CClinicalTrials.gg
RecruitingNCT07227415Updated Sep 17, 2026

Symbiotic-GU-08: A Study to Learn About the Medicine Called PF-08634404 Dosed Alone and in Combination With Other Anticancer Therapies in Adults With Locally Advanced or Metastatic Renal Cell Cancer

A Phase 1/2 interventional study of PF-08634404 and Ipilimumab in Carcinoma, Renal Cell, Advanced Renal Cell Carcinoma and Renal Cancer, sponsored by Pfizer. Recruiting at 162 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-17.

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

Phase
Phase 1/2
Study type
Interventional
Enrollment
224
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is testing a new medicine called PF-08634404 and how it works in adults with advanced Renal Cell Carcinoma (RCC)- a type of kidney cancer that is either locally advanced (spread to nearby tissues) or metastatic (spread to other parts of the body). The study will look at the safety of the study medicine, when given alone or with other anticancer medicines, and how this type of cancer responds to them.

To join the study, participants must be adults; with locally advanced or metastatic RCC; who have not received treatment for their advanced kidney cancer.

Participants will receive study medicine either alone or with other anticancer medicines. The medicine will be given through intravenous (IV) infusions, which means it will be injected directly into a vein. All treatments will take place at clinical study sites, where trained medical staff will take care of participants during and after each visit.

02

Conditions studied

  • Carcinoma, Renal Cell
  • Advanced Renal Cell Carcinoma
  • Renal Cancer
  • Renal Neoplasm
  • Clear Cell Renal Cell Carcinoma
  • Metastatic Renal Cell Carcinoma
  • Clear-cell Metastatic Renal Cell Carcinoma
  • Carcinoma, Renal Cell Metastasis
  • Advanced or Metastatic Renal Cell Carcinoma
  • Carcinoma, Renal Cell, Advanced
  • Metastatic Renal Cell Cancer
  • Metastatic Renal Cell Carcinoma ( mRCC)
  • Metastatic/Advanced Renal Cell Carcinoma

Keywords

  • Renal cell carcinoma
  • renal cancer
  • renal neoplasm
03

Who can participate

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

Inclusion criteria

  • 18 years of age or older at screening
  • Locally advanced (not amenable to curative surgery or radiation therapy) or metastatic RCC with diagnosis confirmed by histology/cytology
  • At least one measurable (as defined by the investigator) and untreated lesion
  • Adequate hematologic, hepatic, cardiac and renal function
  • No prior systemic therapy for RCC (immunotherapy after surgery is allowed if received >12 months prior)
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1.
  • All International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) based risk categories

Exclusion criteria

Exclusion Criteria:

Participants may be excluded if they meet any of the following:

  • Known active brain lesions including leptomeningeal metastasis, brainstem, meningeal or spinal cord metastases or compression.
  • Clinically significant risk of haemorrhage or fistula
  • History of another malignancy within 3 years
  • History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.
  • active autoimmune diseases requiring systemic treatment within the past 2 years
  • uncontrolled cardiac and other comorbidities within 6 months prior to the first dose
  • Major surgery or severe trauma within 4 weeks before the first dose, or planned major surgery during the study
  • History of severe bleeding tendency or coagulation dysfunction
  • History of oesophageal varices, severe ulcers, gastrointestinal perforation, abdominal fistula, gastrointestinal obstruction, intra-abdominal abscess or acute gastrointestinal bleeding within 6 months prior to the first dose
  • 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
224 participants (estimated)

Study arms

  • Experimental
    Cohort A

    Participants will receive PF-08634404 IV.

    Drug: PF-08634404

  • Experimental
    Cohort B

    Participants will receive PF-08634404 in combination with ipilimumab.

    Drug: PF-08634404 · Drug: Ipilimumab

  • Experimental
    Cohort C

    Participants will receive PF-08634404 IV in combination with axitinib.

