September 15, 2020
|
September 21, 2020
|
April 30, 2024
|
September 23, 2020
|
March 5, 2027 (Final data collection date for primary outcome measure)
|
- Number of participants with dose limiting toxicities in the Dose Escalation Portion [ Time Frame: Baseline up to day 28 of Cycle 1. ]
First cycle (28 days) dose limiting toxicities (Parts 1A, 1B, 1C, 1F)
- Incidence of clinically significant AEs [ Time Frame: Weekly during Cycle 1 and 2 and then every 28 days through study completion, up to approximately 24 months; Each cycle is 28 days ]
Adverse Events
- Incidence of clinically significant laboratory assessments [ Time Frame: Weekly during Cycle 1 and 2 (each cycle is 28 days) and then every 28 days through study completion, up to approximately 24 months ]
safety laboratory abnormalities
- Incidence of clinically significant abnormal vital and ECG parameters [ Time Frame: Day 1, Day 8, Day 15 of Cycle 1 and starting from Cycle 2, and then every 28 days through study completion, up to approximately 24 months (Each cycle is 28 days) ]
vital signs and heart rate corrected QT interval
- Food Effect [ Time Frame: Day -7 through the end of Cycle 1 ]
Maximal Concentration, Time to Maximum Plasma Concentration, Area under the Plasma Concentration (Part 1D)
- DDI [ Time Frame: D1 to the end of Cycle 1 ]
Maximal Concentration, Time to Maximum Plasma Concentration, Area under the Plasma Concentration (Part 1E)
|
|
|
- Single Dose: Maximal concentration (Cmax) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Single Dose: Time to Maximum Plasma Concentration (Tmax) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Single Dose: Area Under the Plasma Concentration Versus Time Curve from Time Zero to the Last Sampling Time Point Within the Dose Interval (AUClast) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Single Dose: Area Under the Plasma Concentration Versus Time Curve from Time Zero Extrapolated to Infinity (AUCinf) in the Dose Escalation and Dose Finding portion [ Time Frame: Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Apparent Oral Plasma Clearance (CL/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Single Dose: Apparent Volume of Distribution (Vz/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Multiple Dose: Steady State Maximal Concentration (Css,max) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Multiple Dose: Time to Maximum Plasma Concentration at Steady State (Tss,max) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Area Under the Plasma Concentration Versus Time Curve Within One Dose Interval (AUCss,t) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Multiple Dose: Steady State Minimum Plasma Concentration (Css,min) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Multiple Dose: Steady State Apparent Oral Plasma Clearance (CLss/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Multiple Dose: Apparent Volume of Distribution at Steady State (Vss/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Multiple Dose: Terminal Elimination Half-Life (t1/2) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Multiple Dose: Accumulation Ratio (Rac (AUCss,t /AUCsd,t)) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C)
- Tumor Response per RECIST v1.1 and per PCGW3 [ Time Frame: baseline up to approximately 24 months ]
Per RECIST v1.1 (Part 1 A-E; Part 2B and 2C); per PCWG3 (Part 1F and Part 2D)
- Duration of Response (DOR) [ Time Frame: baseline up to approximately 24 months ]
Per RECIST v1.1
- Progression Free Survival (PFS) [ Time Frame: baseline up to approximately 24 months ]
PFS per RECIST v.1.1
- Time to Progression (TTP) [ Time Frame: baseline up to approximately 24 months ]
TTP per RECIST v1.1
- Clinical Benefit Rate (CBR) [ Time Frame: baseline up to approximately 24 months ]
CBR per RECIST v1.1 (Parts 2B, 2C)
- Peak and Trough Concentration of PF-07220060 [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Peak and trough concentration (Parts 2B, 2C, 2D)
- Peak and trough concentrations of enzalutamide and N-desmethyl enzalutamide [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Peak and trough concentrations (Part 2D)
- Time to first skeletal events [ Time Frame: Cycle 1 (each cycle is 28 days) to up to approximately 24 months ]
Time to first skeletal events (Part 2D)
- Quality of life questionnaire [ Time Frame: Cycle 1 (each cycle is 28 days) to up to approximately 24 months ]
time to functional status deterioration by FACT-P (Part 2D)
- Radiographic Progression Free survival [ Time Frame: Cycle 1 (each cycle is 28 days) up to approximately 24 months ]
Part 2D
- PSA50 [ Time Frame: Cycle 1 (each cycle is 28 days) to up to approximately 24 months ]
Part 1F and 2D
|
