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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

Genitourinary Cancer

PD-1 x VEGF Bispecific Antibody

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

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

Phase 1 /2

NCT07421700

Active enrolling

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Locations

United States, Australia, China, Japan, Puerto Rico

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for more information at clinicaltrials.gov

Study design
Participant Group/Arm

EXPERIMENTAL: Cohort A

Participants with previously treated LA/mUC will receive PF-08634404 administered intravenously as monotherapy.

Intervention/Treatment

BIOLOGICAL: PF-08634404

Concentrate for solution for Infusion.
Participant Group/Arm

EXPERIMENTAL: Cohort B

Participants with untreated LA/mUC will receive PF-08634404 in combination with enfortumab vedotin

Intervention/Treatment

BIOLOGICAL: PF-08634404

Concentrate for solution for Infusion.

BIOLOGICAL: Enfortumab Vedotin

Powder for concentrate for solution for infusion
Study design table for Clinical Trial
Key eligibility criteria
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.
Key dates
Study start date
  • March 2026
Estimated Study Completion Date
  • September 2028
Key endpoints
Primary Outcome Measures
Outcome Measure

Confirmed Objective Response Rate (ORR) by investigator

Measure Description

ORR is defined as the proportion of participants in the analysis population having a BOR of confirmed CR or confirmed PR according to RECIST v1.1 as assessed by investigator.

Time Frame

Up to approximately 3 years

Outcome Measure

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

Measure Description

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; Up to approximately 3 years

Outcome Measure

Number of participants with dose limiting toxicity (DLT) in Part 1 of Cohort B

Measure Description

The number of participants who experienced DLTs in participants receiving PF-08634404 in combination with EV.

Time Frame

Through 90 days after the last study intervention; Up to approximately 3 years

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

Duration of Response (DOR) per RECIST v1.1 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 v1.1 or death due to any cause, whichever occurs first.

Time Frame

Up to approximately 3 years

Outcome Measure

Progression Free Survival (PFS) per RECIST v1.1 by investigator

Measure Description

Progression-free survival 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 v1.1, or death due to any cause, whichever occurs first.

Time Frame

Up to approximately 3 years

Outcome Measure

Overall Survival (OS)

Measure Description

Overall survival defined as the time from the date of C1D1 to the date of death due to any cause.

Time Frame

Up to approximately 3 years

Outcome Measure

Number of Participants With Clinical Laboratory Abnormalities

Measure Description

Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0)

Time Frame

Through 90 days after the last study intervention; Up to approximately 3 years

Outcome Measure

Pharmacokinetics (PK): Serum concentration of PF-08634404

Measure Description

To characterize the pharmacokinetics (PK) of PF-08634404 as monotherapy in participants with previously treated LA/mUC and in combination with EV in participants with previously untreated LA/mUC.

Time Frame

Up to 37 days after the last dose of treatment

Outcome Measure

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

Measure Description

To evaluate the immunogenicity of PF-08634404 as monotherapy in participants with previously treated LA/mUC and in combination with EV in participants with previously untreated LA/mUC.

Time Frame

Up to 37 days after the last dose of treatment

Secondary Outcome Measures table for Clinical Trial
Number of participants

132

Collaborators and investigators

Sponsor: Pfizer

Collaborator: Astellas Pharma Inc

This information is current as of June 4th 2026.

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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. NCT07421700