Study to Test the Safety and Tolerability of PF-07257876 in Participants With Selected Advanced Tumors.

Pfizer

Status and phase: Completed; Phase 1

Conditions: Squamous Cell Carcinoma of the Head and Neck; Ovarian Cancer; Non-Small Cell Lung Cancer

Treatments: Biological: PF-07257876

Study type: Interventional

Funder types: Industry

Identifiers

NCT04881045

C4401001

2022-003338-38 (EudraCT Number)

Details and patient eligibility

About

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-07257876, a CD47-PD-L1 bispecific antibody, in participants with selected advanced or metastatic tumors for whom no standard therapy is available. The study contains 2 parts, single agent Dose Escalation (Part 1) to determine the recommended dose of PF-07257876, followed by Dose Expansion (Part 2) in selected tumor types at the recommended dose.

Enrollment: 29 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Histological/cytological diagnosis of selected advanced or metastatic tumor
• Prior treatment with PD-1 (Programmed cell death 1) or PD-L1 (programmed death-ligand 1) in NSCLC and SCCHN or platinum-based therapy in Ovarian cancer
• Confirmed radiographic progression of disease
• PD-L1 IHC positivity ≥1%
• Have ≥1 measurable lesion as defined by RECIST 1.1 that has not been previously irradiated
• Eastern Cooperative Oncology Group performance status 0-1
• Adequate hematologic, renal and liver functions
• Resolved acute effects of any prior therapy
• Participants in Part 1 must be able to provide archival tumor tissue collected within the prior 6 months or consent to undergo a fresh biopsy during screening. Participants enrolled to the MTD (Maximum Tolerated Dose) cohort in Part 1 must consent to mandatory paired pre-treatment and on-treatment biopsies. Participants in Part 2 must consent to a pre-treatment biopsy and a subset of patients must consent to a paired on-study biopsy as well until the Sponsor deems an adequate number have been received.

Exclusion criteria

• Participants with known brain metastasis larger than 4 cm or that is symptomatic. New brain metastases detected at screening. Participants with previously diagnosed brain metastases are eligible if they have completed treatment and recovered from acute effects prior to study entry.
• Abnormal neurological assessment by investigator
• 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 28 days or 5 half-lives (whichever is shorter) prior to planned first dose (6 weeks for mitomycin C or nitrosoureas)
• 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 idiopathic pulmonary fibrosis (including pneumonitis), drug-induced pneumonitis, organizing pneumonia (ie, bronchiolitis obliterans, cryptogenic organizing pneumonia), evidence of active pneumonitis on screening chest CT(computer tomography) scan
• Anticoagulation with vitamin K antagonists or factor Xa inhibitors is not allowed
• Treatment with chronic systemic corticosteroids or other immunosuppressive medications
• Participation in other studies involving investigational drug(s) within 4 weeks prior to planned first dose
• Active, uncontrolled bacterial, fungal, or viral infection, Hepatitis B, Hepatitis C, or Human immunodeficiency virus (HIV) infection
• Active COVID-19/SARS-CoV2
• Pregnant or breastfeeding female participant
• Organ transplant requiring immunosuppressive treatment or prior allogeneic bone marrow or hematopoietic stem cell transplant
• Significant cardiac or pulmonary conditions or events within previous 6 months

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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29 participants in 3 patient groups

Dose Escalation (Part 1)

Experimental group

Description:

Participants will receive PF-07257876 at escalating dose levels.

Treatment:

Biological: PF-07257876

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

Experimental group

Description:

Participants with non-small cell lung cancer (NSCLC) will receive PF-07257876 at the recommended dose from Part 1.

Treatment:

Biological: PF-07257876

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

Experimental group

Description:

Participants with squamous cell carcinoma of the head and neck (SCCHN) will receive PF-07257876 at the recommended dose from Part 1.

Treatment:

Biological: PF-07257876