- Single Dose: Maximal concentration (Cmax) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Single Dose: Time to Maximum Plasma Concentration (Tmax) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Single Dose: Area Under the Plasma Concentration Versus Time Curve from Time Zero to the Last Sampling Time Point Within the Dose Interval (AUClast) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Single Dose: Area Under the Plasma Concentration Versus Time Curve from Time Zero Extrapolated to Infinity (AUCinf) in the Dose Escalation and Dose Finding portion [ Time Frame: Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Apparent Oral Plasma Clearance (CL/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Single Dose: Apparent Volume of Distribution (Vz/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Multiple Dose: Steady State Maximal Concentration (Css,max) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Multiple Dose: Time to Maximum Plasma Concentration at Steady State (Tss,max) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Area Under the Plasma Concentration Versus Time Curve Within One Dose Interval (AUCss,t) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Multiple Dose: Steady State Minimum Plasma Concentration (Css,min) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Multiple Dose: Steady State Apparent Oral Plasma Clearance (CLss/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Multiple Dose: Apparent Volume of Distribution at Steady State (Vss/F) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Multiple Dose: Terminal Elimination Half-Life (t1/2) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Multiple Dose: Accumulation Ratio (Rac (AUCss,t /AUCsd,t)) in the Dose Escalation and Dose Finding portion [ Time Frame: Cycle 1 (each cycle is 28 days) and Day 1 of each subsequent cycle and at study completion visit, up to approximately 24 months ]
Pharmacokinetic (PK) assessments for PF-07220060
- Tumor Response observed in participants in Dose Escalation and Dose Finding portion [ Time Frame: baseline up to approximately 24 months ]
- Duration of Response (DOR) in participants enrolled in the Dose Escalation and Dose Finding portion [ Time Frame: baseline up to approximately 24 months ]
- Progression Free Survival (PFS) observed in participants in the Dose Escalation and Dose Finding portion [ Time Frame: baseline up to approximately 24 months ]
- Time to Progression (TTP) observed in participants enrolled in the Dose Escalation and Dose Finding portion [ Time Frame: baseline up to approximately 24 months ]
- Overall Survival observed in participants enrolled in the Dose Expansion Arms [ Time Frame: baseline up to approximately 24 months ]
|
Not Provided
|
Not Provided
|
|
Study to Test the Safety and Tolerability of PF-07220060 in Participants With Advance Solid Tumors
|
A PHASE 1/2A STUDY EVALUATING THE SAFETY, TOLERABILITY, PHARMACOKINETICS, PHARMACODYNAMICS, AND ANTI-TUMOR ACTIVITY OF PF-07220060 AS A SINGLE AGENT AND AS PART OF COMBINATION THERAPY IN PARTICIPANTS WITH ADVANCED SOLID TUMORS
|
This is a Phase 1/2A, open label, multicenter, nonrandomized, multiple dose, safety, tolerability, pharmacokinetic and pharmacodynamic study of PF-07220060 administered as a single agent and then in combination with endocrine therapy.
|
The study consists of two parts and a China and Japan monotherapy cohort. Part 1 includes dose escalation cohorts evaluating PF-07220060 as single agent or in combination with endocrine therapy or enzalutamide, as well as a food effect cohort and a DDI cohort Part 2 includes dose expansion cohorts evaluating PF-07220060 in combination with endocrine therapy or enzalutamide.
In Part 1A, single escalating doses of PF-07220060 alone will be administered to determine the maximum tolerated dose (MTD) and select the recommended dose for expansion In Part 1B and Part 1C, PF-07220060 will be administered in combination with 1 of 2 endocrine therapies (letrozole and fulvestrant, respectively).
In Part 1D, food effect assessment of PF-07220060 at the RP2D dose level from the Part 1A will be conducted In Part 1E, the effect of PF-07220060 on the PK of midazolam will be evaluated (DDI) In Part 1F, escalating dosed of PF-07220060 will be administered in combination with enzalutamide Part 1B and Part 1C may commence at MTD or before reaching the MTD at a dose level in Part 1A.
Part 2A is a dose expansion cohort with fulvestrant and will explore more than one dose of PF-07220060 in participants diagnosed with mBC.
Part 2B and Part 2C are expansion for combination therapy of PF-07220060 with letrozole and fulvestrant, respectively.
Part 2D is the expansion cohort for combination therapy of PF-07220060 with enzalutamide.
The China monotherapy cohort will evaluate safety, tolerability and PK of PF-07220060 administered as single agent in Chinese participants.
