Clinical Trials /

Study of PF-07265807 in Participants With Metastatic Solid Tumors.

NCT04458259

Description:

A First-in-Human Pharmacokinetic, Safety, and Tolerability Study of PF-07265807 as Monotherapy and in Combination in Participants with Advanced or Metastatic Solid Tumors

Related Conditions:
  • Adenocarcinoma of the Gastroesophageal Junction
  • Clear Cell Renal Cell Carcinoma
  • Colorectal Carcinoma
  • Gastric Adenocarcinoma
  • Malignant Solid Tumor
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of PF-07265807 in Participants With Metastatic Solid Tumors.
  • Official Title: A PHASE 1, OPEN-LABEL, MULTI-CENTER, DOSE-FINDING, PHARMACOKINETIC, SAFETY AND TOLERABILITY STUDY OF PF 07265807 IN PARTICIPANTS WITH SELECTED ADVANCED OR METASTATIC SOLID TUMOR MALIGNANCIES

Clinical Trial IDs

  • ORG STUDY ID: C4201002
  • SECONDARY ID: ARRAY-067-102
  • SECONDARY ID: 2021-004270-59
  • NCT ID: NCT04458259

Conditions

  • Neoplasm Metastasis

Interventions

DrugSynonymsArms
PF-07265807ARRY-067Doublet Dose Escalation: Part 2
SasanlimabPF-06801591; RN-888Doublet Dose Escalation: Part 2
AxitinibAG-013736; InlytaExpansion Phase: Part 4, Cohort 4

Purpose

A First-in-Human Pharmacokinetic, Safety, and Tolerability Study of PF-07265807 as Monotherapy and in Combination in Participants with Advanced or Metastatic Solid Tumors

Trial Arms

NameTypeDescriptionInterventions
Monotherapy Dose Escalation: Part 1ExperimentalMonotherapy dose escalation of PF-07265807 in participants with select tumor types.
  • PF-07265807
Doublet Dose Escalation: Part 2ExperimentalDoublet combination dose escalation of PF-07265807 with sasanlimab in participants with select tumor types. PF-07265807 will dose escalate. Sasanlimab dose will stay constant.
  • PF-07265807
  • Sasanlimab
Triplet Dose Escalation: Part 3ExperimentalTriplet combination dose escalation of PF-07265807 with sasanlimab plus axitinib in participants with RCC. PF-07265807 will dose escalate. Sasanlimab dose will stay constant. Axitinib dose will follow label.
  • PF-07265807
  • Sasanlimab
  • Axitinib
Expansion Phase: Part 4, Cohort 1ExperimentalPF-07265807 monotherapy in participants with METex14 mutant NSCLC.
  • PF-07265807
Expansion Phase: Part 4, Cohort 2ExperimentalPF-07265807 with sasanlimab in participants with MSS CRC
  • PF-07265807
  • Sasanlimab
Expansion Phase: Part 4, Cohort 3ExperimentalPF-07265807 with sasanlimab in participants with PD-L1+ gastric cancer/GEJ
  • PF-07265807
  • Sasanlimab
Expansion Phase: Part 4, Cohort 4ExperimentalPF-07265807 with sasanlimab plus axitinib in participants with RCC
  • PF-07265807
  • Sasanlimab
  • Axitinib

Eligibility Criteria

        Inclusion Criteria:

          -  At least one measurable (Parts 1-4) or non-measurable lesion (Parts 1-3), not
             previously irradiated, as defined by RECIST 1.1

          -  ECOG Performance Status 0 or 1, 2 with approval

          -  Adequate Bone Marrow Function

          -  Adequate Renal Function

          -  Adequate Liver Function

          -  Resolved acute effects of any prior therapy

          -  Able to provide adequate archival tumor tissue or freshly obtained tumor tissue (some
             participants will require mandatory pre- and on-treatment biopsy is part of the
             biomarker cohort).

          -  Life expectancy of at least 3 months.

          -  Part 1 and Part 2: Participants who are intolerant or resistant to standard treatment
             for selected solid tumors.

          -  Part 3: Participants with advanced/metastatic RCC with a clear cell component and
             progressed with no standard therapy available.

