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Study to Test the Safety and Tolerability of PF-07209960 in Advanced or Metastatic Solid Tumors

Primary Purpose

Non-small-cell Lung Cancer, Squamous Cell Carcinoma of the Head and Neck, Renal Cell Carcinoma

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PF-07209960
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-small-cell Lung Cancer focused on measuring PD-1, immune checkpoint inhibitor, IL-15, IL-2, cytokine, immunotherapy, Metastasis, advanced solid tumor, metastatic solid tumor

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histological/cytological diagnosis of selected locally advanced or metastatic solid tumor
  • Demonstrated radiographic progression on most recent tumor assessment imaging
  • Have ≥1 measurable lesion as defined by RECIST 1.1 that has not been previously irradiated
  • Eastern Cooperative Oncology Group performance status 0-2 for Part 1 and 0-1 for Part 2
  • Adequate hematologic, renal, liver, and coagulation functions
  • LVEF ≥50% by echocardiogram or MUGA
  • Resolved acute effects of any prior therapy
  • Participants in Dose Expansion (Part 2) must have ≥2 prior lines of standard of care therapy
  • Able to provide tumor tissue for submission to the Sponsor, including mandatory pre-treatment tumor biopsy (adequate archival tissue within the past 1 year is accepted in lieu of new biopsy) for all participants. Participants in Part 2 must also be able to undergo new (de novo) tumor biopsy at baseline (pre-treatment) and on-treatment biopsy until the Sponsor deems that an adequate number of biopsied samples have been received.

Exclusion Criteria:

  • Known active symptomatic brain or leptomeningeal metastases requiring steroids.
  • Other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ
  • Major surgery or radiation therapy within 4 weeks prior to planned first dose
  • Last systemic anti-cancer therapy within 4 weeks prior to planned first dose (6 weeks for mitomycin C or nitrosoureas). Participants who received anti-PD-1 therapy require an interval of 90 days prior to first dose
  • Participation in other studies involving investigational drug(s) within 4 weeks prior to planned first dose
  • Active and clinically significant bacterial, fungal, or viral infection; Hepatitis B or Hepatitis C infection, AIDS-related illness (HIV+ and in good immune health as defined in the protocol may be eligible)
  • Active COVID-19/SARS-CoV2
  • Anticoagulation with vitamin K antagonists is not allowed
  • Active bleeding disorder in the past 6 months prior to first dose
  • History of clinically significant severe immune mediated adverse event that was considered related to prior immune modulatory therapy and required immunosuppressive therapy (other than hormone replacement therapy)
  • History of interstitial lung disease or pneumonitis
  • Organ transplant requiring immunosuppressive treatment or prior allogeneic bone marrow or hematopoietic stem cell transplant
  • Pregnant or breastfeeding female participant

Sites / Locations

  • City of Hope Investigational Drug Service (IDS)
  • City of Hope
  • Ronald Reagan UCLA Medical Center
  • UCLA Hematology/Oncology
  • Santa Monica UCLA Medical Center & Orthopaedic Hospital
  • UCLA Hematology Oncology - Santa Monica
  • The Sarah Cannon Research Institute/Tennessee Oncology
  • TriStar Centennial Medical Center
  • The University of Texas MD Anderson Cancer Center- Investigational Pharmacy
  • The University of Texas MD Anderson Cancer Center
  • Christus Santa Rosa Hospital
  • NEXT Oncology

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Dose Escalation (Part 1)

Dose Expansion (Part 2) - Cohort 1 (NSCLC)

Dose Expansion (Part 2) - Cohort 2 (RCC)

Dose Expansion (Part 2) - Cohort 3 (UC)

Arm Description

Participants will receive PF-07209960 at escalating dose levels

Participants with non-small cell lung cancer (NSCLC) will receive PF-07209960 at the recommended dose from Part 1

Participants with renal cell carcinoma (RCC) will receive PF-07209960 at the recommended dose from Part 1