The Japan monotherapy cohort will evaluate safety, tolerability and PK of PF-07220060 administered as a single agent in Japanese participants.
|
Interventional
|
Phase 1 Phase 2
|
Allocation: Non-Randomized Intervention Model: Sequential Assignment Masking: None (Open Label) Primary Purpose: Treatment
|
- Liposarcoma
- CRC
- Prostate Cancer
- Breast Neoplasms
- Adenocarcinoma of Lung
- Solid Tumors
|
|
- Experimental: 1A Monotherapy Escalation Arm 1
PF-07220060 Monotherapy Escalation
Intervention: Drug: PF-07220060
- Experimental: 1A Monotherapy Escalation Arm 2
PF-07220060 Monotherapy Escalation
Intervention: Drug: PF-07220060
- Experimental: 1A Monotherapy Escalation Arm 3
PF-07220060 Monotherapy Escalation
Intervention: Drug: PF-07220060
- Experimental: 1A Monotherapy Escalation Arm 4
PF-07220060 Monotherapy Escalation
Intervention: Drug: PF-07220060
- Experimental: 1B Combination Dose Finding Arm 1
PF-07220060 with Letrozole combination Escalation
Interventions:
- Drug: PF-07220060
- Combination Product: Letrozole
- Experimental: 1B Combination Dose Finding Arm 2
PF-07220060 with Letrozole Combination Escalation
Interventions:
- Drug: PF-07220060
- Combination Product: Letrozole
- Experimental: 1C Combination Dose Finding Arm 1
PF-07220060 with Fulvestrant Combination Escalation
Interventions:
- Drug: PF-07220060
- Combination Product: Fulvestrant
- Experimental: 1C Combination Dose Finding Arm 2
PF-07220060 with Fulvestrant Combination Escalation
Interventions:
- Drug: PF-07220060
- Combination Product: Fulvestrant
- Experimental: 2B Combination Dose Expansion
PF-07220060 with Letrozole Combination Expansion
Interventions:
- Drug: PF-07220060
- Combination Product: Letrozole
- Experimental: 2C Combination Dose Expansion
PF-07220060 with fulvestrant Combination Expansion
Interventions:
- Drug: PF-07220060
- Combination Product: Fulvestrant
- Experimental: 1D Monotherapy Food Effect
PF-07220060 Monotherapy Food Effect
Intervention: Drug: PF-07220060
- Experimental: 1A Monotherapy Escalation Arm 5
PF-07220060 Monotherapy Escalation
Intervention: Drug: PF-07220060
- Experimental: 1F Combination Dose Finding
PF-07220060 with Enzalutamide Escalation
Interventions:
- Drug: PF-07220060
- Combination Product: Enzalutamide
- Experimental: 1E DDI Cohort
PF-07220060 DDI with Midazolam
Interventions:
- Drug: PF-07220060
- Drug: Midazolam
- Experimental: 2D Combination Dose Expansion
PF-07220060 with enzalutamide Combination Expansion
Interventions:
- Drug: PF-07220060
- Combination Product: Enzalutamide
- Experimental: 2A Combination Dose Expansion
PF-07220060 with fulvestrant combination dose expansion
Interventions:
- Drug: PF-07220060
- Combination Product: Fulvestrant
|
Not Provided
|
|
Recruiting
|
337
|
52
|
May 4, 2028
|
March 5, 2027 (Final data collection date for primary outcome measure)
|
Inclusion Criteria
Exclusion Criteria:
- Part 1D: participants who have had a gastrectomy or have dietary or other restrictions that preclude a 10 hour overnight fast or consumption of the high fat, high calorie meal
- Part 2B: prior neoadjuvant or adjuvant treatment with a non-steroidal aromatase inhibitor with disease recurrence while on or within 12 months of completing treatment. Prior treatment with any CDK4/6 inhibitor
- Part 2C: prior treatment with any CDK inhibitor, fulvestrant, everolimus, or any agent whose mechanism of action is to inhibit the PI3K-mTOR pathway
- Known active uncontrolled or symptomatic Central Nervous System (CNS) metastases carcinomatous meningitis, or leptomeningeal disease
- Other active malignancy within 3 years prior to randomization, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ
- Major surgery or radiation within 4 weeks prior to study intervention
- Last anti-cancer treatment within 2 weeks prior to study intervention
- Participation in other studies involving investigational drug(s) within 4 weeks prior to study entry
- Pregnant or breastfeeding female participant
- Active inflammatory gastrointestinal (GI) disease, known diverticular disease or previous gastric resection or lap band surgery including impairment of gastrointestinal function or GI disease
|
Sexes Eligible for Study: |
All |
|
18 Years and older (Adult, Older Adult)
|
No
|
|
Argentina, China, Czechia, Japan, Mexico, Slovakia, United Kingdom, United States
|
|
|
NCT04557449
|
C4391001 2020-002938-33 ( EudraCT Number )
|
No
|
Studies a U.S. FDA-regulated Drug Product: |
Yes |
Studies a U.S. FDA-regulated Device Product: |
No |
|
Plan to Share IPD: |
No |
Plan Description: |
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests. |
|
Pfizer
|
Same as current
|
Pfizer
|
Same as current
|
Not Provided
|
Study Director: |
Pfizer CT.gov Call Center |
Pfizer |
|
Pfizer
|
April 2024
|