CClinicalTrials.gg
RecruitingNCT07227012Updated Sep 28, 2026

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.

A Phase 1/2 interventional study of PF-08634404 and Ipilimumab in Carcinoma, Hepatocellular, Hepatocellular Cancer and Hepatocellular Carcinoma, sponsored by Pfizer. Recruiting at 58 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by Pfizer · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
138
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

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.

02

Conditions studied

  • Carcinoma, Hepatocellular
  • Hepatocellular Cancer
  • Hepatocellular Carcinoma
  • Unresectable Hepatocellular Carcinoma
  • Liver Neoplasms
  • Advanced Hepatocellular Carcinoma
  • Metastatic Hepatocellular Carcinoma

Keywords

  • Hepatocellular Carcinoma
  • Liver cancer
  • Liver Neoplasms
03

Who can participate

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

Eligibility criteria

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.
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
138 participants (estimated)

Study arms

  • Experimental
    Phase 1b

    Participants will be allocated to sequential dose levels of PF-08634404 and ipilimumab.

    Biological: PF-08634404 · Biological: Ipilimumab

  • Experimental
    Phase 2

    Participants will be randomized to receive either PF-08634404 monotherapy or PF-08634404 combined with ipilimumab.

    Biological: PF-08634404 · Biological: Ipilimumab

Interventions

  • BiologicalPF-08634404

    Solution for infusion

  • BiologicalIpilimumab

    Solution for infusion

    Also known as: YERVOY

05

What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events

    Adverse Events as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study intervention.

    Time frame: Through end of study and up to approximately 24 months

  2. Phase 1b: Number of participants with Dose limiting toxicities (DLT)

    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.

    Time frame: Through 90 days after the last dose of study intervention; Approximately 24 months

  3. Phase 2: Confirmed Overall Response Rate (ORR) using RECIST 1.1 as assessed by investigator

    ORR is the proportion of participants with a best overall response (BOR) of confirmed CR or confirmed PR per RECIST 1.1 by investigator.

    Time frame: Approximately 24 months

  4. Phase 2: Recommended dose of PF-08634404 in combination with ipilimumab

    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.

    Time frame: Approximately 24 months

Secondary outcomes

  1. Phase 1b: Confirmed Objective Response Rate (ORR) using RECIST 1.1 as assessed by investigator

    ORR is the proportion of participants with a best overall response of confirmed Complete Response (CR) or confirmed Partial Response (PR) per RECIST 1.1 by investigator.

    Time frame: Approximately 24 months

  2. Duration of Response (DOR) per RECIST 1.1 by investigator

    DOR is the time from the first documentation of objective response (CR or PR that is subsequently confirmed) to the date of first documented disease progression per RECIST 1.1 as assessed by investigator, or death due to any cause, whichever occurs first.

    Time frame: Approximately 24 months

  3. Progression Free Survival (PFS) per RECIST 1.1 by investigator

    PFS is defined as the time from the date of first dose to the date of first documented disease progression per RECIST 1.1 as assessed by investigator, or death due to any cause, whichever occurs first.

    Time frame: Approximately 24 months

  4. Overall Survival (OS)

    OS is defined as the time from the date of first dose to the date of death due to any cause.

    Time frame: Approximately 24 months

  5. Number of Participants With Clinical Laboratory Abnormalities

    Laboratory abnormalities as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), and timing

    Time frame: Time from the date of first dose of study intervention through 30-37 days after last dose of study intervention (assessed up to approximately 24 months)

  6. Pharmacokinetics (PK): Serum concentrations of PF-08634404

    Predose and/or postdose concentrations of PF-08634404 in combination with ipilimumab.

    Time frame: Up to 24 months

  7. Incidence of antidrug antibody against PF-08634404

    To evaluate immunogenicity of PF-08634404 in combination with ipilimumab.

