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Une étude pour en savoir plus sur le médicament à l'étude PF-07934040 lorsqu'il est administré seul ou avec d'autres thérapies anticancéreuses chez les personnes atteintes de tumeurs solides avancées présentant une mutation génétique.

9 octobre 2026 mis à jour par: Pfizer

Une étude ouverte de phase 1 sur le PF-07934040 en monothérapie et en association avec d'autres agents ciblés chez des participants atteints de tumeurs solides avancées hébergeant des mutations dans le gène KRAS

The purpose of this study is to learn about the safety and effects of the study medicine alone or when given together with other anti-cancer therapies. This study also aims to find the best dose.

This study is seeking participants who have solid tumors (a mass of abnormal cells that forms a lump or growth in the body) that:

  • are advanced (cancer that doesn't disappear or stay away with treatment) and
  • have a KRAS gene mutation (a change in the DNA of the KRAS gene that can cause cells to grow in very high numbers).

This includes (but limited to) the following cancer types:

Non-Small Cell Lung Cancer (NSCLC): It's a type of lung cancer where the cells grow slowly but often spread to other parts of the body.

Colorectal Cancer (CRC): This is a disease where cells in the colon (a part of large intestine) or rectum grow out of control.

Pancreatic ductal adenocarcinoma (PDAC): This is a cancer that starts in the ducts of the pancreas but can spread quickly to other parts of the body. Pancreas is a long, flat gland that lies in the abdomen behind the stomach. Pancreas creates enzymes that help with digestion. It also makes hormones that can help control your blood sugar levels.

All participants in this study will take the study medication (PF-07934040) as pill by mouth twice a day repeating for 21-day or 28-day cycles.

Depending on which part of the study participants are enrolled into they will receive the study medication (PF-07934040 alone or in combination with other anti-cancer medications). These anti-cancer medications will be given in the study clinic by intravenous (IV) that is directly injected into the veins at various times (depending on the treatment) during the 21-day or 28-day cycle.

Participants can continue to take the study medication (PF-07934040) and the combination anti-cancer therapy until their cancer is no longer responding.

The study will look at the experiences of people receiving the study medicines. This will help see if the study medicines are safe and effective.

Participants will be involved in this study for up to 4 years. During this time, they will come into the clinic between 1 to 4 times in each 21-day or 28-day cycle. After they have stopped taking the study medication (at about at 2 years) they will be followed for another two years to see how they are doing.

Aperçu de l'étude

Type d'étude

Interventionnel

Inscription (Réel)

64

Phase

  • La phase 1

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

      • Rio Piedras, Porto Rico, 00935
        • Pan American Center for Oncology Trials, LLC
    • Arkansas
      • Fayetteville, Arkansas, États-Unis, 72703
        • Highlands Oncology Group, PA
      • Rogers, Arkansas, États-Unis, 72758
        • Highlands Oncology Group, PA
      • Springdale, Arkansas, États-Unis, 72762
        • Highlands Oncology Group
    • California
      • Duarte, California, États-Unis, 91010
        • City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
      • Duarte, California, États-Unis, 91010
        • City of Hope Investigational Drug Service (IDS)
    • Colorado
      • Aurora, Colorado, États-Unis, 80045
        • University of Colorado Hospital - Anschutz Outpatient Pavilion
      • Aurora, Colorado, États-Unis, 80045
        • University of Colorado Hospital - Anschutz Inpatient Pavilion (AIP)
      • Aurora, Colorado, États-Unis, 80045
        • University of Colorado Hospital- Anschutz Cancer Pavilion (ACP)
      • Aurora, Colorado, États-Unis, 80045
        • University of Colorado Hospital
    • District of Columbia
      • Washington D.C., District of Columbia, États-Unis, 20016
        • Sibley Memorial Hospital
    • Michigan
      • Grand Rapids, Michigan, États-Unis, 49546
        • START Midwest
    • Missouri
      • City of Saint Peters, Missouri, États-Unis, 63376
        • Siteman Cancer Center - St Peters
      • Creve Coeur, Missouri, États-Unis, 63141
        • Siteman Cancer Center - West County
      • Florissant, Missouri, États-Unis, 63031
        • Siteman Cancer Center - North County
      • St Louis, Missouri, États-Unis, 63110
        • Barnes-Jewish Hospital
      • St Louis, Missouri, États-Unis, 63110
        • Washington University School of Medicine
      • St Louis, Missouri, États-Unis, 63129
        • Siteman Cancer Center - South County
      • St Louis, Missouri, États-Unis, 63108
        • Siteman Cancer Center
    • North Carolina
      • Durham, North Carolina, États-Unis, 27710
        • Duke University Medical Center
      • Durham, North Carolina, États-Unis, 27710
        • Duke University Medical Center, lnvestigational Chemotherapy Service
    • Ohio
      • Cincinnati, Ohio, États-Unis, 45219
        • University of Cincinnati Medical Center
      • Cleveland, Ohio, États-Unis, 44195
        • Cleveland Clinic Taussig Cancer Center
      • West Chester, Ohio, États-Unis, 45069
        • West Chester Hospital
    • Rhode Island
      • Providence, Rhode Island, États-Unis, 02903
        • Rhode Island Hospital
      • Providence, Rhode Island, États-Unis, 02906
        • Miriam Hospital
    • Texas
      • Houston, Texas, États-Unis, 77030
        • University of Texas MD Anderson Cancer Center

