-related toxicities, not require corticosteroids, and not have active radiation pneumonitis. Patients who received radiation of \>25% of bone marrow are excluded. * Strong or moderate CYP3A4 inhibitors or inducers within 2 weeks or 5 half-lives of the drug, whichever is shorter, prior to first dose on study * History of serious cardiovascular conditions within 6 months prior to first dose on study * Unresolved toxicities from prior therapy greater than Grade 1 (per CTCAE version 5.0) (with exceptions of alopecia, vitiligo, and ≤ Grade 2 peripheral neuropathy) prior to the first dose on study * History of drug-induced pneumonitis/interstitial lung disease * Confirmed loss of function mutation or deletion of Rb1 gene * Previous high-dose chemotherapy requiring stem cell rescue
Study sites (16)
CA
- Avenzo Therapeutics Recruiting Site · Los Angeles, CA 90025Avenzo Therapeutics · Study contactMore trials in Los Angeles
- Avenzo Therapeutics Recruiting Site · Los Angeles, CA 90095Avenzo Therapeutics · Study contactMore trials in Los Angeles
CT
- Avenzo Therapeutics Recruiting Site · New Haven, CT 06519Avenzo Therapeutics · Study contactMore trials in New Haven
FL
- Avenzo Therapeutics Recruiting Site · Orlando, FL 32827Avenzo Therapeutics · Study contactMore trials in Orlando
- Avenzo Therapeutics Recruiting Site · Sarasota, FL 34232Avenzo Therapeutics · Study contactMore trials in Sarasota
- Avenzo Therapeutics Recruiting Site · Tampa, FL 33612Avenzo Therapeutics · Study contactMore trials in Tampa
MA
- Avenzo Therapeutics Recruiting Site · Boston, MA 02215Avenzo Therapeutics · Study contactMore trials in Boston
NY
- Avenzo Therapeutics Recruiting Site · New York, NY 10016Avenzo Therapeutics · Study contactMore trials in New York
OH
- Avenzo Therapeutics Recruiting Site · Cleveland, OH 44106Avenzo Therapeutics · Study contactMore trials in Cleveland
- Avenzo Therapeutics Recruiting Site · Columbus, OH 43221Avenzo Therapeutics · Study contactMore trials in Columbus
TN
- Avenzo Therapeutics Recruiting Site · Nashville, TN 37203Avenzo Therapeutics · Study contactMore trials in Nashville
TX
- Avenzo Therapeutics Recruiting Site · Fort Worth, TX 76104Avenzo Therapeutics · Study contactMore trials in Fort Worth
- Avenzo Therapeutics Recruiting Site · Houston, TX 77030Avenzo Therapeutics · Study contactMore trials in Houston
- Avenzo Therapeutics Recruiting Site · San Antonio, TX 78229Avenzo Therapeutics · Study contactMore trials in San Antonio
VA
- Avenzo Therapeutics Recruiting Site · Fairfax, VA 22031Avenzo Therapeutics · Study contactMore trials in Fairfax
WA
- Avenzo Therapeutics Recruiting Site · Seattle, WA 98109Avenzo Therapeutics · Study contactMore trials in Seattle