ClinicalTrials.gg
RecruitingNCT07489066Updated Oct 8, 2026

Symbiotic-Lung-10: A Study to Learn About PF-08634404 Alone or in Combination in Early-stage or Locally Advanced NSCLC

A Phase 2 interventional study of PF-08634404 and Chemotherapy Regimen 1 in Carcinoma, Non-Small-Cell Lung and Lung Cancer (NSCLC), sponsored by Pfizer. Recruiting at 37 sites in 11 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-08.

Sponsored by Pfizer · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Updated Oct 8, 2026First sites in 4 new countriesSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
120
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. The study team wants to understand how well it works when given alone or with chemotherapy. The study is for adults with early stage or locally advanced non-small cell lung cancer (NSCLC) that may or may not be removable with surgery.

The study is seeking participants who:

  • Are aged 18 years or older
  • Have either:

    • Early-stage or locally advanced (Stage II or IIIA/B) NSCLC and are a candidate for neoadjuvant therapy, followed by surgical removal of the tumor. Neoadjuvant therapy is a treatment given as a first step to shrink the tumor before surgery.
    • Early-stage or locally advanced (Stage II or IIIA/B) NSCLC and are a candidate for adjuvant therapy and did not achieve a pathological complete response (pCR) from approved treatment that was administered before surgery. Adjuvant therapy is an additional cancer treatment given after the primary treatment to lower the risk that the cancer will come back. pCR is defined as absence of viable tumor in all surgically removed samples.
    • Locally advanced (Stage III) NSCLC that may not be removable with surgery, was treated with concurrent chemoradiotherapy (cCRT), and is a candidate for additional treatment, otherwise known as consolidation therapy. cCRT is chemotherapy and radiation given simultaneously.
  • Be in good physical condition and have healthy organs based on medical tests.
  • Do not have known actionable changes in DNA

The study has 3 parts and each participant will be assigned to one part by their doctor based on their disease diagnosis:

  • Part A will test PF-08634404 given with chemotherapy in the neoadjuvant setting, followed by surgery.
  • Part B will test PF-08634404 alone in adults who already were treated with neoadjuvant chemo-immunotherapy, underwent surgery, and did not achieve pCR per tumor tissue pathology analysis. Neoadjuvant chemo-immunotherapy refers to the combination of chemotherapy with immunotherapy per local standard-of-care, given before surgical removal of the tumor.
  • Part C will test PF-08634404 alone in adults with unresectable disease who received cCRT and did not have progressive disease. Progressive disease refers to a condition that grows, spreads, or worsens.

All treatments will be done at clinical study sites, where a trained medical team will monitor adults during and after each visit.

02

Conditions studied

  • Carcinoma
  • Non-Small-Cell Lung
  • Lung Cancer (NSCLC)
  • Lung Neoplasms
  • Carcinoma, Non-Small-Cell Lung (NSCLC)
  • Lung Disease
  • Non-Small Cell Lung Cancer
  • Non-small Cell Lung Cancer, Non-squamous
  • Non-small Cell Lung Cancer, Squamous

Keywords

  • early stage non small cell lung cancer
  • NSCLC
  • adjuvant NSCLC
  • locally advanced non small cell lung cancer
  • resectable NSCLC
  • unresectable NSCLC
  • neoadjuvant NSCLC
  • consolidation NSCLC
  • squamous NSCLC
  • non-squamous NSCLC
03

In context

Carcinoma

736 studies on the registry are indexed under Carcinoma; 149 are open to participants now.

This study's planned enrollment of 120 is above the median of 49 across 571 interventional studies indexed under Carcinoma.

