A PHASE 1 DOSE ESCALATION AND EXPANSION STUDY TO EVALUATE THE SAFETY, TOLERABILITY, PHARMACOKINETIC, PHARMACODYNAMIC, AND ANTITUMOR ACTIVITY OF PF-07260437 IN ADVANCED OR METASTATIC SOLID TUMORS
Overview
- Phase
- Phase 1
- Intervention
- PF-07260437
- Conditions
- Ovarian Neoplasms
- Sponsor
- Pfizer
- Enrollment
- 30
- Locations
- 15
- Primary Endpoint
- Number of Participants With Dose-Limiting Toxicities (DLTs) in Dose Escalation - Part 1
- Status
- Terminated
- Last Updated
- 12 months ago
Overview
Brief Summary
A study to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and antitumor activity of PF-07260437, a B7-H4 x CD3 bispecific mAb, in participants aged ≥18 years of age with advanced or metastatic breast cancer, ovarian cancer or endometrial cancer. Adult participants with other advanced or metastatic high B7-H4 expressing tumors may be considered after discussion with and approval from sponsor.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Part 1: Histological/cytological diagnosis of selected locally advanced or metastatic breast cancer, endometrial cancer and ovarian cancer
- •Part 2A:In second line or more, participants with histological/cytological diagnosis of locally advanced or metastatic HR+ HER2- breast cancer showing high B7-H4 expression
- •Part 2B: In second line or more participants with histological or cytological diagnosis of locally advance or metastatic HR+ Her2- breast cancer or triple negative breast cancer (TNBC) with no biomarker pre-selection
- •Part 2C: In second line or more participants with histological diagnosis of locally advance or metastatic triple negative breast cancer with high B7-H4 expression
- •Thyroid function within normal laboratory range; in participants with abnormal thyroid function if Free T4 is normal and participant is clinically euthyroid, participants is eligible
Exclusion Criteria
- •Participants with any active malignancy within 3 years prior to enrollment
- •Participants with advanced/metastatic, symptomatic, visceral spread, that are at risk of life-threatening complications in the short term (including participants with massive uncontrolled effusions \[pleural, pericardial, peritoneal\], pulmonary lymphangitis, and over 50% liver involvement).
- •History of Grade ≥3 immune mediated adverse events (including liver function tests that where considered drug related and cytokine release syndrome) that was considered related to prior immune modulatory therapy (eg, immune checkpoint inhibitors, co stimulatory agents, etc.) and required immunosuppressive therapy within 1 year of treatment.
Arms & Interventions
Monotherapy dose escalation (Part 1)
Participants will receive PF-07260437
Intervention: PF-07260437
Dose Expansion (Part 2A) - Tumor specific Arm A
Participants will receive PF-07260437
Intervention: PF-07260437
Dose Expansion (Part 2A) - Tumor specific Arm A
Participants will receive PF-07260437
Intervention: B7-H4 IHC
Dose Expansion (Part 2B) - Tumor specific Arm B
Participants will receive PF-07260437
Intervention: PF-07260437
Dose Expansion (Part 2B) - Tumor specific Arm B
Participants will receive PF-07260437
Intervention: B7-H4 IHC
Dose Expansion (Part 2C) - Tumor specific Arm C
Participants will receive PF07260437
Intervention: PF-07260437
Dose Expansion (Part 2C) - Tumor specific Arm C
Participants will receive PF07260437
Intervention: B7-H4 IHC
Outcomes
Primary Outcomes
Number of Participants With Dose-Limiting Toxicities (DLTs) in Dose Escalation - Part 1
Time Frame: The first dose of the study intervention (C1D1) through Day 28 for participants without a priming dose or through Day 42 for participants with a priming dose.
Any of the following treatment-related adverse events (AEs) occurring during the DLT observation period were classified as DLTs: Hematological DLTs: neutropenia Grade (G) 4, febrile neutropenia, ≥G3 for \>7d (days), G3 with infection; thrombocytopenia G4, G3 with bleeding or requiring platelet transfusion; anemia G4, G3 requiring blood transfusion. Non-hematologic: hepatic toxicity; ≥G3 fatigue for ≥5d, ≥G3 nausea/vomiting or diarrhea for ≥3d, ≥G3 cytokine release syndrome (CRS) of any duration/QTcF prolongation/anaphylaxis, G5 AE without clear reason; immune-related (ir)AE: ≥G4 irAEs/colitis, G3/4 non-infectious pneumonitis, G2 pneumonitis not resolved to ≤G1 within 3d of the initiation of max supportive care. Severity of AEs were graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.0, with the exception of CRS, which were graded according to the American Society for Transplantation and Cellular Therapy (ASTCT) CRS Consensus Grading for CRS.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) - Part 1
Time Frame: Baseline (Day 1 of dosing ) through 4 week follow-up, up to 35.1 weeks
An AE was any untoward medical occurrence in a participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. TEAE was defined as any AE that occurred from first dose of study intervention to either last dose of study treatment + 90 days, start of new anti-cancer therapy, or completion in study as determined by disposition, whichever was earliest. A serious AE (SAE) was defined as any untoward medical occurrence that resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, persistent disability/incapacity, or was a congenital anomaly/birth defect. AEs were graded by the investigator according to CTCAE v5.0.
Number of Participants With Clinically Significant Laboratory Abnormalities - Part 1
Time Frame: Baseline through up to 35.1 weeks
Laboratory parameters included: hematology (hemoglobin, hematocrit, red blood cell, platelet and white blood cell count, neutrophils, eosinophils, monocytes, basophils and lymphocytes), chemistry (blood urea nitrogen, creatinine, sodium, potassium, aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, albumin, total protein and serum pregnancy test \[for all female participants\]) and urine (urine pregnancy test \[for all female participants\]). Clinical significance of laboratory parameters was determined at the investigator's discretion.
Secondary Outcomes
- Number of Participants With Immune-Related Adverse Events (irAEs)(Day 1 up to 90 days after the last dose of study intervention (Day 246 [C9D15]), up to approximately 336 days)
- Number of Participants by Categories of Anti-Drug Antibody (ADA) Against PF-07260437(On Day 1 of Cycle 1, 2, 3. From Cycle 4 onwards: collection on Day 1 of every 3 cycles (C4D1, C7D1, etc.) until end-of-treatment visit, up to 35.1 weeks.)
- Single Dose: Maximal Concentration (Cmax)(Day 1 pre-dose, 1, 4, 8, 24, 48 and 168 hours post-dose, till Day 15 pre-dose in Cycle 1)
- Single Dose: Area Under the Curve (AUCtau)(Day 1 pre-dose, 1, 4, 8, 24, 48 and 168 hours post-dose, till Day 15 pre-dose in Cycle 1)
- Single Dose: Time to Maximal Plasma Concentration (Tmax)(Day 1 pre-dose, 1, 4, 8, 24, 48 and 168 hours post-dose, till Day 15 pre-dose in Cycle 1)