    Drug: PF-08634404 · Drug: Axitinib

  • Experimental
    Cohort D

    Participants will receive PF-08634404 in combination with Casdatifan.

    Drug: PF-08634404 · Drug: Casdatifan

Interventions

  • DrugPF-08634404

    Concentrate for solution for infusion

    Also known as: SSGJ-707

  • DrugIpilimumab

    Solution for infusion

    Also known as: yervoy

  • DrugAxitinib

    Tablet

  • DrugCasdatifan

    Tablet

05

What researchers measure

Primary outcomes

  1. Confirmed objective response rate (ORR) using RECIST v1.1 as assessed by investigator

    ORR is defined as the proportion of participants in the analysis population having a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST v1.1 as assessed by investigator.

    Time frame: Up to approximately 3 years

  2. 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 3 years)

  3. Number of participants with dose limiting toxicity (DLT)

    The number of participants who experienced DLTs during the DLT evaluation period in Cohort B (combination 1) and Cohort C (combination 2).

    Time frame: Though end of DLT evaluation period (Up to approximately 3 years)

Secondary outcomes

  1. 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 3 years

  2. 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 progressive disease (PD) assessed by investigator per RECIST v1.1, or death due to any cause, whichever occurs first.

    Time frame: Up to approximately 3 years

  3. 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 3 years

  4. 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 (approximately 3 years)