    Time frame: Up to 24 months

06

Study locations

58 of 58 sites recruiting
  • Chao Family Comprehensive Cancer Center and Ambulatory Care
    Irvine, California 92612, United States
    Recruiting
  • UCI Health - Irvine Infusion Pharmacy ACC
    Irvine, California 92612, United States
    Recruiting
  • UCI Health - Irvine
    Irvine, California 92612, United States
    Recruiting
  • START Los Angeles, LLC
    Los Angeles, California 90025, United States
    Recruiting
  • Keck Hospital of USC
    Los Angeles, California 90033, United States
    Recruiting
  • Los Angeles General Medical Center
    Los Angeles, California 90033, United States
    Recruiting
  • USC/Norris Comprehensive Cancer Center / Investigational Drug Services
    Los Angeles, California 90033, United States
    Recruiting
  • USC/Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
    Recruiting
  • LACN Century City
    Los Angeles, California 90067, United States
    Recruiting
  • UC Irvine Health - Chao Family Comprehensive Cancer Center
    Orange, California 92868, United States
    Recruiting
  • Keck Medical Center of USC Pasadena
    Pasadena, California 91105, United States
    Recruiting
  • Moffitt Cancer Center at Speros
    Land O' Lakes, Florida 34638, United States
    Recruiting
  • Moffitt Cancer Center at SouthShore
    Ruskin, Florida 33570, United States
    Recruiting
  • Moffitt Cancer Center - International Plaza
    Tampa, Florida 33607, United States
    Recruiting
  • Moffitt Cancer Center - McKinley Campus
    Tampa, Florida 33612, United States
    Recruiting
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
    Recruiting
  • Moffitt McKinley Hospital
    Tampa, Florida 33612, United States
    Recruiting
  • Moffitt Cancer Center at Wesley Chapel
    Wesley Chapel, Florida 33544, United States
    Recruiting
  • Memorial Hospital
    Shiloh, Illinois 62269, United States
    Recruiting
  • Siteman Cancer Center - Shiloh
    Shiloh, Illinois 62269, United States
    Recruiting
  • Allina Health Cancer Institute - Mercy Hospital
    Coon Rapids, Minnesota 55433, United States
    Recruiting
  • Allina Health Cancer Institute - Abbott Northwestern Hospital
    Minneapolis, Minnesota 55407, United States
    Recruiting
  • Allina Health Cancer Institute - United Hospital
    Saint Paul, Minnesota 55102, United States
    Recruiting
  • Siteman Cancer Center - St. Peters
    City of Saint Peters, Missouri 63376, United States
    Recruiting
  • Siteman Cancer Center - West County
    Creve Coeur, Missouri 63141, United States
    Recruiting
  • Siteman Cancer Center - North County
    Florissant, Missouri 63031, United States
    Recruiting
  • Saint Luke's Cancer Institute
    Kansas City, Missouri 64111, United States
    Recruiting
  • Saint Luke's Hospital of Kansas City
    Kansas City, Missouri 64111, United States
    Recruiting
  • Siteman Cancer Center
    St Louis, Missouri 63108, United States
    Recruiting
  • Barnes-Jewish Hospital
    St Louis, Missouri 63110, United States
    Recruiting
  • Washington University School of Medicine - Siteman Cancer Center
    St Louis, Missouri 63110, United States
    Recruiting
  • Siteman Cancer Center - South County
    St Louis, Missouri 63129, United States
    Recruiting
  • Renown Health Medical Oncology
    Reno, Nevada 89502, United States
    Recruiting
  • Renown Office of Clinical Research
    Reno, Nevada 89502, United States
    Recruiting
  • Renown Regional Medical Center
    Reno, Nevada 89502, United States
    Recruiting
  • Duke Cancer Center Cary
    Cary, North Carolina 27518, United States
    Recruiting
  • Duke Cancer Center - Investigational Chemotherapy Service
    Durham, North Carolina 27710, United States
    Recruiting
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
    Recruiting
  • Duke University - Main Hospital and Clinics
    Durham, North Carolina 27710, United States
    Recruiting
  • Duke Cancer Center Raleigh
    Raleigh, North Carolina 27609, United States
    Recruiting
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
    Recruiting
  • Virginia Mason Medical Center
    Seattle, Washington 98101, United States
    Recruiting
  • Fred Hutchinson Cancer Center
    Seattle, Washington 98109, United States
    Recruiting
  • University of Washington Medical Center- Montlake
    Seattle, Washington 98195, United States
    Recruiting
  • Zhongshan Hospital,Fudan University
    Shanghai, Shanghai Municipality 200032, China
    Recruiting
  • Aichi Cancer Center
    Nagoya, Aichi-ken 464-8681, Japan
    Recruiting
  • National Cancer Center Hospital East
    Kashiwa, Chiba 277-8577, Japan
    Recruiting
  • Kindai University Hospital- Osaka Medical Campus
    Sakai, Osaka 590-0197, Japan
    Recruiting
  • National Cancer Center Hospital
    Chuo-ku, Tokyo 104-0045, Japan
    Recruiting
  • National Hospital Organization Kyushu Cancer Center
    Fukuoka, 811-1395, Japan
    Recruiting
  • Pan American Center for Oncology Trials, LLC - Dorado Office
    Dorado, United States of America 00646, Puerto Rico
    Recruiting
  • Pan American Center for Oncology Trials, LLC - Mayaguez Office
    Mayagüez, United States of America 00680, Puerto Rico
    Recruiting
  • Pan American Center for Oncology Trials, LLC - Ponce Office
    Ponce, United States of America 00730, Puerto Rico
    Recruiting
  • Pan American Center for Oncology Trials, LLC
    San Juan, 00909, Puerto Rico
    Recruiting
  • Taichung Veterans General Hospital
    Taichung, 407, Taiwan
    Recruiting
  • National Cheng Kung University Hospital
    Tainan, 704, Taiwan
    Recruiting
  • National Taiwan University Hospital
    Taipei, 10002, Taiwan
    Recruiting
  • Taipei Veterans General Hospital
    Taipei, 112, Taiwan
    Recruiting
07

References and documents

Individual participant data

Plan to share: No — 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.

08

Registry details

Key details

Study ID
NCT07227012
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Nov 12, 2025
Start date
Dec 1, 2025
Primary completion
Oct 18, 2027 (estimated)
Completion
Oct 17, 2028 (estimated)
Last update
Sep 28, 2026

Study contacts

Pfizer CT.gov Call Center
Contact
ClinicalTrials.gov_Inquiries@pfizer.com
1-800-718-1021
Pfizer CT.gov Call Center
study director · Pfizer

Oversight

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

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