ClinicalTrials.gg
RecruitingNCT07227298Updated Oct 8, 2026

Symbiotic-Lung-20: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Different Anticancer Agents in Advanced Cancers

A Phase 1/2 interventional study of PF-08634404 and Sigvotatug Vedotin in Advanced/Metastatic Non-Small Cell Lung Cancer, Carcinoma, Non-Small Cell Lung and Non-Small Cell Lung Cancer, sponsored by Pfizer. Recruiting at 104 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-08.

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

From the registry’s dates

  • Started Jan 2026; still recruiting 9 months later.
Updated Oct 8, 2026Site recruiting status changed14 sites added+1 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
162
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is being done to learn more about a new medicine called PF-08634404 and how it works when used with other cancer medicines in people who have advanced solid tumors. An advanced solid tumor is a type of cancer that has spread beyond its original location and cannot be removed by surgery or cured with standard treatments.

To join in the study, participants must:

  • Be 18 years or older
  • Participants with advanced non-small cell lung cancer (NSCLC), a type of lung cancer that has spread to other parts of the body

The study will look at:

  • Whether PF-08634404 is safe to use with other cancer medicines.
  • What side effects may happen. A side effect is anything the medicine does to your body that is not part of treating your disease.
  • Whether the combination of PF-08634404 and other cancer medicines can help treat solid tumors.

The study has different parts, each testing PF-08634404 with a different cancer medicine:

  • Part A will test PF-08634404 with a medicine called sigvotatug vedotin.
  • Part B will test PF-08634404 with a medicine called PF-08046054/SGN-PDL1V

Participants will receive the study medicines through an intravenous (IV) infusion (injected into the vein) at the study clinic. All treatments will take place at clinical trial sites, where trained medical staff will monitor participants during and after each visit.

02

Conditions studied

  • Advanced/Metastatic Non-Small Cell Lung Cancer
  • Carcinoma, Non-Small Cell Lung
  • Non-Small Cell Lung Cancer

Keywords

  • non-small cell lung cancer
  • NSCLC
  • advanced solid tumors
  • metastatic non-small cell lung cancer
  • locally advanced non-small cell lung cancer
  • squamous non-small cell lung cancer
  • non-squamous non-small cell lung cancer
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 162 is above the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung 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

  • confirmed locally advanced (Stage IIIB/IIIC) or (Stage IV) squamous or non-squamous NSCLC and are not a candidate for complete surgical resection and curative concurrent/sequential chemoradiotherapy
  • status available
  • Part B only: PD-L1 ≥ TPS 1%
  • based on v1.1 per investigator.
  • performance status of 0 or 1.
  • Adequate organ function

Exclusion criteria

Exclusion Criteria:

  • Participants with known AGAs including EGFR, ALK and ROS1, NTRK, BRAF, and MET for which there are available therapies per local standard-of-care (SOC)
  • History of another within 2 years before the first dose of study intervention, or any evidence of residual disease from a previously diagnosed malignancy
  • Known active CNS lesions, including brainstem, meningeal, or spinal cord or compression
  • Active diseases requiring systemic treatment within the past 2 years
  • Previous systemic anti-tumor therapy for locally advanced or metastatic NSCLC
  • Previous treatment with immunotherapy (exception is (neo)adjuvant or consolidation anti-PD-(L)1), ADCs containing MMAE payload, systemic anti-angiogenic therapy, or prior radiotherapy >30 Gy to the lung within 6 months of first dose of study intervention
Terms in these criteria, in plain language(10)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
162 participants (estimated)

Study arms

  • Experimental
    PF-08634404 + PF-08046054/SGN-PDL1V (Part B)

    Participants will receive PF-08634404 in combination with other anticancer agents as per protocol.

    Biological: PF-08634404 · Biological: PF-08046054/SGN-PDL1V

  • Experimental
    PF-08634404 + Sigvotatug Vedotin (Part A)

    Participants will receive PF-08634404 in combination with Sigvotatug Vedotin.

    Biological: PF-08634404 · Biological: Sigvotatug Vedotin

Interventions

  • BiologicalPF-08634404

    -Concentrate for solution for infusion

    Also known as: SSGJ-707

  • -Powder for concentrate for solution for infusion. Single use vial

    Also known as: SGN-B6A, PF-08046047

  • BiologicalPF-08046054/SGN-PDL1V

    -Powder for concentrate for solution for infusion. Single use vial.

06

What researchers measure

Primary outcomes

  1. Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)

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

    Time frame: Through 90 days after the last study intervention; Up to approximately 5 years

  2. Phase I: Number of participants with dose limiting toxicity (DLT)

    Dose limiting toxicity based on dose limiting toxicity evaluable participants. The number of participants who experienced DLTs during the DLT observation period.

    Time frame: Through 90 days after the last study intervention; Up to approximately 5 years

  3. Phase 2: Confirmed Objective Response Rate (ORR) per RECIST v1.1 by investigator

    ORR is defined as the proportion of participants with a Best Overall Response (BOR) of confirmed Complete Response (CR) or confirmed Partial Response (PR) per RECIST v1.1.

    Time frame: Up to approximately 5 Years

Secondary outcomes

  1. Phase I: Confirmed ORR per RECIST v1.1 by investigator

    ORR is defined as the proportion of participants with a Best Overall Response (BOR) of confirmed Complete Response (CR) or confirmed Partial Response (PR) per RECIST v1.1.

