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PF-00299804

Phase 2

Carcinoma, Non Small Cell Lung | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Apr 22, 2024

Success Probability

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment121

FDA Designations

No designations recorded

Clinical trial landscape

PF-00299804 · 8 trials · 7 indications

Phase 2 4Phase 1 4
NCT00768664Open-Label Trial Of Oral PF-00299804 By Continuous Dosing In Patients With Recurrent Or Metastatic Head And Neck Squamous Cell CancerHead and Neck Neoplasms
COMPLETED69 Analytics
NCT00769067A Randomized Trial Of PF-00299804 Taken Orally Versus Erlotinib Taken Orally For Treatment Of Advanced Non-Small Cell Lung Cancer That Has Progressed After One Or Two Prior Chemotherapy RegimenNon-small Cell Lung Cancer
COMPLETED188 Analytics
NCT00548093PF-00299804 As A Single Agent, In Patients With Advanced Non-Small Cell Lung Cancer Who Have Failed Chemotherapy And ErlotinibCarcinoma, Non Small Cell Lung
COMPLETED66 Analytics
NCT00553254Trial Of PF-00299804 In Patients With Advanced Refractory Lung CancerCarcinoma, Non Small Cell Lung
COMPLETED55 Analytics
PHASE2COMPLETED
Open-Label Trial Of Oral PF-00299804 By Continuous Dosing In Patients With Recurrent Or Metastatic Head And Neck Squamous Cell Cancer
Head and Neck NeoplasmsUnlock trial analytics
PHASE2COMPLETED
A Randomized Trial Of PF-00299804 Taken Orally Versus Erlotinib Taken Orally For Treatment Of Advanced Non-Small Cell Lung Cancer That Has Progressed After One Or Two Prior Chemotherapy Regimen
Non-small Cell Lung CancerUnlock trial analytics
PHASE2COMPLETED
PF-00299804 As A Single Agent, In Patients With Advanced Non-Small Cell Lung Cancer Who Have Failed Chemotherapy And Erlotinib
Carcinoma, Non Small Cell LungUnlock trial analytics
PHASE2COMPLETED
Trial Of PF-00299804 In Patients With Advanced Refractory Lung Cancer
Carcinoma, Non Small Cell LungUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Objective Response (OR) of Complete Response (CR) or Partial Response (PR)
Baseline up to 18 months

Percentage of participants with best OR of confirmed CR or PR according to Response Evaluation Criteria in Solid Tumors (RECIST) relative to total number of evaluable participants for response. CR defined as disappearance of all target/non-target lesions. PR defined as at least a 30 percent (%) decrease in sum of the longest dimensions of target lesions taking as a reference the baseline sum longest dimensions. Confirmed responses (CR and PR) were those that persisted on a follow-up imaging assessment greater than or equal to (≥)4 weeks after the initial objective documentation of response.

Progression-Free Survival (PFS)
Baseline until disease progression or death, assessed at Cycle 2, 3, 4, 5, 6, thereafter every other cycle up to end of treatment (121 weeks), followed by every 8 weeks >284 weeks

PFS: Time in weeks from randomization to date of objective disease progression or death due to any cause, whichever occurred first. PFS was calculated as (first event date or last known event-free date \[if the event date unavailable\] minus the date of randomization plus 1) divided by 7. Objective progression is defined using Response Evaluation Criteria in Solid Tumors (RECIST), as at least 20 percent (%) increase in the sum of longest dimensions (LDs) of target lesions, taking as reference the smallest sum of LD recorded since the treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions.

Best Overall Response (BOR) in Participants With Adenocarcinoma Histology
Baseline, end of every even-numbered cycle up to end of treatment (Day 936)

BOR:best response recorded from treatment start until disease progression as per Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response: disappearance of all lesions. Partial Response (PR):greater than or equal to (\>=)30% decrease in sum of longest diameters (SLDs) of target lesions (TLs) taking as reference baseline SLD. Progressive disease (PD):\>=20% increase in SLD of TLs taking as reference smallest SLD since treatment start, or appearance of \>=1 new lesion. Stable disease:neither shrinkage for PR nor increase for PD taking as reference smallest SLD since treatment start.

