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En studie for å lære om studiemedisinen PF-07934040 når den gis alene eller sammen med andre anti-kreftterapier hos personer med avanserte solide svulster som har en genetisk mutasjon.

9. oktober 2026 oppdatert av: Pfizer

En fase 1 åpen studie av PF-07934040 som enkeltmiddel og i kombinasjon med andre målrettede midler hos deltakere med avanserte solide svulster som har mutasjoner i KRAS-genet

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.

Studieoversikt

Studietype

Intervensjonell

Registrering (Faktiske)

64

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Sekvensiell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Part 1

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

panKRAS inhibitor

Andre navn:
  • PF-4040
Eksperimentell: Part 2a Cohort A1

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

panKRAS inhibitor

Andre navn:
  • PF-4040
Eksperimentell: Part 2a Cohort B1

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

panKRAS inhibitor

Andre navn:
  • PF-4040
Eksperimentell: Part 2a Cohort C1

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

panKRAS inhibitor

Andre navn:
  • PF-4040
Eksperimentell: Part 2a Cohort D1

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

panKRAS inhibitor

Andre navn:
  • PF-4040
Eksperimentell: 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

Andre navn:
  • PF-4040

Chemotherapy (antimetabolite)

Andre navn:
  • Gemzar

Taxane-type Chemotherapy

Andre navn:
  • Abraxane
Eksperimentell: 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

Andre navn:
  • PF-4040

Monoclonal Antibody (EGFR Inhibitor)

Andre navn:
  • Erbitux
Eksperimentell: 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

Andre navn:
  • PF-4040

Part of FOLFOX chemotherapy regimen

cytotoxic chemotherapy (antimetabolite and pyrimidine analog)

Andre navn:
  • 5-FU
  • 5-fluoruracil

Part of FOLFOX Chemotherapy Regimen

platinum based compound (alkylating agent)

Andre navn:
  • Eloxatin

Part of FOLFOX chemotherapy regimen

Folic Acid Analog

Andre navn:
  • Wellcovorin
  • Folinsyre
  • kalsiumfolinat
  • Leucovorin kalsium

VEG-F inhibitor

Andre navn:
  • Avastin
  • Zirabev
Eksperimentell: 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

Andre navn:
  • PF-4040

Monoclonal Antibody (EGFR Inhibitor)

Andre navn:
  • Erbitux

Part of FOLFOX chemotherapy regimen

cytotoxic chemotherapy (antimetabolite and pyrimidine analog)

Andre navn:
  • 5-FU
  • 5-fluoruracil

Part of FOLFOX Chemotherapy Regimen

platinum based compound (alkylating agent)

Andre navn:
  • Eloxatin

Part of FOLFOX chemotherapy regimen

Folic Acid Analog

Andre navn:
  • Wellcovorin
  • Folinsyre
  • kalsiumfolinat
  • Leucovorin kalsium
Eksperimentell: 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

Andre navn:
  • PF-4040

immune checkpoint inhibitor (PD-1 inhibitor)

Andre navn:
  • Keytruda
  • MK-3475
  • Lambrolizumab
  • Pembro

immune checkpoint inhibitor (PD-1 inhibitor)

Andre navn:
  • PF-06081591
Eksperimentell: 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

Andre navn:
  • PF-4040

immune checkpoint inhibitor (PD-1 inhibitor)

Andre navn:
  • Keytruda
  • MK-3475
  • Lambrolizumab
  • Pembro

Can be used in Platinum-based Chemotherapy regimen

Antimetabolite

Andre navn:
  • Alimta

Can be used as part of Platinum-based chemotherapy regimen

Platinum-based antineoplastic (alkylating agent)

Andre navn:
  • Cisplatinum
  • Platinol
  • neoplatin

Can be used in Platinum-based chemotherapy regimen

Taxane

Andre navn:
  • Taxol
  • Onxol

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

platinum containing compound (alkylating agent)

Andre navn:
  • Paraplatin
  • Stricarb

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Part 1 & 2: Incidence of Adverse Events (AEs)
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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'

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Part 1 & 2: Maximum Observed Serum Concentration (Cmax)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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)

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Etterforskere

  • Studieleder: Pfizer CT.gov Call Center, Pfizer

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

27. juni 2024

Primær fullføring (Antatt)

9. oktober 2026

Studiet fullført (Antatt)

9. oktober 2026

Datoer for studieregistrering

Først innsendt

29. mai 2024

Først innsendt som oppfylte QC-kriteriene

6. juni 2024

Først lagt ut (Faktiske)

7. juni 2024

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

13. oktober 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

9. oktober 2026

Sist bekreftet

1. oktober 2026

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • C5421001
  • NCT06447662 (Registeridentifikator: ClinicalTrials.gov)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

IPD-planbeskrivelse

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.

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .

Abonnere