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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