A Study to Learn About the Study Medicine PF-07934040 When Given Alone or With Other Anti-cancer Therapies in People With Advanced Solid Tumors That Have a Genetic Mutation.

Last updated: April 15, 2025
Sponsor: Pfizer
Overall Status: Active - Recruiting

Phase

1

Condition

Carcinoma

Neoplasms

Treatment

Gemcitabine

Nab-paclitaxel

Fluorouracil

Clinical Study ID

NCT06447662
C5421001
  • Ages > 18
  • All Genders

Study Summary

The purpose of this study is to learn about the safety and effects of the study medicine alone or when given together with other anti-cancer therapies. This study also aims to find the best dose.

This study is seeking participants who have solid tumors (a mass of abnormal cells that forms a lump or growth in the body) that:

  • are advanced (cancer that doesn't disappear or stay away with treatment) and

  • have a KRAS gene mutation (a change in the DNA of the KRAS gene that can cause cells to grow in very high numbers).

This includes (but limited to) the following cancer types:

Non-Small Cell Lung Cancer (NSCLC): It's a type of lung cancer where the cells grow slowly but often spread to other parts of the body.

Colorectal Cancer (CRC): This is a disease where cells in the colon (a part of large intestine) or rectum grow out of control.

Pancreatic ductal adenocarcinoma (PDAC): This is a cancer that starts in the ducts of the pancreas but can spread quickly to other parts of the body. Pancreas is a long, flat gland that lies in the abdomen behind the stomach. Pancreas creates enzymes that help with digestion. It also makes hormones that can help control your blood sugar levels.

All participants in this study will take the study medication (PF-07934040) as pill by mouth twice a day repeating for 21-day or 28-day cycles.

Depending on which part of the study participants are enrolled into they will receive the study medication (PF-07934040 alone or in combination with other anti-cancer medications). These anti-cancer medications will be given in the study clinic by intravenous (IV) that is directly injected into the veins at various times (depending on the treatment) during the 21-day or 28-day cycle.

Participants can continue to take the study medication (PF-07934040) and the combination anti-cancer therapy until their cancer is no longer responding.

The study will look at the experiences of people receiving the study medicines. This will help see if the study medicines are safe and effective.

Participants will be involved in this study for up to 4 years. During this time, they will come into the clinic between 1 to 4 times in each 21-day or 28-day cycle. After they have stopped taking the study medication (at about at 2 years) they will be followed for another two years to see how they are doing.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histological or cytological diagnosis of advanced, unresectable, and/or metastaticor relapsed/refractory solid tumor.

ECOG PS 0 or 1

  • Presence of at least 1 measurable lesion based on RECIST version 1.1 that has notbeen previously irradiated.

  • Documentation of mutated KRAS gene

  1. PDAC, CRC, Other tumor types: Confirmed KRAS mutation, any variant

  2. NSCLC: Confirmed KRAS mutation, any variant except previously treated G12C. Ifdriver mutation, must have failed precision medicine therapy [eg, inhibitors ofepidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK),c-ros oncogene 1 (ROS1), and others].

  • Part 1 and Part 2a: Participant must have progressed on standard treatment(s) forwhich no additional, effective therapy is available.
  1. PDAC (2-3L): Participants must have received and radiologically progressed onprior lines of systemic therapy for metastatic pancreatic adenocarcinoma. Ifparticipants received prior neoadjuvant or adjuvant chemotherapy and progressedwithin 6 months of the last dose, then this should be considered as a priorline of systemic therapy.

  2. NSCLC (2-3L): Participants must have received prior lines of anti-cancertreatment and progressed on at least a platinum-containing chemotherapy regimenand checkpoint inhibitor therapy; for participants with EGFR, ALK, or othergenomic tumor alterations, participants must have progressed on approvedtherapy for these alterations.

  3. CRC (2-3L): Participants must have had one or two prior systemic treatmentregimens for mCRC. For either one or two prior treatments, these regimens musthave included a fluoropyrimidine, oxaliplatin, or irinotecan; for one priortreatment, exposure to VEGF/VEGF receptor (VEGFR) inhibitor is optional;

  4. Other tumors: Participants, in the judgment of the investigator, must haveprogressed or become intolerant to all available standard therapies, or haverefused such therapy.

  • Part 2b:
  1. PDAC (1L) Cohort A2: Participants must not have received prior chemotherapy formetastatic disease. Participant could have received neoadjuvant therapy,adjuvant therapy, or adjuvant chemo-radiotherapy, as long as relapse did notoccur within 6 months of completing these forms of adjuvant treatment. If so,the relapse within 6 months would be considered a line of therapy; theparticipant would be considered 2L, and not 1L.

  2. CRC (2-3L) Cohort B2: Participants must have had one or two prior systemictreatment regimens for mCRC. For either one or two prior treatments, theseregimens must have included a fluoropyrimidine, irinotecan, oxaliplatin; forone prior treatment, exposure to a VEGF/VEGF receptor (VEGFR) inhibitor isoptional.

