Ireland
--:--IST
Recruiting Phase 2/3

Symbiotic-Lung-04: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Extensive-Stage Small Cell Lung Cancer

NCT07226999 · tracked via the Priya Life Science USA tracker
Sponsor
Phase
Phase 2/3
Started
2025-12-09
Last updated
2026-10-08

Condition(s) studied

Small Cell Lung Cancer (SCLC)

Investigational drug(s) / intervention(s)

PF-08634404 →Atezolizumab →Chemotherapy

PF-08634404: Concentrate for solution for infusion

Atezolizumab: Injection for intravenous use

Chemotherapy: Injection for intravenous use

Study summary

This study is being done to learn more about a new medicine called PF-08634404 and how well it works when given with chemotherapy to adults with extensive-stage small cell lung cancer (ES-SCLC), a fast-growing type of lung cancer that has spread widely in the body.

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

* Be 18 years or older.
* Have extensive-stage small cell lung cancer confirmed by lab tests.
* Have not received chemotherapy or radiation for this type of lung cancer.
* Be in good physical condition and have healthy organs based on medical tests.

The study has two parts:

* In the first part, researchers will check how safe the study medicine is and how well people tolerate it when given with chemotherapy.
* In the second part, they will compare study medicine plus chemotherapy to another approved treatment (atezolizumab plus chemotherapy) to see which works better.

Participants will receive the treatment through IV infusions (medicine given directly into a vein). The treatment will be given in repeated time periods called cycles. Some participants will continue receiving the study medicine alone after the initial treatment.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Histologically or cytologically confirmed extensive-stage small cell lung cancer (ES-SCLC). * Participants have not received systemic therapy (chemotherapy, radiotherapy, chemoradiation) for ES-SCLC. * Treatment-free for at least 6 months since last chemo/radiotherapy, among those treated (with curative intent) with prior chemo/radiotherapy for limited-stage SCLC * Have at least one measurable lesion as the targeted lesion based on RECIST V1.1. * Eastern Cooperative Oncology Group performance status of 0 or 1. * Adequate organ function Exclusion Criteria: * known active CNS lesions, including brainstem, meningeal, or spinal cord metastases or compression * Leptomeningeal disease * Clinically significant risk of hemorrhage or fistula * history of another malignancy within 3 years * active autoimmune diseases requiring systemic treatment within the past 2 years

Primary outcome measure(s)

  • Phase 2: Confirmed Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors version 1.1 [RECIST 1.1] based on the investigator's assessment — Up to approximately 2 years after completion of study treatment of last study participant
    Defined as the proportion of participants in whom a confirmed complete response (CR) or partial response (PR) is observed as best overall response. ORR using RECIST v1.1 as assessed by investigator.
  • Phase 2: Number of participants with treatment-emergent adverse events — Up to 90 days after the last dose of treatment
    Adverse Events (AEs) as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study intervention.
  • Phase 3: Overall Survival (OS) — Up to approximately 2 years after completion of study treatment of last study participant
    OS is defined as the time from the date of randomization to the date of death due to any cause. OS is secondary outcome measure in Phase 2 portion of the study.

Trial sites (82)

FacilityCityRegionStatus
Highlands Oncology Group Fayetteville Arkansas Recruiting
Highlands Oncology Group Rogers Arkansas Recruiting
Highlands Oncology Group Springdale Arkansas Recruiting
BRCR Coral Springs Coral Springs Florida Recruiting
Mid Florida Hematology and Oncology Center Orange City Florida Recruiting
BRCR Global - Tamarac Tamarac Florida Recruiting
University Hospitals Cleveland Medical Center Cleveland Ohio Recruiting
Texas Oncology - Northeast Texas Allen Texas Recruiting
Texas Oncology - DFW Arlington Texas Recruiting
Texas Oncology - DFW Arlington Texas Recruiting
Texas Oncology - Gulf Coast Beaumont Texas Recruiting
Texas Oncology - DFW Bedford Texas Recruiting
Texas Oncology - DFW Dallas Texas Recruiting
Texas Oncology - DFW Dallas Texas Recruiting
Texas Oncology - DFW Dallas Texas Recruiting
Texas Oncology - DFW Dallas Texas Recruiting
Texas Oncology - DFW Dallas Texas Recruiting
Texas Oncology - Northeast Texas Denison Texas Recruiting
Texas Oncology - Northeast Texas Denton Texas Recruiting
Texas Oncology - Northeast Texas Flower Mound Texas Recruiting
Texas Oncology - DFW Fort Worth Texas Recruiting
Texas Oncology - San Antonio Fredericksburg Texas Recruiting
Texas Oncology - DFW Grapevine Texas Recruiting
Texas Oncology - Gulf Coast Houston Texas Recruiting
Texas Oncology - Gulf Coast Houston Texas Recruiting
US Oncology Investigational Product Center (IPC) Irving Texas Recruiting
US Oncology Investigational Products Center (IPC) Irving Texas Recruiting
Texas Oncology - Northeast Texas Lewisville Texas Recruiting
Texas Oncology - Northeast Texas Longview Texas Recruiting
Texas Oncology - Northeast Texas McKinney Texas Recruiting
Texas Oncology - San Antonio New Braunfels Texas Recruiting
Texas Oncology - Northeast Texas Palestine Texas Recruiting
Texas Oncology - Northeast Texas Paris Texas Recruiting
Texas Oncology - Gulf Coast Pearland Texas Recruiting
Texas Oncology - DFW Plano Texas Recruiting
Texas Oncology - DFW Plano Texas Recruiting
Texas Oncology - San Antonio San Antonio Texas Recruiting
Texas Oncology - San Antonio San Antonio Texas Recruiting
Texas Oncology - San Antonio San Antonio Texas Recruiting
Texas Oncology - Gulf Coast Sugar Land Texas Recruiting

+ 42 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 NCT07226999 on ClinicalTrials.gov ↗ ← All trials in the USA