PF-07104091 for Breast Cancer

Not currently recruiting at 55 trial locations
PC
Overseen ByPfizer CT.gov Call Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new cancer treatment called PF-07104091 to evaluate its safety and effectiveness for difficult-to-treat cancers, such as certain advanced breast, lung, and ovarian cancers. The trial includes different groups trying PF-07104091 alone or in combination with other cancer drugs. Eligible participants have specific cancer types that have recurred or spread after previous treatments. Participants must have tried other treatments without success. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

The trial does not specify if you must stop taking your current medications, but it does mention that you cannot use certain drugs that affect liver enzymes (CYP3A4/5 or UGT1A9 inhibitors or inducers) or drugs that are sensitive UGT1A1 substrates. It's best to discuss your current medications with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that PF-07104091, a CDK2 inhibitor, has been tested for safety in people with advanced cancers. Early studies found it to be generally well-tolerated when used alone, with most participants not experiencing severe side effects. Similar drugs, like BLU-222, also appear safe for people with advanced cancer.

When combined with other drugs like palbociclib and letrozole or fulvestrant, studies have found these combinations to be safe and tolerable. Specifically, the combination of palbociclib and letrozole has helped breast cancer patients without causing unexpected side effects. Similarly, using palbociclib with fulvestrant has been generally safe, according to past research. Long-term studies have not identified any new safety concerns.

In summary, PF-07104091, whether used alone or with other cancer treatments, has demonstrated a promising safety profile in previous studies. This suggests it is generally well-tolerated, with no major unexpected side effects reported so far.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about PF-07104091 for breast cancer because it targets CDK2, a protein that plays a crucial role in cell division, offering a new approach compared to current treatments that typically target CDK4/6. Unlike standard therapies like palbociclib or letrozole, PF-07104091 can be combined with these drugs for a potentially more effective treatment. Its unique mechanism of action could potentially overcome resistance to existing therapies, making it a promising option for patients who have limited responses to current treatments.

What evidence suggests that this trial's treatments could be effective for breast cancer?

Research shows that PF-07104091 is a promising new treatment for cancers, including breast cancer. In this trial, some participants will receive PF-07104091 alone. Studies have shown that this treatment stopped cancer growth in some patients, while others experienced slight tumor shrinkage. Other participants will receive PF-07104091 combined with drugs like palbociclib and letrozole. Studies have shown that patients with advanced breast cancer lived almost 25 months without their cancer worsening with this combination. Additionally, the combination with fulvestrant has also shown potential benefits for breast cancer patients. These findings suggest that PF-07104091 may effectively treat breast cancer, especially when used with other therapies.26789

Who Is on the Research Team?

PC

Pfizer CT.gov Call Center

Principal Investigator

Pfizer

Are You a Good Fit for This Trial?

This trial is for adults with certain advanced cancers: small cell lung cancer (SCLC), ovarian, or breast cancer. Participants must have a performance status of 0 or 1, indicating they are fully active or restricted in physically strenuous activity but can do light work. They should have received prior treatments specific to their cancer type and must not have any serious heart conditions, uncontrolled infections, recent major surgeries, other active malignancies within the last three years, or be pregnant.

Inclusion Criteria

My cancer is small cell lung cancer and has spread.
I have TNBC and received up to 2 chemotherapy treatments for advanced cancer.
My lung cancer has spread to other parts of my body.
See 7 more

Exclusion Criteria

I cannot take certain injections due to bleeding disorders or being on blood thinners.
A pregnancy test shows that you are pregnant at the time of screening.
Participation in other studies involving investigational drug(s) within 2 weeks prior to study entry
See 20 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants receive increasing doses of PF-07104091 to assess safety and determine the Maximum Tolerated Dose (MTD)

28 days
Day 1 and Day 15 of Cycle 1

Dose Expansion

Participants receive the Recommended Phase 2 Dose (RP2D) to further evaluate safety and antitumor activity

Approximately 2 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

Approximately 2 years

What Are the Treatments Tested in This Trial?

Interventions

  • PF-07104091
Trial Overview The trial tests different doses and combinations of PF-07104091 to find the safest and most effective dose for treating advanced cancers. It includes monotherapy (PF-07104091 alone) and combination therapies with drugs like fulvestrant and palbociclib. The goal is to determine the maximum tolerated dose (MTD) and/or recommend a Phase 2 dose (RP2D).
How Is the Trial Designed?
7Treatment groups
Experimental Treatment
Group I: PF-07104091 monotherapy dose expansion (ovarian)Experimental Treatment1 Intervention
Group II: PF-07104091 monotherapy dose expansion (SCLC)Experimental Treatment1 Intervention
Group III: PF-07104091 + palbociclib + letrozoleExperimental Treatment1 Intervention
Group IV: PF-07104091 + palbociclib + fulvestrantExperimental Treatment1 Intervention
Group V: PF-07104091 + fulvestrant (post CDK4/6) dose expansionExperimental Treatment1 Intervention
Group VI: PF-07104091 + fulvestrant (post CDK 4/6) dose escalationExperimental Treatment1 Intervention
Group VII: PF-07104091Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Pfizer

Lead Sponsor

Trials
4,712
Recruited
50,980,000+
Known For
Vaccine Innovations
Top Products
Viagra, Zoloft, Lipitor, Prevnar 13

Albert Bourla

Pfizer

Chief Executive Officer since 2019

PhD in Biotechnology of Reproduction, Aristotle University of Thessaloniki

Patrizia Cavazzoni profile image

Patrizia Cavazzoni

Pfizer

Chief Medical Officer

MD from McGill University

Citations

First-in-human phase 1/2a study of a potent and novel ...PF-07104091 is a novel CDK2-selective inhibitor under investigation in pts with selected advanced or metastatic solid tumors.
PF-07104091 as a Single Agent and in Combination TherapyTo assess the safety and tolerability of increasing doses of PF-07104091 and to estimate the Maximum Tolerated Dose (MTD) and/or select the Recommended ...
Understanding and overcoming CDK4/6 inhibitor resistance in ...This narrative review explores the mechanisms underlying resistance to cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) in hormone receptor (HR)-positive ...
Recent progress of CDK4/6 inhibitors' current practice in ...The MONALEESA-3 study (51% of endocrine-sensitive population) recommends Fulvestrant as another partner for CDK4/6i in the treatment of HR + / ...
Real-world treatment patterns and effectiveness after ...Cyclin-dependent kinase 4/6 inhibitors (CDK4/6i) have improved the prognosis of hormone receptor (HR)-positive human epidermal growth factor ...
PF-07104091 as a Single Agent and in Combination TherapyThis two part study will assess the safety and tolerability of increasing dose levels of PF-07104091 in Part 1, and establish the recommended Phase 2 dose (RP2 ...
Efficacy and Safety of CDK4/6 Inhibitors: A Focus on HR+/HER2This review focuses on both the scientific background as well as all available clinical data of CDK4/6i, with particular emphasis on their use in early breast ...
Overcoming Resistance to CDK4/6 inhibitors in Hormone ...In the combination cohort, initial data showed that BLU-222, when added to ribociclib-fulvestrant, did not present additional safety concerns compared to the ...
Post-progression treatment options after CDK4/6 inhibitors ...This review explores current and emerging treatment options following progression on CDK4/6i, focusing on endocrine therapies, targeted therapies, combination ...
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