  3. CRC (1L) Cohort B3: Participants must not have had prior chemotherapy foradvanced or metastatic disease. Participant could have received adjuvantchemotherapy or adjuvant chemo-radiotherapy, as long as relapse did not occurwithin 6 months of complete of adjuvant therapy. If so, the relapse within 6months would be considered a line of therapy; the participant would beconsidered 2L, and not 1L.

  4. NSCLC (1L) Cohort C2: Participants must have a TPS ≥50% and must not havereceived prior systemic treatment setting.

  5. NSCLC (1L) Cohort C3: Participants with any TPS and must not have receivedprior systemic treatment setting.

Exclusion

Exclusion Criteria:

  • Active or history of pneumonitis/ILD, pulmonary fibrosis requiring treatment withsystemic steroid therapy, including evidence to suggest pneumonitis/ILD on baselineassessments including imaging.

  • Diagnosis of immunodeficiency or an active autoimmune disease that require systemictreatment with chronic systemic steroid therapy (in dosing exceeding 10 mg daily ofprednisone equivalent) or any other form of immunosuppressive therapy in the past 2years.

  • Sensory peripheral neuropathy ≥Grade 2

  • Active or history of clinically significant gastrointestinal (GI) disease (includingbut not limited to inflammatory GI disease [eg, ulcerative colitis, Crohn's disease,inflammatory bowel disease], immune-mediated colitis, peptic ulcer disease, GIbleeding, chronic diarrhea) and other conditions that are unresolved and/or mayincrease the risk associated with study participation or study treatmentadministration.

  • Active bleeding disorder, including GI bleeding, as evidenced by hematemesis,significant hemoptysis or melena in the past 6 months.

  • Major surgery or completion of radiation therapy ≤4 weeks prior toenrollment/randomization or radiation therapy that included >30% of the bone marrow.

  • Known sensitivity or contraindication to any component of study intervention (PF 07934040, gemcitabine, nab-paclitaxel, cetuximab, bevacizumab, FOLFOX, 5-FU,pembrolizumab, cisplatin, carboplatin, pemetrexed, SHP2 inhibitor(s),cyclin-dependent kinase (CDK) inhibitor(s), antibody drug conjugates (ADCs) or EGFRinhibitor(s)).

  • Hematologic abnormalities.

  • Renal impairment.

  • Hepatic abnormalities.

Study Design

Total Participants: 330
Treatment Group(s): 13
Primary Treatment: Gemcitabine
Phase: 1
Study Start date:
June 27, 2024
Estimated Completion Date:
September 23, 2028

Connect with a study center

  • Pan American Center for Oncology Trials, LLC

    Rio Piedras, 00935
    Puerto Rico

    Active - Recruiting

  • Highlands Oncology Group, PA

    Fayetteville, Arkansas 72703
    United States

    Active - Recruiting

  • Highlands Oncology Group, PA

    Rogers, Arkansas 72758
    United States

    Active - Recruiting

  • Highlands Oncology Group

    Springdale, Arkansas 72762
    United States

    Active - Recruiting

  • City of Hope (City of Hope National Medical Center, City of Hope Medical Center)

    Duarte, California 91010
    United States

    Active - Recruiting

  • City of Hope Investigational Drug Service (IDS)

    Duarte, California 91010
    United States

    Active - Recruiting

  • University of Colorado Hospital

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • University of Colorado Hospital - Anschutz Inpatient Pavilion (AIP)

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • University of Colorado Hospital - Anschutz Outpatient Pavilion

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • University of Colorado Hospital- Anschutz Cancer Pavilion (ACP)

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • START Midwest

    Grand Rapids, Michigan 49546
    United States

    Active - Recruiting

  • Siteman Cancer Center - West County

    Creve Coeur, Missouri 63141
    United States

    Active - Recruiting

  • Siteman Cancer Center - North County

    Florissant, Missouri 63031
    United States

    Active - Recruiting

  • Barnes-Jewish Hospital

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Siteman Cancer Center

    Saint Louis, Missouri 63108
    United States

    Active - Recruiting

  • Siteman Cancer Center - South County

    Saint Louis, Missouri 63129
    United States

    Active - Recruiting

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Siteman Cancer Center - St Peters

    Saint Peters, Missouri 63376
    United States

    Active - Recruiting

  • University of Cincinnati Medical Center

    Cincinnati, Ohio 45219
    United States

    Active - Recruiting

  • Cleveland Clinic Taussig Cancer Center

    Cleveland, Ohio 44195
    United States

    Active - Recruiting

  • West Chester Hospital

    West Chester, Ohio 45069
    United States

    Active - Recruiting

  • Miriam Hospital

    Providence, Rhode Island 02906
    United States

    Active - Recruiting

  • Rhode Island Hospital

    Providence, Rhode Island 02903
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

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