Clinical trial • Phase I/II • Oncology

PF-07220060 MONOHYDRATE for Breast cancer (HR-positive HER2-negative) | Advanced solid tumors

Phase I/II trial of PF-07220060 MONOHYDRATE for Breast cancer (HR-positive HER2-negative) | Advanced solid tumors. open-label, adaptive. 191 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Breast cancer (HR-positive HER2-negative) | Advanced solid tumors
Trial Stage
Phase I/II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
03-05-2024
First CTIS Authorization Date
10-06-2024

Trial design

open-label, adaptive Phase I/II trial in Spain, Czechia, Bulgaria.

Open Label
Yes
Adaptive
True, dose-escalation design to estimate MTD and select recommended dose(s) for expansion (RDEs); safety run-in (Part 2) with first-cycle DLT assessment guiding escalation/selection. Specific escalation rules not provided in the available data.
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
191

Eligibility

Recruits 191 The registry indicates vulnerable populations are selected (isVulnerablePopulationSelected = true). Informed consent documents (subject information and informed consent forms) are listed among the trial documents in multiple languages (English, Spanish, Czech, Bulgarian). No specific text on assent, parental consent, or special consent processes for vulnerable participants is provided in the available data..

Vulnerable Population
The registry indicates vulnerable populations are selected (isVulnerablePopulationSelected = true). Informed consent documents (subject information and informed consent forms) are listed among the trial documents in multiple languages (English, Spanish, Czech, Bulgarian). No specific text on assent, parental consent, or special consent processes for vulnerable participants is provided in the available data.

Inclusion criteria

  • {"criterion_text":"- Male and female participants ≥ 18 years of age at Visit 1."}
  • {"criterion_text":"- Histological or cytological diagnosis of locally advanced or metastatic solid tumor/diagnosis which is unresectable."}
  • {"criterion_text":"- Evaluable lesion (including skin or bone lesion only, Part 1)."}
  • {"criterion_text":"- Participants entering the study in the expansion cohort have at least 1 measurable lesion as defined by RECIST (version 1.1) that has not been previously irradiated."}
  • {"criterion_text":"- Cancer type: • HR-positive HER2negative tumor (Part 1 and Part 2) • HR-positive HER2-positive tumor (Part 1) • Advanced solid tumor or metastatic disease (Part 1) • ECOG PS 0 or 1."}

