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Not yet recruitingNCT07897721Updated Oct 27, 2026

A Study to Learn About the Study Medicine Called PF-08165784 in People With PIK3CA-Mutated Advanced or Metastatic Solid Tumors

A Phase 1 interventional study of PF-08165784 and Fulvestrant in Advanced Breast Cancer, Advanced or Metastatic Breast Cancer and Metastatic Breast Cancer (HR+/ HER2-), sponsored by Pfizer. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Pfizer · Phase 1, Interventional, and Treatment

Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
268
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is to learn about the safety and effects of the study medicine (called PF-08165784) when given alone or together with other anti-cancer therapies. Anti-cancer therapy is a type of treatment given to stop the growth of cancer. This study also aims to find the best amount of study medication that can be given to patients.

This study is seeking participants with a specific type of breast cancer (BC) called hormone receptor-positive (HR+), HER2- negative (HER2-) breast cancer, or colorectal cancer (CRC) (cancer of the colon or rectum), that has a change (mutation) in a gene called PIK3CA. The cancer must be advanced or metastatic, meaning it has spread to other parts of the body or cannot be completely removed with surgery.

All participants in this study will take the study medication (PF-08165784) as a tablet by mouth. The participant may take the medicine at the study clinic during study visits or at home. Treatment will be given in 28-day cycles and will continue for as long as the participant remains in the study. Depending on which part of the study participants are enrolled into, they will receive the study medication (PF-08165784) alone or in combination with other anti-cancer medications.

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Conditions studied

  • Advanced Breast Cancer
  • Advanced or Metastatic Breast Cancer
  • Metastatic Breast Cancer (HR+/ HER2-)
  • Metastatic Colorectal Adenocarcinoma

Keywords

  • Carcinoma, Breast, Estrogen Receptor Positive Breast Cancer, HER2- Breast Cancer, Colon Cancer, PI3K mutation
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In context

Breast Neoplasms

12,828 studies on the registry are indexed under Breast Neoplasms; 2,923 are open to participants now.

This study's planned enrollment of 268 is above the median of 72 across 9,498 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Pfizer is the lead sponsor of 3,326 studies on the registry; 147 are open to participants now.

Of its 598 completed or terminated interventional studies of FDA-regulated products, 391 (65%) have results posted.

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

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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
  • Advanced or metastatic cancer of the breast or colon Part 1A, 1B, and 1C: HR+/HER2- advanced or metastatic breast cancer with disease progression after at least 1 line of treatment with an endocrine therapy and cyclin-dependent kinase (CDK)4/6 inhibitor in the advanced or metastatic setting and received no more than 1 line of prior cytotoxic and/or 1 line of prior antibody-drug conjugate (ADC) therapy in the metastatic setting Part 1D: Metastatic or advanced colorectal cancer with at least having received chemotherapy and/or targeted therapy if appropriate Part 2A: HR+/HER2- advanced or metastatic breast cancer with no prior systemic therapy or chemotherapy for advanced or metastatic disease
  • Phosphatidylinositol 3-kinase catalytic subunit alpha (PIK3CA) mutation
  • Archived tumor specimen or fresh tumor biopsy
  • Measurable disease
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

Exclusion criteria

Exclusion Criteria:

  • Active or clinically significant dermatologic conditions
  • Active malignancy within 3 years prior to enrollment
  • Advanced/metastatic, symptomatic, visceral spread, that are at risk of life-threatening complications in the short term
  • Major surgery or radiation therapy within 3 weeks prior to study entry
  • Prior irradiation to >25% of the bone marrow
  • Active or history of pneumonitis/interstitial lung disease requiring corticosteroids
  • Unmanageable ascites
  • Prior treatment with phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mechanistic target of rapamycin (mTOR) pathway inhibitors may be permitted in certain study cohorts and excluded in others, as specified by the study protocol.
  • Renal impairment
  • Hepatic dysfunction
  • Hematologic abnormalities
  • Uncontrolled diabetes
  • Cardiac abnormalities
  • Active or history of clinically significant gastrointestinal (GI) or inflammatory GI disease
  • Other unacceptable abnormalities or prohibited therapies as defined by protocol
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Study design

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

Study arms

  • Experimental
    Part 1 Dose Escalation Cohort 1A

    PF-08165784 monotherapy dose escalation for participants with advanced or metastatic BC at different doses of the study drug

    Drug: PF-08165784

  • Experimental
    Part 1 Dose Escalation Cohort 1B

    Combination (PF-08165784 + fulvestrant) dose escalation for participants with advanced or metastatic BC, at different doses of the study drug

    Drug: PF-08165784 · Drug: Fulvestrant

  • Experimental
    Part 1 Dose Escalation Cohort 1C

    Combination (PF-08165784 + fulvestrant + atirmociclib) dose escalation for participants with advanced or metastatic BC, at different doses of the study drug

    Drug: PF-08165784 · Drug: Fulvestrant · Drug: Atirmociclib

  • Experimental
    Part 1 Dose Escalation Cohort 1D

    Combination (PF-08165784 + cetuximab) dose escalation for participants with advanced or metastatic CRC at different doses of the study drug

    Drug: PF-08165784 · Drug: Cetuximab

  • Experimental
    Part 2 Dose Optimization/Expansion Cohort 2A

    Combination (PF-08165784 + letrozole + atirmociclib) dose optimization/expansion for participants with advanced or metastatic BC, at different doses of the study drug

    Drug: PF-08165784 · Drug: Atirmociclib · Drug: Letrozole

Interventions

  • DrugPF-08165784

    Taken by mouth (PO)

  • Selective Estrogen Receptor Degrader (SERD)

    Also known as: Faslodex

  • Selective cyclin-dependent kinase 4 (CDK4) inhibitor

    Also known as: PF-07220060

  • Monoclonal antibody (EGFR inhibitor)

    Also known as: Erbitux

  • Nonsteroidal aromatase inhibitor

    Also known as: Femara

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What researchers measure

Primary outcomes

  1. Part 1 (Dose Escalation): Number of participants with Dose-Limiting Toxicities (DLT)

    Any adverse events that are attributable to one, the other, or both study treatments, occurring in the DLT observation period are considered DLTs, excluding toxicities clearly due to underlying disease or extraneous causes.

