Clinical trial • Phase III • Oncology

PF-07220060 MONOHYDRATE for Advanced breast cancer | Metastatic breast cancer

Phase III trial of PF-07220060 MONOHYDRATE for Advanced breast cancer | Metastatic breast cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Advanced breast cancer | Metastatic breast cancer
Trial Stage
Phase III
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
28-11-2024
First CTIS Authorization Date
08-04-2025

Trial design

Randomised, open-label, arm a: pf-07220060 (pf-07220060 monohydrate) in combination with letrozole (letrozole, oral, up to 2.5 mg daily). pf-07220060 product listing shows maxdailydoseamount 600 mg (oral). arm b (comparator): investigator's choice of cdk4/6 inhibitor plus letrozole — options listed: abemaciclib (oral, maxdailydoseamount 300 mg), palbociclib (ibrance hard capsules available as 75 mg, 100 mg, 125 mg; maxdailydoseamount 125 mg), or ribociclib (oral, maxdailydoseamount 600 mg) in combination with letrozole (oral, up to 2.5 mg daily). schedule details not specified in the provided source.-controlled Phase III trial in Bulgaria.

Randomised
Yes
Open Label
Yes
Comparator
Arm A: PF-07220060 (PF-07220060 monohydrate) in combination with letrozole (LETROZOLE, oral, up to 2.5 mg daily). PF-07220060 product listing shows maxDailyDoseAmount 600 mg (oral). Arm B (comparator): Investigator's choice of CDK4/6 inhibitor plus letrozole — options listed: ABEMACICLIB (oral, maxDailyDoseAmount 300 mg), PALBOCICLIB (IBRANCE hard capsules available as 75 mg, 100 mg, 125 mg; maxDailyDoseAmount 125 mg), or RIBOCICLIB (oral, maxDailyDoseAmount 600 mg) in combination with letrozole (oral, up to 2.5 mg daily). Schedule details not specified in the provided source.
Target Sample Size
598
Trial Duration For Participant
1095

Eligibility

Recruits 598 Vulnerable population selected. Participants must be ≥18 years of age (no minors); informed consent documents (subject information and ICF) and related optional consent forms (eg, optional biopsy, retained research samples, pregnant partner release forms / PPRIF) are provided. Consent is provided by the participant; assent is not applicable (minimum age 18)..

Vulnerable Population
Vulnerable population selected. Participants must be ≥18 years of age (no minors); informed consent documents (subject information and ICF) and related optional consent forms (eg, optional biopsy, retained research samples, pregnant partner release forms / PPRIF) are provided. Consent is provided by the participant; assent is not applicable (minimum age 18).

Inclusion criteria

  • {"criterion_text":"- •\tAt least 18 years of age (or the minimum age of consent in accordance with local regulations) at screening."}
  • {"criterion_text":"- •\tPre/perimenopausal female and male participants must receive therapy with an LHRH agonist prior to the first dose of study intervention (if not already ongoing) and continue throughout the study as outlined in the SoA."}
  • {"criterion_text":"- •\tHistological confirmation of breast cancer with evidence of locally advanced or metastatic disease, which is not amenable to surgical resection or radiation therapy with curative intent."}
  • {"criterion_text":"- •\tDocumented estrogen receptor (ER) and/or progesterone receptor (PR)-positive tumor"}
  • {"criterion_text":"- •\tDocumented HER2-negative tumor"}
  • {"criterion_text":"- •\tPreviously untreated with any systemic anticancer therapy for their locally advanced or metastatic disease."}
  • {"criterion_text":"- •\tParticipants must have either measurable disease or non-measurable bone-only disease per RECIST v1.1."}
  • {"criterion_text":"- •\tParticipants must have an ECOG Performance Status of ≤2."}

Exclusion criteria

  • {"criterion_text":"- •\tIn visceral crisis at risk of immediately life-threatening complications in the short term."}
  • {"criterion_text":"- •\tCurrent or past history of central nervous system metastases."}
  • {"criterion_text":"- •\tHave received prior (neo)adjuvant endocrine therapy (ET) and had recurrence during or within 12 months after the last dose of ET."}
  • {"criterion_text":"- •\tHave received prior (neo)adjuvant CDK4/6i and had recurrence during or within 12 months after the last dose of CDK4/6i."}
  • {"criterion_text":"- •\tInadequate renal function, hepatic dysfunction, or hematologic abnormalities."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- •\tPFS by blinded independent central review (BICR)","definition_or_measurement_approach":"Progression-free survival assessed by Blinded Independent Central Review (BICR) as specified in protocol (BICR)."}

Secondary endpoints

  • {"endpoint_text":"- •\tOS","definition_or_measurement_approach":"Not specified in source."}

Recruitment

Digital Remote Recruitment
True, documents reference patient webpages/landing pages, patient videos with QR codes, and online study pages (examples include Poland patient webpage materials, Poland K10/K11 documents, and other country-specific recruitment materials).
Planned Sample Size
598
Recruitment Window Months
156
Consent Approach
Participants (≥18) provide written informed consent using subject information and informed consent forms (ICFs). Multiple country-specific ICFs and optional consent forms are provided (optional biopsy ICFs, retained research sample ICFs, pregnant partner release forms / PPRIF). Consent documents are available in multiple languages (English and local languages across Member States — examples: EN, DE, FR, ES, HU, BG, NL, PL, SK, IT, EL, FI, SV). Assent is not applicable (no minors enrolled).

