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| ID | Type | Description | Link |
|---|---|---|---|
| SHP2 | Other Identifier | Alias Study Number | |
| 2022-502431-18-00 | Registry Identifier | CTIS (EU) |
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The study was prematurely discontinued due to strategic reasons. The PF-07284892 program will continue
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The purpose of this first-in-patient, open label study is to determine the maximum tolerated dose and/or recommended dose for further study of PF-07284892 as a single agent and in combination with lorlatinib, encorafenib and cetuximab, or binimetinib and evaluate the pharmacokinetics, safety, and preliminary clinical activity of single agent and each combination therapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PF-07284892 monotherapy | Experimental | Monotherapy dose escalation of PF-07284892 in participants with ALK- or ROS1-positive non-small cell lung cancer (NSCLC), B-type Raf proto-oncogene V600E mutation colorectal cancer (CRC), or RAS- mutant, NF1-mutant or BRAF class 3-mutant solid tumors |
|
| PF-07284892 in combination with lorlatinib (Part 2) | Experimental | Combination dose escalation of PF-07284892 in combination with lorlatinib in participants with ALK- or ROS1-positive NSCLC |
|
| Expansion Phase (Cohort 1) | Experimental | PF-07284892 + lorlatinib in participants with ALK+ NSCLC with prior lorlatinib |
|
| Expansion Phase (Cohort 2) | Experimental | PF-07284892 + lorlatinib in participants with ALK+ NSCLC with no prior lorlatinib |
|
| Expansion Phase (Cohort 3) | Experimental | PF-07284892 + encorafenib + cetuximab in participants with BRAF V600E mutant CRC with prior BRAF inhibitor (BRAFi) plus epidermal growth factor receptor inhibitor (EGFRi) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PF-07284892 | Drug | PF-07284892 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 and Part 2- Number of participants with dose limiting toxicities (DLTs) | DLTs will be evaluated during the first cycle (21 days) as both a single agent or in combination with lorlatinib, encorafenib + cetuximab, or binimetinib. The number of DLTs will be used to determine the maximum tolerated dose (MTD)/recommended dose for further study | Cycle 1 (21 days) |
| Part 1 and Part 2- Number of participants with treatment-emergent adverse events (AEs) | AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy | Baseline up to 30 days after last dose of study medication |
| Part 1 and Part 2 - Number of participants with clinically significant change from baseline in laboratory abnormalities | Laboratory abnormalities as characterized by type, frequency, severity, and timing | Baseline up to 30 days after last dose of study treatment |
| Part 1 and Part 2 - Number of dose interruptions, dose modifications, and discontinuations due to AEs | Incidence of dose interruptions, dose modifications, and discontinuations due to AEs | Baseline up to 30 days after the last dose of study medication |
| Part 3- Overall response | Response will be evaluated via radiographical tumor assessments by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) | Baseline to up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 and Part 2- Maximum plasma concentration (Cmax) of PF-07284892 and metabolite | single dose (Cmax) and multiple dose (assuming steady state is achieved; Css,max) pharmacokinetic (PK) parameters | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8 hours postdose); Cycle 1 Day 18 (predose, 1, 2, 4, 6, 8, 24, and 48 hours postdose); Cycle 2-6 Day 1 (predose and 2 hours postdose); Cycle 7-12 Day 1 predose; end of treatment (EOT) |
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Inclusion Criteria:
ALK-positive NSCLC with prior lorlatinib and no prior platinum-based chemotherapy (Cohort 1); with prior lorlatinib and prior platinum-based chemotherapy (Cohort 2); or with no prior lorlatinib (Cohort 3).
BRAF V600E mutant CRC participants resistant to BRAFi plus EGFRi (Cohort 4 ); refractory to BRAFi plus EGFRi (Cohort 5); or BRAFi plus EGFRi naïve (Cohort 6).
RAS- mutant, NF1-mutant or BRAF class 3 mutant solid tumors who have received prior SOC (Cohort 7).
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pfizer CT.gov Call Center | Pfizer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic in Arizona - Phoenix | Phoenix | Arizona | 85054 | United States | ||
| Mayo Clinic |
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| Label | URL |
|---|---|
| To obtain contact information for a study center near you, click here. | View source |
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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.
