Patologia: Neoplasie del polmone, Neoplasie dello stomaco, Tumori del colon retto, Tumori del rene, Altre neoplasie
Osservazionale-Sperimentale: Sperimentale
Monocentrico-Multicentrico: Multicentrico
Randomizzato: No
Fase di studio: 1,
Richiesta mandatoria di tessuto: Sì
Linee di trattamento: Non applicabile
Criteri di inclusione:
- Male or female participants ≥ 18 years
- At least one measurable (Parts 1-4) or non-measurable lesion (Parts 1-3), not previously irradiated, as defined by RECIST 1.1
- ECOG Performance Status 0 or 1, 2 with approval
- Adequate Bone Marrow Function
- Adequate Renal Function
- Adequate Liver Function
- Resolved acute effects of any prior therapy
- Able to provide adequate archival tumor tissue or freshly obtained tumor tissue (some participants will require mandatory pre- and on-treatment biopsy is part of the biomarker cohort).
- Life expectancy of at least 3 months.
- Part 1 and Part 2: Participants who are intolerant or resistant to standard treatment for selected solid tumors.
- Part 3: Participants with advanced/metastatic RCC with a clear cell component and progressed with no standard therapy available.
- Part 4, Cohort 1: Participants with NSCLC with METex14-skipping alteration(s) and progressed on at least 1 prior therapy.
- Part 4, Cohort 2: Participants with MSS CRC with intermediate TMB and progressed with no satisfactory alternative treatment available, but has not received prior treatment with an anti-PD-(L)1 therapy.
- Part 4, Cohort 3: Participants with metastatic gastric or GEJ adenocarcinoma that is PD-L1 positive that has progressed on at least 2 but no more than 3 prior chemotherapy regiments, but has not received prior treatment with an anti-PD-(L)1 therapy.
- Part 4, Cohort 4: Participants with metastatic RCC with a clear cell component with IMDC intermediate or poor risk that have not received any prior systemic therapy for metastatic disease.
Criteri di esclusione:
- Known active uncontrolled or symptomatic CNS metastases.
- Any other active malignancy within 2 years prior to enrollment.
- Major surgery within 6 weeks, radiation therapy within 4 weeks, systemic anti-cancer therapy within 2 week or 5 half-lives (4 - weeks or 5 half-lives for antibody therapies or investigational drug(s) taken on another study) prior to study entry.
- Active or history of autoimmune disease requiring >10mg/day prednisone or other concurrent immunosuppressive therapy.
- Active, uncontrolled infection (controlled HBV, HCV, HIV/AIDS may be allowed) as defined in protocol.
- Retinal or other serious ophthalmic disorders as defined in protocol.
- Clinically significant cardiac disease as defined in protocol.
- Uncontrolled HTN that cannot be controlled by medications.
- Inability to consume or absorb study drug.
- Known or suspected hypersensitivity to PF-07265807.
- Prohibited concomitant medications as defined in protocol.
- Active inflammatory GI disease, uncontrollable chronic diarrhea, or previous gastric resection or lap band surgery affecting absorption.
- Active bleeding disorder.
For Part 2, Part 3, and Part 4, Cohorts 2-4:
- Known history of non-infectious pneumonitis that required steroid treatment or current pneumonitis.
- Discontinuation of prior checkpoint inhibitor for treatment-related toxicity.
- Experienced >= G3 treatment-related irAE with prior PD-(L)1 agent.
Numero di pazienti previsti:
6 (in Italia)
Schema di trattamento:
Part 1: Monotherapy dose escalation of PF-07265807 in participants with select tumor types.
Part 2: PF-07265807 + sasanlimab in participants with select tumor types. PF-07265807 will dose escalate. Sasanlimab dose will stay constant.
Part 3: PF-07265807 + sasanlimab + axitinib in participants with RCC. PF-07265807 will dose escalate. Sasanlimab dose will stay constant. Axitinib dose will follow label.
Part 4, Cohort 1: PF-07265807 in participants with METex14 mutant NSCLC.
Part 4, Cohort 2: PF-07265807 with sasanlimab in participants with MSS CRC
Part 4, Cohort 3: PF-07265807 with sasanlimab in participants with PD-L1+ gastric cancer/GEJ
Part 4, Cohort 4: PF-07265807 with sasanlimab plus axitinib in participants with RCC.
Trattamento sperimentale:
PF-07265807
Sasanlimab
Axitinib
Trattamento di controllo:
NA
Data di inizio dell'arruolamento: 15.04.2022
Data di fine dell'arruolamento: 07.04.2023
IRCCS - IRST Meldola Dino Amadori
Via P. Maroncelli 40 - 47014 Meldola - FC
U.O. Oncologia - NB: Arruolamento pazienti non ancora attivo - NB: Il numero di telefono sotto riportato è attivo martedì e giovedì dalle 11.00 alle 13.00
Riferimento: Dr. Alberto Farolfi
Telefono: 0547352856
Email: alberto.farolfi@irst.emr.it
Istituto Europeo di Oncologia
Via Ripamonti 435 - 20141 Milano - MI
Riferimento: Prof. Giuseppe Curigliano
Telefono: 0257489599
Email: giuseppe.curigliano@ieo.it
A.O. San Gerardo
Via Pergolesi 33 - 20900 Monza - MB
Centro di Ricerca di Fase 1 - NB: Arruolamento pazienti non ancora attivo
Riferimento: Prof.ssa Marina Cazzaniga
Telefono: 0392333539
Email: dir.centroricerca@asst-monza.it
Ospedale Riuniti Umberto I - Lancisi-Salesi
Via Conca 71 - 60020 Ancona - AN
Clinica Oncologica - NB: Arruolamento pazienti non ancora attivo
Riferimento: Prof.ssa Rossana Berardi
Telefono: 0715964169
Email: Rossana.Berardi@ospedaliriuniti.marche.it
Fondazione Policlinico A. Gemelli
Largo Agostino Gemelli 8 - 00168 Roma - RM
Ginecologia Oncologica
Riferimento: Dr. Gennaro Daniele
Telefono: 0630157200
Email: gennaro.daniele@policlinicogemelli.it
Istituto Nazionale Tumori IRCCS Fondazione Pascale
Via Mariano Semmola - 80131 Napoli - NA
S.C. Oncologia Medica Senologica - NB: Arruolamento pazienti non ancora attivo
Riferimento: Dr. Adriano Gravina
Telefono: 0815903448
Email: a.gravina@istitutotumori.na.it
Numero di iscrizione a registro: 2021-004270-59
Data di inserimento: 19.01.2023
Pfizer
PPD
IEO - Istituto Europeo di Oncologia, Milano
Riferimento: Prof. Giuseppe Curigliano
Telefono: 0257489599
Email: giuseppe.curigliano@ieo.it
Localita: Milano