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RecruitingInterventionalPhase 1

A PHASE 1, OPEN-LABEL, DOSE ESCALATION AND DOSE EXPANSION STUDY TO EVALUATE THE SAFETY, TOLERABILITY, PHARMACOKINETICS, AND ANTITUMOR ACTIVITY OF PF-08052667 AS A SINGLE AGENT AND IN COMBINATION THERAPY IN PARTICIPANTS 18 YEARS OF AGE AND OLDER WITH BLADDER CANCER

NCT ID: NCT07206225Sponsor: PfizerLast updated: 2026-04-21

Summary

The purpose of this study is to learn how a new medicine called PF-08052667 works when used by itself or together with another medicine called Bacillus Calmette Guerin (BCG), and/or a medicine called sasanlimab. This study is for adults who have a type of bladder cancer that hasn't spread into the muscle layer of the bladder but is more likely to come back or grow. It includes people whose cancer has come back or hasn't gone away after receiving standard treatments like BCG. It may also include people who, based on their doctor's opinion, cannot receive standard treatments or those treatments are not available to them. The study has three parts: * Part 1 (monotherapy dose escalation) will test PF-08052667 as a single-agent at increasing dose levels in participants with certain bladder cancer whose disease has worsened on or after standard treatments. * Part 2 (combination dose escalation) will test PF-08052667 in combination with BCG and/or sasanlimab (fixed dose) in participants with certain bladder cancer whose disease has worsened on or after standard treatments. * Part 3 (dose optimization and expansion) will further test PF-08052667 as a single agent or in combination with BCG and/or sasanlimab, at the dose(s) based on findings from Part 1 and Part 2 in participants with certain bladder cancer including those who has never received standard treatments. All participants will receive the study drug PF-08052667. Only participants in Part 2 and Part 3 of the study will also receive BCG and/or sasanlimab. PF-08052667 will be given as an intravesical infusion, which means it will be injected directly into the bladder. Sasanlimab will be given as a subcutaneous injection, which means it will be injected under the skin. For all parts, treatment with study medicines will continue until either a participant has decided to stop taking part in the study or is asked to leave the study for various reasons or up to about 2 years, whichever occurs first. Duration of trial participation for each participant will vary as long-term follow-up will continue after treatment discontinuation until loss to-follow-up or death, or until the study is stopped by the sponsor.

Arms & interventions

  • DrugPF-08052667

    PF-08052667 will be administered intravesical (IVe) instillation following a PF-02921367 (DDM) bladder pre-wash

  • DrugSasanlimab

    Sasanlimab will be administered as subcutaneous (SC) injection

  • DrugBCG

    BCG will be administered intravesical (IVe) instillation

  • DrugPF-02921367

    PF-02921367 (DDM) is a 10-min pre- wash and will be administered intravesical (IVe) instillation

Outcome measures

Primary

  • Number of participants with dose limiting toxicities (DLTs) in dose escalation in Part 1 and Part 2 participants only

    Any AE occurring during the DLT observation period that is attributed to PF-08052667 and not to the underlying disease or other causes is considered a DLT. DLT rate estimated based on data from DLT-evaluable participants during the DLT evaluation period.

    Time frame: Day of first dose (Day 1) Up to 21 days

  • Number of participants with adverse events (AEs) in Part 1 and Part 2 participants only

    AEs as characterized by type, frequency, severity (CTCAE v5.0), seriousness, and relatedness to study drug(s).

