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
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
Study locations (39)
University of Alabama at Birmingham
Birmingham, Alabama, 35233
University of Alabama at Birmingham
Birmingham, Alabama, 35249
University of Alabama at Birmingham
Birmingham, Alabama, 35294
AdventHealth Orlando
Orlando, Florida, 32803
Moffitt Cancer Center at SouthShore
Ruskin, Florida, 33570
Moffitt Cancer Center - International Plaza
Tampa, Florida, 33607
Moffitt Cancer Center - McKinley Campus
Tampa, Florida, 33612
Moffitt Cancer Center
Tampa, Florida, 33612
Moffitt McKinley Hospital
Tampa, Florida, 33612
Moffitt Cancer Center at Wesley Chapel
Wesley Chapel, Florida, 33544
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Emory University Hospital
Atlanta, Georgia, 30322
Emory University
Atlanta, Georgia, 30322
Northwestern Memorial Hospital
Chicago, Illinois, 60611
Northwestern University - Feinberg School of Medicine
Chicago, Illinois, 60611
University of Iowa Health Care
Iowa City, Iowa, 52242
The University of Kansas - Clinical Research Center
Fairway, Kansas, 66205
The University of Kansas Hospital Cambridge North Tower A
Kansas City, Kansas, 66160
The University of Kansas Hospital
Kansas City, Kansas, 66160
The University of Kansas Medical Center Medical Office Building
Kansas City, Kansas, 66160
The University of Kansas Hospital - Indian Creek Campus
Overland Park, Kansas, 66211
The University of Kansas Cancer Center - Westwood
Westwood, Kansas, 66205
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Upstate Specialty Services at Harrison Center
Syracuse, New York, 13202
SUNY Upstate Medical University
Syracuse, New York, 13210
SUNY Upstate Medical University-Community Campus
Syracuse, New York, 13215
Biorepository and Precision Pathology Center (BRPC)
Durham, North Carolina, 27710
Duke Cancer Institute
Durham, North Carolina, 27710
Substrate Services Core Research Support (SSCRS)
Durham, North Carolina, 27710
Grand Strand Medical Center
Myrtle Beach, South Carolina, 295724607
AUC Urologists, LLC
Myrtle Beach, South Carolina, 29572
Carolina Urologic Research Center, LLC
Myrtle Beach, South Carolina, 29572
Parkway Surgery Center
Myrtle Beach, South Carolina, 29572
Coastal Eye Group
Myrtle Beach, South Carolina, 29579
Urology Associates, P.C.
Nashville, Tennessee, 37209
UT Southwestern Medical Center
Dallas, Texas, 75390
Baptist M&S Imaging (Medical Center)
San Antonio, Texas, 78229
USA Clinical Trials
San Antonio, Texas, 78229
MCOA Eye Associates
San Antonio, Texas, 78240
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)