A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Gastroesophageal Cancer
Purpose
This study is being done to learn more about a new medicine called PF-08634404 and how well it works when given with chemotherapy to people with gastroesophageal cancer that is locally advanced (spread to nearby tissues) or has spread to other parts of the body. To join the study, participants must meet the following conditions: Be 18 years or older. Have locally advanced or metastatic gastric, gastroesophageal junction or esophageal adenocarcinoma Be treatment naïve for advanced or metastatic disease Be in good physical condition and have healthy organs based on medical tests. The study has two parts: - In the first part, researchers will check how safe the study medicine in combination with chemotherapy is and how well people respond to it. - In the second part, they will compare study medicine plus chemotherapy to another approved treatment (nivolumab plus chemotherapy) to see which works better. The treatment will be given in repeated time periods called cycles.
Conditions
- Untreated Advanced or Metastatic Gastric, Gastroesophageal Junction , or Esophageal Adenocarcinoma
- Metastatic Gastric Cancer
- Gastroesophageal Junction Cancer
- Esophageal Adenocarcinoma
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Histological or cytological confirmed gastric, gastroesophageal junction or esophageal adenocarcinoma. - Evidence of locally advanced or metastatic disease. - Eastern Cooperative Oncology Group performance status (ECOG) 0-1 - No prior systemic therapy for advanced or metastatic disease. - Adequate hepatic, liver, and renal function - HER-2 negative status based on local testing - PD-L1 positive status based on local testing
Exclusion Criteria
- Participants with known active CNS metastases, including leptomeningeal, brainstem, meningeal, or spinal cord metastases or compression - Clinically significant risk of hemorrhage or fistula - Major surgery or severe trauma within 4 weeks prior to the first dose, or planned major surgery during the study - History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation. - Any Grade ≥3 bleeding/hemorrhage events within 28 days of Cycle 1 Day 1, or prior history of clinically significant bleeding events - Clinically significant cardiovascular disease, or other comorbidities, within 6 months prior to first dose - Participants with active autoimmune diseases requiring systemic treatment within the past 2 years - Evidence of non-infectious or drug-induced interstitial lung disease (ILD) pneumonitis
Study Design
- Phase
- Phase 2/Phase 3
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Investigator)
- Masking Description
- Phase 2 is open-label, whereas Phase 3 is double-blind, randomized design
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Phase 2 Portion |
PF-08634404 + Chemotherapy |
|
|
Experimental Phase 3: Arm A |
PF-08634404 + Chemotherapy |
|
|
Active Comparator Phase 3: Arm B |
Nivolumab + Chemotherapy |
|
Recruiting Locations
Aurora, Colorado 80012
Boulder, Colorado 80303
Centennial, Colorado 80112
Colorado Springs, Colorado 80907
Colorado Springs, Colorado 80923
Denver, Colorado 80218
Denver, Colorado 80220
Englewood, Colorado 80113
Lakewood, Colorado 80228
Littleton, Colorado 80120
Lone Tree, Colorado 80124
Longmont, Colorado 80504
Pueblo, Colorado 81003
Thornton, Colorado 80260
Arlington Heights, Illinois 60005
Bloomington, Illinois 61704
Chicago, Illinois 60631
Galesburg, Illinois 61401
Niles, Illinois 60714
Ottawa, Illinois 61350
Pekin, Illinois 61554
Peoria, Illinois 61615
Peru, Illinois 61354
Washington, Illinois 61571
Annapolis, Maryland 21401
Bethesda, Maryland 20817
Brandywine, Maryland 20613
Columbia, Maryland 21044
Germantown, Maryland 20876
Largo, Maryland 20774
Rockville, Maryland 20850
Silver Spring, Maryland 20904
Reno, Nevada 89502
Reno, Nevada 89502
Reno, Nevada 89502
Cincinnati, Ohio 45211
Cincinnati, Ohio 45242
Cincinnati, Ohio 45245
Fairfield, Ohio 45014
Bensalem, Pennsylvania 19020
Doylestown, Pennsylvania 18901
Langhorne, Pennsylvania 19047
Media, Pennsylvania 19063
Sellersville, Pennsylvania 18960
Wynnewood, Pennsylvania 19096
Irving, Texas 75063
More Details
- Status
- Recruiting
- Sponsor
- Pfizer