Ireland
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Recruiting Phase 3

Symbiotic-GI-03: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Metastatic Colorectal Cancer

NCT07222800 · tracked via the Priya Life Science Taiwan tracker
Sponsor
Phase
Phase 3
Started
2025-12-11
Last updated
2026-10-08

Condition(s) studied

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesColorectal Neoplasms

Investigational drug(s) / intervention(s)

PF-08634404 →Bevacizumab →Chemotherapy

PF-08634404: Solution for infusion

Bevacizumab: Injection for intravenous use

Chemotherapy: Injection for intravenous use

Study summary

The purpose of this study is to learn more about a new medicine called PF-08634404, and how well it works in people with cancer of the colon or rectum (CRC)). The goal is to understand if the new study medicine, combined with chemotherapy that is approved for colorectal cancer, can help people whose cancer has spread or returned after treatments taken before.

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

* Be 18 years or older.
* Have colorectal cancer that has spread to other parts of your body.
* Be in good enough health to receive study treatment.
* Should not be pregnant before starting treatment.

Participants will be randomized (like flipping a coin) to one of 2 different treatment arms. The first arm (Arm A) will include the new medicine PF-08634404 in combination with chemotherapy that is approved for colorectal cancer, and the second arm (Arm B) will include an approved medicine for colorectal cancer, called Bevacizumab, in combination with chemotherapy that is approved for this type of cancer. Participants and their doctors will not know which arm they are being assigned to. Participants will receive all the study medications through intravenous (IV) infusions, which means the medicine is given directly into a vein. The treatment will be given in cycles, and participants may continue receiving it if it is helping and they are not experiencing serious side effects.

The medicine will be given at a clinical site, where trained medical staff will check participants during and after each treatment.

* The study is expected to last approximately 33 months for each participant.
* Participants will have regular visits to the study site for treatment, health checks, and tests.
* After stopping treatment, participants will return for a final visit about 30 to37 days later to check their health and review any side effects.
* Follow-up will continue every 12 weeks by phone or in person or by reviewing health records to check on health status and any new treatments.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Histological or cytological confirmed colorectal adenocarcinoma. * Evidence of Stage IV metastatic disease. * No prior systemic therapy for metastatic disease. * Eastern Cooperative Oncology Group performance status (ECOG) 0-1 * At least one measurable lesion according to RECIST 1.1 per Investigator assessment. * Adequate hepatic, liver, and renal function Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Locally confirmed BRAF V600E mutation * Locally confirmed microsatellite instability (MSI)-high or DNA mismatch repair deficiency (dMMR) colorectal cancer * Participants with known active symptomatic CNS lesions, including leptomeningeal metastasis, brainstem, meningeal, or spinal cord metastases or compression * Clinically significant risk of hemorrhage or fistula * Major surgery or severe trauma within 4 weeks prior to the first dose, or planned major surgery during the study * History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation * Any Grade ≥3 bleeding/hemorrhage events within 28 days of Cycle 1 Day 1, or prior history of clinically significant bleeding events * Clinically significant cardiovascular disease, or other comorbidities, within 6 months prior to first dose * Participants with active autoimmune diseases requiring systemic treatment within the past 2 years * Evidence of non-infectious or drug-induced interstitial lung disease (ILD) pneumonitis

Primary outcome measure(s)

  • Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) by Blinded Independent Central Review (BICR) — Approximately 4 years
    Progression-free survival is defined as the time from the date of randomization to the date of the first documentation of objective progressive disease (PD) assessed by BICR per RECIST 1.1, or death due to any cause, whichever occurs first.
  • Overall survival (OS) — Approximately 4 years
    Overall survival defined as the time from the date of randomization to the date of death due to any cause.

Trial sites (372)

FacilityCityRegionStatus
Ironwood Cancer & Research Centers Chandler Arizona Recruiting
Banner Gateway Medical Center Gilbert Arizona Not Yet Recruiting
Banner MD Anderson Cancer Center Gilbert Arizona Not Yet Recruiting
Ironwood Cancer & Research Centers Gilbert Arizona Recruiting
Ironwood Cancer & Research Centers Glendale Arizona Recruiting
Ironwood Cancer & Research Centers Goodyear Arizona Recruiting
Ironwood Cancer & Research Centers Mesa Arizona Recruiting
Ironwood Cancer & Research Centers Mesa Arizona Recruiting
Banner MD Anderson Cancer Center at Banner University Medical Center- Phoenix Phoenix Arizona Not Yet Recruiting
Banner MD Anderson Cancer Center Phoenix Arizona Not Yet Recruiting
Banner University Medical Center Phoenix Phoenix Arizona Not Yet Recruiting
Ironwood Cancer & Research Centers Phoenix Arizona Recruiting
Mayo Clinic Building- Phoenix Phoenix Arizona Recruiting
Mayo Clinic Hospital Phoenix Arizona Recruiting
Mayo Clinic Scottsdale Arizona Recruiting
Ironwood Cancer & Research Centers Scottsdale Arizona Recruiting
Banner Boswell Medical Center Sun City Arizona Not Yet Recruiting
Banner MD Anderson Cancer Center Sun City Arizona Not Yet Recruiting
BMDACC Boswell Sun City Arizona Not Yet Recruiting
Highlands Oncology Group Fayetteville Arkansas Recruiting
Highlands Oncology Group Rogers Arkansas Recruiting
Highlands Oncology Group Springdale Arkansas Recruiting
UCSF at Berkeley Outpatient Center Berkeley California Recruiting
Alta Bates Summit Medical Center-Herrick Campus Comprehensive Cancer Center Berkeley California Recruiting
UCSD Medical Center - Encinitas Encinitas California Recruiting
Palo Alto Medical Foundation - Fremont Center Fremont California Recruiting
UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion) La Jolla California Recruiting
UC San Diego Moores Cancer Center La Jolla California Recruiting
UCSD Koman Family Outpatient Pavilion La Jolla California Recruiting
Palo Alto Medical Foundation - Palo Alto Center Palo Alto California Recruiting
Roseville Medical Plaza Care Center Roseville California Recruiting
Sutter Medical Center, Sacramento Infusion Center at Roseville Roseville California Recruiting
University of California, Davis Comprehensive Cancer Center Sacramento California Recruiting
University of California, Davis Medical Center Sacramento California Recruiting
UC San Diego McGrath Outpatient Pavilion - Hillcrest San Diego California Recruiting
UC San Diego Medical Center - Hillcrest San Diego California Recruiting
UC San Diego Medical Center - Rancho Bernardo San Diego California Recruiting
UCSF at China Basin San Francisco California Recruiting
UCSF at Mount Zion San Francisco California Recruiting
UCSF at Parnassus San Francisco California Recruiting

+ 332 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 NCT07222800 on ClinicalTrials.gov ↗ ← All trials in Taiwan