New drug targets Hard-to-Treat cancers in early trial
NCT ID NCT06131840
First seen Jun 27, 2026 · Last updated Jul 23, 2026 · Updated 4 times
Summary
This early-phase study tests an experimental drug called PF-08046050 in adults with advanced solid tumors (like lung, colon, or stomach cancer) that have come back or not improved with standard treatments. The drug is designed to stick to cancer cells and kill them. The main goal is to check safety and find the right dose.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 914 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2023
- Expected to finish
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Sep 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Tumor type: * Participants in Part A (dose escalation) and Part B (dose optimization) must have histologically- or cytologically-confirmed metastatic or unresectable solid tumor malignancy. Must have relapsed, refractory, or progressive disease, and should have no appropriate standard therapy available. * Participants in Part A must have one of the following tumor types: colorectal cancer (CRC); gastric carcinoma (GC) or gastroesophageal junction adenocarcinoma (GEJ); non-small cell lung cancer (NSCLC); or pancreatic ductal adenocarcinoma (PDAC). * The tumor types to be enrolled in Part B will be identified by the sponsor from among those specified in Part A. * Participants in Part C (dose expansion) must have one of the following histologically- or cytologically-confirmed metastatic or unresectable solid tumor malignancies. * CRC (adenocarcinoma of the colon or rectum) and must have received no more than 2 prior chemotherapy regimens for the treatment of advanced colorectal cancer and evidence of either progressive disease or intolerance to their last regimen. * PDAC with one or more metastatic lesions measurable by computed tomography/magnetic resonance imaging according to RECIST v1.1 criteria; and must have received no more than 1 prior chemotherapy regimen for the treatment of advanced PDAC and evidence of either progressive disease or intolerance to that regimen. * GC or GEJ and must have received prior platinum and fluoropyrimidine-based chemotherapy. * NSCLC and must have received platinum-based therapy. If eligible and consistent with local standard of care must have received a PD-1/PD-L1 inhibitor. In addition, participants with tumor genomic mutations/alterations for which approved targeted therapies are available per local standard of care, must have received such therapies. * Small cell lung cancer (SCLC) and must have received platinum-based therapy for extensive-stage disease and no more than 3 prior lines of therapy. If eligible and consistent with local standard of care must have received a PD 1/PD-L1 inhibitor. * CRC participants in Part D and Part E (bevacizumab combination therapy) must have histologically confirmed unresectable or metastatic adenocarcinoma of the colon or rectum. Received a maximum of 2 prior chemotherapy regimens for the treatment of advanced colorectal cancer and had demonstrated progressive disease or intolerance to their last regimen. * CRC participants in Part D and Part E (5FU/LV + bevacizumab and 5FU/LV + oxaliplatin + bevacizumab combination therapy) must have histologically confirmed unresectable or metastatic adenocarcinoma of the colon or rectum. Must not have received a prior TOPO1 inhibitor (such as irinotecan or nanoliposomal irinotecan) in any setting. 1L cohorts: No prior chemotherapy for advanced disease. 2L cohorts (applicable to 5FU/LV + bevacizumab combination only): 1 prior chemotherapy regimen for the treatment of advanced disease, which must have included a fluoropyrimidine and oxaliplatin. \> 2L PDAC participants in Part E (5FU/LV combination therapy) must have histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma. One or more metastatic lesions measurable by computed tomography/magnetic resonance imaging according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria. \> 1L PDAC participants in Part E (5FU/LV + oxaliplatin combination therapy) must have histologically or cytologically confirmed metastatic pancreatic ductal adenocarcinoma that has not been previously treated in the metastatic setting. One or more metastatic lesions measurable by computed tomography/magnetic resonance imaging according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 criteria. No prior chemotherapy for PDAC with the following exception: Patients who received adjuvant/neoadjuvant chemotherapy and who had recurrence more than 12 months after completion of adjuvant/neoadjuvant chemotherapy are eligible. 2. Participants enrolled in the following study parts should have a tumor site that is accessible for biopsy(ies) and agree to biopsy(ies) and/or submission of archival tissue: * Monotherapy dose optimization (Part B) * Monotherapy (Part C) and combination therapy (Part E) disease-specific expansion cohorts 3. An Eastern Cooperative Oncology Group (ECOG) Performance Status score of 0 or 1 4. Measurable disease per Response Evaluation in Solid Tumors (RECIST) v1.1 at baseline. Exclusion Criteria: 1. Previous exposure to CEACAM5-targeted therapy. 2. Prior treatment with a TOPO1-targeting ADC (CPT payload), such as Enhertu (trastuzumab deruxtecan) or Trodelvy (sacituzumab govitecan). 3. History of another malignancy within 3 years before the first dose of study intervention, or any evidence of residual disease from a previously diagnosed malignancy. 4. Active cerebral/meningeal disease related to the underlying malignancy. Participants with a history of cerebral/meningeal disease related to the underlying malignancy are allowed if prior central nervous system disease has been treated and the participant is clinically stable (defined as not having received steroid treatment for symptoms related to cerebral/meningeal disease for at least 2 weeks prior to enrollment and with no ongoing related AEs). \> Criteria related to bevacizumab administration (participants in Parts D and E) 5. History of allergic reactions or hypersensitivity to bevacizumab or any of its excipients. 6. History of hypersensitivity to Chinese Hamster Ovary cell products or other recombinant human or humanized antibodies. 7. Serious non-healing wound, non-healing ulcer, or non-healing bone fracture. 8. Deep venous thromboembolic event within 4 weeks prior to enrollment 9. Known coagulopathy that increases risk of bleeding, bleeding diatheses. 10. History of any life-threatening VEGF-related adverse event
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