Participants with urothelial carcinoma (UC) will receive PF-07209960 at the recommended dose from Part 1

Outcomes

Primary Outcome Measures

Number of participants with dose limiting toxicities (DLTs) in Dose Escalation (Part 1)
DLTs will be evaluated during Cycle 1 (a cycle is 28 days) in Part 1. The number of DLTs will be used to determine the optimal dose
Number of participants with adverse events (AEs)
AEs as characterized by type, frequency, severity (graded by CTCAE v.5.0; CRS graded by ASTCT criteria), timing, seriousness, and relationship to study drug
Number of participants with clinically significant laboratory abnormalities
Laboratory abnormalities as characterized by type, frequency, severity (graded by CTCAE v.5.0), and timing
Objective response rate (ORR) in the Expansion cohorts (Part 2)
Tumor response based on RECIST 1.1

Secondary Outcome Measures

ORR in Dose Escalation (Part 1)
Tumor response based on RECIST 1.1
Single dose: Maximal concentration (Cmax)
PK assessment for PF-07209960
Single dose: Time to maximal plasma concentration (Tmax)
PK assessment for PF-07209960
Single dose: Area Under the Curve within one dosing interval (AUCtau)
PK assessment for PF-07209960
Multiple dose: Maximum observed steady state plasma concentration (Cmax,ss)
PK assessment for PF-07209960
Multiple dose: Time to reach Maximum Observed Steady State Plasma Concentration (Tmax,ss)
PK assessment for PF-07209960
Multiple dose: Area Under the curve within one dose interval at steady state (AUCtau,ss)
PK assessment for PF-07209960
Lowest concentration (Ctrough) reached before the next dose is administered
PK assessment for PF-07209960
Immunogenicity in Expansion Cohorts (Part 2)
Incidence, titers, and endogenous IL-15 cross-reactivity of anti-drug antibody and neutralizing antibody against PF-07209960
Intratumor T cells in pre-treatment vs. on-treatment tumor biopsy samples in Expansion Cohorts (Part 2)
Effect of PF-07209960 therapy on immune cells in tumor biopsies
Disease control rate (DCR)
DCR as assessed using RECIST 1.1
Duration of response (DOR)
DOR as assessed using RECIST 1.1
Time to progression (TTP)
TTP as assessed using RECIST 1.1
Progression free survival (PFS)
PFS as assessed using RECIST 1.1
Overall survival (OS) in the Expansion Cohorts (Part 2)
Proportion of participants alive