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans et plus (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Histological or cytological diagnosis of advanced, unresectable, and/or metastatic or relapsed/refractory solid tumor.

ECOG PS 0 or 1

  • Presence of at least 1 measurable lesion based on RECIST version 1.1 that has not been previously irradiated.

  • Documentation of mutated KRAS gene

    1. PDAC, CRC, Other tumor types: Confirmed KRAS mutation, any variant
    2. NSCLC: Confirmed KRAS mutation, any variant except previously treated G12C. If driver mutation, must have failed precision medicine therapy [eg, inhibitors of epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), c-ros oncogene 1 (ROS1), and others].
  • Part 1 and Part 2a: Participant must have progressed on standard treatment(s) for which no additional, effective therapy is available.

    1. PDAC (2-3L): Participants must have received and radiologically progressed on prior lines of systemic therapy for metastatic pancreatic adenocarcinoma. If participants received prior neoadjuvant or adjuvant chemotherapy and progressed within 6 months of the last dose, then this should be considered as a prior line of systemic therapy.
    2. NSCLC (2-3L): Participants must have received prior lines of anti-cancer treatment and progressed on at least a platinum-containing chemotherapy regimen or ICI. Participants may have had only one or two prior lines of therapy in the advanced/metastatic setting. For participants with EGFR, ALK, or other genomic tumor alterations, participants must have progressed on approved therapy for these alterations.
    3. CRC (2-3L): Participants must have had one or two prior lines of therapy for mCRC. For either one or two prior treatments, these regimens must have included a fluoropyrimidine, oxaliplatin, and/or irinotecan for one prior treatment, exposure to VEGF/VEGF receptor (VEGFR) inhibitor is optional;
    4. Other tumors: Participants, in the judgment of the investigator, must have progressed or become intolerant to all available standard therapies, or have refused such therapy.
  • Part 2b:

    1. PDAC (1L) Cohort A2: Participants must not have received prior chemotherapy for metastatic disease. Participant could have received neoadjuvant therapy, adjuvant therapy, or adjuvant chemo-radiotherapy. If relapse occurred within 6 months of last dose of adjuvant treatment or neoadjuvant therapy, the participant would be considered 2L, and not 1L.
    2. CRC (2-3L) Cohort B2: Participants must have had one or two prior systemic treatment regimens for mCRC. For either one or two prior treatments, these regimens must have included a fluoropyrimidine, irinotecan, oxaliplatin; for one prior treatment, exposure to a VEGF/VEGF receptor (VEGFR) inhibitor is optional.
    3. CRC (1L) Cohort B3/B4: Participants must not have received prior therapy for metastatic disease and not be a candidate for other targeted therapy or immunotherapy. Participant could have received neoadjuvant therapy, adjuvant therapy, or adjuvant chemo-radiotherapy. If relapse occurred within 6 months of last dose of adjuvant or neoadjuvant therapy, then the participant would be considered 2L, and not 1L.
    4. NSCLC (1L) Cohort C2: Participants must have a TPS ≥50% and must not have received prior systemic treatment setting.
    5. NSCLC (1L) Cohort C3: Participants with any TPS and must not have received prior systemic treatment setting.

Exclusion Criteria:

  • Active or history of pneumonitis/ILD or pulmonary fibrosis requiring treatment with systemic steroid therapy.

  • Diagnosis of immunodeficiency or an active autoimmune disease that require systemic treatment with chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy in the past 2 years.

  • Sensory peripheral neuropathy ≥Grade 2

  • Active or history of clinically significant gastrointestinal (GI) disease (including but not limited to inflammatory GI disease [eg, ulcerative colitis, Crohn's disease, inflammatory bowel disease], immune-mediated colitis, peptic ulcer disease, GI bleeding, chronic diarrhea) and other conditions that are unresolved and/or may increase the risk associated with study participation or study treatment administration.

  • Active bleeding disorder, including GI bleeding, as evidenced by hematemesis, significant hemoptysis or melena in the past 6 months.