48 sites in 10 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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ApoEx NKS
RECRUITINGStockholm, 17176, Sweden
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Ascires CETIR
RECRUITINGEsplugues de Llobregat, 08950, Spain
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Ascires Cetir
RECRUITINGBarcelona, 08029, Spain
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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02215, United States
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City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
RECRUITINGDuarte, California, 91010, United States
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Diagnostic Centre
RECRUITINGLondon, W1G 7AF, United Kingdom
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Edinburgh Cancer Centre, Western General Hospital
RECRUITINGEdinburgh, Scotland, EH4 2XU, United Kingdom
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Florida Cancer Specialists
RECRUITINGOrlando, Florida, 32827, United States
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Fudan University Shanghai Cancer Center
NOT_YET_RECRUITINGShanghai, 201321, China
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Gustave Roussy
RECRUITINGVillejuif, 94800, France
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Hadassah Medical Organization
NOT_YET_RECRUITINGJerusalem, 91120, Israel
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Hospital Universitario HM Sanchinarro-CIOCC-START Madrid
RECRUITINGMadrid, 28050, Spain
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IP Address: City of Hope Investigational Drug Services(IDS)
RECRUITINGDuarte, California, 91010, United States
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Institut Catala d'Oncologia - Hospital Duran i Reynals (ICO L'Hospitalet)
RECRUITINGL'Hospitalet de Llobregat, Catalunya [cataluña], 08908, Spain
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Institut Gustave Roussy
RECRUITINGVillejuif, Paris, 94805, France
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Karolinska University Hospital
RECRUITINGSolna, 171 64, Sweden
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Lothian Health Board
RECRUITINGEdinburgh, EH3 9DN, United Kingdom
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Mayo Clinic
RECRUITINGScottsdale, Arizona, 85259, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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Mayo Clinic Cancer Center
RECRUITINGRochester, Minnesota, 55905, United States
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Mayo Clinic Hospital
RECRUITINGPhoenix, Arizona, 85054, United States
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McGill University Health Centre
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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MidAmerica Cancer Care
NOT_YET_RECRUITINGKansas City, Missouri, 64132, United States
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NEXT Dallas
NOT_YET_RECRUITINGIrving, Texas, 75039, United States
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National Cancer Center Hospital East
RECRUITINGKashiwa, Chiba, 277-8577, Japan
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Netherlands Cancer Institute
RECRUITINGAmsterdam, 1066CX, Netherlands
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Radiology
RECRUITINGLondon, W1G 8PP, United Kingdom
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SCRI Oncology Partners
RECRUITINGNashville, Tennessee, 37203, United States
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START Midwest
RECRUITINGGrand Rapids, Michigan, 49546, United States
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START Mountain Region
RECRUITINGSalt Lake City, Utah, 84119, United States
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Sarah Cannon Research Institute - Pharmacy
RECRUITINGNashville, Tennessee, 37203, United States
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Sarah Cannon Research Institute UK
RECRUITINGLondon, W1G 6AD, United Kingdom
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Sarah Cannon Research Institute at Florida Cancer Specialists
RECRUITINGOrlando, Florida, 32827, United States
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Servicio de Farmacia ICO - Planta 0
RECRUITINGL'Hospitalet de Llobregat, 08908, Spain
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Shandong First Medical University Cancer Hospital
NOT_YET_RECRUITINGJinan, Shandong, 250117, China
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Sidney Kimmel Comprehensive Cancer at Johns Hopkins
RECRUITINGBaltimore, Maryland, 21287, United States
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South Texas Accelerated Research Therapeutics Mountain Region
RECRUITINGWest Valley City, Utah, 84119, United States
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South Texas Accelerated Research Therapeutics, LLC
RECRUITINGSan Antonio, Texas, 78229, United States
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The Harley Street Clinic
RECRUITINGLondon, W1G 7LJ, United Kingdom
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The Harley Street Clinic (THSC)
RECRUITINGLondon, Other, W1G 8BJ, United Kingdom
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The Ottawa Hospital
RECRUITINGOttawa, Ontario, K1H 8L6, Canada
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The Sixth Affiliated Hospital of Sun Yat-sen University
RECRUITINGGuangzhou, Guangdong, 510655, China
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The University of Texas MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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University Health Network
RECRUITINGToronto, Ontario, M5G 2C4, Canada
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University Health Network, Princess Margaret Cancer Centre
RECRUITINGToronto, Ontario, M5G 2M9, Canada
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University of Colorado Hospital
RECRUITINGAurora, Colorado, 80045, United States
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University of Colorado Hospital - Anschutz Cancer Pavilion (ACP)
RECRUITINGAurora, Colorado, 80045, United States
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Western General Hospital
RECRUITINGEdinburgh, EH4 2XU, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Ivosidenib plus mFOLFOXIRI and celecoxib as a treatment for BRAF-targeted therapy-refractory BRAF V600E-mutant colorectal cancer patients: a phase II study
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