          -  Part 4, Cohort 1: Participants with NSCLC with METex14-skipping alteration(s) and
             progressed on at least 1 prior therapy.

          -  Part 4, Cohort 2: Participants with MSS CRC with intermediate TMB and progressed with
             no satisfactory alternative treatment available, but has not received prior treatment
             with an anti-PD-(L)1 therapy.

          -  Part 4, Cohort 3: Participants with metastatic gastric or GEJ adenocarcinoma that is
             PD-L1 positive that has progressed on at least 2 but no more than 3 prior chemotherapy
             regiments, but has not received prior treatment with an anti-PD-(L)1 therapy.

          -  Part 4, Cohort 4: Participants with metastatic RCC with a clear cell component with
             IMDC intermediate or poor risk that have not received any prior systemic therapy for
             metastatic disease.

        Exclusion Criteria:

          -  Known active uncontrolled or symptomatic CNS metastases.

          -  Any other active malignancy within 2 years prior to enrollment.

          -  Major surgery within 6 weeks, radiation therapy within 4 weeks, systemic anti-cancer
             therapy within 2 week or 5 half-lives (4 weeks or 5 half-lives for antibody therapies
             or investigational drug(s) taken on another study) prior to study entry.

          -  Active or history of autoimmune disease requiring >10mg/day prednisone or other
             concurrent immunosuppressive therapy.

          -  Active, uncontrolled infection (controlled HBV, HCV, HIV/AIDS may be allowed) as
             defined in protocol.

          -  Retinal or other serious ophthalmic disorders as defined in protocol.

          -  Clinically significant cardiac disease as defined in protocol.

          -  Uncontrolled HTN that cannot be controlled by medications.

          -  Inability to consume or absorb study drug.

          -  Known or suspected hypersensitivity to PF-07265807.

          -  Prohibited concomitant medications as defined in protocol.

          -  Active inflammatory GI disease, uncontrollable chronic diarrhea, or previous gastric
             resection or lap band surgery affecting absorption.

          -  Active bleeding disorder.

        For Part 2, Part 3, and Part 4, Cohorts 2-4:

          -  Known history of non-infectious pneumonitis that required steroid treatment or current
             pneumonitis.

          -  Discontinuation of prior checkpoint inhibitor for treatment-related toxicity.

          -  Experienced >= G3 treatment-related irAE with prior PD-(L)1 agent.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Parts 1, 2, and 3: Number of participants with dose limiting toxicities (DLTs)
Time Frame:Baseline through day 21 or 42
Safety Issue:
Description:DLTs will be evaluated during the first cycle (day 21) or two cycles (day 42). The number of DLTs will be used to determine the maximum tolerated dose (MTD)

