Recruiting
ORION-1: Study of AVZO-023 as a Single Agent and in Combination With AVZO-021, and/or Endocrine Therapy in Advanced Solid Tumors
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).
ClinicalTrials.gov IDNCT06998407
PhasePHASE1, PHASE2
Enrollment380
SponsorAvenzo Therapeutics, Inc.
Age18 Years
SexALL
Conditions studied
HR+/HER2- Breast Cancer, HR+, HER2-, Advanced Breast Cancer
About this study
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).
Interventions
- Drug: AVZO-021 — AVZO-021 is an oral selective CDK2 inhibitor
- Drug: Fulvestrant — Antineoplastic agent, estrogen receptor antagonist
- Drug: Letrozole — Antineoplastic agent, aromatase inhibitor
- Drug: AVZO-023 — AVZO-023 is an oral selective CDK4 inhibitor
Primary outcomes
- Occurrence of Dose Limiting Toxicities (DLTs) during the first cycle (Phase 1) (Cycle 1 (28 Days))
- Number of Participants with Treatment Emergent Adverse Events (TEAEs) and lab abnormalities (Phase 1) (From baseline until end of study treatment or study completion (approximately 2 years))
- Determine the Maximum Tolerated Dose (MTD) and/or Recommended Phase 2 Dose (RP2D) (Phase 1) (Approximately 16 months)
- Objective Response Rate (ORR) (Phase 2) (From baseline through disease progression or study completion (approximately 2 years))
Eligibility information
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 locations
- Avenzo Therapeutics Recruiting Site, Los Angeles, California 90025 United States
- Avenzo Therapeutics Recruiting Site, Los Angeles, California 90095 United States
- Avenzo Therapeutics Recruiting Site, New Haven, Connecticut 06519 United States
- Avenzo Therapeutics Recruiting Site, Orlando, Florida 32827 United States
- Avenzo Therapeutics Recruiting Site, Sarasota, Florida 34232 United States
- Avenzo Therapeutics Recruiting Site, Tampa, Florida 33612 United States
- Avenzo Therapeutics Recruiting Site, Boston, Massachusetts 02215 United States
- Avenzo Therapeutics Recruiting Site, New York, New York 10016 United States
- Avenzo Therapeutics Recruiting Site, Cleveland, Ohio 44106 United States
- Avenzo Therapeutics Recruiting Site, Columbus, Ohio 43221 United States
Showing 10 of 16 reported sites. See the official listing for all locations.
Before you participate: Varda Clinical is an independent discovery tool, not the study sponsor or a medical provider. Eligibility can only be determined by the official study team. Discuss potential risks and benefits with a qualified healthcare professional.
Source: ClinicalTrials.gov. Record last refreshed by Varda Clinical: 2026-09-27.