Recommended Phase 2 Dose (RP2D) - Phase 1
Baseline up to Day 21

The highest dose at which less than (\<) 33 percent (%) of participants experienced dose-limiting toxicities (DLT) was to be designated as the maximum tolerated dose (MTD) as well as the RP2D. DLT was defined as any of the following events: Grade 3/4 (severe or life-threatening/ disabling adverse event \[AE\]) nausea, vomiting, or diarrhea (despite the use of adequate/maximal medical intervention and/or prophylaxis); Grade greater than or equal to (\>=) 3 (severe or life-threatening/disabling AE or death related to AE) non-hematological toxicity; delayed (which delayed scheduled treatment for \>14 days) recovery from toxicity related to treatment with PF-00299804; Grade 4 neutropenia (absolute neutrophil count \[ANC\] \<500 cells per cubic millimeter \[cells/mm\^3\] for 5 or more consecutive days or febrile neutropenia \[fever \>=38.5 degrees Celsius with ANC \<1000 cells/mm\^3\]); and Grade 4 thrombocytopenia (\<25,000 cells/mm\^3) or bleeding which required platelet transfusion.

Progression-Free Survival (PFS) at Month 4 (PFS4m) - Phase 2
Month 4

PFS4m was defined as percent chance of being event free (event defined as progressive disease \[PD\] or death due to any cause, whichever occurred first) at 4 months. Progression was defined using Response Evaluation Criteria in Solid Tumors (RECIST), as at least 20 percent (%) increase in the sum of longest dimensions (LD) of target lesions, taking as reference the smallest sum of LD recorded since the treatment started and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions.

Overall safety profile characterized by type, frequency, severity (as graded using NCI CTC AE v. 3.0), timing, seriousness and relationship to trial treatment of adverse events and laboratory abnormalities.
18 months
Overall safety: type, grade and frequency of all adverse events and laboratory abnormalities
End of study
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) For Dextromethorphan and Dextrorphan 3 Days Prior to PF-00299804 Dosing
Day -3: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Area under the plasma concentration time-curve from time zero (pre-dose) to the last measured concentration (AUClast). Dextrorphan is an active metabolite of dextromethorphan.

Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast) For Dextromethorphan and Dextrorphan on Cycle 2 Day 7
Cycle 2 Day 7: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Area under the plasma concentration time-curve from time zero (pre-dose) to the last measured concentration (AUClast). Dextrorphan is an active metabolite of dextromethorphan.

Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) For Dextrorphan 3 Days Prior to PF-00299804 Dosing
Day -3: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

AUCinf = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf). Dextrorphan is an active metabolite of dextromethorphan.

Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUCinf) For Dextrorphan on Cycle 2 Day 7
Cycle 2 Day 7: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

AUCinf = Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf). It is obtained from AUC (0-t) plus AUC (t-inf). Dextrorphan is an active metabolite of dextromethorphan.

Maximum Observed Plasma Concentration (Cmax) For Dextromethorphan and Dextrorphan 3 Days Prior to PF-00299804 Dosing
Day -3: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Dextrorphan is an active metabolite of dextromethorphan.

Maximum Observed Plasma Concentration (Cmax) For Dextromethorphan and Dextrorphan on Cycle 2 Day 7
Cycle 2 Day 7: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Dextrorphan is an active metabolite of dextromethorphan.

Time to Reach Maximum Observed Plasma Concentration (Tmax) For Dextromethorphan and Dextrorphan 3 Days Prior to PF-00299804 Dosing
Day -3: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Dextrorphan is an active metabolite of dextromethorphan.

Time to Reach Maximum Observed Plasma Concentration (Tmax) For Dextromethorphan and Dextrorphan on Cycle 2 Day 7
Cycle 2 Day 7: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Dextrorphan is an active metabolite of dextromethorphan.