Methods

  • Recruitment arrangements and informed consent procedure documents provided (country-specific K1 recruitment arrangements documents).
  • Patient-facing materials: study brochures and patient brochures for multiple countries (used as printed recruitment material).
  • Digital recruitment: patient webpages / landing pages (country-specific), patient webpage content including FAQs and study pages (examples in Poland and other countries).
  • Multimedia: patient videos with QR codes to link to study information (documents reference patient video QR codes, e.g., Greece, Poland).
  • Onsite materials: study posters and printed recruitment posters (titles present in recruitment materials listings).
  • Retention materials: unbranded retention items and appointment cards (documents include 'Unbranded Retention Items' and 'Appointment Card').

Geography

Total Number Of Participants
598

Bulgaria

Earliest CTIS Part Ii Submission Date
28-03-2025
Latest Decision Or Authorization Date
10-04-2025
Processing Time Days
13
Number Of Sites
8
Number Of Participants
90

Sites

Site Name
Complex Oncological Center Plovdiv EOOD
Department Name
Department of Medical Oncology and Oncology Diseases in Gastroenterology
Contact Person Name
Antoaneta Tomova
Contact Person Email
dr.tomova@gmail.com
Site Name
Multiprofile Hospital For Active Treatment Dr. Tota Venkova AD
Department Name
Departement of Medical Oncology
Contact Person Name
Bonka Popova
Contact Person Email
dr.bonka.popova@gmail.com
Site Name
National Oncological Medical Center EOOD
Department Name
Clinic of Medical Oncology
Contact Person Name
Assia Konsoulova
Contact Person Email
dr.konsoulova@gmail.com
Site Name
MBAL Serdika Ltd.
Department Name
Departement of Medical Oncology
Contact Person Name
Nadezhda Miteva-Yovcheva
Contact Person Email
drnm@abv.bg
Site Name
Complex Oncological Center - Shumen EOOD
Department Name
Departement of Medical Oncology
Contact Person Name
Nicolay Nikolov
Contact Person Email
onconick@yahoo.com
Site Name
Specialized Hospital For Active Treatment Of Oncology Haskovo EOOD
Department Name
Departement of Medical Oncology
Contact Person Name
Stoil Boychev
Contact Person Email
dr.stoil.boichev@gmail.com
Site Name
Complex Oncology Center - Burgas EOOD
Department Name
First department of medical oncology
Contact Person Name
Krasimir Nikolov
Contact Person Email
kznikolov@abv.bg
Site Name
Mbal Za Zhensko Zdrave Nadezhda OOD
Department Name
Clinic of Medical Oncology
Contact Person Name
Radostina Gencheva
Contact Person Email
radostina_gencheva@mail.bg

Sponsor

Primary sponsor

Full Name
Pfizer Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Altasciences Compagnie Inc.
Responsibilities
Biospecimen Testing
Name
Premier Research
Responsibilities
Dictionary Coding
Name
Ppd Inc.
Responsibilities
Central Laboratory Services
Name
Almac Clinical Services LLC
Responsibilities
Drug Destruction - Depot
Name
Clario
Responsibilities
Medical Imaging - Central Reader/Reading Service
Name
Clariness GmbH
Responsibilities
Recruitment and Retention
Name
Scout Clinical
Responsibilities
Patient Travel Support Services

Third parties

  • {"country":"Canada","full_name":"Altasciences Compagnie Inc.","duties_or_roles":"Biospecimen Testing","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Azenta Life Sciences","duties_or_roles":"Biospecimen Management","organisation_type":"Health care"}
  • {"country":"United States","full_name":"Personalis Inc.","duties_or_roles":"Biospecimen Testing","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Scout Clinical","duties_or_roles":"Patient Travel Support Services","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Clario","duties_or_roles":"Medical Imaging - Central Reader/Reading Service","organisation_type":"Health care"}
  • {"country":"United States","full_name":"Almac Clinical Services LLC","duties_or_roles":"Drug Destruction - Depot","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Guardant Health Inc.","duties_or_roles":"Biospecimen Testing","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Premier Research","duties_or_roles":"Dictionary Coding","organisation_type":"Industry"}
  • {"country":"Germany","full_name":"Clariness GmbH","duties_or_roles":"Recruitment and Retention","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Ppd Inc.","duties_or_roles":"Central Laboratory Services","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"TecEx","duties_or_roles":"Import/export & License Services","organisation_type":"Industry"}

Investigational products

Investigational Product Name
PF-07220060
Active Substance
PF-07220060 MONOHYDRATE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
IMP (MIA number IMP11510/00002) - investigational product (sponsor product code PF-07220060)
Maximum Dose
600 mg (maxDailyDoseAmount 600 mg)
Investigational Product Name
LETROZOLE
Active Substance
LETROZOLE
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Marketed product entry present in product dictionary (prodAuthStatus 2)
Maximum Dose
2.5 mg (maxDailyDoseAmount 2.5 mg)
Investigational Product Name
PALBOCICLIB (IBRANCE 75/100/125 mg hard capsules)
Active Substance
PALBOCICLIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Marketed product (EU marketing authorisation numbers listed for IBRANCE presentations)
Dose Levels
75 mg | 100 mg | 125 mg (product strengths listed)
Maximum Dose
125 mg (maxDailyDoseAmount 125 mg)
Investigational Product Name
RIBOCICLIB
Active Substance
RIBOCICLIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Product listed in product dictionary (prodAuthStatus 2)
Maximum Dose
600 mg (maxDailyDoseAmount 600 mg)
Investigational Product Name
ABEMACICLIB
Active Substance
ABEMACICLIB
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Product listed in product dictionary (prodAuthStatus 2)
Maximum Dose
300 mg (maxDailyDoseAmount 300 mg)
Combination Treatment
Yes

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