Browse Carcinoma 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

  • 18 years of age or older at screening.
  • Have tumor tissue available, either paraffin block or slides from a core, excisional or fine needle
  • status available based on local testing results
  • Adequate organ function
  • performance status (ECOG) score of 0 or 1
  • Part A only: Participants must have newly diagnosed, previously untreated, confirmed early-stage or LA (Stage II or IIIA/B), squamous or non-squamous NSCLC (according to the 9th edition of the Union for International Cancer Control and American Joint Committee on Cancer lung cancer TNM staging system) with disease that is considered resectable, as assessed by a multidisciplinary evaluation, which must include a thoracic surgeon who performs lung cancer surgery as a prominent part of his/her practice. The participant must be a candidate for therapy followed by complete surgical resection.
  • Part B only: Participants must have pathologically confirmed early-stage or LA (Stage II or IIIA/B), squamous or non-squamous NSCLC (according to the 9th edition of the Union for International Cancer Control and American Joint Committee on Cancer lung cancer TNM staging system) and have undergone complete surgical resection. The participant must be considered a candidate for adjuvant therapy and must not have achieved pCR with SOC neoadjuvant chemo-immunotherapy.
  • Part C only: Participants must have pathologically confirmed LA, unresectable (Stage III) squamous or non-squamous NSCLC (according to the 9th edition of the Union for International Cancer Control and American Joint Committee on Cancer lung cancer TNM staging system) and have received ≥ 60 Gy of radiation and ≥ 2 cycles of definitive, platinum-based concurrent chemotherapy and achieved SD or better per 1.1.

Exclusion criteria

Exclusion Criteria:

  • Participants with known EGFR and ALK AGAs; documented negative results for EGFR and ALK AGAs are required for participants with non-squamous histology.
  • Participants with CNS lesions, including , brainstem, meningeal, or spinal cord or compression.
  • Participants with risk of hemorrhage or fistula are excluded.
  • Participants with any history of another within 3 years before the first dose of study intervention, or any evidence of residual disease from a previously diagnosed malignancy.
  • Unresolved toxicities from prior anti-tumor therapy, that did not recover to v5.0 Grade 0 or 1.
  • Known to have a history of a severe allergy to any component of the study intervention, or a history of severe allergic reaction to chimeric or humanized antibody.
  • History of allogeneic organ / hematopoietic stem cell transplantation.
  • Participants with any of the following respiratory conditions:

    • Evidence of noninfectious or drug-induced interstitial lung disease (ILD) or pneumonitis
    • Grade ≥3 pulmonary disease unrelated to underlying malignancy
  • History of uncontrolled comorbidities within 6 months prior to the first dose including uncontrolled cardiac and cerebrovascular conditions, hypertension, diabetes, significant vascular disease or arterial/severe venous thromboembolic events.
  • Major surgery \< 4 weeks or minor surgery \< 3 days prior to first dose of study intervention.
  • History of severe bleeding tendency or coagulation dysfunction
  • History of esophageal varices, severe ulcers, unhealed wounds, gastrointestinal perforation, abdominal fistula, gastrointestinal obstruction, intra-abdominal abscess, or acute gastrointestinal bleeding within 6 months prior to the first dose.
  • Participants with acute, chronic or symptomatic infections including participants positive for active , virus (HBV), or virus (HCV).
  • Participants with history of immunodeficiency
  • Any medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior (in the past 5 years) or laboratory abnormality that may increase the risk of study participation or make the participant inappropriate for the study.
  • Breastfeeding participants, participants of , and male participants who are unwilling to follow measures.
Terms in these criteria, in plain language(16)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

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.

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.

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.

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.

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.

Metastases

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

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Part A: Neoadjuvant PF-08634404 + Chemotherapy

    Participants with treatment naïve early-stage or locally advanced, resectable NSCLC without Actionable Genomic Alterations (AGAs) who are candidates for neoadjuvant treatment will receive intravenous (IV) PF-08634404 in combination with chemotherapy.

    Biological: PF-08634404 · Drug: Chemotherapy Regimen 1 · Drug: Chemotherapy Regimen 2

  • Experimental
    Part B: Adjuvant PF-08634404 Monotherapy

    Participants with early-stage or locally advanced, resectable NSCLC without AGAs who did not achieve pCR after standard-of-care (SOC) neoadjuvant chemo-immunotherapy and are candidates for adjuvant treatment will receive PF-08634404 IV.

