New pfizer drug takes on Hard-to-Treat cancers
NCT ID NCT04606446
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests a new drug called PF-07248144, alone or combined with other cancer treatments, in people with advanced breast, prostate, or lung cancers that have not responded to standard therapy. The trial aims to find safe doses and check for early signs of tumor shrinkage. About 320 participants will take part across multiple locations.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- PF-07248144 (a KAT6 inhibitor drug)
- What this could lead to
- If successful, this could lead to a new treatment option for people with advanced breast, prostate, or lung cancers that have stopped responding to standard therapies.
- What could go wrong
- This is an early-phase trial (Phase 1/2a) focused mainly on safety and dosing, so it is not yet known if the drug will effectively shrink tumors or improve survival. Side effects are still being identified.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
About 320 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Nov 2020
- Expected to finish
-
Aug 2029
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Disease Characteristics - Breast, Prostate, and Lung Cancer * Part 1A (Monotherapy Dose Escalation) Histological or cytological diagnosis of locally advanced or metastatic ER+HER2- breast cancer, CRPC, or NSCLC that is intolerant or resistant to standard therapy or for which no standard therapy is available. * Part 1B, Part 1C, Part 1D and Part 1E (Combination Dose Escalation) Histological or cytological diagnosis of locally advanced or metastatic ER+HER2- breast cancer. Participants must have progressed after at least 1 prior line of treatment with an endocrine therapy and CDK4/6 inhibitor in the advanced or metastatic setting. * Part 2A (ER+HER2- breast cancer 2L+, monotherapy) Histological or cytological diagnosis of locally advanced or metastatic ER+HER2- breast cancer. Participants must have progressed after at least 1 prior line of CDK4/6 inhibitor and 1 line of endocrine therapy. * Part 2B (ER+HER2- breast cancer 2-4L, combination with fulvestrant) Histological or cytological diagnosis of advanced or metastatic ER+HER2- breast cancer. Participants must have progressive disease after at least 1 prior line of a CDK4/6 inhibitor and at least 1 prior line of endocrine therapy.. Participants must not have received more than 3 prior lines of systemic therapies including up to 1 line of cytotoxic chemotherapy for visceral disease in advanced or metastatic setting; Participants may have but are not required to have prior treatment with fulvestrant. * Part 2D (ER+HER2- breast cancer 2-4L, combination with PF-07220060 (CDK4i) and fulvestrant): Histological or cytological diagnosis of advanced or metastatic ER+HER2- breast cancer. Participants must have progressive disease after at least 1 prior line of a CDK4/6 inhibitor and at least 1 prior line of endocrine therapy. * Participants must have not received more than 3 lines of systemic therapies including up to 1 line of cytotoxic chemotherapy for visceral disease in advanced or metastatic setting; Participants may have but are not required to have prior treatment with fulvestrant. * Part 2E (ER+HER2- breast cancer 2-4L, combination with vepdegestrant): Histological or cytological diagnosis of advanced or metastatic ER+HER2- breast cancer. Participants must have progressive disease after at least 1 prior line of a CDK4/6 inhibitor and at least 1 prior line of endocrine therapy; Participants must have not received more than 3 lines of systemic therapies including up to 1 line of cytotoxic chemotherapy for visceral disease in advanced or metastatic setting; Participants may have received fulvestrant * Participants with ER+HER2- advanced or metastatic breast cancer must have documentation of ER-positive tumor (≥1% positive stained cells) based on most recent tumor biopsy utilizing an assay consistent with local standards. * Participants with ER+HER2- advanced or metastatic breast cancer must have documentation of HER2-negative tumor: HER2-negative tumor is determined as immunohistochemistry score 0/1+ or negative by in situ hybridization (FISH/CISH/SISH/DISH) defined as a HER2/CEP17 ratio \<2 or for single probe assessment a HER2 copy number \<4. * Female participants with ER+HER2- advanced or metastatic breast cancer considered to be of childbearing potential (or have tubal ligations only) must be willing to undergo medically induced menopause by treatment with the approved LHRH agonist such as goserelin, leuprolide or equivalent agents to induce chemical menopause. * Female participants with ER+HER2- advanced or metastatic breast cancer of nonchildbearing potential must meet at least 1 criteria of achieving postmenopausal status. * Participants must have at least 1 measurable lesion as defined by RECIST version 1.1 that has not been previously irradiated. * Eastern Cooperative Oncology Group (ECOG) Performance Status PS 0 or 1 * Female or male patients aged ≥ 18 years (Japan ≥ 20 years) (South Korea ≥ 19 years). * Adequate renal, liver, and bone marrow function. * Resolved acute effects of any prior therapy to baseline severity or CTCAE Grade 1 except for adverse events (AEs) not constituting a safety risk by investigator judgment. Exclusion Criteria: * Unmanageable ascites (limited medical treatment to control