Purpose

The purpose of this study is to learn how a new medicine called PF-08052667 works when used by itself or together with another medicine called Bacillus Calmette Guerin (BCG), and/or a medicine called sasanlimab. This study is for adults who have a type of bladder cancer that hasn't spread into the muscle layer of the bladder but is more likely to come back or grow. It includes people whose cancer has come back or hasn't gone away after receiving standard treatments like BCG. It may also include people who, based on their doctor's opinion, cannot receive standard treatments or those treatments are not available to them. The study has three parts: - Part 1 (monotherapy dose escalation) will test PF-08052667 as a single-agent at increasing dose levels in participants with certain bladder cancer whose disease has worsened on or after standard treatments. - Part 2 (combination dose escalation) will test PF-08052667 in combination with BCG and/or sasanlimab (fixed dose) in participants with certain bladder cancer whose disease has worsened on or after standard treatments. - Part 3 (dose optimization and expansion) will further test PF-08052667 as a single agent or in combination with BCG and/or sasanlimab, at the dose(s) based on findings from Part 1 and Part 2 in participants with certain bladder cancer including those who has never received standard treatments. All participants will receive the study drug PF-08052667. Only participants in Part 2 and Part 3 of the study will also receive BCG and/or sasanlimab. PF-08052667 will be given as an intravesical infusion, which means it will be injected directly into the bladder. Sasanlimab will be given as a subcutaneous injection, which means it will be injected under the skin. For all parts, treatment with study medicines will continue until either a participant has decided to stop taking part in the study or is asked to leave the study for various reasons or up to about 2 years, whichever occurs first. Duration of trial participation for each participant will vary as long-term follow-up will continue after treatment discontinuation until loss to-follow-up or death, or until the study is stopped by the sponsor.

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. 18 years of age or older (or the minimum age of consent per local regulations) 2. Histological diagnosis of high-risk, non-muscle invasive urothelial carcinoma of the bladder defined according to the WHO grading system as carcinoma in situ (CIS), with or without concurrent T1/Ta papillary disease. Note: High-grade T1/Ta papillary disease, in the absence of CIS, may be eligible for certain cohorts in Part 2 and 3 3. BCG unresponsive and BCG-exposed cohorts should have persistent or recurrent disease after receiving at least 5 out of 6 doses of the BCG induction therapy. 4. Have refused or are ineligible or not appropriate for radical cystectomy 5. Tissue Requirement: Available tumor tissue within the last 6 months. On-treatment tumor biopsy is optional, unless mandated based on emerging data, or participating in the Biomarker Cohort, or for disease assessment 6. ECOG PS 0 or 1

Exclusion Criteria

  1. Concomitant anti-cancer therapy for Non-Muscle Invasive Bladder Cancer (NMIBC); and prior radiation therapy to the bladder are not allowed 2. Renal or hepatic impairment; and hematologic abnormalities as defined in the protocol 3. Participants with active, uncontrolled infection as specified in the protocol

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
N/A
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Monotherapy Dose Escalation
PF-08052667 will be administered through intravesical instillation at defined dose levels. Dosing schedule is on Day 1, 8 and 15 of a 21-day cycle.
  • Drug: PF-08052667
    PF-08052667 will be administered intravesical (IVe) instillation following a PF-02921367 (DDM) bladder pre-wash
    Other names:
    • SGN-B6N
  • Drug: PF-02921367
    PF-02921367 (DDM) is a 10-min pre- wash and will be administered intravesical (IVe) instillation
    Other names:
    • DDM
Experimental
Combination Therapy Dose Escalation
PF-08052667 + BCG and/or sasanlimab of a 21-day cycle starting from Day 1
  • Drug: PF-08052667
    PF-08052667 will be administered intravesical (IVe) instillation following a PF-02921367 (DDM) bladder pre-wash
    Other names:
    • SGN-B6N
  • Drug: Sasanlimab
    Sasanlimab will be administered as subcutaneous (SC) injection
    Other names:
    • PF-06801591
  • Drug: BCG
    BCG will be administered intravesical (IVe) instillation
  • Drug: PF-02921367
    PF-02921367 (DDM) is a 10-min pre- wash and will be administered intravesical (IVe) instillation
    Other names:
    • DDM
Experimental
Dose Optimization and Expansion
PF-08052667 monotherapy or in combination with BCG and/or sasanlimab at dose levels/schedules for PF-08052667 determined in Parts 1 and 2.
  • Drug: PF-08052667
    PF-08052667 will be administered intravesical (IVe) instillation following a PF-02921367 (DDM) bladder pre-wash
    Other names:
    • SGN-B6N
  • Drug: Sasanlimab
    Sasanlimab will be administered as subcutaneous (SC) injection
    Other names:
    • PF-06801591
  • Drug: BCG
    BCG will be administered intravesical (IVe) instillation
  • Drug: PF-02921367
    PF-02921367 (DDM) is a 10-min pre- wash and will be administered intravesical (IVe) instillation
    Other names:
    • DDM

Recruiting Locations

Emory University Hospital Midtown
Atlanta, Georgia 30308

Emory University Hospital
Atlanta, Georgia 30322

Emory University
Atlanta, Georgia 30322

Grand Strand Medical Center
Myrtle Beach, South Carolina 295724607

AUC Urologists, LLC
Myrtle Beach, South Carolina 29572

Carolina Urologic Research Center, LLC
Myrtle Beach, South Carolina 29572

Parkway Surgery Center
Myrtle Beach, South Carolina 29572

Coastal Eye Group
Myrtle Beach, South Carolina 29579

Urology Associates, P.C.
Nashville, Tennessee 37209

Baptist M&S Imaging (Medical Center)
San Antonio, Texas 78229

USA Clinical Trials
San Antonio, Texas 78229

MCOA Eye Associates
San Antonio, Texas 78240

More Details

Status
Recruiting
Sponsor
Pfizer

Study Contact

Pfizer CT.gov Call Center
1-800-718-1021
ClinicalTrials.gov_Inquiries@pfizer.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.