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The safety and efficacy of this agent(s), or use in this setting, has not been established or is subject to confirmation. For an agent(s) whose safety and efficacy has not been established or confirmed, future regulatory approval or commercial availability is not guaranteed.

Clinical Trial Details

Geo Regions

Category

Breast Cancer

KAT6 Inhibitor

PF-07248144 is an investigational compound. Its safety and efficacy have not been established.

An Interventional, Open-Label, Randomized, Multicenter, Phase 3 Study of PF-07248144 Plus Fulvestrant Compared to Investigator's Choice of Therapy in Adult Participants With Hormone Receptor-Positive, HER2-Negative Advanced/Metastatic Breast Cancer Whose Disease Progressed After Prior CDK4/6 Inhibitor-based Therapy

Phase 3

NCT07062965

Active enrolling

Globe

Locations

United States, Japan, Puerto Rico

Study design
Participant Group/Arm

EXPERIMENTAL: Arm A: PF-07248144 plus fulvestrant

PF-07248144 tablet taken by mouth plus fulvestrant taken as a shot into the muscle.

Intervention/Treatment

DRUG: PF-07248144

KAT6 inhibitor

DRUG: Fulvestrant

Endocrine therapy

Participant Group/Arm

ACTIVE_COMPARATOR: Arm B: everolimus plus ET

Everolimus tablet taken by mouth plus investigator's choice of endocrine therapy of exemestane tablet taken by mouth or fulvestrant taken as a shot into the muscle.

Intervention/Treatment

DRUG: Fulvestrant

Endocrine therapy

DRUG: Everolimus

mTOR inhibitor

DRUG: Exemestane

Endocrine therapy

Study design table for Clinical Trial
Key eligibility criteria
Inclusion criteria
  • Confirmed diagnosis of HR-positive HER2-negative breast cancer with evidence of locally advanced or metastatic disease, which is not amenable to surgical resection or radiation therapy with curative intent.
  • Prior CDK4/6 inhibitor therapy in combination with endocrine therapy in advance metastatic setting or in adjuvant setting with documented progression during or within 12 months after the last dose of CDK4/6i.
  • Participants are eligible if they previously received CDK4/6i or ET as a monotherapy, or in combination for rechallenge therapy in the advance or metastatic setting; have received prior therapy targeting estrogen receptor 1 (ESR1) or breast cancer gene (BRCA)1/2.
  • Measurable disease evaluable per Response Evaluation Criterion in Solid Tumors (RECIST) v.1.1 or non-measurable bone-only disease
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1.
Exclusion criteria
  • Documented detectable PIK3CA/AKT1/PTEN alterations in tissue
  • Received greater than two prior lines of systemic therapy in the advance or metastatic setting
  • Had received any prior chemotherapy, including antibody drug conjugates (ADCs), in advance or metastatic setting. Participants who have previously received chemotherapy in the (neo)adjuvant setting are not excluded from the study.
  • Any medical or psychiatric condition that may increase the risk of study participation or make the participant inappropriate for the study.
  • Renal impairment, hepatic dysfunction, or hematologic abnormalities.
Key dates
Study start date
  • August 2025
Estimated Study Completion Date
  • November 2030
Key endpoints
Primary Outcome Measures
Outcome Measure

Progression Free Survival (PFS) as determined by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1

Measure Description

Time Frame

From the date of randomization until disease progression or death due to any cause (up to approximately 2 years)

Primary Outcome Measures table for Clinical Trial
Secondary Outcome Measures:
Outcome Measure

Overall Survival (OS)

Measure Description

Time Frame

From the date of randomization until death due to any cause (up to approximately 5 years).

Outcome Measure

Number of Participants with Objective Response (OR) by BICR

Measure Description

Time Frame

From the date of randomization until disease progression or death due to any cause (up to approximately 2 years)

Outcome Measure

Duration of Response (DoR) as defined by BICR

Measure Description

Time Frame

From the date of the first objective (PR or CR) response (every 8 weeks during the first 48 weeks and then every 12 week) up to approximately 2 years.

Outcome Measure

Number of Participants With Clinical Benefit Response (CBR) by BICR

Measure Description

Time Frame

From randomization date (every 8 weeks during the first 48 weeks and then every 12 weeks) up to approximately 2 years.

Outcome Measure

Number or Patients with Adverse Events (AEs) by Type

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 5 years

Outcome Measure

Number or Patients with AEs by Incidence

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 5 years

Outcome Measure

Number or Patients with AEs by Seriousness

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 5 years

Outcome Measure

Number or Patients with AEs by relationship to study interventions

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 5 years

Outcome Measure

Number of Participants With Abnormal Electrocardiogram (ECG; Arm A and B)

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 5 years

Outcome Measure

Number of Participants With Increase From Baseline in Corrected QT (QTc) Interval (Arm A only)

Measure Description

The study includes a QTc sub-study in approximately 40 participants in Arm A enrolled at selected sites which will evaluate the effect of PF-07248144 on QTc interval via collection of triplicate ECGs (central reading) time-matched with pharmacokinetic (PK) draws.

Time Frame

0h pre-dose on Cycle 1 Day 1, Cycle 1 Day 15, Cycle 2 Day 1, and Cycle 3 Day 1; additional 4 hrs post dose on Cycle 1 Day 15 and Cycle 2 Day 1

Outcome Measure

Number of Participants With Laboratory Test Abnormalities

Measure Description

Time Frame

From screening until 28 days after the last dose, to approximately 5 years

Outcome Measure

Ctrough of PF-07248144

Measure Description

Ctrough was defined as pre-dose serum concentration during multiple dosing and observed directly from data.

Time Frame

Cycle 1 (Day 1), Cycle 1 (Day 15), Cycle 2 (Day 1), and Cycles 3, 5, and 7 (Day 1) only. Each Cycle is 28 days

Secondary Outcome Measures table for Clinical Trial
Number of participants

400

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of August 15th 2025.

Contact Us
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For more information, call or email the Pfizer Clinical Trial Contact Center:

1-800-887-7002 Email us

When calling, please reference this study number:

More Information Close NCT# stands for National Clinical Trial number. This is a unique identification code given to each clinical trial registered on ClinicalTrials.gov. The format is "NCT" followed by an 8-digit number (for example, NCT00000419). Also called the ClinicalTrials.gov identifier. NCT07062965