Secondary Outcome Measures

Measure:Parts 1, 2, and 3: Maximum plasma concentration (Cmax) and dose normalized (Cmax(dn))
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:Single dose (Cmax / Cmax(dn)) and multiple dose (assuming steady state is achieved; Cmax,ss / Cmax,ss(dn)) pharmacokinetic (PK) parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Time to reach maximum plasma concentration (Tmax)
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:Single dose (Tmax) and multiple dose (assuming steady state is achieved; Tmax,ss) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Minimum plasma concentration (Cmin)
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:Single dose (Cmin) and multiple dose (assuming steady state is achieved; Cmin,ss) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Average observed concentration (Cavg)
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:Single dose (Cavg) and multiple dose (assuming steady state is achieved; Cavg,ss) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Area under the curve from the time of dose to the last measurable concentration (AUClast) and dose normalized (AUClast(dn))
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:Single dose (AUClast and AUClast(dn)) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Area under the curve from the time of dose to the time of the subsequent dose (AUCtau) and dose normalized (AUCtau(dn))
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:Multiple dose assuming steady state is achieved (AUCtau,ss and AUCtau,ss(dn)) and single dose (as data permits; AUCtau) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Terminal elimination half-life (t1/2)
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:As data permits, single dose (t1/2) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Area under the curve from the time of dose extrapolated to infinity (AUCinf) and dose normalized (AUCinf(dn))
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:As data permits, single dose (AUCinf and AUCinf(dn)) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Apparent oral clearance (CL/F)
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:Single dose (CL/F) and multiple dose (as data permits) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Apparent terminal volume of distribution (Vz/F)
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:As data permits, single dose (Vz/F) and multiple dose (Vss/F) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: Accumulation ratio area under the curve (Rac,auc) and of maximum observed concentration (Rac,cmax)
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 0.5,1,2,4,8 and 24 hours post dose; Day 7 predose and 2 hours post dose; Cycle 2 Days 1 and 14, predose and 2 hours post dose; Cycles 3-6 Days 1 and 14 predose
Safety Issue:
Description:As data permits, multiple dose (Rac,auc and Rac,cmax) pharmacokinetic parameters of PF-07265807, its metabolite, sasanlimab, or axitinib
Measure:Parts 1, 2, and 3: ORR
Time Frame:Baseline through approximately 2 years
Safety Issue:
Description:Response will be evaluable via radiographical tumor assessment by RECIST v1.1
Measure:Part 4: Number of participants with treatment emergent AEs
Time Frame:Baseline through approximately 2 years
Safety Issue:
Description:AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy
Measure:Part 4: Number of participants with laboratory abnormalities
Time Frame:Baseline through approximately 2 years
Safety Issue:
Description:Laboratory abnormalities as characterized by type, frequency, severity, and timing
Measure:Part4: PF-07265807 and its metabolite Pharmacokinetic (PK) concentration
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 2, and 4 hours post dose. Day 7 predose and 2 hours post dose; Cycles 2-6 Days 1 and 14: predose
Safety Issue:
Description:PK concentrations of PF-07265807 and its metabolite: Predose/trough concentration (Ctrough)
Measure:Part4: PF-07265807 and its metabolite PK concentration
Time Frame:Each cycle is 21 days. Cycle 1 Days 1 and 14, predose, 2, and 4 hours post dose. Day 7 predose and 2 hours post dose; Cycles 2-6 Days 1 and 14: predose
Safety Issue:
Description:PK concentrations of PF-07265807 and its metabolite: Post dose concentration (Cmax)
Measure:Part 4, Cohorts 2-4: Sasanlimab PK concentration
Time Frame:Each cycle is 21 days. Cycle 1 Days 1, 7, and 14: predose; Cycles 2-6 Day 1: predose.
Safety Issue:
Description:PK concentrations of sasanlimab: predose/trough concentration (Ctrough)
Measure:Part 4, Cohort 4: Axitinib PK concentration
Time Frame:Each cycle is 21 days. Cycle 1 Day 1: predose; Cycle 1 Day 14: predose, 2, and 4 hours post dose
Safety Issue:
Description:PK concentrations of axitinib: predose/trough concentration (Ctrough)
Measure:Immunogenicity of sasanlimab when given in combination
Time Frame:Each cycle is 21 days. Cycle 1 Day 1 predose; Cycle 6 Day 1 predose; Cycle 13 Day 1 predose; and then Day 1 every 6 cycles
Safety Issue:
Description:Incidence and titer of anti-sasanlimab ADA response
Measure:Duration of Response
Time Frame:Baseline through approximately 2 years
Safety Issue:
Description:Response will be evaluable via radiographical tumor assessment by RECIST v1.1
Measure:Disease Control Rate
Time Frame:Baseline through approximately 2 years
Safety Issue:
Description:Response will be evaluable via radiographical tumor assessment by RECIST v1.1
Measure:Progression Free Survival
Time Frame:Baseline through approximately 2 years
Safety Issue:
Description:Response will be evaluable via radiographical tumor assessment by RECIST v1.1

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Pfizer

Trial Keywords

  • TAMK (TAM kinase)
  • MER (mer proto-oncogene)
  • MERTK (mer proto-oncogene tyrosine kinase)
  • AXL (AXL receptor tyrosine kinase)
  • AXL/MER
  • selective kinase inhibitor
  • PD-1 (programmed cell death protein 1)
  • PD-L1 (programmed cell death ligand 1)
  • immune modulator

Last Updated

August 31, 2021