ClinicalTrials.gg
Active, not recruitingNCT06760637FourLight-3Updated Oct 16, 2026

Study of PF-07220060 With Letrozole in Adults With HR-positive HER2-negative Breast Cancer Who Have Not Received Anticancer Treatment for Advanced/Metastatic Disease

A Phase 3 interventional study of PF-07220060 and letrozole in Breast Cancer, sponsored by Pfizer. Active, not recruiting at 460 sites in 30 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Pfizer · Phase 3, Interventional, and Treatment

Updated Oct 16, 202613 sites added16 sites removedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
1,035
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the safety and efficacy of PF-07220060 with letrozole compared to approved treatments (ie, palbociclib, ribociclib or abemaciclib with letrozole) in people with breast cancer:

  • HR-positive (breast cancer cells that need estrogen or progesterone to grow)
  • HER2-negative (cells that have a small amount or none of a protein called HER2 on their surface);
  • locally advanced (that has spread from where it started to nearby tissue or lymph nodes) or metastatic disease (the spread of cancer to other places in the body)
  • who have not received any prior systemic anti-cancer treatment for advanced/metastatic disease.

Approximately half of the participants will receive PF-07220060 plus letrozole while the other half of participants will receive the investigator's choice of treatment plus letrozole.

The study team will monitor how each participant is doing with the study treatment during regular visits at the study clinic.

02

Conditions studied

  • Breast Cancer

Keywords

  • Locally advanced or metastatic breast cancer
  • Estrogen receptor positive [ER(+)]
  • Progesterone receptor positive [PR(+)]
  • Hormone receptor positive [HR(+)]
  • Human epidermal growth factor receptor 2 negative [HER2(-)]
  • ER(+)/HER2(-)
  • PR(+)/HER2(-)
  • HR(+)/HER2(-)
  • Advanced Breast Cancer
  • Breast tumor
  • Breast cancer
  • Palbociclib
  • Abemaciclib
  • Ribociclib
  • Partial Response+ (PR+)
  • Metastatic breast cancer
  • Hormone Therapy
  • Hormone positive breast cancer
  • Recurrent breast cancer
  • HR+
  • HER2-negative
  • Relapse
  • Recurrent
  • First line treatment
  • Left Sided Breast Cancer
  • Left-Sided Breast Cancer
  • Right Sided Breast Cancer
  • Right-Sided Breast Cancer
  • Unilateral Breast Cancer
  • Cancer of the breast
  • CDK4i
  • CDK4/6i
  • Bilateral Breast Cancer
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's enrollment of 1,035 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Pfizer is the lead sponsor of 3,334 studies on the registry; 149 are open to participants now.

Of its 601 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Histological confirmation of breast cancer with evidence of locally advanced or disease, which is not amenable to surgical resection or radiation therapy with curative intent.
  • Documented estrogen receptor (ER) and/or progesterone receptor (PR)-positive tumor
  • Documented -negative tumor
  • Previously untreated with any systemic anticancer therapy for their locally advanced or metastatic disease.
  • or non-measurable bone only disease as defined by version 1.1

Exclusion criteria

Exclusion Criteria:

  • In visceral crisis at risk of immediately life-threatening complications in the short term.
  • Current or past history of central nervous system .
  • Have received prior (neo) endocrine therapy (ET) and had recurrence during or within 12 months after the last dose of ET.
  • Have received prior (neo)adjuvant CDK4/6i and had recurrence during or within 12 months after the last dose of CDK4/6i.
  • Inadequate renal function, hepatic dysfunction, or hematologic abnormalities.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,035 participants (actual)

Study arms

  • Experimental
    Arm A

    PF-07220060 tablet taken by mouth plus Letrozole tablet taken by mouth

    Drug: PF-07220060 · Drug: letrozole

  • Active comparator
    Arm B

    Investigator's Choice of CDK4/6 inhibitor (tablet/capsule) taken by mouth with letrozole tablet taken by mouth

    Drug: letrozole · Drug: abemaciclib · Drug: palbociclib · Drug: ribociclib

Interventions

06

What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS) by BICR

    Time from the date of randomization to the date of the first documentation of objective progressive disease as determined by blinded independent central review (BICR) per RECIST v1.1, or death due to any cause, whichever occurs first

    Time frame: From the date of randomization until disease progression or death due to any cause (up to approximately 4 years)

Secondary outcomes

  1. Overall Survival (OS)

    Time from the date of randomization to the date of death due to any cause

    Time frame: From the date of randomization until death due to any cause (up to approximately 13 years).

  2. Progression Free Survival (PFS) by Investigator

    Time from the date of randomization to the date of the first documentation of objective progressive disease as determined by investigator per RECIST v1.1, or death due to any cause, whichever occurs first

    Time frame: From the date of randomization until disease progression or death due to any cause (up to approximately 4 years)

  3. OR by BICR and by investigator

    Time from randomization date (every 8 weeks during the first 48 weeks and then every 12 weeks) to the date of progression OR death whichever occurs first

    Time frame: From randomization to progression or death whichever occurs first (up to approximately 4 years)

  4. Duration of Response (DoR) by BICR and by investigator

    Time from the date of CR or PR to the first documentation of objective progressive disease, or death due to any cause, whichever occurs first

    Time frame: From the date of CR or PR until objective progressive disease, or death (up to approximately 4 years)

  5. Incidence of treatment emergent treatment related adverse events (AE)

    Incidence and severity of AEs graded according to the NCI CTCAE v5.0

    Time frame: Duration of the study approximately up to 13 years.

  6. Incidence of treatment emergent treatment related serious adverse events

    Incidence and severity of AEs graded according to NCI CTCAE v5.0

    Time frame: Duration of the study approximately up to 13 years.