  5. Pharmacokinetics (PK): Serum concentration of PF-08634404

    Pre-dose and post dose concentrations of PF-08634404

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

  6. Incidence of Anti-Drug Antibody (ADA) against PF-08634404

    To evaluate the immunogenicity of PF-08634404

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

06

Study locations

147 of 162 sites recruiting
  • Mayo Clinic Building- Phoenix
    Phoenix, Arizona 85054, United States
    Recruiting
  • Mayo Clinic Arizona
    Scottsdale, Arizona 85259, United States
    Recruiting
  • Highlands Oncology Group
    Fayetteville, Arkansas 72703, United States
    Recruiting
  • Highlands Oncology Group
    Rogers, Arkansas 72758, United States
    Recruiting
  • Highlands Oncology Group, PA
    Springdale, Arkansas 72762, United States
    Recruiting
  • City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
    Duarte, California 91010, United States
    Recruiting
  • City of Hope Investigational Drug Services (IDS)
    Duarte, California 91010, United States
    Recruiting
  • UC San Diego Medical Center - Encinitas
    Encinitas, California 92024, United States
    Recruiting
  • City of Hope at Irvine Lennar
    Irvine, California 92618, United States
    Recruiting
  • City of Hope Investigational Drug Services (IDS)
    Irvine, California 92618, United States
    Recruiting
  • UC San Diego / Moores Cancer Center
    La Jolla, California 92037, United States
    Recruiting
  • UC San Diego Koman Family Outpatient Pavilion
    La Jolla, California 92037, United States
    Recruiting
  • UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)
    La Jolla, California 92037, United States
    Recruiting
  • UC San Diego Sulpizio Cardiovascular Center
    La Jolla, California 92037, United States
    Recruiting
  • City of Hope
    Long Beach, California 90813, United States
    Recruiting
  • UC San Diego Medical Center - Bankers Hill
    San Diego, California 92101, United States
    Recruiting
  • UC San Diego McGrath Outpatient Pavilion - Hillcrest
    San Diego, California 92103, United States
    Recruiting
  • UC San Diego Medical Center - Hillcrest
    San Diego, California 92103, United States
    Recruiting
  • UC San Diego Medical Center - Rancho Bernardo
    San Diego, California 92127, United States
    Recruiting
  • City of Hope UPLAND
    Upland, California 91786, United States
    Recruiting
  • UC San Diego Medical Center - Vista
    Vista, California 92081, United States
    Recruiting
  • Rocky Mountain Cancer Centers,LLP
    Aurora, Colorado 80012, United States
    Recruiting
  • Clinical and Translational Research Center(CTRC)
    Aurora, Colorado 80045, United States
    Not yet recruiting
  • University of Colorado Hospital - Anschutz Inpatient Pavilion (AIP)
    Aurora, Colorado 80045, United States
    Not yet recruiting
  • University of Colorado Hospital - Anschutz Outpatient Pavilion (AOP)
    Aurora, Colorado 80045, United States
    Not yet recruiting
  • University of Colorado Hospital-Anschutz Cancer Pavilion (ACP)
    Aurora, Colorado 80045, United States
    Not yet recruiting
  • UCHealth Cherry Creek Medical Center
    Denver, Colorado 80206, United States
    Not yet recruiting
  • Rocky Mountain Cancer Centers,LLP
    Denver, Colorado 80218, United States
    Recruiting
  • Highlands Ranch Hospital
    Highlands Ranch, Colorado 80129, United States
    Not yet recruiting
  • Rocky Mountain Cancer Centers, LLP
    Lakewood, Colorado 80228, United States
    Recruiting
  • Rocky Mountain Cancer Centers,LLP
    Lone Tree, Colorado 80124, United States
    Recruiting
  • UC Health Lone Tree Medical Center
    Lone Tree, Colorado 80124, United States
    Not yet recruiting
  • Mayo Clinic Pharmacy
    Jacksonville, Florida 32224, United States
    Recruiting
  • Orlando Health Ambulatory Care Center
    Orlando, Florida 32806, United States
    Recruiting
  • Orlando Health Cancer Institute
    Orlando, Florida 32806, United States
    Recruiting
  • Orlando Health Orlando Regional Medical Center
    Orlando, Florida 32806, United States
    Recruiting
  • Tennessee Oncology, PLLC- Ringgold
    Ringgold, Georgia 30736, United States
    Recruiting
  • Memorial Hospital
    Shiloh, Illinois 62269, United States
    Recruiting
  • Siteman Cancer Center - Shiloh
    Shiloh, Illinois 62269, United States
    Recruiting
  • City Of Hope - Chicago
    Zion, Illinois 60099, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
    Recruiting
  • Dana Farber/Mass General Brigham Cancer Care, Inc
    Boston, Massachusetts 02215, United States
    Recruiting
  • Dana-Farber Cancer Institute - Chestnut Hill
    Newton, Massachusetts 02467, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Burnsville, Minnesota 55337, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Chaska, Minnesota 55318, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Coon Rapids, Minnesota 55433, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Edina, Minnesota 55435, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Maple Grove, Minnesota 55369, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Maplewood, Minnesota 55109, United States