    Biological: PF-08634404

  • Experimental
    Part C: PF-08634404 Monotherapy Consolidation after Definitive Chemoradiotherapy

    Participants with locally advanced, unresectable NSCLC without AGAs who did not have progressive disease per RECIST 1.1 after definitive, platinum-based concurrent chemoradiotherapy (cCRT) and are candidates for consolidation treatment will receive PF-08634404 IV.

    Biological: PF-08634404

Interventions

  • BiologicalPF-08634404

    Concentrate for solution for infusion

    Also known as: SSGJ-707

  • DrugChemotherapy Regimen 1

    Injection for intravenous use

  • DrugChemotherapy Regimen 2

    Injection for intravenous use

06

What researchers measure

Primary outcomes

  1. Number of Participants With Adverse Events (AEs)

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

    Time frame: Through 90 days after the last dose of study intervention (Part A only: or 90 days after surgery, whichever is later)

  2. Part A: Surgical Feasibility Rate

    Surgical Feasibility rate is defined by the proportion of participants undergoing surgery and the proportion of participants with wound complications after surgery.

    Time frame: Up to approximately 6 months after first dose

  3. Part A: Pathological Complete Response (pCR) rate per International Association for the Study of Lung Cancer (IASLC) guidelines as assessed by central pathology review

    pCR rate by central pathology review is defined as the proportion of participants having pCR as assessed by central pathologist. pCR is defined as the absence of residual tumor in surgical specimens

    Time frame: Up to approximately 6 months after first dose

Secondary outcomes

  1. Part A: Major Pathological Response (MPR) rate per IASLC guidelines as assessed by central pathology review

    MPR rate by central pathology review is defined as the proportion of participants having MPR as assessed by central pathologist or investigator respectively. MPR is defined as ≤10% residual tumor in surgical specimens.

    Time frame: Up to approximately 6 months after first dose

  2. Part A: pCR rate per IASLC guidelines as assessed by investigator

    pCR rate by investigator is defined as the proportion of participants having pCR as assessed by investigator. pCR is defined as the absence of residual tumor in surgical specimens.

    Time frame: Up to approximately 6 months after first dose

  3. Part A: MPR rate per IASLC guidelines as assessed by investigator

    MPR rate by investigator is defined as the proportion of participants having MPR as assessed by central pathologist or investigator respectively. MPR is defined as ≤10% residual tumor in surgical specimens.

    Time frame: Up to approximately 6 months after first dose

  4. Part A: Event Free Survival (EFS) per RECIST v1.1 as assessed by investigator

    EFS is defined as time from the date of first dose to the first occurrence of disease progression precluding surgery, inability to resect the tumor, disease progression or recurrence after surgery per RECIST v1.1 as assessed by investigator, or death due to any cause.

    Time frame: Up to approximately 5 years

  5. Part A: Objective Response Rate (ORR) per RECIST v1.1 as assessed by investigator at the completion of neoadjuvant therapy, prior to surgery

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

    Time frame: Up to approximately 5 years

  6. Part B: Disease Free Survival (DFS) per RECIST v1.1 as assessed by investigator

    DFS is defined as time from the date of first dose to the date of first documented disease progression or recurrence per RECIST v1.1 as assessed by investigator or death due to any cause, whichever occurs first

    Time frame: Up to approximately 5 years

  7. Part C: Confirmed ORR per RECIST v1.1 as assessed by investigator

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

    Time frame: Up to approximately 5 years

  8. Part C: Progression Free Survival (PFS) per RECIST v1.1 as assessed by investigator

    PFS is defined as the time from the date of first dose to the date of the first documentation of objective Progression Disease (PD) assessed by investigator per RECIST v1.1, or death due to any cause, whichever occurs first

    Time frame: Up to approximately 5 years

  9. Overall Survival (OS)

    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.

    Time frame: Up to approximately 5 years

  10. Rate of circulating tumor DNA (ctDNA) reduction or clearance

    Reduction in ctDNA is defined as a decrease in ctDNA burden from baseline to a specified on-treatment time point. ctDNA clearance is defined as a 100% reduction in ctDNA burden.

