The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Clinical Trial Details

Geo Regions

Category

Breast Cancer

CDK4 Inhibitor

PF-07220060 is an investigational compound. Its safety and efficacy have not been established.

AN INTERVENTIONAL, OPEN-LABEL, RANDOMIZED, MULTICENTER PHASE 3 STUDY OF PF-07220060 PLUS FULVESTRANT COMPARED TO INVESTIGATOR'S CHOICE OF THERAPY IN PARTICIPANTS OVER 18 YEARS OF AGE WITH HORMONE RECEPTOR-POSITIVE, HER2-NEGATIVE ADVANCED/METASTATIC BREAST CANCER WHOSE DISEASE PROGRESSED AFTER PRIOR CDK 4/6 INHIBITOR-BASED THERAPY
Phase 3
NCT06105632

Active enrolling

Globe
Locations

United States, Argentina, Australia, Brazil, Canada, China, India, Israel, Japan, Korea, Republic of, Mexico, Taiwan, Turkey, United Kingdom

Study design

Participant Group/Arm

EXPERIMENTAL: Arm A

PF-07220060 to be taken by mouth as a tablet in combination with fulvestrant (a solution for injection)

Intervention/Treatment

DRUG: PF-07220060 CDK4 inhibitor

Experimental

DRUG: Fulvestrant

Experimental and Active comparator
Participant Group/Arm

ACTIVE_COMPARATOR: Arm B

Investigator's choice of therapy of either: * Fulvestrant alone (a solution for injection), or * Everolimus in combination with exemestane, both a tablet to be taken by mouth.

Intervention/Treatment

DRUG: Fulvestrant

Experimental and Active comparator

DRUG: Everolimus

Active Comparator

DRUG: Exemestane

Active Comparator
Study design table for Clinical Trial

Key eligibility criteria

Inclusion criteria
  • Histological 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.
  • Documented estrogen receptor (ER) and/or progesterone receptor (PR)- positive tumor
  • Documented HER2-negative tumor
  • Able to provide a sufficient amount of representative formalin fixed, paraffin embedded (FFPE) tumor tissue specimen.
  • Must have received CDK4/6i plus NSAI defined per study protocol. There must be documented PD during or after CDK4/6i treatment.
  • Measurable disease or non-measurable bone only disease as defined by RECIST version 1.1.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ≤2.
Exclusion criteria
  • Any medical or psychiatric condition that may increase the risk of study participation or make the participant inappropriate for the study.
  • In visceral crisis at risk of immediately life-threatening complications in the short term.
  • Known active uncontrolled or symptomatic central nervous system metastases, carcinomatous meningitis, or leptomeningeal disease.
  • Prior treatment with any of the following:
  • Everolimus or investigational anti-cancer agents in any setting
  • Prior chemotherapy in the advanced setting
  • Radiation within 2 weeks of randomization
  • Current use or anticipated need for any prohibited food, supplements or concomitant medication(s) (ie, other anti-cancer therapies, other endocrine therapies, growth factors, chronic systemic corticosteroids, strong cytochrome P450 3A4/5 \[CYP3A4/5\] or uridine 5' diphosphate-glucuronosyltransferase 2B7 \[UGT2B7\] inhibitors and inducers, direct oral anticoagulants, proton pump inhibitors).
  • Inadequate renal function, hepatic dysfunction, or hematologic abnormalities.

Key dates

Study start date
  • January 2024
Estimated primary completion date
  • December 2028

Key endpoints

Primary Outcome Measures
Outcome Measure

Progression-Free Survival (PFS) progression, as determined by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

Measure Description

Time Frame

From Initiation up to 2 years

Primary Outcome Measures table for Clinical Trial
Secondary Outcome Measures:
Outcome Measure

Overall Survival (OS)

Measure Description

Time Frame

Time from the date of randomization to the date of death due to any cause up to approximately 5 years

Outcome Measure

PFS as defined by investigator

Measure Description

Time Frame

Time from the date of randomization up to approximately 2 years

Outcome Measure

OR by BICR and by investigator per RECIST v1.1

Measure Description

Time Frame

Time From randomization date (every 8 weeks during the first 48 weeks and then every 12 weeks) to the date of progression OR death whichever occurs first (up to approximately 2 years)

Outcome Measure

Duration of Response (DOR) as define by Blinded Independent Central Review (BICR) and by investigator per RECIST v1.1

Measure Description

Time Frame

From the date of the first objective response (every 8 weeks during the first 48 weeks and then every 12 week) up to approximately 2 years.

Outcome Measure

Number of Participants With Clinical Benefit Response (CBR) by BICR and by investigator per RECIST v1.1

Measure Description

Time Frame

From randomization date (every 8 weeks during the first 48 weeks and then every 12 weeks) up to approximately 2 years

Outcome Measure

Number or Patients with Adverse Events (AEs) by Type

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 3 years

Outcome Measure

Number or Patients with AEs by Incidence

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 3 years

Outcome Measure

Number or Patients with AEs by Seriousness

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 3 years

Outcome Measure

Number or Patients with AEs by relationship to study interventions

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 3 years

Outcome Measure

Number of Participants With Abnormal Electrocardiogram (ECG)

Measure Description

Time Frame

From baseline to approximately 2 years

Outcome Measure

Number of Participants With Laboratory Test Abnormalities

Measure Description

Time Frame

From screening until 28 days after the last dose to approximately 2 years

Outcome Measure

EQ-5D-5L

Measure Description

Time Frame

Screening Days 1, 15 of Cycle 1 and 2, Day 1 of Cycles 3-6, then Day 1 of every other subsequent Cycle starting with Cycle 8 (eg, Cycles 8, 10, 12, etc), EoT and Safety FU until 28 days after the last dose to approximately 2 years. Each Cycle is 28 days

Outcome Measure

EORTC QLQ

Measure Description

Time Frame

Screening Days 1, 15 of Cycle 1 and 2, Day 1 of Cycles 3-6, then Day 1 of every other subsequent Cycle starting with Cycle 8 (eg, Cycles 8, 10, 12, etc), EoT and Safety FU until 28 days after the last dose to approximately 2 years. Each Cycle is 28 days

Outcome Measure

EORTC QLQ Breast Cancer Module 23 (BR23)

Measure Description

Time Frame

Screening Days 1, 15 of Cycle 1 and 2, Day 1 of Cycles 3-6, then Day 1 of every other subsequent Cycle starting with Cycle 8 (eg, Cycles 8, 10, 12, etc), EoT and Safety FU until 28 days after the last dose to approximately 2 years. Each Cycle is 28 days

Outcome Measure

Ctrough of PF-07220060

Measure Description

Time Frame

Cycle 1 (Day 15), Cycle 2 (Day 1), and Cycle 3 (Day 1). Each Cycle is 28 days

Secondary Outcome Measures table for Clinical Trial

Number of participants

500

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of August 19th 2024.
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More Information Close NCT# stands for National Clinical Trial number. This is a unique identification code given to each clinical trial registered on ClinicalTrials.gov. The format is "NCT" followed by an 8-digit number (for example, NCT00000419). Also called the ClinicalTrials.gov identifier. NCT06105632