ascites is permitted, but all participants with ascites require review by sponsor's medical monitor). * Participants with any other active malignancy within 3 years prior to enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ. * Major surgery, radiation therapy, or systemic anti-cancer therapy within 3 weeks prior to study entry. * Prior irradiation to \>25% of the bone marrow. * ECG clinically relevant abnormalities (eg, QTc \>470 msec, complete LBBB, second/third degree AV block, ST elevation or EKG changes suggesting myocardial infarction or active myocardia ischemia). * Therapeutic anticoagulation. However, low molecular weight heparin is allowed. Vitamin K antagonists or factor Xa inhibitors may be allowed following discussion with the Sponsor. * Known or suspected hypersensitivity or severe allergy to active ingredient/excipients of PF-07248144. * Active inflammatory GI disease, refractory and unresolved chronic diarrhea or previous gastric resection, lap band surgery or other GI conditions and surgeries that may significantly alter the absorption of PF-07248144 tablets. Gastroesophageal reflux disease under treatment is allowed. * Pregnant or breastfeeding female participants.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Locally advanced or metastatic castration-resistant prostate cancer are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
41 sites in 5 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Aichi Cancer Center Hospital
RECRUITINGNagoya, Aichi-ken, 464-8681, Japan
-
Asan Medical Center
RECRUITINGSeoul, 05505, South Korea
-
Beijing Cancer hospital
RECRUITINGBeijing, Beijing Municipality, 100142, China
-
Cancer Research South Australia
RECRUITINGAdelaide, South Australia, 5000, Australia
-
Cedars Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
-
Cedars-Sinai Cancer at Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
-
Chris O'Brien Lifehouse
TERMINATEDCamperdown, New South Wales, 2050, Australia
-
Holy Cross Hospital
TERMINATEDFort Lauderdale, Florida, 33308, United States
-
HonorHealth
TERMINATEDScottsdale, Arizona, 85258, United States
-
Jilin Province Tumor Hospital
RECRUITINGChangchun, Jilin, 130000, China
-
Jilin Province Tumor Hospital
RECRUITINGChangchun, Jilin, 132000, China
-
Kanagawa cancer center
RECRUITINGYokohama, Kanagawa, 2418515, Japan
-
Kyungpook National University Chilgok Hospital
RECRUITINGDaegu, Taegu-kwangyǒkshi, 41404, South Korea
-
MD Anderson
RECRUITINGSugar Land, Texas, 77478, United States
-
MD Anderson League City
RECRUITINGLeague City, Texas, 77573, United States
-
MD Anderson The Woodlands
RECRUITINGConroe, Texas, 77384, United States
-
MD Anderson West Houston
RECRUITINGHouston, Texas, 77079, United States
-
NEXT Oncology
RECRUITINGSan Antonio, Texas, 78229, United States
-
National Cancer Center Hospital
RECRUITINGChuo-ku, Tokyo, 104-0045, Japan
-
National Cancer Center Hospital East
RECRUITINGKashiwa, Chiba, 277-8577, Japan
-
Peter MacCallum Cancer Centre
RECRUITINGMelbourne, Victoria, 3000, Australia
-
Royal Melbourne Hospital
RECRUITINGParkville, Victoria, 3050, Australia
-
SCRI Oncology Partners
RECRUITINGNashville, Tennessee, 37203, United States
-
SUN Yat-Sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510060, China
-
Samsung Medical Center
RECRUITINGSeoul, Seoul-teukbyeolsi [seoul], 06351, South Korea
-
Seoul National University Bundang Hospital
RECRUITINGSeongnam-si, Gyeonggi-do, 13620, South Korea
-
Seoul National University Hospital
RECRUITINGSeoul, Seoul-teukbyeolsi [seoul], 03080, South Korea
-
Severance Hospital, Yonsei University Health System
RECRUITINGSeoul, Seoul-teukbyeolsi [seoul], 03722, South Korea
-
Smilow Cancer Hospital Phase 1 Unit
RECRUITINGNew Haven, Connecticut, 06511, United States
-
Smilow Cancer Hospital at Yale - New Haven
RECRUITINGNew Haven, Connecticut, 06510, United States
-
St. Elizabeth Healthcare
RECRUITINGEdgewood, Kentucky, 41017, United States
-
St. John of God Subiaco Hospital
RECRUITINGSubiaco, Western Australia, 6008, Australia
-
Swedish Cancer Institute
RECRUITINGSeattle, Washington, 98104, United States
-
Swedish Medical Center
RECRUITINGSeattle, Washington, 98122, United States
-
The First Affiliated Hospital of Xi'an Jiaotong University
RECRUITINGXi'an, Shaanxi, 710061, China
-
The University of Texas M. D. Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
-
U.T. MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
-
UCSF Medical Center at Mission Bay
RECRUITINGSan Francisco, California, 94158, United States
-
University Medical Center, lnc.:DBA University of Louisville Hospital
RECRUITINGLouisville, Kentucky, 40202, United States
-
University of Louisville
RECRUITINGLouisville, Kentucky, 40202, United States
-
UofL Health Brown Cancer Center
RECRUITINGLouisville, Kentucky, 40202, United States
-
Western Health-Sunshine & Footscray Hospitals
RECRUITINGSt Albans, Victoria, 3021, Australia
-
Yale University
RECRUITINGNew Haven, Connecticut, 06511, United States
-
Yale-New Haven Hospital- Yale Cancer Center
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New pill hopes to shrink lung tumors in early trial
- New targeted therapy aims to outshine standard chemo for HER2-mutant lung cancer
- New drug cocktail aims to shrink lung tumors
- New drug cocktail hopes to tackle tough lung cancer
- New combo therapy aims to tackle tough lung cancer
- New pill HRS-4508 targets tough lung cancers