  7. Estimated mean change from baseline in EORTC QLQ C30

    Time frame: Baseline to end of treatment (up to approximately 4 years)

  8. Estimated mean change from baseline in BPI-SF

    Time frame: Baseline to end of treatment (up to approximately 4 years)

  9. Estimated mean change from baseline in EQ-5D-5L

    Time frame: Baseline to end of treatment (up to approximately 4 years)

  10. Estimated mean change from baseline in EORTC Breast Cancer Module (BR42)

    Time frame: Baseline to end of treatment (up to approximately 4 years)

  11. Mean change from baseline of ctDNA

    Time frame: Baseline to end of treatment (up to approximately 4 years)

07

Study locations

460 sites

Showing the first 100 of 460 sites across 30 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.

Data sharing details ↗ · www.pfizer.com

09

Updates

1 registry update since Sep 25, 2026
Sites
13 sites added, 16 sites removed
Show 13 added (6 United States, 2 Spain, 1 Australia, 1 Bulgaria, 1 Canada, 1 Poland, 1 Switzerland)
  • Highlands Oncology Group, PA · Fayetteville, United States
  • Highlands Oncology Group, PA · Rogers, United States
  • Highlands Oncology Group, PA · Springdale, United States
  • Providence St. Jude Medical Center Virginia K Crosson Cancer Center & Infusion Center · Fullerton, United States
  • Baylor Scott & White Health - Round Rock · Round Rock, United States
  • Baylor Scott & White Research Institute - Round Rock · Round Rock, United States
  • Frankston Hospital · Frankston, Australia
  • Multiprofile Hospital for Active Treatment Serdikamed EOOD · Sofia, Bulgaria
  • Jewish General Hospital · Montreal, Canada
  • Szpital Wojewódzki im. Mikolaja Kopernika w Koszalinie · Koszalin, Poland
  • Fundació de Recerca Clínic Barcelona · Barcelona, Spain
  • Hospital Universitario Clinico San Cecilio · Granada, Spain
  • Tumor Zentrum Aarau · Aarau, Switzerland
Show 16 removed
  • Highlands Oncology · Fayetteville, United States
  • Highlands Oncology · Rogers, United States
  • Highlands Oncology Group · Springdale, United States
  • Providence Medical Foundation · Anaheim, United States
  • Providence St. Jude Medical Center · Fullerton, United States
  • Robert Wood Johnson University Hospital Somerset · Somerville, United States
  • Bon Secours Mercy Health, Inc · Cincinnati, United States
  • Baylor Scott & White Medical Center - Round Rock · Round Rock, United States
  • Multiprofile Hospital for Active Treatment Serdikamed EOOD · Sofia, Bulgaria
  • Arthur J.E. Child Comprehensive Cancer Centre · Calgary, Canada
  • WSD MEDI · Warsaw, Poland
  • Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie · Koszalin, Poland
  • Szpital Wojewódzki im. Mikołaja Kopernika w Koszalinie · Koszalin, Poland
  • Fundació de Recerca Clínic Barcelona · Eixample, Spain
  • Hospital Universitario San Cecilio · Granada, Spain
  • Gazi University Medical Faculty · Ankara, Turkey (Türkiye)
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    13 sites added, 16 sites removed
    Show 13 added (6 United States, 2 Spain, 1 Australia, 1 Bulgaria, 1 Canada, 1 Poland, 1 Switzerland)
    • Highlands Oncology Group, PA · Fayetteville, United States
    • Highlands Oncology Group, PA · Rogers, United States
    • Highlands Oncology Group, PA · Springdale, United States
    • Providence St. Jude Medical Center Virginia K Crosson Cancer Center & Infusion Center · Fullerton, United States
    • Baylor Scott & White Health - Round Rock · Round Rock, United States
    • Baylor Scott & White Research Institute - Round Rock · Round Rock, United States
    • Frankston Hospital · Frankston, Australia
    • Multiprofile Hospital for Active Treatment Serdikamed EOOD · Sofia, Bulgaria
    • Jewish General Hospital · Montreal, Canada
    • Szpital Wojewódzki im. Mikolaja Kopernika w Koszalinie · Koszalin, Poland
    • Fundació de Recerca Clínic Barcelona · Barcelona, Spain
    • Hospital Universitario Clinico San Cecilio · Granada, Spain
    • Tumor Zentrum Aarau · Aarau, Switzerland
    Show 16 removed
    • Highlands Oncology · Fayetteville, United States
    • Highlands Oncology · Rogers, United States
    • Highlands Oncology Group · Springdale, United States
    • Providence Medical Foundation · Anaheim, United States
    • Providence St. Jude Medical Center · Fullerton, United States
    • Robert Wood Johnson University Hospital Somerset · Somerville, United States
    • Bon Secours Mercy Health, Inc · Cincinnati, United States
    • Baylor Scott & White Medical Center - Round Rock · Round Rock, United States
    • Multiprofile Hospital for Active Treatment Serdikamed EOOD · Sofia, Bulgaria
    • Arthur J.E. Child Comprehensive Cancer Centre · Calgary, Canada
    • WSD MEDI · Warsaw, Poland
    • Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie · Koszalin, Poland
    • Szpital Wojewódzki im. Mikołaja Kopernika w Koszalinie · Koszalin, Poland
    • Fundació de Recerca Clínic Barcelona · Eixample, Spain
    • Hospital Universitario San Cecilio · Granada, Spain
    • Gazi University Medical Faculty · Ankara, Turkey (Türkiye)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06760637
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Jan 7, 2025
Start date
Jan 6, 2025
Primary completion
Jan 2, 2029 (estimated)
Completion
Dec 29, 2037 (estimated)
Last update
Oct 16, 2026

Study contacts

Pfizer CT.gov Call Center
study director · Pfizer

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Atirmociclib

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