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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

Gastrointestinal Cancer

PD-1 x VEGF Bispecific Antibody

PF-08634404 is an investigational compound. Its safety and efficacy have not been established.

AN INTERVENTIONAL, PHASE 3, DOUBLE-BLIND, RANDOMIZED STUDY TO EVALUATE THE EFFICACY AND SAFETY OF PF-08634404 IN COMBINATION WITH CHEMOTHERAPY VERSUS BEVACIZUMAB IN COMBINATION WITH CHEMOTHERAPY IN TREATMENT-NAÏVE PARTICIPANTS WITH METASTATIC COLORECTAL CANCER

Phase 3

NCT07222800

Active enrolling

Globe

Locations

United States, Australia, Japan, Puerto Rico

QR Code

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for more information at clinicaltrials.gov

Study design
Participant Group/Arm

EXPERIMENTAL: PF-08634404 + Chemotherapy

Participants will receive PF-08634404 intravenously (IV) in combination with Chemotherapy.

Intervention/Treatment

DRUG: PF-08634404

Solution for infusion

DRUG: Chemotherapy

Injection for intravenous use

Participant Group/Arm

ACTIVE_COMPARATOR: Bevacizumab + Chemotherapy

Participants will receive bevacizumab IV in combination with Chemotherapy.

Intervention/Treatment

BIOLOGICAL: Bevacizumab

Injection for intravenous use

DRUG: Chemotherapy

Injection for intravenous use

Study design table for Clinical Trial
Key eligibility criteria
Inclusion criteria
  • Histological or cytological confirmed colorectal adenocarcinoma.
  • Evidence of Stage IV metastatic disease.
  • Eastern Cooperative Oncology Group performance status (ECOG) 0-1
  • At least one measurable lesion according to RECIST 1.1 per Investigator assessment.
  • Adequate hepatic, liver, and renal function
Exclusion criteria

Participants are excluded from the study if any of the following criteria apply:

  • Locally confirmed BRAF V600E mutation
  • Locally confirmed microsatellite instability (MSI)-high or DNA mismatch repair deficiency (dMMR) colorectal cancer
  • Participants with known active symptomatic CNS lesions, including leptomeningeal metastasis, brainstem, meningeal, or spinal cord metastases or compression
  • Clinically significant risk of hemorrhage or fistula
  • Major surgery or severe trauma within 4 weeks prior to the first dose, or planned major surgery during the study
  • History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation
  • Any Grade ≥3 bleeding/hemorrhage events within 28 days of Cycle 1 Day 1, or prior history of clinically significant bleeding events
  • Clinically significant cardiovascular disease, or other comorbidities, within 6 months prior to first dose
  • Participants with active autoimmune diseases requiring systemic treatment within the past 2 years
  • Evidence of non-infectious or drug-induced interstitial lung disease (ILD) pneumonitis
Key dates
Study start date
  • December 2025
Estimated Study Completion Date
  • August 2031
Key endpoints
Primary Outcome Measures
Outcome Measure

Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) by Blinded Independent Central Review (BICR)

Measure Description

Progression-free survival is defined as the time from the date of randomization to the date of the first documentation of objective progressive disease (PD) assessed by BICR per RECIST 1.1, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

Overall survival (OS)

Measure Description

Overall survival defined as the time from the date of randomization to the date of death due to any cause.

Time Frame

Approximately 4 years

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

PFS per RECIST 1.1 by investigator assessment

Measure Description

Progression Free Survival (PFS) is defined as the time from the date of randomization to the date of the first documentation of objective PD assessed by investigator per RECIST 1.1, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

Objective Response Rate (ORR) by BICR

Measure Description

The proportion of participants who have a confirmed CR or PR, as best overall response assessed by BICR as per RECIST 1.1.

Time Frame

Approximately 4 years

Outcome Measure

Objective Response Rate (ORR) by investigator

Measure Description

The proportion of participants who have a confirmed CR or PR, as best overall response assessed by investigator as per RECIST 1.1.

Time Frame

Approximately 4 years

Outcome Measure

Duration of Response (DOR) by BICR

Measure Description

The time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the date of the first documentation of PD as determined by BICR assessment per RECIST 1.1, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

DOR by investigator

Measure Description

The time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the date of the first documentation of PD as determined by Investigator per RECIST 1.1, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

PFS2 (PFS after next-line therapy) by investigator

Measure Description

PFS2 is defined as the time from the date of randomization to the date of second objective disease progression or death due to any cause, whichever occurs first. Second objective disease progression is PD after the start of subsequent anticancer therapy (excluding curative surgery) as assessed by the investigator.

Time Frame

Approximately 4 years

Outcome Measure

Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

Measure Description

Time Frame

Through 90 days after the last study intervention; Approximately 4 years

Outcome Measure

Number of Participants With Clinical Laboratory Abnormalities

Measure Description

Time Frame

Through 90 days after the last study intervention; Approximately 4 years

Outcome Measure

Pharmacokinetics (PK): Serum concentration of PF-08634404

Measure Description

Time Frame

Approximately 21 months

Outcome Measure

Immunogenicity: Incidence of positive Anti-Drug Antibody (ADA)

Measure Description

To characterize the immunogenicity of PF-08634404

Time Frame

Approximately 21 months

Outcome Measure

Mean scores and Change from baseline in the global health status/quality of life (QoL) score on the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)

Measure Description

The EORTC QLQ-C30 is a questionnaire for quantitative measure of health-related quality of life pertinent to participants with a broad range of cancers who are participating in international clinical trials.

Time Frame

Approximately 4 years

Outcome Measure

Mean score change from baseline in participant reported function and symptoms scales per EORTC QLQ-CR29

Measure Description

The EORTC QLQ-CR29 is a supplemental colorectal cancer-specific module with measures of symptoms associated with colorectal cancer.

Time Frame

Approximately 4 years

Outcome Measure

Time to definitive deterioration (TTdD) in the global health status/QoL score on the EORTC QLQ-C30

Measure Description

TTdD is defined as the time from date of randomization to first onset of Patient Reported Outcome (PRO) deterioration without subsequent recovery.

Time Frame

Approximately 4 years

Outcome Measure

Time to definitive deterioration (TTdD) in participant reported function and symptoms per EORTC QLQ-CR29

Measure Description

TTdD is defined as the time from date of randomization to first onset of Patient Reported Outcome (PRO) deterioration without subsequent recovery.

Time Frame

Approximately 4 years

Secondary Outcome Measures table for Clinical Trial
Number of participants

800

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of January 12th 2026.

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

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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. NCT07222800