Full Information

First Posted
November 9, 2020
Last Updated
October 11, 2023
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT04628780
Brief Title
Study to Test the Safety and Tolerability of PF-07209960 in Advanced or Metastatic Solid Tumors
Official Title
A PHASE 1 DOSE ESCALATION AND EXPANSION STUDY TO EVALUATE SAFETY, TOLERABILITY, PHARMACOKINETIC, PHARMACODYNAMIC, AND ANTI-TUMOR ACTIVITY OF PF-07209960 IN PARTICIPANTS WITH ADVANCED OR METASTATIC SOLID TUMORS
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Terminated
Why Stopped
Pfizer has made an internal business decision to not continue further development of PF-07209960. This decision was not based on safety or regulatory considerations
Study Start Date
December 16, 2020 (Actual)
Primary Completion Date
May 3, 2023 (Actual)
Study Completion Date
May 26, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a first-in-human, Phase 1, open label, multicenter, multiple dose, dose escalation and dose expansion study intended to evaluate the safety, pharmacokinetic, pharmacodynamic, and potential clinical benefit of PF-07209960, an anti-PD-1 targeting IL-15 fusion protein, in participants with selected locally advanced or metastatic solid tumors for whom no standard therapy is available, or would not be an appropriate option in the opinion of the participant and their treating physician, or participants who have refused standard therapy. The study contains 2 parts, single agent Dose Escalation (Part 1) to determine the recommended dose of PF-07209960, followed by Dose Expansion (Part 2) in selected tumor types at the recommended dose.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-small-cell Lung Cancer, Squamous Cell Carcinoma of the Head and Neck, Renal Cell Carcinoma, Urothelial Carcinoma, Colorectal Carcinoma, Ovarian Carcinoma
Keywords
PD-1, immune checkpoint inhibitor, IL-15, IL-2, cytokine, immunotherapy, Metastasis, advanced solid tumor, metastatic solid tumor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation (Part 1)
Arm Type
Experimental
Arm Description
Participants will receive PF-07209960 at escalating dose levels
Arm Title
Dose Expansion (Part 2) - Cohort 1 (NSCLC)
Arm Type
Experimental
Arm Description
Participants with non-small cell lung cancer (NSCLC) will receive PF-07209960 at the recommended dose from Part 1
Arm Title
Dose Expansion (Part 2) - Cohort 2 (RCC)
Arm Type
Experimental
Arm Description
Participants with renal cell carcinoma (RCC) will receive PF-07209960 at the recommended dose from Part 1
Arm Title
Dose Expansion (Part 2) - Cohort 3 (UC)
Arm Type
Experimental
Arm Description
Participants with urothelial carcinoma (UC) will receive PF-07209960 at the recommended dose from Part 1
Intervention Type
Biological
Intervention Name(s)
PF-07209960
Intervention Description
PD-1 targeted IL-15 mutein
Primary Outcome Measure Information:
Title
Number of participants with dose limiting toxicities (DLTs) in Dose Escalation (Part 1)
Description
DLTs will be evaluated during Cycle 1 (a cycle is 28 days) in Part 1. The number of DLTs will be used to determine the optimal dose
Time Frame
Baseline through 28 days after first dose (Cycle 1)
Title
Number of participants with adverse events (AEs)
Description
AEs as characterized by type, frequency, severity (graded by CTCAE v.5.0; CRS graded by ASTCT criteria), timing, seriousness, and relationship to study drug
Time Frame
Baseline through up to 2 years
Title
Number of participants with clinically significant laboratory abnormalities
Description
Laboratory abnormalities as characterized by type, frequency, severity (graded by CTCAE v.5.0), and timing
Time Frame
Baseline through up to 2 years
Title
Objective response rate (ORR) in the Expansion cohorts (Part 2)
Description
Tumor response based on RECIST 1.1
Time Frame
Baseline through up to 2 years or until disease progression
Secondary Outcome Measure Information:
Title
ORR in Dose Escalation (Part 1)
Description
Tumor response based on RECIST 1.1
Time Frame
Baseline through up to 2 years or until disease progression
Title
Single dose: Maximal concentration (Cmax)
Description
PK assessment for PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Single dose: Time to maximal plasma concentration (Tmax)
Description
PK assessment for PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Single dose: Area Under the Curve within one dosing interval (AUCtau)
Description
PK assessment for PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Multiple dose: Maximum observed steady state plasma concentration (Cmax,ss)
Description
PK assessment for PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Multiple dose: Time to reach Maximum Observed Steady State Plasma Concentration (Tmax,ss)
Description
PK assessment for PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Multiple dose: Area Under the curve within one dose interval at steady state (AUCtau,ss)
Description
PK assessment for PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Lowest concentration (Ctrough) reached before the next dose is administered
Description
PK assessment for PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Immunogenicity in Expansion Cohorts (Part 2)
Description
