Description:
This is a Phase 1, 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.
In Part 1A, single escalating doses of PF-07220060 alone will be administered to determine
the maximum tolerated dose (MTD) and select the recommended phase 2 dose (RP2D).
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.
Part 1B and Part 1C may commence at MTD or before reaching the MTD at a dose level in Part
1A.
Part 2B and Part 2C are expansion for combination therapy of PF-07220060 with letrozole and
fulvestrant, respectively.
Title
- Brief Title: Study to Test the Safety and Tolerability of PF-07220060 in Participants With Advance Solid Tumors
- Official Title: A PHASE 1/1B 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
Clinical Trial IDs
- ORG STUDY ID:
C4391001
- SECONDARY ID:
2020-002938-33
- NCT ID:
NCT04557449
Conditions
- Liposarcoma
- CRC
- Prostate Cancer
- Breast Neoplasms
- Adenocarcinoma of Lung
- Solid Tumors
Interventions
Drug | Synonyms | Arms |
---|
PF-07220060 | | 1A Monotherapy Escalation Arm 1 |
Purpose
This is a Phase 1, 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.
In Part 1A, single escalating doses of PF-07220060 alone will be administered to determine
the maximum tolerated dose (MTD) and select the recommended phase 2 dose (RP2D).
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.
Part 1B and Part 1C may commence at MTD or before reaching the MTD at a dose level in Part
1A.
Part 2B and Part 2C are expansion for combination therapy of PF-07220060 with letrozole and
fulvestrant, respectively.
Trial Arms
Name | Type | Description | Interventions |
---|
1A Monotherapy Escalation Arm 1 | Experimental | PF-07220060 Monotherapy Escalation | |
1A Monotherapy Escalation Arm 2 | Experimental | PF-07220060 Monotherapy Escalation | |
1A Monotherapy Escalation Arm 3 | Experimental | PF-07220060 Monotherapy Escalation | |
1A Monotherapy Escalation Arm 4 | Experimental | PF-07220060 Monotherapy Escalation | |
1B Combination Dose Finding Arm 1 | Experimental | PF-07220060 with Letrozole combination Escalation | |
1B Combination Dose Finding Arm 2 | Experimental | PF-07220060 with Letrozole Combination Escalation | |
1C Combination Dose Finding Arm 1 | Experimental | PF-07220060 with Fulvestrant Combination Escalation | |
1C Combination Dose Finding Arm 2 | Experimental | PF-07220060 with Fulvestrant Combination Escalation | |
2B Combination Dose Expansion | Experimental | PF-07220060 with Letrozole Combination Expansion | |
2C Combination Dose Expansion | Experimental | PF-07220060 with fulvestrant Combination Expansion | |
1D Monotherapy Food Effect | Experimental | PF-07220060 Monotherapy Food Effect | |
1A Monotherapy Escalation Arm 5 | Experimental | PF-07220060 Monotherapy Escalation | |
Eligibility Criteria
Inclusion Criteria
- Part 1: Breast Cancer (BC)
- Refractory Hormone Receptor Positive (HR+), Human Epidermal Growth Factor
Receptor 2 Negative (HER2-) BC
- Part 1A/Part 1D also include: Refractory HR-positive/HER2-positive BC
- Part 1: Tumors other than BC (Part 1A/Part 1D): NSCLC, prostate, CRC, liposarcoma, or
tumors with previously confirmed CDK4 or CCND1 amplification according to local
standard tests
- Part 2:
- HR-positive/HER2-negative BC
- Patients who are either postmenopausal women or pre/peri-menopausal (Part 2C
only)
- Lesion:
- Part 1: evaluable lesion (including skin or bone lesion only)
- Part 2: measurable lesion per RECIST v1.1
- Prior systemic Treatment
- Part 1: HR-positive/HER2-negative BC
- At least 1 line of SOC, including CD4/6 inhibitor therapy for advanced or
metastatic disease, or if CDK4/6 inhibitors are not considered appropriate
in the opinion of the investigator
- At least 1 line of anti-endocrine in countries without CDK4/6 inhibitor
approval or reimbursement, for advanced or metastatic disease
- HR-positive/HER2-positive BC (Parts 1A/1D): at least 1 prior treatment of
approved HER2 targeting therapy
- Tumors other than BC (Parts 1A/1D): tumor that is resistant to at least 2
lines of SOC for advanced or recurrent disease or for which no standard
therapy is available
- Part 2B: participants who have not received any prior systemic anti-cancer
therapies for advanced/metastatic BC
- Part 2C:
- Progressed during treatment or within 12 months of completion of adjuvant
therapy with an aromatase inhibitor if postmenopausal, or tamoxifen if pre
or perimenopausal, or
- Progressed while on or within 1 month after the endo the prior aromatase
inhibitor therapy for advanced/metastatic BC if postmenopausal or prior
endocrine treatment for advanced/metastatic BC if pre or perimenopausal
- One previous line of chemotherapy for advanced/metastatic disease is allowed
in addition to endocrine therapy
General Inclusion Criteria
- All participants must be refractory to or intolerant of existing therapies known to
provide clinical benefit for their condition.
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1
- Adequate renal, liver, and bone marrow function
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
Maximum Eligible Age: | 99 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of participants with dose limiting toxicities in the Dose Escalation Portion |
Time Frame: | Baseline up to day 28 of Cycle 1. |
Safety Issue: | |
Description: | First cycle (28 days) dose limiting toxicities (Parts 1A, 1B, 1C) |
Secondary Outcome Measures
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | 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 |
Safety Issue: | |
Description: | Pharmacokinetic (PK) assessments for PF-07220060 (Parts 1A, 1B, 1C) |
Measure: | Tumor Response per RECIST v1.1 |
Time Frame: | baseline up to approximately 24 months |
Safety Issue: | |
Description: | Per RECIST v1.1 |
Measure: | Duration of Response (DOR) |
Time Frame: | baseline up to approximately 24 months |
Safety Issue: | |
Description: | Per RECIST v1.1 |
Measure: | Progression Free Survival (PFS) |
Time Frame: | baseline up to approximately 24 months |
Safety Issue: | |
Description: | PFS per RECIST v.1.1 |
Measure: | Time to Progression (TTP) |
Time Frame: | baseline up to approximately 24 months |
Safety Issue: | |
Description: | TTP per RECIST v1.1 |
Measure: | Clinical Benefit Rate (CBR) |
Time Frame: | baseline up to approximately 24 months |
Safety Issue: | |
Description: | CBR per RECIST v1.1 (Parts 2B, 2C) |
Measure: | 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 |
Safety Issue: | |
Description: | Peak and trough concentration (Parts 2B, 2C) |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Pfizer |
Last Updated
August 23, 2021