    Time frame: Baseline up to 28 days

  2. Part 1 (Dose Escalation): Incidence of Adverse Events (AEs)

    An adverse event (AE) was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship to it.

    Time frame: From start of treatment up to 30 days after last dose or start of new anticancer therapy, whichever occurred first

  3. Part 1 (Dose Escalation): Number of participants with laboratory abnormalities

    Number of participants with laboratory test abnormalities.

    Time frame: From start of treatment up to 30 days after last dose or start of new anticancer therapy, whichever occurred first

  4. Part 2 (Dose Expansion): Objective Response Rate (ORR)

    ORR defined as per Response Evaluation Criteria in Solid Tumors (RECIST v1.1).

    Time frame: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion (approximately 2 years)

Secondary outcomes

  1. Part 1: Objective Response Rate (ORR) as per Response Evaluation Criteria in Solid Tumors (RECIST v1.1)

    ORR is defined as the percentage 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.

    Time frame: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion (approximately 2 years)

  2. Part 1 & Part 2: Disease Control Rate (DCR) as per RECIST v1.1

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

    Time frame: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion (approximately 2 years)

  3. Part 1 & Part 2: Clinical Benefit Rate (CBR) as per RECIST v1.1

    CBR is defined as the percentage of participants with a best overall response of CR or PR at any time before Progressive Disease (PD), or non-CR/non-PD or SD for at least 24 weeks from start date of treatment and prior to PD, relative to the appropriate analysis set.

    Time frame: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion (approximately 2 years)

  4. Part 1 & Part 2: Duration of Response (DOR) as per RECIST v1.1

    DOR is defined as the time from first documentation of CR or PR to date of first documentation of PD or death due to any cause.

    Time frame: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion (approximately 2 years)

  5. Part 1 & Part 2: Progression-Free Survival (PFS) as per RECIST v1.1

    PFS is defined as time from start date of treatment to the date of first documentation of PD or death due to any cause.

    Time frame: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion (approximately 2 years)

  6. Part 1 & Part 2: Time to Response (TTR) as per RECIST v1.1

    TTR is defined as the time from start date of treatment to first documentation of CR or PR.

    Time frame: Baseline and every 8 to 12 weeks through time of confirmed disease progression, death, unacceptable toxicity, or through study completion (approximately 2 years)

  7. Part 1: Maximum Observed Serum Concentration (Cmax) & Trough Concentration (Ctrough)

    Evaluate the single and multiple dose pharmacokinetic (s) (PK) of PF-08165784 as monotherapy, or in combination with other anti-tumor agents.

    Time frame: Baseline through end of Cycle 1 (each cycle is 28 days)

  8. Part 1: Time to Reach Maximum Observed Serum Concentration (Tmax)

    Evaluate the single and multiple dose PK of PF-08165784 as monotherapy, or in combination with other anti-tumor agents.

    Time frame: Baseline through end of Cycle 1 (each cycle is 28 days)

  9. Part 1: Area Under the Curve (AUC) from Time Zero to Last Quantifiable Concentration (AUClast)

    Evaluate the single and multiple dose PK of PF-08165784 as monotherapy, or in combination with other anti-tumor agents.

    Time frame: Baseline through end of Cycle 1 (each cycle is 28 days)

  10. Part 1: Effect of Food on Cmax

    Evaluate the effect of food on Cmax of PF-08165784 as monotherapy

    Time frame: Baseline through end of Cycle 1 (each cycle is 28 days)

  11. Part 1: Effect of Food on Tmax

    Evaluate the effect of food on Tmax of PF-08165784 as monotherapy

    Time frame: Baseline through end of Cycle 1 (each cycle is 28 days)

  12. Part 1: Effect of Food on AUClast

    Evaluate the effect of food on AUClast of PF-08165784 as monotherapy

    Time frame: Baseline through end of Cycle 1 (each cycle is 28 days)

  13. Part 2 (Dose Expansion): Number of participants with laboratory abnormalities

    Number of participants with laboratory test abnormalities.

    Time frame: From start of treatment up to 30 days after last dose or start of new anticancer therapy, whichever occurred first

  14. Part 2 (Dose Expansion): Incidence of Adverse Events (AEs)

    An adverse event (AE) was any untoward medical occurrence in a participant who received study medication without regard to possibility of causal relationship to it.

    Time frame: From start of treatment up to 30 days after last dose or start of new anticancer therapy, whichever occurred first

  15. Part 2 (Dose Expansion): Pre- and post-dose concentrations of PF-08165784

    Evaluate the pre- and post-dose concentrations of PF-08165784

    Time frame: Baseline through end of Cycle 1 (each cycle is 28 days)

  16. Part 2: Overall Survival (OS)

    OS is defined as time from from start date of treatment to the date of death due to any cause

    Time frame: Up to approximately 2 years

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Study locations

No study locations are listed for this record.

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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.

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Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

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 ↗

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Registry details

Key details

Study ID
NCT07897721
Lead sponsor
Pfizer
Responsible party
Sponsor
First posted
Oct 27, 2026
Start date
Nov 9, 2026 (estimated)
Primary completion
Mar 22, 2030 (estimated)
Completion
Mar 21, 2032 (estimated)
Last update
Oct 27, 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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