    Time frame: Part A: Up to 18 months, Part B and Part C: Up to 37 days after the last dose of treatment

  11. Number of participants with Laboratory abnormalities

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

    Time frame: Through 90 days after the last dose of study intervention (Part A only: or 90 days after surgery, whichever is later)

  12. Pharmacokinetics: Serum concentrations of PF-086344

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

  13. Incidence of antidrug antibody against PF-08634404

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

07

Study locations

28 of 37 sites recruiting
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

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jun 2026 (actual). Primary completion is estimated for Jul 2028, 24 months after the start.

Of 83 phase 2 interventional studies under Carcinoma, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 31 and three quarters within 88. This study's planned 24 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 17, 2026
First posted
Mar 23, 2026
StartActual
Jun 30, 2026
Primary completionEst.
Jul 29, 2028
CompletionEst.
Jul 30, 2031
Last update
Oct 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
10 sites added — first sites in Poland, Germany, Italy and Spain. 4 sites changed recruiting status (4 now recruiting)
Show 4 sites
  • Sourasky Medical Center · Tel Aviv, IsraelNot yet recruiting→Recruiting
  • New Mexico Oncology Hematology Consultants, Ltd · Albuquerque, United StatesNot yet recruiting→Recruiting
  • Fudan University Shanghai Cancer Center · Shanghai, ChinaNot yet recruiting→Recruiting
  • Dolnośląskie Centrum Onkologii, Pulmonologii i Hematologii · Wroclaw, PolandNot yet recruiting→Recruiting
Show 10 added (4 United States, 2 Germany, 1 China, 1 Poland, 1 Italy, 1 Spain)
  • Fudan University Shanghai Cancer Center · Shanghai, China
  • Dolnośląskie Centrum Onkologii, Pulmonologii i Hematologii · Wroclaw, Poland
  • Nebraska Medicine- Bellevue Medical Center · Bellevue, United States
  • Nebraska Medicine · Omaha, United States
  • Nebraska Medicine - Village Pointe · Omaha, United States
  • University of Nebraska Medical Center · Omaha, United States
  • Marien Hospital Düsseldorf · Düsseldorf, Germany
  • LungenClinic Grosshansdorf · Großhansdorf, Germany
  • Casa di Cura Dott. Pederzoli · Peschiera del Garda, Italy
  • Hospital Universitario Puerta de Hierro de Majadahonda · Majadahonda, Spain
across 2 updates, Sep 25, 2026 – Oct 8, 2026
Show all 2 updates
  1. Oct 8, 2026
    8 sites added — first sites in Germany, Italy and Spain. 3 sites changed recruiting status (3 now recruiting)
    Show 3 sites
    • New Mexico Oncology Hematology Consultants, Ltd · Albuquerque, United StatesNot yet recruiting→Recruiting
    • Fudan University Shanghai Cancer Center · Shanghai, ChinaNot yet recruiting→Recruiting
    • Dolnośląskie Centrum Onkologii, Pulmonologii i Hematologii · Wroclaw, PolandNot yet recruiting→Recruiting
    Show 8 added (4 United States, 2 Germany, 1 Italy, 1 Spain)
    • Nebraska Medicine- Bellevue Medical Center · Bellevue, United States
    • Nebraska Medicine · Omaha, United States
    • Nebraska Medicine - Village Pointe · Omaha, United States
    • University of Nebraska Medical Center · Omaha, United States
    • Marien Hospital Düsseldorf · Düsseldorf, Germany
    • LungenClinic Grosshansdorf · Großhansdorf, Germany
    • Casa di Cura Dott. Pederzoli · Peschiera del Garda, Italy
    • Hospital Universitario Puerta de Hierro de Majadahonda · Majadahonda, Spain
    + 1 other change: verification date
  2. Sep 25, 2026
    2 sites added — first site in Poland. Sourasky Medical Center is now Recruiting
    Show 2 added (1 China, 1 Poland)
    • Fudan University Shanghai Cancer Center · Shanghai, China
    • Dolnośląskie Centrum Onkologii, Pulmonologii i Hematologii · Wroclaw, Poland

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
NCT07489066
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Mar 23, 2026
Start date
Jun 30, 2026
Primary completion
Jul 29, 2028 (estimated)
Completion
Jul 30, 2031 (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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