    Time frame: Up to approximately 5 Years

  2. Disease Control Rate (DCR) per RECIST v1.1 by investigator

    DCR by investigator assessment is defined as the proportion of participants with CR or PR with confirmation, or Stable Disease (SD) by investigator assessment per RECIST version 1.1.

    Time frame: Up to approximately 5 years

  3. Duration of Response (DOR) per RECIST v1.1 by investigator

    DOR is defined as 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 v1.1 or death due to any cause, whichever occurs first.

    Time frame: Up to approximately 5 years

  4. Progression Free Survival (PFS) per RECIST v1.1 by investigator

    Progression-free survival is defined as the time from the date of randomization to the date of the first documentation of objective PD assessed by investigator per RECIST v1.1, or death due to any cause, whichever occurs first.

    Time frame: Up to approximately 5 years

  5. Number of Participants With Clinical Laboratory Abnormalities

    Time frame: Through 90 days after the last study intervention; Up to approximately 5 years

  6. Pharmacokinetics (PK): Serum concentration of PF-08634404 with anticancer agents

    To characterize the pharmacokinetics (PK) of PF-08634404 with anticancer agents.

    Time frame: Up to 37 days after the last dose of treatment

  7. Incidence of Anti-Drug Antibody (ADA) against PF-08634404 with anticancer agents

    To characterize the immunogenicity of PF-08634404 with anticancer agents.

    Time frame: Up to 37 days after the last dose of treatment

Other outcomes

  1. Overall Survival (OS)

    Overall survival defined as the time from the date of randomization to the date of death due to any cause.

    Time frame: Up to approximately 5 years

07

Study locations

85 of 104 sites recruiting

Showing the first 100 of 104 sites across 9 countries. Choose a country and city above to see the rest.

08

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.

09

Updates

2 registry updates since Sep 25, 2026
Sites
14 sites added, 3 sites removed. 3 sites changed recruiting status (3 now recruiting)
Show 3 sites
  • Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology · Wuhan, ChinaNot yet recruiting→Recruiting
  • Groupe hospitalier Paris saint Joseph · Paris, FranceNot yet recruiting→Recruiting
  • National Cancer Center Hospital East · Kashiwa, JapanNot yet recruiting→Recruiting
Show 14 added (14 United States)
  • Moffitt Cancer Center- Speros · Land O' Lakes, United States
  • Moffitt Cancer Center - SouthShore · Ruskin, United States
  • Moffitt Cancer Center - International Plaza · Tampa, United States
  • Moffitt Cancer Center - McKinley Campus · Tampa, United States
  • Moffitt Cancer Center · Tampa, United States
  • Moffitt McKinley Hospital · Tampa, United States
  • Moffitt Cancer Center - Wesley Chapel · Wesley Chapel, United States
  • Newman Street Imaging · Hackensack, United States
  • Jack & Sheryl Morris Cancer Center · New Brunswick, United States
  • Robert Wood Johnson University Hospital (RWJBH) · New Brunswick, United States
  • Robert Wood Johnson University Hospital · New Brunswick, United States
  • Rutgers Cancer Institute · New Brunswick, United States
  • John Theurer Cancer Center at From Road · Paramus, United States
  • Heart Center Glenpointe · Teaneck, United States
Show 3 removed
  • Newman Street Imaging · Hackensack, United States
  • John Theurer Cancer Center at From Road · Paramus, United States
  • Heart Center Glenpointe · Teaneck, United States
across 2 updates, Sep 25, 2026 – Oct 8, 2026
Show all 2 updates
  1. Oct 8, 2026
    14 sites added. 3 sites changed recruiting status (3 now recruiting)
    Show 3 sites
    • Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology · Wuhan, ChinaNot yet recruiting→Recruiting
    • Groupe hospitalier Paris saint Joseph · Paris, FranceNot yet recruiting→Recruiting
    • National Cancer Center Hospital East · Kashiwa, JapanNot yet recruiting→Recruiting
    Show 14 added (14 United States)
    • Moffitt Cancer Center- Speros · Land O' Lakes, United States
    • Moffitt Cancer Center - SouthShore · Ruskin, United States
    • Moffitt Cancer Center - International Plaza · Tampa, United States
    • Moffitt Cancer Center - McKinley Campus · Tampa, United States
    • Moffitt Cancer Center · Tampa, United States
    • Moffitt McKinley Hospital · Tampa, United States
    • Moffitt Cancer Center - Wesley Chapel · Wesley Chapel, United States
    • Newman Street Imaging · Hackensack, United States
    • Jack & Sheryl Morris Cancer Center · New Brunswick, United States
    • Robert Wood Johnson University Hospital (RWJBH) · New Brunswick, United States
    • Robert Wood Johnson University Hospital · New Brunswick, United States
    • Rutgers Cancer Institute · New Brunswick, United States
    • John Theurer Cancer Center at From Road · Paramus, United States
    • Heart Center Glenpointe · Teaneck, United States
    + 1 other change: verification date
  2. Sep 25, 2026
    3 sites removed
    Show 3 removed
    • Newman Street Imaging · Hackensack, United States
    • John Theurer Cancer Center at From Road · Paramus, United States
    • Heart Center Glenpointe · Teaneck, United States

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
NCT07227298
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Nov 12, 2025
Start date
Jan 30, 2026
Primary completion
Mar 8, 2029 (estimated)
Completion
Aug 23, 2033 (estimated)
Last update
Oct 8, 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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