Exclusion criteria

  • {"criterion_text":"- Prior/concomitant treatment as follows: • prior treatment with any CDK 4/6 inhibitor, or fulvestrant, or everolimus, or any agent whose mechanism of action is to inhibit the PI3K-mTOR pathway (Part 2B); • prior neoadjuvant or adjuvant treatment with a non-steroidal AI (ie, anastrozole or letrozole) with disease recurrence while on or within 12 months of completing treatment (Part 2C); • prior treatment with any CDK4/6 inhibitor for advanced disease (Part 2B and 2C); • radiation therapy within 4 weeks prior to study enrollment, with the exception of palliative radiotherapy following discussion with the sponsor."}
  • {"criterion_text":"- Inadequate organ function."}
  • {"criterion_text":"- Known bleeding disorders."}
  • {"criterion_text":"- Participation in other studies involving investigational drug(s) within 4 weeks (or 5 half--lives, whichever is shorter) prior to study entry."}
  • {"criterion_text":"- Participants with any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the cervix, Bowen’s disease."}
  • {"criterion_text":"- Current use or anticipated need for PPI within 7 days prior to first dose of the study intervention. For participants with gastroesophageal reflux disease, concurrent treatment with PPIs is not allowed and treatment with H2 blockers and/or antacids if medically required must be dosed according to protocol guidelines."}
  • {"criterion_text":"- Previous high-dose chemotherapy requiring stem cell rescue."}
  • {"criterion_text":"- Last anticancer treatment within 2 weeks (or 5 half-lives, whichever is shorter, unless the last immediate anticancer treatment contained an antibody-based agent(s) (approved or investigational), then the interval of 4 weeks or 5 half-lives (whichever is shorter) is required prior to receiving the study intervention (except in Part 2C where no systemic anticancer treatment in advanced or metastatic setting is allowed)."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Part 1: First cycle DLTs.","definition_or_measurement_approach":"Dose-limiting toxicities (DLTs) assessed in Cycle 1 (no further definition provided in the available data)."}
  • {"endpoint_text":"- Part 1: AEs as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0) timing, seriousness, and relationship to study intervention.","definition_or_measurement_approach":"Adverse events characterized by type, frequency, severity graded per NCI CTCAE v5.0, timing, seriousness, and relationship to study intervention."}
  • {"endpoint_text":"- Part 1: Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing.","definition_or_measurement_approach":"Laboratory abnormalities assessed by type, frequency, severity using NCI CTCAE v5.0 and timing."}
  • {"endpoint_text":"- Part 1: Vital sign abnormalities.","definition_or_measurement_approach":"Vital sign measurements and abnormalities (specific measures not detailed in the available data)."}
  • {"endpoint_text":"- Part 1: Heart rate corrected QT interval (eg, QTcF).","definition_or_measurement_approach":"QT interval corrected for heart rate (e.g., QTcF) measured by ECG."}
  • {"endpoint_text":"- Part 2: First cycle DLTs (for the safety run-in).","definition_or_measurement_approach":"Dose-limiting toxicities in Cycle 1 during Part 2 safety run-in (no further definition provided)."}
  • {"endpoint_text":"- Part 2: AEs as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study treatment.","definition_or_measurement_approach":"Adverse events characterized and graded per NCI CTCAE v5.0 with timing and relationship to treatment."}
  • {"endpoint_text":"- Part 2: Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0, and timing.","definition_or_measurement_approach":"Laboratory abnormalities assessed by type, frequency, severity using NCI CTCAE v5.0 and timing."}

Secondary endpoints

  • {"endpoint_text":"- Part 1: PK parameters of PF-07220060 and PF-07104091: • Single dose (PF-07104091) - Cmax, Tmax, AUClast, and as data permit, AUCinf, CL/F, Vz/F, and t1/2. • Multiple Dose (PF-07220060 & PF-07104091; assuming steady state is achieved) - Css,max, Tss,max, AUCss,τ, Css,min, CLss/F, and as data permit, Vss/F, t1/2, and Rac (AUCss,τ/AUCsd,τ) for PF-07104091.","definition_or_measurement_approach":"Pharmacokinetic parameters measured for single and multiple dosing as listed (Cmax, Tmax, AUC metrics, clearance, volumes, half-life, steady-state metrics)."}
  • {"endpoint_text":"- Part 1: AEs as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0) timing, seriousness, and relationship to study intervention.","definition_or_measurement_approach":"Adverse events characterized and graded per NCI CTCAE v5.0."}
  • {"endpoint_text":"- Part 1: Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing.","definition_or_measurement_approach":"Laboratory abnormalities characterized and graded per NCI CTCAE v5.0."}
  • {"endpoint_text":"- Part 1: • ORR, as assessed using RECIST version 1.1.","definition_or_measurement_approach":"Objective Response Rate assessed by RECIST v1.1."}
  • {"endpoint_text":"- Part 1: TTE endpoints: eg, DoR, PFS, and TTP.","definition_or_measurement_approach":"Time-to-event endpoints including Duration of Response (DoR), Progression-Free Survival (PFS), and Time to Progression (TTP) per applicable definitions (RECIST 1.1 for tumor assessments)."}
  • {"endpoint_text":"- Part 2: ORR and CBR as assessed using RECIST version 1.1.","definition_or_measurement_approach":"Objective Response Rate and Clinical Benefit Rate assessed per RECIST v1.1."}
  • {"endpoint_text":"- Part 2: TTE endpoints: DoR, PFS, and TTP.","definition_or_measurement_approach":"Time-to-event endpoints including DoR, PFS, and TTP."}
  • {"endpoint_text":"- Part 2: Concentrations of PF-07220060 and PF-07104091 at selected time points.","definition_or_measurement_approach":"Plasma concentrations of the investigational products measured at specified time points (specific time points not provided in the available data)."}

