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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

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Category

Other or Multiple Cancer Types

Integrin Beta-6 (Iβ6) Directed Top1 Inhibitor

PF-08046876 | B6C is an investigational compound. Its safety and efficacy have not been established.

A Phase 1 Open-label Study to Investigate PF-08046876 in Adult Participants With Advanced Solid Tumors.

Phase 1

NCT07090499

Active enrolling

Globe

Locations

United States, Canada, Puerto Rico

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for more information at clinicaltrials.gov

Study design
Participant Group/Arm

EXPERIMENTAL: Part 1 Dose Escalation

Different groups of participants will receive different doses and/or schedules of the study drug

Intervention/Treatment

DRUG: PF-08046876

Intravenous administration

Participant Group/Arm

EXPERIMENTAL: Part 2 Dose Optimization

Participants will be randomized to 2 dosing regimens deemed to be safe in Part 1

Intervention/Treatment

DRUG: PF-08046876

Intravenous administration

Participant Group/Arm

EXPERIMENTAL: Part 2 Dose Expansion

Participants in tumor-specific groups will receive 1 dosing regimen deemed to be safe in Part 1

Intervention/Treatment

DRUG: PF-08046876

Intravenous administration

Study design table for Clinical Trial
Key eligibility criteria
Inclusion criteria
  • 18 years of age or older
  • Advanced cancer of the bladder, lung, head and neck, esophagus, or pancreas
  • Measurable disease
  • ECOG Performance status 0-1
  • Part 1: progression or relapse following standard treatments
  • Part 2: maximum of 2 prior lines of systemic therapy in the advanced setting
  • Resolution of acute effects of prior anticancer therapy to baseline or Grade 1
  • Consent to submit required pre-treatment tumor tissue as medically feasible

 

Exclusion criteria
  • Received prior treatment with an antibody drug conjugate with a camptothecin-class payload (e.g. sacituzumab govitecan, trastuzumab deruxtecan )
  • Active anorexia, nausea or vomiting, and/or signs of intestinal obstruction meeting protocol exclusion
  • Pulmonary disease meeting protocol exclusion
  • Other unacceptable abnormalities as defined by protocol
Key dates
Study start date
  • August 2025
Estimated Study Completion Date
  • July 2029
Key endpoints
Primary Outcome Measures
Outcome Measure

Incidence of Treatment Emergent Adverse Events (TEAEs) estimated during the Adverse Events (AE) evaluation

Measure Description

AEs as characterized by type, frequency, severity, timing, seriousness, and relationship to study therapy dose modifications.

Time Frame

Start of treatment up to 30 days after last dose or start of new anticancer therapy (whichever occurs first)

Outcome Measure

Part 1: Number of Participants With Dose-limiting Toxicities (DLTs): Monotherapy

Measure Description

Occurrence of DLTs as defined by the protocol

Time Frame

Baseline to end of DLT evaluation period

Outcome Measure

Part 1: Recommended Monotherapy Dose for Expansion

Measure Description

RDE will be based on cumulative safety, preliminary antitumor activity and pharmacokinetics findings

Time Frame

Baseline to 30 days post last study drug administration

Outcome Measure

Part 2: Recommended Phase 2 Dose

Measure Description

RP2D will be determined based on the cumulative safety, preliminary anti tumor activity and Pharmacokinetics findings.

Time Frame

Baseline to 30 days post last study drug administration

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

Objective Response Rate (ORR)

Measure Description

ORR defined as per Response Evaluation Criteria in Solid Tumors (RECIST v1.1).

Time Frame

Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

Outcome Measure

Duration of Response (DOR)

Measure Description

DOR as defined per RECIST 1.1.

Time Frame

From the date of the first objective response to the date of disease progression or death (approximately 2 years)

Outcome Measure

Progression Free Survival (PFS)

Measure Description

PFS as defined per RECIST 1.1.

Time Frame

From Baseline to date of first disease progression or death (approximately 2 Years)

Outcome Measure

Overall Survival (OS)

Measure Description

OS defined as the time until death due to any cause.

Time Frame

From baseline to up to 3 years

Outcome Measure

Pharmacokinetics (PK): Maximum Observed Serum Concentration (Cmax)

Measure Description

Evaluate the single and multiple dose PK of PF-08048676.

Time Frame

Baseline to approximately 30 days after last dose of study drug

Outcome Measure

PK: Time to Reach Maximum Observed Plasma Concentration (Tmax)

Measure Description

Evaluate the single and multiple dose PK of PF-08048676.

Time Frame

Baseline to approximately 30 days after last dose of study drug

Outcome Measure

PK: Area Under the Curve (AUC) from Time Zero to Last Quantifiable Concentration (AUClast)

Measure Description

Evaluate the single and multiple dose PK of PF-08048676.

Time Frame

Baseline to approximately 30 days after last dose of study drug

Outcome Measure

Incidence of Anti-Drug Antibody (ADA)

Measure Description

To evaluate the immunogenicity of PF-08046876.

Time Frame

Baseline to approximately 30 days after last dose of study drug

Outcome Measure

Incidence of Neutralizing Antibodies (NAb)

Measure Description

To evaluate the immunogenicity of PF-08046876.

Time Frame

Baseline to approximately 30 days after last dose of study drug

Outcome Measure

Percent change of immune cells within tumors based on multiplex immunofluorescence

Measure Description

This measure will assess changes in the presence or activation of immune cells in the tumor microenvironment using RNA and/or Immunohistochemistry (IHC) assays.

Time Frame

Baseline through 4-7 weeks after first dose of study drug

Secondary Outcome Measures table for Clinical Trial
Number of participants

310

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of December 9th 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. NCT07090499