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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

Atirmociclib (PF-07220060)

Atirmociclib (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 LETROZOLE COMPARED TO CDK4/6 INHIBITOR PLUS LETROZOLE IN PARTICIPANTS OVER 18 YEARS OF AGE WITH HORMONE RECEPTOR (HR)-POSITIVE, HER2-NEGATIVE ADVANCED/METASTATIC BREAST CANCER WHO HAVE NOT RECEIVED ANY PRIOR SYSTEMIC ANTICANCER TREATMENT FOR ADVANCED/METASTATIC DISEASE (FOURLIGHT-3)

Phase 3

NCT06760637

Active enrolling

Globe

Locations

United States, Japan

Study design
Participant Group/Arm

EXPERIMENTAL: Arm A

PF-07220060 tablet taken by mouth plus Letrozole tablet taken by mouth

Intervention/Treatment

DRUG: PF-07220060

CDK4 inhibitor

DRUG: letrozole

endocrine therapy

Participant Group/Arm

ACTIVE_COMPARATOR: Arm B

Investigator's Choice of CDK4/6 inhibitor (tablet/capsule) taken by mouth with letrozole tablet taken by mouth

Intervention/Treatment

DRUG: letrozole

endocrine therapy

DRUG: abemaciclib

CDK4/6 inhibitor

DRUG: palbociclib

CDK4/6 inhibitor

DRUG: ribociclib

CDK4/6 inhibitor

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
  • Previously untreated with any systemic anticancer therapy for their locally advanced or metastatic disease.
  • Measurable disease or non-measurable bone only disease as defined by RECIST version 1.1
Exclusion criteria
  • In visceral crisis at risk of immediately life-threatening complications in the short term.
  • Current or past history of central nervous system metastases.
  • Have received prior (neo)adjuvant endocrine therapy (ET) and had recurrence during or within 12 months after the last dose of ET.
  • Have received prior (neo)adjuvant CDK4/6i and had recurrence during or within 12 months after the last dose of CDK4/6i.
  • Inadequate renal function, hepatic dysfunction, or hematologic abnormalities.
Key dates
Study start date
  • January 2025
Estimated Study Completion Date
  • December 2037
Key endpoints
Primary Outcome Measures
Outcome Measure

Progression Free Survival (PFS) by BICR

Measure Description

Time from the date of randomization to the date of the first documentation of objective progressive disease as determined by blinded independent central review (BICR) per RECIST v1.1, or death due to any cause, whichever occurs first

Time Frame

From the date of randomization until disease progression or death due to any cause (up to approximately 4 years)

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

Overall Survival (OS)

Measure Description

Time from the date of randomization to the date of death due to any cause

Time Frame

From the date of randomization until death due to any cause (up to approximately 13 years).

Outcome Measure

Progression Free Survival (PFS) by Investigator

Measure Description

Time from the date of randomization to the date of the first documentation of objective progressive disease as determined by investigator per RECIST v1.1, or death due to any cause, whichever occurs first

Time Frame

From the date of randomization until disease progression or death due to any cause (up to approximately 4 years)

Outcome Measure

OR by BICR and by investigator

Measure Description

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

Time Frame

From randomization to progression or death whichever occurs first (up to approximately 4 years)

Outcome Measure

Duration of Response (DoR) by BICR and by investigator

Measure Description

Time from the date of CR or PR to the first documentation of objective progressive disease, or death due to any cause, whichever occurs first

Time Frame

From the date of CR or PR until objective progressive disease, or death (up to approximately 4 years)

Outcome Measure

Incidence of treatment emergent treatment relatedadverse events (AE)

Measure Description

Incidence and severity of AEs graded according to the NCI CTCAE v5.0

Time Frame

Duration of the study approximately up to 13 years.

Outcome Measure

Incidence of treatment emergent treatment relatedserious adverse events

Measure Description

Incidence and severity of AEs graded according to NCI CTCAE v5.0

Time Frame

Duration of the study approximately up to 13 years.

Outcome Measure

Estimated mean change from baseline in EORTC QLQ C30

Measure Description

Time Frame

Baseline to end of treatment (up to approximately 4 years)

Outcome Measure

Estimated mean change from baseline in BPI-SF

Measure Description

Time Frame

Baseline to end of treatment (up to approximately 4 years)

Outcome Measure

Estimated mean change from baseline in EQ-5D-5L

Measure Description

Time Frame

Baseline to end of treatment (up to approximately 4 years)

Outcome Measure

Estimated mean change from baseline in EORTC Breast Cancer Module (BR42)

Measure Description

Time Frame

Baseline to end of treatment (up to approximately 4 years)

Outcome Measure

Mean change from baseline of ctDNA

Measure Description

Time Frame

Baseline to end of treatment (up to approximately 4 years)

Secondary Outcome Measures table for Clinical Trial
Number of participants

1020

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of January 16th 2025.

Contact Us
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For more information, call or email the Pfizer Clinical Trial Contact Center:

1-800-887-7002 Email us

When calling, please reference this study number:

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. NCT06760637