  • Major surgery or completion of radiation therapy ≤4 weeks prior to enrollment/randomization or radiation therapy that included >30% of the bone marrow.

  • Known sensitivity or contraindication to any component of study intervention (PF 07934040, gemcitabine, nab-paclitaxel, cetuximab, bevacizumab, FOLFOX, 5-FU, pembrolizumab, cisplatin, carboplatin, pemetrexed, SHP2 inhibitor(s), cyclin-dependent kinase (CDK) inhibitor(s), antibody drug conjugates (ADCs) or EGFR inhibitor(s)).

  • Hematologic abnormalities.

  • Renal impairment.

    • Hepatic abnormalities.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Non randomisé
  • Modèle interventionnel: Affectation séquentielle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Part 1

PF-07934040 Monotherapy Dose Escalation PF-07934040 monotherapy at prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040
Expérimental: Part 2a Cohort A1

Monotherapy dose expansion in 2-3L PDAC. PF-07934040 at prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040
Expérimental: Part 2a Cohort B1

Monotherapy dose expansion in 2-3L CRC. PF-07934040 at prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040
Expérimental: Part 2a Cohort C1

Monotherapy dose expansion in 2-3L NSCLC. PF-07934040 at prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040
Expérimental: Part 2a Cohort D1

Monotherapy dose expansion in Other Indications. PF-07934040 at prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040
Expérimental: Part 2b Cohort A2

Combination (PF-07934040 + Gemcitabine + Nab-paclitaxel) dose escalation/expansion in 1L PDAC.

Prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040

Chemotherapy (antimetabolite)

Autres noms:
  • Gemzar

Taxane-type Chemotherapy

Autres noms:
  • Abraxane
Expérimental: Part 2b Cohort B2

Combination (PF-07934040 + Cetuximab) dose escalation/expansion in 2-3L CRC

Prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040

Monoclonal Antibody (EGFR Inhibitor)

Autres noms:
  • Erbitux
Expérimental: Part 2b Cohort B3

Combination (PF-07934040 + FOLFOX + Bevacizumab) dose escalation/expansion in 1L CRC

Prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040

Part of FOLFOX chemotherapy regimen

cytotoxic chemotherapy (antimetabolite and pyrimidine analog)

Autres noms:
  • 5-FU
  • 5-fluorouracile

Part of FOLFOX Chemotherapy Regimen

platinum based compound (alkylating agent)

Autres noms:
  • Eloxatine

Part of FOLFOX chemotherapy regimen

Folic Acid Analog

Autres noms:
  • Wellcovorine
  • Acide folinique
  • folinate de calcium
  • Leucovorine calcique

VEG-F inhibitor

Autres noms:
  • Avastin
  • Zirabev
Expérimental: Part 2b Cohort B4

Combination (PF-07934040 + FOLFOX + Cetuximab) dose escalation/expansion in 1L CRC

Prescribed dose and frequency in 28-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040

Monoclonal Antibody (EGFR Inhibitor)

Autres noms:
  • Erbitux

Part of FOLFOX chemotherapy regimen

cytotoxic chemotherapy (antimetabolite and pyrimidine analog)

Autres noms:
  • 5-FU
  • 5-fluorouracile

Part of FOLFOX Chemotherapy Regimen

platinum based compound (alkylating agent)

Autres noms:
  • Eloxatine

Part of FOLFOX chemotherapy regimen

Folic Acid Analog

Autres noms:
  • Wellcovorine
  • Acide folinique
  • folinate de calcium
  • Leucovorine calcique
Expérimental: Part 2b Cohort C2

Combination (PF-07934040 + Pembro or Sasanlimab) dose escalation/expansion in 1L NSCLC (TPS ≥ 50%)

Prescribed dose and frequency in 21-day cycles (for pembro) or 28-day cycles (for sasanlimab)

panKRAS inhibitor

Autres noms:
  • PF-4040

immune checkpoint inhibitor (PD-1 inhibitor)

Autres noms:
  • Keytruda
  • MK-3475
  • Lambrolizumab
  • Pembro

immune checkpoint inhibitor (PD-1 inhibitor)

Autres noms:
  • PF-06081591
Expérimental: Part 2b Cohort C3

Combination (PF-07934040 + Pembro + Platinum Chemo) dose escalation/expansion in 1L NSCLC (any TPS)

Prescribed dose and frequency in 21-day cycles

panKRAS inhibitor

Autres noms:
  • PF-4040

immune checkpoint inhibitor (PD-1 inhibitor)

Autres noms:
  • Keytruda
  • MK-3475
  • Lambrolizumab
  • Pembro

Can be used in Platinum-based Chemotherapy regimen

Antimetabolite

Autres noms:
  • Alimta

Can be used as part of Platinum-based chemotherapy regimen

Platinum-based antineoplastic (alkylating agent)

