Recruiting

Phase 2

PF-08634404 with ChemotherapySymbiotic-Lung-14: A Study to Learn About the Study Medicine Called PF08634404 in Combination With Chemotherapy in Adult Participants With Transformed Small Cell Lung Cancer

Sponsor:

Pfizer

Code:

NCT07476287

Conditions

Small Cell Lung Cancer

Small Cell Lung Cancer ( SCLC )

Transformed Small Cell Lung Cancer

Lung Neoplasms

Carcinoma, Small Cell Lung

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

PF-08634404

Chemotherapy

Study Details

Brief summary:

This study is being done to learn more about a new medicine called PF-08634404. The study team wants to understand how well PF-08634404 works when given alone or with chemotherapy . Chemotherapy is a type of cancer treatment that uses medicines to destroy cancer cells or stop them from growing. The study is for adults with Transformed Small Cell Lung Cancer (T-SCLC ). T SCLC is a rare lung cancer that happens when one type of lung cancer changes into a more aggressive type after treatment stops working.

To join the study, participants must meet the following conditions:

Are aged 18 years or older
Diagnosed with T-SCLC and have not received treatment for this type of lung cancer (a single cycle of chemotherapy may be permitted)
Prior diagnosis of epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer treated with tyrosine kinase inhibitors (TKIs)
Have healthy organs based on medical tests and are in good physical condition

After joining the study, adults will be given chemotherapy in addition to the study medicine. After this combination treatment is finished, the study medicine will be continued alone. Adults will receive the treatment through IV infusions (medicine given directly into a vein). All treatments will be done at clinical study sites, where a trained medical team will monitor adults during and after each visit.

Conditions

Small Cell Lung Cancer

Small Cell Lung Cancer ( SCLC )

Transformed Small Cell Lung Cancer

Lung Neoplasms

Carcinoma, Small Cell Lung

Study ID

NCT07476287

Start date

Jul 2, 2026

Status verified date

Oct, 2026

Completion date

Mar 24, 2031

Anticipated

Primary completion date

Mar 24, 2028

Anticipated

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

Male or female participants aged ≥18 years at the time of informed consent.
Histologically or cytologically confirmed T-SCLC. Participant must have had a prior diagnosis of NSCLC with EGFR mutation which transformed to SCLC following the treatment with TKI(s).
Participants have not received systemic therapy for T-SCLC.
Have at least one measurable lesion as the target lesion based on RECIST v1.1.
Have sufficient tumor tissue from the diagnosis of transformed SCLC available.
Eastern Cooperative Oncology Group performance status of 0 or 1.
Have a minimum life expectancy of >12 weeks.
Clinical laboratory values at screening within acceptable limits, as defined in the protocol, including: 1) Hematology, 2) Liver function and 3) Renal function.

Exclusion Criteria:

Participants are excluded from the study if any of the following criteria apply:

Active or untreated CNS disease, including brain, brainstem, spinal cord, or meningeal metastases. Participants with definitively treated, clinically stable brain metastases may be eligible per protocol criteria. Participants with untreated asymptomatic brain metastases of longest diameter <1 cm are permitted if all of the following criteria are met: absence of neurological symptoms, no need for corticosteroids, and brain metastasis has no evidence of edema or hemorrhagic features.
Leptomeningeal disease
Clinically significant risk of hemorrhage or fistula, including tumor necrosis/cavitation, invasion or compression of major blood vessels, airways, or critical organs, or risk of tracheoesophageal or pleuroesophageal fistula
History of another malignancy (other than NSCLC) within 3 years prior to first dose, except for malignancies with negligible risk of metastasis or death (eg, adequately treated carcinoma in situ, nonmelanoma skin cancer)
Unresolved toxicity from prior anti-tumor therapy that has not recovered to Grade ≤1 per NCI CTCAE v5.0 (except alopecia or irreversible toxicities deemed stable)
History of allogeneic organ or hematopoietic stem cell transplantation
Active autoimmune disease requiring systemic treatment within the past 2 years (Stable replacement therapy and selected low-risk autoimmune conditions are permitted per protocol)
Interstitial lung disease (ILD), pneumonitis, or significant pulmonary disease, including:

