Clinical Trials /

Study to Test the Safety and Tolerability of PF-07220060 in Participants With Advance Solid Tumors

NCT04557449

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.

Related Conditions:
  • Breast Carcinoma
  • Colorectal Carcinoma
  • Liposarcoma
  • Lung Adenocarcinoma
  • Malignant Solid Tumor
  • Prostate Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

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

DrugSynonymsArms
PF-072200601A 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

NameTypeDescriptionInterventions
1A Monotherapy Escalation Arm 1ExperimentalPF-07220060 Monotherapy Escalation
  • PF-07220060
1A Monotherapy Escalation Arm 2ExperimentalPF-07220060 Monotherapy Escalation
  • PF-07220060
1A Monotherapy Escalation Arm 3ExperimentalPF-07220060 Monotherapy Escalation
  • PF-07220060
1A Monotherapy Escalation Arm 4ExperimentalPF-07220060 Monotherapy Escalation
  • PF-07220060
1B Combination Dose Finding Arm 1ExperimentalPF-07220060 with Letrozole combination Escalation
  • PF-07220060
1B Combination Dose Finding Arm 2ExperimentalPF-07220060 with Letrozole Combination Escalation
  • PF-07220060
1C Combination Dose Finding Arm 1ExperimentalPF-07220060 with Fulvestrant Combination Escalation
  • PF-07220060
1C Combination Dose Finding Arm 2ExperimentalPF-07220060 with Fulvestrant Combination Escalation
  • PF-07220060
2B Combination Dose ExpansionExperimentalPF-07220060 with Letrozole Combination Expansion
  • PF-07220060
2C Combination Dose ExpansionExperimentalPF-07220060 with fulvestrant Combination Expansion
  • PF-07220060
1D Monotherapy Food EffectExperimentalPF-07220060 Monotherapy Food Effect
  • PF-07220060
1A Monotherapy Escalation Arm 5ExperimentalPF-07220060 Monotherapy Escalation
  • PF-07220060

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