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Brief Title: Symbiotic-GU-06: A Study to Learn About PF-08634404 Alone or In Combination With Enfortumab Vedotin in Urothelial Cancer

AN INTERVENTIONAL PHASE 1B/2, OPEN-LABEL STUDY TO INVESTIGATE THE SAFETY, ANTITUMOR ACTIVITY, AND PHARMACOKINETICS OF PF 08634404 MONOTHERAPY OR IN COMBINATION WITH ENFORTUMAB VEDOTIN IN ADULT PARTICIPANTS WITH LOCALLY ADVANCED OR METASTATIC UROTHELIAL CANCER

INTRODUCTION

  • Org Study ID: C6461006
  • Secondary ID: N/A
  • NCT ID: NCT07421700
  • Sponsor: Pfizer

BRIEF SUMMARY

This study is being done to learn more about a new medicine called PF-08634404. It is for adults with a type of bladder cancer called locally advanced or metastatic urothelial cancer (LA/mUC), meaning the cancer has spread to nearby tissues or other parts of the body.

The purpose of the study is to see if PF-08634404 is safe, how well it works, how it moves through the body, and how it affects the cancer. The study will also look at how the medicine may change certain markers in the body that are linked to cancer.

To join the study, participants must:

* Be adults (18 years or older) and
* Have locally advanced or metastatic urothelial cancer,

The study has two groups:

* Cohort A: People who have already received treatment for their cancer will get the study medicine ( PF-08634404) alone.
* Cohort B: People who have not had treatment before will get the study medicine along with another cancer medicine called enfortumab vedotin.

Everyone in the study will get the study medicine through a vein (IV infusion) with or without enfortumab vedotin. Treatment will continue as long as it helps and side effects are manageable.

Before starting, participants will go through a screening period to check if they are eligible. During the study, they will have regular visits for treatment, health checks, and tests to see how the cancer is responding. Scans will be done regularly to monitor the cancer.

If the cancer gets worse but the treatment is still helping and side effects are manageable, participants may be allowed to continue treatment with their doctor's and the sponsor's agreement.

  • Overall Status
    Recruiting
  • Start Date
    March 11, 2026
  • Phase
    PHASE1, PHASE2
  • Study Type
    Interventional

PRIMARY OUTCOMES

Primary Outcome 1 - Measure: Confirmed Objective Response Rate (ORR) by investigator

Primary Outcome 1 - Timeframe: Up to approximately 3 years

Primary Outcome 2 - Measure: Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

Primary Outcome 2 - Timeframe: Through 90 days after the last study intervention; Up to approximately 3 years

Primary Outcome 3 - Measure: Number of participants with dose limiting toxicity (DLT) in Part 1 of Cohort B

Primary Outcome 3 - Timeframe: Through 90 days after the last study intervention; Up to approximately 3 years

CONDITION

  • Urothelial Cancer
  • Advanced/Metastatic Urothelial Cancer
  • Urothelial Carcinoma

ELIGIBILITY

Inclusion Criteria:
* Age ≥18 years at the time of screening.

- * Histologically confirmed locally advanced or metastatic urothelial carcinoma (LA/mUC).

- * Measurable disease per RECIST v1.1 criteria.

- * ECOG performance status of 0 or 1.

- * Adequate organ function, including hematologic, hepatic, and renal parameters.

- * Willingness to comply with study procedures and provide informed consent.

- * For participants of childbearing potential: agreement to use effective contraception during the study and for a defined period after the last dose.
Exclusion Criteria:
Participants will be excluded if they meet any of the following:
* 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

- * Known active CNS lesions, including leptomeningeal metastasis, brainstem, meningeal, or spinal cord metastases or compression

- * Active autoimmune diseases requiring systemic treatment within the past 2 years

- * Participation in another investigational study within 30 days or 5 half-lives of the investigational product.

- * Pregnant or breastfeeding individuals.

- * Inability or unwillingness to comply with study requirements.

- * Study staff or their immediate family members directly involved in the conduct of the study.