Plasma Decay Half-Life (t1/2) For Dextrorphan 3 Days Prior to PF-00299804 Dosing
Day -3: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Dextrorphan is an active metabolite of dextromethorphan.

Plasma Decay Half-Life (t1/2) For Dextrorphan on Cycle 2 Day 7
Cycle 2 Day 7: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Plasma decay half-life is the time measured for the plasma concentration to decrease by one half. Dextrorphan is an active metabolite of dextromethorphan.

Oral Clearance For Dextromethorphan 3 Days Prior to PF-00299804 Dosing
Day -3: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population PK modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Oral Clearance For Dextromethorphan on Cycle 2 Day 7
Cycle 2 Day 7: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post-dose

Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population PK modeling. Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.

Urinary Metabolic Ratio (UMR) of Dextromethorphan to Dextrorphan 3 Days Prior to PF-00299804 Dosing
8 hours after dosing on Day -3

The UMR was calculated as the ratio of the amount of dextrmotherphan excreted in urine from time zero to 8 hours post-dose on Day -3 to the amount of dextrorphan excreted in urine from time zero to 8 hours post-dose on Day -3.

Urinary Metabolic Ratio (UMR) of Dextromethorphan to Dextrorphan on Cycle 2 Day 7
8 hours after dosing on Day 7

The UMR was calculated as the ratio of the amount of dextrmotherphan excreted in urine from time zero to 8 hours post-dose on Day 7 to the amount of dextrorphan excreted in urine from time zero to 8 hours post-dose on Day 7.

Safety
6 months

Secondary Endpoints

Duration of Response (DR)
Baseline up to 18 months
Duration of Stable Disease (SD)
Baseline up to 18 months
Progression-Free Survival (PFS)
Baseline up to 18 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AEXPERIMENTAL -
BEXPERIMENTAL -
1EXPERIMENTALdescriptive: adenocarcinoma histology
2EXPERIMENTALdescriptive: non-adenocarcinoma histology
Treatment armEXPERIMENTAL -

Interventions

NameTypeDescription
PF-00299804DRUG45 mg by continuous oral dosing
ErlotinibDRUGContinuous oral dosing at 150 mg daily.
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Eligibility Criteria

Age Range18 Years to 99 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Recurrent or metastatic Squamous Cell Cancer of the Head and Neck; * Measurable disease; * Eastern Cooperative Oncology Group (ECOG) 0-1 in Stage 1 = first 23 patients; * Eastern Cooperative Oncology Group (ECOG) 0-2 in Stage 2 = 33 patients; Exclusion Criteria: * prior ther...

Countries:CanadaUnited StatesAustraliaBrazilHong KongPolandPuerto RicoSingaporeSouth KoreaSpainTaiwanUnited KingdomFranceJapanNetherlands
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Frequently asked questions about PF-00299804

What is PF-00299804 used for?

PF-00299804 is an investigational small molecule being studied for the treatment of advanced non-small cell lung cancer, head and neck neoplasms, and other solid tumors. It has been evaluated in patients with non-small cell lung cancer who have failed prior chemotherapy and erlotinib treatment.

Who makes PF-00299804?

PF-00299804 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. The drug is an oral small molecule in the oncology therapeutic area.

What phase is PF-00299804 in?

PF-00299804 is an investigational drug that has completed Phase 1 and Phase 2 clinical trials. It is not FDA approved and remains in clinical development. All four completed trials were uncontrolled, non-randomized studies.

What clinical trials is PF-00299804 in?

PF-00299804 has been studied in four completed clinical trials. NCT00548093 and NCT00553254 were Phase 2 trials in advanced non-small cell lung cancer. NCT00728390 was a Phase 1 combination study with CP-751,871. NCT00728468 was a Phase 1 drug interaction study with dextromethorphan.

What is the mechanism of action of PF-00299804?

PF-00299804 is a small molecule developed by Pfizer for oncology indications. Its specific molecular target has not been disclosed in the available clinical trial information. The drug has been evaluated as a single agent and in combination with other therapies for advanced solid tumors.