The 7% ORR Problem14 Jan 2026 12:18
Let's start with the uncomfortable number. Only 2 out of 30 patients achieved a partial response. That's 7%.
The standard defence is "but Phase 1 isn't designed for efficacy, these are heavily pretreated patients, you can't judge ORR in this setting." And yeah, there's some truth to that. But let's poke at it a bit.
First, these patients weren't actually that heavily pretreated. The median prior lines of therapy was 1. One. And here's the kicker—7 out of 22 patients in the Phase 1b SGC cohort had zero prior systemic therapy. These were first-line patients. A third of the cohort had never had chemo before.
So when people say "of course ORR is low, these are treatment-resistant patients who've failed everything," that's not quite right. We had a chunk of treatment-naïve patients in there, and the ORR was still 7%.
Second, the "Phase 1 isn't for efficacy" argument cuts both ways. If that's true, why is Avacta trumpeting the 90% DCR and the PFS data? You can't have it both ways—claiming the efficacy signals validate the platform while dismissing the ORR as "not what Phase 1 is for."
The reality is that efficacy signals in Phase 1 matter enormously. Investors obsess over them. Companies highlight any responses they get. Drugs that show zero activity in Phase 1 rarely make it to Phase 2. The industry watches Phase 1 ORR closely because it's predictive of what comes next.