Gender: All

Minimum Age: 18 Years

Maximum Age: N/A

Healthy Volunteers: No

OFFICIAL INFORMATION

Name: Pfizer CT.gov Call Center

Role: Study Director

Affiliation: Pfizer

Overall Contact

Name: Pfizer CT.gov Call Center

Phone: 1-800-718-1021

Email: [email protected]

LOCATION

Facility Status Contact
Facility: Highlands Oncology Group, PA
Fayetteville, Arkansas 72703
United States
Status: Recruiting Contact: N/A
Facility: Highlands Oncology Group, PA
Rogers, Arkansas 72758
United States
Status: Recruiting Contact: N/A
Facility: Highlands Oncology Group, PA
Springdale, Arkansas 72762
United States
Status: Recruiting Contact: N/A
Facility: City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
Duarte, California 91010
United States
Status: Recruiting Contact: N/A
Facility: City of Hope Investigational Drug Services (IDS)
Duarte, California 91010
United States
Status: Recruiting Contact: N/A
Facility: City of Hope at Irvine Lennar
Irvine, California 92618
United States
Status: Recruiting Contact: N/A
Facility: City of Hope Investigational Drug Service (IDS)
Irvine, California 92618
United States
Status: Recruiting Contact: N/A
Facility: City of Hope-Long Beach (ELM)
Long Beach, California 90813
United States
Status: Recruiting Contact: N/A
Facility: City of Hope UPLAND
Upland, California 91786
United States
Status: Recruiting Contact: N/A
Facility: Rocky Mountain Cancer Centers, LLP
Aurora, Colorado 80012
United States
Status: Recruiting Contact: N/A
Facility: Rocky Mountain Cancer Centers, LLP
Denver, Colorado 80218
United States
Status: Recruiting Contact: N/A
Facility: Rocky Mountain Cancer Centers, LLP
Lone Tree, Colorado 80124
United States
Status: Recruiting Contact: N/A
Facility: Eastern Connecticut Hematology and Oncology Associates
Norwich, Connecticut 06360
United States
Status: Recruiting Contact: N/A
Facility: New York Oncology Hematology
Albany, New York 12206
United States
Status: Recruiting Contact: N/A
Facility: New York Oncology Hematology
Clifton Park, New York 12065
United States
Status: Recruiting Contact: N/A
Facility: Sarah Cannon Research Institute
Nashville, Tennessee 37203
United States
Status: Recruiting Contact: N/A
Facility: SCRI Oncology Partners
Nashville, Tennessee 37203
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Central/South Texas
Austin, Texas 78705
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Central/South Texas
Austin, Texas 78731
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Central/South Texas
Austin, Texas 78745
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Central South
Austin, Texas 78758
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Gulf Coast
Beaumont, Texas 77702
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Central/South Texas
Harlingen, Texas 78550
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Gulf Coast
Houston, Texas 77024
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Gulf Coast
Houston, Texas 77054
United States
Status: Recruiting Contact: N/A
Facility: US Oncology Investigational Products Center (IPC)
Irving, Texas 75063
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Central/South Texas
McAllen, Texas 78503
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Gulf Coast
Pearland, Texas 77584
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Gulf Coast
Sugar Land, Texas 77479
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Gulf Coast
The Woodlands, Texas 77380
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Central/South Texas
Waco, Texas 76712
United States
Status: Recruiting Contact: N/A
Facility: Texas Oncology - Gulf Coast
Webster, Texas 77598
United States
Status: Recruiting Contact: N/A
Facility: Oncology & Hematology Associates of Southwest Virginia, Inc.,DBA Blue Ridge Cancer Care
Blacksburg, Virginia 24060
United States
Status: Recruiting Contact: N/A
Facility: Virginia Cancer Specialists, PC
Fairfax, Virginia 22031
United States
Status: Recruiting Contact: N/A
Facility: Oncology & Hematology Associates of Southwest Virginia, Inc.,DBA Blue Ridge Cancer Care
Low Moor, Virginia 24457
United States
Status: Recruiting Contact: N/A
Facility: Virginia Oncology Associates
Norfolk, Virginia 23502
United States
Status: Recruiting Contact: N/A
Facility: Oncology & Hematology Associates of Southwest Virginia, Inc.,DBA Blue Ridge Cancer Care
Roanoke, Virginia 24014
United States
Status: Recruiting Contact: N/A
Facility: Oncology & Hematology Associates of Southwest Virginia, Inc.,DBA Blue Ridge Cancer Care
Salem, Virginia 24153
United States
Status: Recruiting Contact: N/A
Facility: Oncology & Hematology Associates of Southwest Virginia, Inc.,DBA Blue Ridge Cancer Care
Wytheville, Virginia 24382
United States
Status: Recruiting Contact: N/A