Recruitment

Planned Sample Size
191
Recruitment Window Months
45
Consent Approach
Informed consent is required from adult participants (study includes participants ≥18 years). Subject information and informed consent forms are available in multiple languages (English, Spanish, Czech, Bulgarian) as listed in trial documents (L1/L2/L3 etc). No specific details on assent or parental consent are provided in the available data.

Geography

Total Number Of Sites
12
Total Number Of Participants
49

Spain

Earliest CTIS Part Ii Submission Date
21-05-2024
Latest Decision Or Authorization Date
21-04-2025
Processing Time Days
335
Number Of Sites
5
Number Of Participants
19

Sites

Site Name
University Hospital Virgen Del Rocio S.L.
Department Name
Medical Oncology
Principal Investigator Name
Manuel Ruiz Borrego
Principal Investigator Email
ruizsabater@gmail.com
Contact Person Name
Manuel Ruiz Borrego
Contact Person Email
ruizsabater@gmail.com
Site Name
Hospital Clinic De Barcelona
Department Name
Department of Medical Oncology
Principal Investigator Name
Tomas Pascual Martinez,
Principal Investigator Email
topascual@clinic.cat
Contact Person Name
Tomas Pascual Martinez,
Contact Person Email
topascual@clinic.cat
Site Name
Hospital Universitario Hm Sanchinarro
Department Name
START Madrid
Principal Investigator Name
Ramon Yarza Barrio
Principal Investigator Email
ramon.yarza@startmadrid.com
Contact Person Name
Ramon Yarza Barrio
Contact Person Email
ramon.yarza@startmadrid.com
Site Name
Hospital Universitario 12 De Octubre
Department Name
Medical Oncology
Principal Investigator Name
Eva María Ciruelos Gil
Principal Investigator Email
Eva.ciruelos@gmail.com
Contact Person Name
Eva María Ciruelos Gil
Contact Person Email
Eva.ciruelos@gmail.com
Site Name
Vall D'hebron Institut De Recerca
Principal Investigator Name
Meritxell Bellet Ezquerra
Principal Investigator Email
mbellet@vhio.net
Contact Person Name
Meritxell Bellet Ezquerra
Contact Person Email
mbellet@vhio.net

Czechia

Earliest CTIS Part Ii Submission Date
21-05-2024
Latest Decision Or Authorization Date
26-05-2025
Processing Time Days
370
Number Of Sites
3
Number Of Participants
16

Sites

Site Name
University Hospital Olomouc
Principal Investigator Name
Bohuslav Melichar
Principal Investigator Email
bohuslav.melichar@fnol.cz
Contact Person Name
Bohuslav Melichar
Contact Person Email
bohuslav.melichar@fnol.cz
Site Name
Vseobecna Fakultni Nemocnice V Praze
Department Name
Onkologická klinika VFN
Principal Investigator Name
Martina Zimovjanova
Principal Investigator Email
martina.zimovjanova@vfn.cz
Contact Person Name
Martina Zimovjanova
Contact Person Email
martina.zimovjanova@vfn.cz
Site Name
Fakultni Nemocnice Bulovka
Department Name
Ustav Radiacni Onkologie
Principal Investigator Name
Petra Beran Holeckova
Principal Investigator Email
petra.holeckova@bulovka.cz
Contact Person Name
Petra Beran Holeckova
Contact Person Email
petra.holeckova@bulovka.cz

Bulgaria

Earliest CTIS Part Ii Submission Date
21-05-2024
Latest Decision Or Authorization Date
24-07-2025
Processing Time Days
429
Number Of Sites
4
Number Of Participants
14