Prior or current non-infectious pneumonitis requiring systemic therapy
DLCO <50% predicted
Severe asthma, COPD, pulmonary embolism, or autoimmune lung involvement
Uncontrolled or clinically significant cardiovascular, cerebrovascular, metabolic, hepatic, or renal disease within 6 months prior to first dose
Baseline QTcF >480 msec
Major surgery or severe trauma within 4 weeks prior to first dose, or planned major surgery during the study
Clinically significant pleural effusion, pericardial effusion, or ascites requiring repeated drainage
History of significant bleeding disorders or recent major bleeding events
Clinically significant gastrointestinal conditions, including recent perforation, fistula, obstruction, or active bleeding
Active, uncontrolled, or symptomatic infection, including:

Active TB
Active hepatitis B or C
Uncontrolled HIV infection
History of immunodeficiency
Severe hypersensitivity or allergic reactions to study intervention components or monoclonal antibodies
Psychiatric illness or medical condition, including recent suicidal ideation or behavior, that may increase risk or interfere with study participation
Prior anti-angiogenic therapy or other prohibited anti-tumor or immunomodulatory therapies per protocol-specified washout periods
Use of prohibited concomitant medications, including high-dose systemic corticosteroids, certain anticoagulants, or live vaccines within protocol-specified timeframes
Recent participation in another investigational study (within 30 days or 5 half-lives, whichever is longer)
Pregnant or breastfeeding participants, or unwillingness to comply with contraception requirements

Study Design

Enrollment

40 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: PF-08634404

Participants will receive PF-08634404 in combination with chemotherapy intravenously, followed by maintenance therapy with PF-08634404.

Interventions

PF-08634404

Concentrate for solution for infusion

Chemotherapy

Injection for intravenous use

Primary outcome measure

Confirmed Objective Response Rate (ORR) as assessed by investigator based on Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) [ Time Frame: From start of treatment until first documented CR or PR (approximately maximum up to 1 years) ]
Number of Participants with Adverse Events (AEs) [ Time Frame: Up to 90 days after the last dose of treatment ]

Central Contacts and Locations

Central contacts

Pfizer CT.gov Call Center

1-800-718-1021 ClinicalTrials.gov_Inquiries@pfizer.com

Locations

City of Hope National Medical Center

Recruiting

Duarte, California, United States, 91010

UC San Diego Medical Center - Encinitas

Recruiting

Encinitas, California, United States, 92024

City of Hope Lennar Foundation Cancer Center

Recruiting

Irvine, California, United States, 92618

UC San Diego Koman Family Outpatient Pavilion

Recruiting

La Jolla, California, United States, 92037

UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)

Recruiting

La Jolla, California, United States, 92037

UC San Diego Moores Cancer Center

Recruiting

La Jolla, California, United States, 92037

UC San Diego Sulpizio Cardiovascular Center

Recruiting

La Jolla, California, United States, 92037

UC San Diego Medical Center - Bankers Hill

Recruiting

San Diego, California, United States, 92101

UC San Diego McGrath Outpatient Pavilion - Hillcrest

Recruiting

San Diego, California, United States, 92103

UC San Diego Medical Center- Hillcrest

Recruiting

San Diego, California, United States, 92103

UC San Diego Medical Center - Rancho Bernardo

Recruiting

San Diego, California, United States, 92127

UC San Diego Medical Center - Vista

Recruiting

Vista, California, United States, 92081

Hope and Healing Clinical Research

Recruiting

Hinsdale, Illinois, United States, 60521

Hope and Healing Clinical Research

Recruiting

New Lenox, Illinois, United States, 60451

MSK Basking Ridge

Recruiting

Basking Ridge, New Jersey, United States, 07920

MSK Monmouth

Recruiting

Middletown, New Jersey, United States, 07748

MSK Bergen.

Recruiting

Montvale, New Jersey, United States, 07645

MSK Commack

Recruiting

Commack, New York, United States, 11725

MSK Westchester

Recruiting

Harrison, New York, United States, 10604

Memorial Sloan Kettering Cancer Center - Investigational Drug Service Pharmacy

Recruiting

Long Island City, New York, United States, 11101

Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street).

Recruiting

New York, New York, United States, 10021

Memorial Sloan Kettering Cancer Center

Recruiting

New York, New York, United States, 10065

MSK Nassau

Recruiting

Uniondale, New York, United States, 11553

More Information

Sponsor

Pfizer

Last update posted

Oct 9, 2026

Last verified

Oct, 2026

Keywords

Transformed Small Cell Lung Cancer
Small Cell Lung Cancer

Trial information was received from ClinicalTrials.gov and was last updated on 2026-10-22. This information was provided to ClinicalTrials.gov by Pfizer on 2026-10-09. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.