    Time frame: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  • Number of participants with laboratory abnormalities in Part 1 and Part 2 participants only

    Laboratory abnormalities as characterized by type, frequency, severity

    Time frame: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  • Recurrence-free survival (RFS) in Part 3 participants only

    RFS is defined as the time from the first dose until recurrence of high-grade disease, or death due to any cause, whichever occurs first

    Time frame: Through end of study and up to approximately 2 years

  • Event-free survival (EFS) in Part 3 participants only

    EFS is defined as the time from the first dose until the first occurrence of an EFS event including progressive disease, recurrence of high-grade disease, or death due to any cause, whichever occurs first

    Time frame: Through end of study and up to approximately 2 years

Secondary

  • PK: Maximum Observed Serum Concentration (Cmax)

    Time frame: From the first day through 30-37 days after the last study treatment

  • PK: Time to Reach Maximum Observed Serum Concentration (Tmax)

    Time frame: From the first day through 30-37 days after the last study treatment

  • PK: Minimum observed serum concentration (Ctrough)

    Time frame: From the first day through 30-37 days after the last study treatment

  • PK: Area under the concentration-time curve (AUC) from time zero to last (AUC from time 0 to AUClast)

    Time frame: From the first day through 30-37 days after the last study treatment

  • PK: Half-life (t1/2)

    Time frame: From the first day through 30-37 days after the last study treatment

  • Incidence of Anti-Drug Antibody (ADA): Immunogenicity of PF-08052667 as a single agent (Part 1) and in combination with BCG and/or sasanlimab (Part 2 and Part 3)

    Time frame: Through 30-37 days after the last study treatment, up to approximately 2 years

  • Duration of Complete Response (CR) in Part 1 and Part 2 participants only

    Time frame: Through end of study and up to approximately 2 years

  • Complete Response Rate (CRR) in Part 1 and Part 2 participants only

    Time frame: Through end of study and up to approximately 2 years

  • Overall survival (OS) in Part 3 participants only

    Time frame: Through end of study approximately 5 years from last participant enrollment

  • Cystectomy-free survival in all Parts

    Time frame: Through end of study and up to approximately 2 years

  • Event-free survival (EFS) in Part 1 and Part 2 participants only

    Time frame: Through end of study and up to approximately 2 years

  • Recurrence-free survival (RFS) in Part 1 and Part 2 participants only

    Time frame: Through end of study and up to approximately 2 years

  • Rate of cystectomy in all parts

    Time frame: Through end of study and up to approximately 2 years

  • Number of participants with adverse events (AEs) in Part 3 participants only

    Time frame: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  • Number of participants with laboratory abnormalities in Part3 participants only

    Time frame: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
INCLUSION CRITERIA: 1. 18 years of age or older (or the minimum age of consent per local regulations) 2. Histological diagnosis of high-risk, non-muscle invasive urothelial carcinoma of the bladder defined according to the WHO grading system as carcinoma in situ (CIS), with or without concurrent T1/Ta papillary disease. Note: High-grade T1/Ta papillary disease, in the absence of CIS, may be eligible for certain cohorts in Part 2 and 3 3. BCG unresponsive and BCG-exposed cohorts should have persistent or recurrent disease after receiving at least 5 out of 6 doses of the BCG induction therapy. 4. Have refused or are ineligible or not appropriate for radical cystectomy 5. Tissue Requirement: Available tumor tissue within the last 6 months. On-treatment tumor biopsy is optional, unless mandated based on emerging data, or participating in the Biomarker Cohort, or for disease assessment 6. ECOG PS 0 or 1 EXCLUSION CRITERIA: 1. Concomitant anti-cancer therapy for Non-Muscle Invasive Bladder Cancer (NMIBC); and prior radiation therapy to the bladder are not allowed 2. Renal or hepatic impairment; and hematologic abnormalities as defined in the protocol 3. Participants with active, uncontrolled infection as specified in the protocol

Study locations (39)