Sites

Site Name
Multiprofile Hospital for Active Treatment Serdika EOOD
Department Name
Department of Medical Oncology
Principal Investigator Name
Nadezhda Pencheva Miteva-Yovcheva
Principal Investigator Email
drnm@abv.bg
Contact Person Name
Nadezhda Pencheva Miteva-Yovcheva
Contact Person Email
drnm@abv.bg
Site Name
Complex Oncological Center Plovdiv EOOD
Department Name
First department of medical oncology and oncology
Principal Investigator Name
Antoaneta Tomova
Principal Investigator Email
dr.tomova@gmail.com
Contact Person Name
Antoaneta Tomova
Contact Person Email
dr.tomova@gmail.com
Site Name
Specialized Hospital For Active Treatment Of Oncology Haskovo EOOD
Department Name
Department of medical oncology
Principal Investigator Name
Stoil Boychev
Principal Investigator Email
dr.stoil.boichev@gmail.com
Contact Person Name
Stoil Boychev
Contact Person Email
dr.stoil.boichev@gmail.com
Site Name
Complex Oncology Center Vratsa EOOD
Principal Investigator Name
Georgi Ezekiev
Principal Investigator Email
dr.ezekiev@alpiko.net
Contact Person Name
Georgi Ezekiev
Contact Person Email
dr.ezekiev@alpiko.net

Sponsor

Primary sponsor

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

Contract research organisations

Name
Syneos Health Inc.
Responsibilities
Site Management
Name
Ppd Inc.
Responsibilities
PK Analysis; During Study Storage; Temporary Post-Study Storage

Third parties

  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"Site Management","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"Central Lab; Lab kit distribution; During Study Storage; Slide Sectioning","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Q Squared Solutions Holdings LLC","duties_or_roles":"Sample Analysis: Blood for serum biomarker (Thymidine Kinase)","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Pfizer Inc.","duties_or_roles":"During Study Storage; Long-term Storage; Tumor Biopsies; Skin Punch Biopsies; Genotyping and analysis","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Central Lab; Lab kit distribution; During Study Storage; Slide Sectioning","organisation_type":"Pharmaceutical company"}
  • {"country":"Belgium","full_name":"CellCarta","duties_or_roles":"Sample Analysis: Cyclin D1, Cyclin E1, pRb/Ki67, FoxM1 IHC","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Azenta US Inc.","duties_or_roles":"During Study Storage; Long-term Storage; Blood for ctDNA profiling; Blood for tumor NGS normal control; Blood for serum biomarkers; Retained Research Sample Prep D1","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Ppd Inc.","duties_or_roles":"PK Analysis; During Study Storage; Temporary Post-Study Storage","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Personalis Inc.","duties_or_roles":"Sample Analysis: Whole exome and whole transcriptome sequencing","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Guardant Health Inc.","duties_or_roles":"Sample Analysis: ctDNA NGS (breast cohorts)","organisation_type":"Laboratory/Research/Testing facility"}

Investigational products

Investigational Product Name
PF-07220060
Active Substance
PF-07220060 MONOHYDRATE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Maximum Dose
800 mg
Investigational Product Name
PF-07104091
Active Substance
[(1R,3S)-3-[3-[[5-(METHOXYMETHYL)-2-METHYLPYRAZOLE-3-CARBONYL]AMINO]-1H-PYRAZOL-5-YL]CYCLOPENTYL]N-PROPAN-2-YLCARBAMATE MONOHYDRATE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Maximum Dose
600 mg
Investigational Product Name
LETROZOLE
Active Substance
LETROZOLE
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Maximum Dose
2.5 mg
Investigational Product Name
FULVESTRANT
Active Substance
FULVESTRANT
Modality
Small molecule
Routes Of Administration
INTRAMUSCULAR INJECTION
Route
INTRAMUSCULAR INJECTION
Maximum Dose
500 mg
Combination Treatment
Yes

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