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Recruiting Phase 1/2

Symbiotic-GI-13: A Study to Learn About Study Medicine Called PF-08634404 as a Single Treatment and Combination Treatment in Adult Participants With a Liver Cancer Called Hepatocellular Carcinoma, That is Too Advanced to be Removed by Surgery and May Have Spread to Other Parts of the Body.

NCT07227012 · tracked via the Priya Life Science Japan tracker
Sponsor
Phase
Phase 1/2
Started
2025-12-01
Last updated
2026-10-08

Condition(s) studied

Carcinoma, HepatocellularHepatocellular CancerHepatocellular CarcinomaUnresectable Hepatocellular CarcinomaLiver NeoplasmsAdvanced Hepatocellular CarcinomaMetastatic Hepatocellular Carcinoma

Investigational drug(s) / intervention(s)

PF-08634404 →Ipilimumab →

PF-08634404: Solution for infusion

Ipilimumab: Solution for infusion

Study summary

The purpose of this study is to learn about the effects of study medicine (PF-08634404) when given alone or with another antibody (ipilimumab) for the treatment of a type of liver cancer called hepatocellular carcinoma (HCC) that is either locally advanced (spread to nearby tissues) or has spread to other parts of the body.

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

* Be 18 years or older.
* Have locally advanced or metastatic HCC.
* Is not a candidate for complete surgical or loco-regional therapies.
* Have not received any whole-body treatment for HCC.

Participants will receive PF-08634404 either alone or in combination with ipilimumab. The medicine will be given through intravenous (IV) infusions, which means it will be administered directly into a vein. All treatments will take place at clinical trial sites, where trained medical staff will monitor participants during and after each visit.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * 18 years of age or older at screening. * Locally advanced or metastatic HCC with diagnosis confirmed by histology/cytology or clinically by AASLD criteria (for patients with cirrhosis). Participants without cirrhosis require histological confirmation of diagnosis. * Disease that is not amenable to curative surgical and/or locoregional therapies, or progressive disease after surgical and/or locoregional therapies. * At least 1 measurable (as defined by RECIST 1.1 per investigator) and untreated lesion. * Adequate hepatic, liver, and renal function * No prior systemic therapy for HCC. * ECOG performance status 0 or 1 * Child-Pugh Class A Key Exclusion Criteria: * Moderate or severe ascites. * History of hepatic encephalopathy. * Participants with known active CNS lesions, including leptomeningeal metastasis, brainstem, meningeal, or spinal cord metastases or compression. * Clinically significant risk of hemorrhage or fistula. * Participants with any history of another malignancy within 3 years. * History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation. * Participants with active autoimmune diseases requiring systemic treatment within the past 2 years. * Clinically significant cardiovascular disease within 6 months prior to the first dose. * Major surgery or severe trauma within 4 weeks prior to the first dose or planned major surgery during the study. * History of severe bleeding tendency or coagulation dysfunction. * History of severe ulcers, unhealed wounds, gastrointestinal perforation, abdominal fistula, gastrointestinal obstruction, intra-abdominal abscess, or acute gastrointestinal bleeding, including bleeding event due to esophageal and/or gastric varices, within 6 months prior to the first dose. * Participants with acute, chronic or symptomatic infections. * Participants with history of immunodeficiency.

Primary outcome measure(s)

  • Number of Participants With Adverse Events — Through end of study and up to approximately 24 months
    Adverse Events as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study intervention.
  • Phase 1b: Number of participants with Dose limiting toxicities (DLT) — Through 90 days after the last dose of study intervention; Approximately 24 months
    DLTs are a predefined set of adverse events that are at least possibly related to any or all of the study interventions. The number of participants who experienced DLTs during the DLT observation period.
  • Phase 2: Confirmed Overall Response Rate (ORR) using RECIST 1.1 as assessed by investigator — Approximately 24 months
    ORR is the proportion of participants with a best overall response (BOR) of confirmed CR or confirmed PR per RECIST 1.1 by investigator.
  • Phase 2: Recommended dose of PF-08634404 in combination with ipilimumab — Approximately 24 months
    The doses of PF-08634404 and ipilimumab selected to be used in combination based on safety, tolerability, pharmacokinetics, and initial anti-tumor efficacy from Phase 2.

Trial sites (60)

FacilityCityRegionStatus
Chao Family Comprehensive Cancer Center and Ambulatory Care Irvine California Recruiting
UCI Health - Irvine Infusion Pharmacy ACC Irvine California Recruiting
UCI Health - Irvine Irvine California Recruiting
START Los Angeles, LLC Los Angeles California Recruiting
Keck Hospital of USC Los Angeles California Recruiting
Los Angeles General Medical Center Los Angeles California Recruiting
USC/Norris Comprehensive Cancer Center / Investigational Drug Services Los Angeles California Recruiting
USC/Norris Comprehensive Cancer Center Los Angeles California Recruiting
LACN Century City Los Angeles California Recruiting
UC Irvine Health - Chao Family Comprehensive Cancer Center Orange California Recruiting
Keck Medical Center of USC Pasadena Pasadena California Recruiting
Moffitt Cancer Center at Speros Land O' Lakes Florida Recruiting
Moffitt Cancer Center at SouthShore Ruskin Florida Recruiting
Moffitt Cancer Center - International Plaza Tampa Florida Recruiting
Moffitt Cancer Center - McKinley Campus Tampa Florida Recruiting
Moffitt Cancer Center Tampa Florida Recruiting
Moffitt McKinley Hospital Tampa Florida Recruiting
Moffitt Cancer Center at Wesley Chapel Wesley Chapel Florida Recruiting
Memorial Hospital Shiloh Illinois Recruiting
Siteman Cancer Center - Shiloh Shiloh Illinois Recruiting
Allina Health Cancer Institute - Mercy Hospital Coon Rapids Minnesota Recruiting
Allina Health Cancer Institute - Abbott Northwestern Hospital Minneapolis Minnesota Recruiting
Allina Health Cancer Institute - United Hospital Saint Paul Minnesota Recruiting
Siteman Cancer Center - St. Peters City of Saint Peters Missouri Recruiting
Siteman Cancer Center - West County Creve Coeur Missouri Recruiting
Siteman Cancer Center - North County Florissant Missouri Recruiting
Saint Luke's Cancer Institute Kansas City Missouri Recruiting
Saint Luke's Hospital of Kansas City Kansas City Missouri Recruiting
Siteman Cancer Center St Louis Missouri Recruiting
Barnes-Jewish Hospital St Louis Missouri Recruiting
Washington University School of Medicine - Siteman Cancer Center St Louis Missouri Recruiting
Siteman Cancer Center - South County St Louis Missouri Recruiting
Renown Health Medical Oncology Reno Nevada Recruiting
Renown Office of Clinical Research Reno Nevada Recruiting
Renown Regional Medical Center Reno Nevada Recruiting
Duke Cancer Center Cary Cary North Carolina Recruiting
Duke Cancer Center - Investigational Chemotherapy Service Durham North Carolina Recruiting
Duke Cancer Center Durham North Carolina Recruiting
Duke University - Main Hospital and Clinics Durham North Carolina Recruiting
Duke Cancer Center Raleigh Raleigh North Carolina Recruiting

+ 20 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07227012 on ClinicalTrials.gov ↗ ← All trials in Japan