University of Alabama at Birmingham

Birmingham, Alabama, 35233

Not Yet Recruiting

University of Alabama at Birmingham

Birmingham, Alabama, 35249

Not Yet Recruiting

University of Alabama at Birmingham

Birmingham, Alabama, 35294

Not Yet Recruiting

AdventHealth Orlando

Orlando, Florida, 32803

Not Yet Recruiting

Moffitt Cancer Center at SouthShore

Ruskin, Florida, 33570

Not Yet Recruiting

Moffitt Cancer Center - International Plaza

Tampa, Florida, 33607

Not Yet Recruiting

Moffitt Cancer Center - McKinley Campus

Tampa, Florida, 33612

Not Yet Recruiting

Moffitt Cancer Center

Tampa, Florida, 33612

Not Yet Recruiting

Moffitt McKinley Hospital

Tampa, Florida, 33612

Not Yet Recruiting

Moffitt Cancer Center at Wesley Chapel

Wesley Chapel, Florida, 33544

Not Yet Recruiting

Emory University Hospital Midtown

Atlanta, Georgia, 30308

Recruiting

Emory University Hospital

Atlanta, Georgia, 30322

Recruiting

Emory University

Atlanta, Georgia, 30322

Recruiting

Northwestern Memorial Hospital

Chicago, Illinois, 60611

Not Yet Recruiting

Northwestern University - Feinberg School of Medicine

Chicago, Illinois, 60611

Not Yet Recruiting

University of Iowa Health Care

Iowa City, Iowa, 52242

Not Yet Recruiting

The University of Kansas - Clinical Research Center

Fairway, Kansas, 66205

Recruiting

The University of Kansas Hospital Cambridge North Tower A

Kansas City, Kansas, 66160

Recruiting

The University of Kansas Hospital

Kansas City, Kansas, 66160

Recruiting

The University of Kansas Medical Center Medical Office Building

Kansas City, Kansas, 66160

Recruiting

The University of Kansas Hospital - Indian Creek Campus

Overland Park, Kansas, 66211

Recruiting

The University of Kansas Cancer Center - Westwood

Westwood, Kansas, 66205

Recruiting

Icahn School of Medicine at Mount Sinai

New York, New York, 10029

Not Yet Recruiting

Upstate Specialty Services at Harrison Center

Syracuse, New York, 13202

Not Yet Recruiting

SUNY Upstate Medical University

Syracuse, New York, 13210

Not Yet Recruiting

SUNY Upstate Medical University-Community Campus

Syracuse, New York, 13215

Not Yet Recruiting

Biorepository and Precision Pathology Center (BRPC)

Durham, North Carolina, 27710

Recruiting

Duke Cancer Institute

Durham, North Carolina, 27710

Recruiting

Substrate Services Core Research Support (SSCRS)

Durham, North Carolina, 27710

Recruiting

Grand Strand Medical Center

Myrtle Beach, South Carolina, 295724607

Recruiting

AUC Urologists, LLC

Myrtle Beach, South Carolina, 29572

Recruiting

Carolina Urologic Research Center, LLC

Myrtle Beach, South Carolina, 29572

Recruiting

Parkway Surgery Center

Myrtle Beach, South Carolina, 29572

Recruiting

Coastal Eye Group

Myrtle Beach, South Carolina, 29579

Recruiting

Urology Associates, P.C.

Nashville, Tennessee, 37209

Recruiting

UT Southwestern Medical Center

Dallas, Texas, 75390

Not Yet Recruiting

Baptist M&S Imaging (Medical Center)

San Antonio, Texas, 78229

Recruiting

USA Clinical Trials

San Antonio, Texas, 78229

Recruiting

MCOA Eye Associates

San Antonio, Texas, 78240

Recruiting

References

  • Carosino CM, Olson DJ, Mazahreh RC, Ortiz DJ, Duniho S, Moskovitz E, Gray M, Hein RF, Garcia NH, Ardalani H, Farr L, Yan T, Burcher M, Mikell I, Levengood MR, Sandall S, Dekker JD. An Integrin beta6-targeted antibody-drug conjugate optimized for intravesical delivery to treat non-muscle invasive bladder cancer. Mol Cancer Ther. 2026 Apr 20. doi: 10.1158/1535-7163.MCT-26-0077. Online ahead of print.(PubMed)