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D009477 | Hereditary Sensory and Autonomic Neuropathies |
| D009456 | Neurofibromatosis 1 |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| C000590786 | lorlatinib |
| C581313 | binimetinib |
| D000068818 | Cetuximab |
| C000601108 | encorafenib |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
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|
| Expansion Phase (Cohort 4) | Experimental | PF-07284892 + encorafenib + cetuximab in participants with BRAF V600E mutant CRC with no prior BRAFi plus EGFRi |
|
| Expansion Phase (Cohort 5) | Experimental | PF-07284892 + binimetinib in participants with RAS- mutant, NF1-mutant or BRAF class 3 mutant solid tumors who have received prior standard of care (SOC) |
|
| PF-07284892 in combination with encorafenib and cetuximab (Part 2) | Experimental | Combination dose escalation of PF-07284892 in combination with encorafenib and cetuximab in participants with BRAF V600E mutant CRC |
|
| PF-07284892 in combination with binimetinib (Part 2) | Experimental | Combination dose escalation of PF-07284892 in combination with binimetinib in participants with Ras-mutant, NF-1 mutant or BRAF class 3 -mutant solid tumors |
|
|
| lorlatinib | Drug | lorlatinib |
|
|
| binimetinib | Drug | binimetinib |
|
|
| cetuximab | Biological | cetuximab |
|
|
| encorafenib | Drug | encorafenib |
|
|
| Part 1 and Part 2- Time to reach maximum plasma concentration (Tmax) of PF-07284892 and metabolite | Single dose (Tmax) and multiple dose (assuming steady state is achieved; Tss,max) pharmacokinetic parameters | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8 hours postdose); Cycle 1 Day 18 (predose, 1, 2, 4, 6, 8, 24, and 48 hours postdose); Cycle 2-6 Day 1 (predose and 2 hours postdose); Cycle 7-12 Day 1 predose; EOT |
| Part 1 and Part 2- Area under the plasma concentration-time curve from time 0 to the last time point of quantifiable concentration (AUClast) of PF-07284892 and metabolite | Single dose PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8 hours postdose); Cycle 1 Day 18 (predose, 1, 2, 4, 6, 8, 24, and 48 hours postdose); Cycle 2-6 Day 1 (predose and 2 hours postdose); Cycle 7-12 Day 1 predose; EOT |
| Part 1 and Part 2- Area under the plasma concentration-time curve from time 0 to extrapolated to infinity (AUCinf) of PF-07284892 and metabolite | Single dose and multiple dose (assuming steady state is achieved) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8 hours postdose); Cycle 1 Day 18 (predose, 1, 2, 4, 6, 8, 24, and 48 hours postdose); Cycle 2-6 Day 1 (predose and 2 hours postdose); Cycle 7-12 Day 1 predose; EOT |
| Part 1 and Part 2- Metabolite ratio of PF-07284892 and metabolite | Single dose PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8 hours postdose); Cycle 1 Day 18 (predose, 1, 2, 4, 6, 8, 24, and 48 hours postdose); Cycle 2-6 Day 1 (predose and 2 hours postdose); Cycle 7-12 Day 1 predose; EOT |
| Part 1 and Part 2- Area under the plasma concentration-time curve from 0 to 24 (AUC24) or 48 hours (AUC48) of PF-07284892 and metabolite | Multiple dose (assuming steady state is achieved) PK parameter | Cycle 1 Day 1 (predose, 1, 2, 4, 6, 8 hours postdose); Cycle 1 Day 18 (predose, 1, 2, 4, 6, 8, 24, and 48 hours postdose); Cycle 2-6 Day 1 (predose and 2 hours postdose); Cycle 7-12 Day 1 predose; EOT |
| Part 1 and Part 2- Overall response | Response will be evaluated via radiographical tumor assessments by RECIST v1.1 | Baseline to up to 2 years |
| Part 2- Duration of Response (DOR) | Time from the first documentation of objective response to the first documentation of objective progressive disease, relapse or to death due to any cause | Baseline to up to 2 years |
| Scottsdale |
| Arizona |
| 85259 |
| United States |
| Brigitte Harris Cancer Pavilion | Detroit | Michigan | 48202 | United States |
| Henry Ford Hospital | Detroit | Michigan | 48202 | United States |
| START Midwest | Grand Rapids | Michigan | 49546 | United States |
| Henry Ford Medical Center - Columbus | Novi | Michigan | 48377 | United States |
| Memorial Sloan Kettering Cancer Center David H Koch Center for Cancer Care | New York | New York | 10021 | United States |
| Memorial Sloan Kettering Cancer Center Rockefeller Outpatient Pavilion | New York | New York | 10022 | United States |
| Tennessee Oncology PLLC | Franklin | Tennessee | 37067 | United States |
| SCRI Oncology Partners | Nashville | Tennessee | 37203 | United States |
| The University of Texas MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D009421 | Nervous System Malformations |
| D009422 | Nervous System Diseases |
| D020271 | Heredodegenerative Disorders, Nervous System |
| D019636 | Neurodegenerative Diseases |
| D011115 | Polyneuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D030342 | Genetic Diseases, Inborn |
| D017253 | Neurofibromatoses |
| D009455 | Neurofibroma |
| D018317 | Nerve Sheath Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D009370 | Neoplasms by Histologic Type |
| D009386 | Neoplastic Syndromes, Hereditary |
| D020752 | Neurocutaneous Syndromes |
| D007162 |
| Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |