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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.

A PHASE 2/3 INTERVENTIONAL STUDY OF PF-08634404 IN COMBINATION WITH CHEMOTHERAPY IN TREATMENT-NAÏVE PARTICIPANTS WITH LOCALLY ADVANCED OR METASTATIC GASTRIC, GASTROESOPHAGEAL JUNCTION, OR ESOPHAGEAL ADENOCARCINOMA

Phase 2 /3

NCT07392892

Active enrolling

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Locations

United States, Puerto Rico

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for more information at clinicaltrials.gov

Study design
Participant Group/Arm

EXPERIMENTAL: Phase 2 Portion

PF-08634404 + Chemotherapy

Intervention/Treatment

BIOLOGICAL: PF-08634404

Participants will receive PF-08634404 intravenously.

DRUG: Chemotherapy

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

Participant Group/Arm

EXPERIMENTAL: Phase 3: Arm A

PF-08634404 + Chemotherapy

Intervention/Treatment

BIOLOGICAL: PF-08634404

Participants will receive PF-08634404 intravenously.

DRUG: Chemotherapy

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

Participant Group/Arm

ACTIVE_COMPARATOR: Phase 3: Arm B

Nivolumab + Chemotherapy

Intervention/Treatment

DRUG: Chemotherapy

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

BIOLOGICAL: Nivolumab

Participants will receive Nivolumab intravenously.

Study design table for Clinical Trial
Key eligibility criteria
Inclusion criteria
  • Histological or cytological confirmed gastric, gastroesophageal junction or esophageal adenocarcinoma.
  • Evidence of locally advanced or metastatic disease.
  • Eastern Cooperative Oncology Group performance status (ECOG) 0-1
  • No prior systemic therapy for advanced or metastatic disease.
  • Adequate hepatic, liver, and renal function
  • HER-2 negative status based on local testing
  • PD-L1 positive status based on local testing
Exclusion criteria
  • Participants with known active CNS metastases, including leptomeningeal, 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
  • April 2026
Estimated Study Completion Date
  • July 2032
Key endpoints
Primary Outcome Measures
Outcome Measure

Phase 2: Confirmed Objective response rate (ORR) using RECIST 1.1 as assessed by investigator

Measure Description

Confirmed ORR by investigator is defined as the proportion of participants with confirmed Complete Response (CR) or Partial Response (PR) per RECIST v1.1 as assessed by investigator.

Time Frame

Approximately 4 years

Outcome Measure

Phase 2: Number of participants with treatment-emergent adverse events

Measure Description

Adverse Events (AEs) as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study intervention.

Time Frame

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

Outcome Measure

Phase 3: Progression Free Survival (PFS) using RECIST 1.1 as assessed by BICR

Measure Description

PFS by BICR is defined as the time from the date of randomization to the date of first documented disease progression per RECIST 1.1 as assessed by BICR, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: Overall Survival (OS)

Measure Description

OS is 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

Phase 2: Duration of Response (DOR) using RECIST 1.1 as assessed by investigator

Measure Description

DOR by investigator is defined as the time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the date of first documented disease progression per RECIST 1.1 as assessed by investigator, respectively, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

Phase 2: Progression Free Survival (PFS) using RECIST 1.1 as assessed by investigator

Measure Description

PFS by investigator is defined as the time from the date of first dose to the date of first documented disease progression per RECIST 1.1 as assessed by investigator, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

Phase 2: Overall Survival (OS)

Measure Description

OS is defined as the time from the date of first dose to the date of death due to any cause.

Time Frame

Approximately 4 years

Outcome Measure

Phase 2: Number of participants with laboratory abnormalities

Measure Description

Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing. For laboratory tests without CTCAE grade definitions, results will be categorized as normal, high, low, or not done and be listed.

Time Frame

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

Outcome Measure

Phase 2: Serum concentrations of PF-08634404

Measure Description

Predose and postdose concentrations of PF-08634404

Time Frame

Approximately 21 months

Outcome Measure

Phase 2: Incidence of Anti-Drug Antibody (ADA) against PF-08634404

Measure Description

Time Frame

Approximately 21 months

Outcome Measure

Phase 3: ORR using RECIST 1.1 as assessed by BICR

Measure Description

ORR by BICR is defined as the proportion of participants with a Best Overall Response (BOR) of confirmed CR or confirmed PR per RECIST 1.1 as assessed by BICR.

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: ORR using RECIST 1.1 as assessed by investigator

Measure Description

ORR by investigator is defined as the proportion of participants with a BOR of confirmed CR or confirmed PR per RECIST 1.1 as assessed by investigator.

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: Progression free survival (PFS) using RECIST 1.1 as assessed by investigator

Measure Description

PFS by investigator is defined as the time from the date of randomization to the date of first documented disease progression per RECIST 1.1 as assessed by investigator, or death due to any cause, whichever occurs first

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: DOR using RECIST 1.1 as assessed by BICR

Measure Description

DOR is defined as the time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the date of first documented disease progression per RECIST 1.1 as assessed by BICR, respectively, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: DOR using RECIST 1.1 as assessed by investigator

Measure Description

DOR is defined as the time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the date of first documented disease progression per RECIST 1.1 as assessed by investigator, respectively, or death due to any cause, whichever occurs first.

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: 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

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: Number of participants with treatment-emergent adverse events

Measure Description

AEs as characterized by type, frequency, intensity as graded by NCI CTCAE version 5.0, timing, seriousness, and relationship to study intervention(s)

Time Frame

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

Outcome Measure

Phase 3: Number of participants with laboratory abnormalities

Measure Description

Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing. For laboratory tests without CTCAE grade definitions, results will be categorized as normal, high, low, or not done and be listed.

Time Frame

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

Outcome Measure

Phase 3: Serum concentrations of PF-08634404

Measure Description

Predose and postdose concentrations of PF-08634404

Time Frame

Approximately 21 months

Outcome Measure

Phase 3: Incidence of ADA against PF-08634404

Measure Description

Time Frame

Approximately 21 months

Outcome Measure

Phase 3: Change from baseline in Functional Assessment of Cancer Therapy - Gastric (FACT-Ga) Total score

Measure Description

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: Time to definitive deterioration in FACT-Ga Total score

Measure Description

Time Frame

Approximately 4 years

Outcome Measure

Phase 3: Time to definitive deterioration in Gastric Cancer Subscale (GaCS) score

Measure Description

Time Frame

Approximately 4 years

Secondary Outcome Measures table for Clinical Trial
Number of participants

840

Collaborators and investigators

Sponsor: Pfizer

Collaborator: None

This information is current as of April 13th 2026.

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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. NCT07392892