Autres noms:
  • Cisplatine
  • Platinol
  • néoplatine

Can be used in Platinum-based chemotherapy regimen

Taxane

Autres noms:
  • Taxol
  • Onxol

Can be used as part of a platinum-based chemotherapy regimen

platinum containing compound (alkylating agent)

Autres noms:
  • Paraplatine
  • Stricarbe

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Part 1 & 2: Incidence of Adverse Events (AEs)
Délai: Start of treatment up to 30 days after last dose or start of new anticancer therapy (whichever occurs first)

An adverse event (AE) was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship to it. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/ incapacity; congenital anomaly. AEs included both serious and all non-serious AEs.

Start of treatment up to 30 days after last dose or start of new anticancer therapy (whichever occurs first)
PART 1 & 2: Number of participants with laboratory abnormalities
Délai: From start of treatment up to 30 days after last dose or start of new anticancer therapy, whichever occurred first

Number of participants with laboratory test abnormalities. Laboratory test parameters included hematology, coagulation, liver function, renal function, electrolytes, clinical chemistry, and urinalysis (dipstick and microscopy).

From start of treatment up to 30 days after last dose or start of new anticancer therapy, whichever occurred first
Part 1: Number of participants with Dose-limiting toxicities (DLT)
Délai: Baseline up to 28 days

Any of the prespecified AEs that are attributable to one, the other, or both study treatments, occurring in the DLT observation period are considered DLTs, excluding toxicities clearly due to underlying disease or extraneous causes

Baseline up to 28 days
Part 2: Objective Response - Number of Participants With Objective Response (alone or in combination)
Délai: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion, approximately 2 years'

Percentage of participants with objective response-based assessment of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST v1.1) for overall response rate (ORR), progression free survival (PFS), and overall survivor (OS) assessed by the Investigator.

Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion, approximately 2 years'

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Part 1 & 2: Maximum Observed Serum Concentration (Cmax)
Délai: baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)

Evaluate the single and multiple dose PK of PF-07934040 as monotherapy, or in combination with other anti-tumor agents.

baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)
Part 1& 2: Time to Reach Maximum Observed Serum Concentration (Tmax)
Délai: Baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)

Evaluate the single and multiple dose PK of PF-07934040 as monotherapy, or in combination with other anti-tumor agents.

Baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)
Part 1 & 2: Serum Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
Délai: Baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)

Evaluate the single and multiple dose PK of PF-07934040 as monotherapy, or in combination with other anti-tumor agents.

Baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)
Part 1 & 2: Changes in pERK levels
Délai: Baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)

Evaluates the intended mechanism of action (MoA) modulation of KRAS inhibition and target engagement effect of PF-07934040 in peripheral blood of participants with advanced solid tumor malignancies.

Baseline through end of Cycle 1 (All cycles are 28 days except part 2b Cohort C2 which are 21 days)
Part 1: Objective Response - Number of Participants With Objective Response
Délai: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion, approximately 2 years

Percentage of participants with objective response-based assessment of complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumors (RECIST v1.1) assessed by the Investigator including overall response rate (ORR), progression free survival (PFS), and overall survival (OS).

Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion, approximately 2 years
Part 1: Effect of Food on Cmax
Délai: Baseline through end of Cycle 1 (All cycles are 28 days)

Evaluate the effect of food on Cmax of PF-07934040 as monotherapy.

Baseline through end of Cycle 1 (All cycles are 28 days)
Part 1: Effect of Food on Tmax
Délai: Baseline through end of Cycle 1 (All cycles are 28 days)

Evaluate the effect of food on Tmax of PF-07934040 as monotherapy.

Baseline through end of Cycle 1 (All cycles are 28 days)
Part 1: Effect of Food on AUClast
Délai: Baseline through end of Cycle 1 (All cycles are 28 days)

Evaluate the effect of food on AUClast of PF-07934040 as monotherapy.

Baseline through end of Cycle 1 (All cycles are 28 days)

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Les enquêteurs

  • Directeur d'études: Pfizer CT.gov Call Center, Pfizer

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

27 juin 2024

Achèvement primaire (Estimé)

9 octobre 2026

Achèvement de l'étude (Estimé)

9 octobre 2026

Dates d'inscription aux études

Première soumission

29 mai 2024

Première soumission répondant aux critères de contrôle qualité

6 juin 2024

Première publication (Réel)

7 juin 2024

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

13 octobre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

9 octobre 2026

Dernière vérification

1 octobre 2026

Plus d'information

Termes liés à cette étude

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • C5421001
  • NCT06447662 (Identificateur de registre: ClinicalTrials.gov)

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Description du régime IPD

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Oui

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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