    Recruiting
  • Mayo Clinic Hospital, Methodist Campus, Research Pharmacy
    Rochester, Minnesota 55902, United States
    Recruiting
  • Mayo Clinic Cancer Center Outpatient Pharmacy
    Rochester, Minnesota 55905, United States
    Recruiting
  • Minnesota Oncology Hematology, P.A.
    Woodbury, Minnesota 55125, 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
  • 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
  • MSK Basking Ridge
    Basking Ridge, New Jersey 07920, United States
    Recruiting
  • MSK Monmouth
    Middletown, New Jersey 07748, United States
    Recruiting
  • MSK Bergen
    Montvale, New Jersey 07645, United States
    Recruiting
  • New York Oncology Hematology, P.C.
    Albany, New York 12206, United States
    Recruiting
  • New York Oncology Hematology - Clifton Park Cancer Center
    Clifton Park, New York 12065, United States
    Recruiting
  • MSK Commack
    Commack, New York 11725, United States
    Recruiting
  • MSK Westchester
    Harrison, New York 10604, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center - Investigational Drug Service Pharmacy
    Long Island City, New York 11101, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
    Recruiting
  • Evelyn H. Lauder Breast and Imaging Center (BAIC)
    New York, New York 10065, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center - Main Campus
    New York, New York 10065, United States
    Recruiting
  • Sidney Kimmel Center for Prostate and Urological Cancers - Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • MSK Nassau
    Uniondale, New York 11553, United States
    Recruiting
  • Northwest Cancer Specialists, P.C.
    Portland, Oregon 97227, United States
    Recruiting
  • Grand Strand Medical Center
    Myrtle Beach, South Carolina 295724607, United States
    Recruiting
  • Carolina Urologic Research Center, LLC
    Myrtle Beach, South Carolina 29572, United States
    Recruiting
  • Parkway Surgery Center
    Myrtle Beach, South Carolina 29572, United States
    Recruiting
  • Tennessee Oncology, PLLC- Chattanooga Downtown
    Chattanooga, Tennessee 37403, United States
    Recruiting
  • Tennessee Oncology, PLLC - Chattanooga Med Park II
    Chattanooga, Tennessee 37404, United States
    Recruiting
  • Tennessee Oncology, PLLC - Chattanooga Memorial
    Chattanooga, Tennessee 37404, United States
    Recruiting
  • Tennessee Oncology, PLLC - Investigational Drug Services/Supply Storage
    Chattanooga, Tennessee 37404, United States
    Recruiting
  • Tennessee Oncology, PLLC- Chattanooga East
    Chattanooga, Tennessee 37421, United States
    Recruiting
  • Tennessee Oncology, PLLC- Cookeville
    Cookeville, Tennessee 38501, United States
    Recruiting
  • Tennessee Oncology, PLLC-Dickson
    Dickson, Tennessee 37055, United States
    Recruiting
  • Tennessee Oncology, PLLC- Franklin Proton Center
    Franklin, Tennessee 37067, United States
    Recruiting
  • Tennessee Oncology, PLLC-Franklin
    Franklin, Tennessee 37067, United States
    Recruiting
  • Tennessee Oncology, PLLC-Gallatin
    Gallatin, Tennessee 37066, United States
    Recruiting
  • Tennessee Oncology, PLLC-Hendersonville
    Hendersonville, Tennessee 37075, United States
    Recruiting
  • Tennessee Oncology, PLLC-Lebanon
    Lebanon, Tennessee 37090, United States
    Recruiting
  • Tennessee Oncology, PLLC-Mount Juliet
    Mount Juliet, Tennessee 37122, United States
    Recruiting
  • Tennessee Oncology, PLLC-Murfreesboro
    Murfreesboro, Tennessee 37129, United States
    Recruiting
  • Sarah Cannon Research Institute
    Nashville, Tennessee 37203, United States
    Recruiting
  • SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
    Recruiting
  • Tennessee Oncology, PLLC- Elliston Place Plaza
    Nashville, Tennessee 37203, United States
    Recruiting
  • Tennessee Oncology, PLLC-Elliston Place Plaza Medical Oncology &Hematology
    Nashville, Tennessee 37203, United States
    Recruiting
  • Tennessee Oncology, PLLC-Investigational Drug Services
    Nashville, Tennessee 37203, United States
    Recruiting
  • Tennessee Oncology, PLLC- Saint Thomas West
    Nashville, Tennessee 37205, United States
    Recruiting
  • Tennessee Oncology, PLLC- Skyline
    Nashville, Tennessee 37207, United States
    Recruiting
  • Tennessee Oncology, PLLC- Southern Hills
    Nashville, Tennessee 37211, United States
    Recruiting
  • Henry-Joyce Cancer Clinic
    Nashville, Tennessee 37232, United States
    Not yet recruiting
  • Tennessee Oncology, PLLC- Shelbyville
    Shelbyville, Tennessee 37160, United States
    Recruiting

Showing the first 100 of 162 sites across 6 countries.

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
NCT07227415
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Nov 12, 2025
Start date
Feb 10, 2026
Primary completion
Nov 2, 2027 (estimated)
Completion
Nov 1, 2028 (estimated)
Last update
Sep 17, 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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