Incidence, titers, and endogenous IL-15 cross-reactivity of anti-drug antibody and neutralizing antibody against PF-07209960
Time Frame
Cycle 1 (each cycle is 28 days), Cycle 2, and Day 1 of each subsequent cycle, and at the End of Treatment visit, up to about 2 years
Title
Intratumor T cells in pre-treatment vs. on-treatment tumor biopsy samples in Expansion Cohorts (Part 2)
Description
Effect of PF-07209960 therapy on immune cells in tumor biopsies
Time Frame
Baseline through start of Cycle 2 (each cycle is 28 days)
Title
Disease control rate (DCR)
Description
DCR as assessed using RECIST 1.1
Time Frame
Baseline through up to 2 years or until disease progression
Title
Duration of response (DOR)
Description
DOR as assessed using RECIST 1.1
Time Frame
Baseline through up to 2 years or until disease progression
Title
Time to progression (TTP)
Description
TTP as assessed using RECIST 1.1
Time Frame
Baseline through up to 2 years or until disease progression
Title
Progression free survival (PFS)
Description
PFS as assessed using RECIST 1.1
Time Frame
Baseline through up to 2 years or until disease progression
Title
Overall survival (OS) in the Expansion Cohorts (Part 2)
Description
Proportion of participants alive
Time Frame
Baseline through up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histological/cytological diagnosis of selected locally advanced or metastatic solid tumor Demonstrated radiographic progression on most recent tumor assessment imaging Have ≥1 measurable lesion as defined by RECIST 1.1 that has not been previously irradiated Eastern Cooperative Oncology Group performance status 0-2 for Part 1 and 0-1 for Part 2 Adequate hematologic, renal, liver, and coagulation functions LVEF ≥50% by echocardiogram or MUGA Resolved acute effects of any prior therapy Participants in Dose Expansion (Part 2) must have ≥2 prior lines of standard of care therapy Able to provide tumor tissue for submission to the Sponsor, including mandatory pre-treatment tumor biopsy (adequate archival tissue within the past 1 year is accepted in lieu of new biopsy) for all participants. Participants in Part 2 must also be able to undergo new (de novo) tumor biopsy at baseline (pre-treatment) and on-treatment biopsy until the Sponsor deems that an adequate number of biopsied samples have been received. Exclusion Criteria: Known active symptomatic brain or leptomeningeal metastases requiring steroids. Other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ Major surgery or radiation therapy within 4 weeks prior to planned first dose Last systemic anti-cancer therapy within 4 weeks prior to planned first dose (6 weeks for mitomycin C or nitrosoureas). Participants who received anti-PD-1 therapy require an interval of 90 days prior to first dose Participation in other studies involving investigational drug(s) within 4 weeks prior to planned first dose Active and clinically significant bacterial, fungal, or viral infection; Hepatitis B or Hepatitis C infection, AIDS-related illness (HIV+ and in good immune health as defined in the protocol may be eligible) Active COVID-19/SARS-CoV2 Anticoagulation with vitamin K antagonists is not allowed Active bleeding disorder in the past 6 months prior to first dose History of clinically significant severe immune mediated adverse event that was considered related to prior immune modulatory therapy and required immunosuppressive therapy (other than hormone replacement therapy) History of interstitial lung disease or pneumonitis Organ transplant requiring immunosuppressive treatment or prior allogeneic bone marrow or hematopoietic stem cell transplant Pregnant or breastfeeding female participant
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
City of Hope Investigational Drug Service (IDS)
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
City of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Facility Name
Ronald Reagan UCLA Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
UCLA Hematology/Oncology
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Facility Name
Santa Monica UCLA Medical Center & Orthopaedic Hospital
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
UCLA Hematology Oncology - Santa Monica
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
The Sarah Cannon Research Institute/Tennessee Oncology
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
TriStar Centennial Medical Center
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
The University of Texas MD Anderson Cancer Center- Investigational Pharmacy
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
The University of Texas MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Christus Santa Rosa Hospital
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
NEXT Oncology
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
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.
Links:
URL
https://pmiform.com/clinical-trial-info-request?StudyID=C4011001
Description
To obtain contact information for a study center near you, click here.

Learn more about this trial

Study to Test the Safety and Tolerability of PF-07209960 in Advanced or Metastatic Solid Tumors

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