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PF-06801591

Phase 3

Non-muscle Invasive Bladder Cancer | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Jun 15, 2026

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,068

FDA Designations

No designations recorded

Clinical trial landscape

PF-06801591 · 3 trials · 12 indications

Phase 3 1Phase 1 2
NCT04165317A Study of Sasanlimab in People With Non-muscle Invasive Bladder CancerNon-muscle Invasive Bladder Cancer
ACTIVE NOT_RECRUITING1,068 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of Sasanlimab in People With Non-muscle Invasive Bladder Cancer
Non-muscle Invasive Bladder CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Cohort A: Event Free Survival (EFS) as Assessed by the Investigator: Arm A Versus Arm C
From randomization (Day 1) to first documentation of high-grade disease, progression of disease, persistence of CIS or death due to any cause, whichever occurred first (maximum follow up duration was up to 257.1 weeks)

EFS: time from randomization till recurrence of high-grade disease, progression of disease, persistence of carcinoma in situ (CIS), death due to any cause, whichever occurred first. Recurrence of high-grade disease: re-appearance of high-grade disease after randomization/study intervention initiation, re-appearance of high-grade disease after complete response (CR) for CIS participants or re-appearance of high-grade disease before CR for CIS participants and concurrent papillary disease at baseline. Progression of disease defined as any of following: Lamina propria invasion, muscle invasive disease, lymph node positive disease, metastatic disease, high-grade stage of bladder cancer (non-invasive papillary carcinoma \[Ta\] or invasion into the lamina propria without invasion into the muscularis propria \[T1\]) in participants with CIS only at baseline before achieving CR. Persistence of CIS: persistent CIS after induction, re-induction. EFS estimated using Kaplan-Meier analysis.

Phase 1b: Number of Participants With Dose-Limiting Toxicities (DLT)
Phase 1b: at the end of cycle 1 (28 days) for the PF-06801591 300 mg SC Q4W arms, and (42 days) for the PF-06801591 600 mg SC Q6W arms

This study included Asian participants with advanced solid tumors (Phase 1b) and global participants with first line (1L) and second line (2L) non-small cell lung cancer (NSCLC) (Phase 2). For the Phase 1b, any of the following AEs occurring during the DLT observation period (the first cycle of treatment) which were attributable to the investigational product were classified as DLTs: Grade 5 AE not clearly due to the underlying disease or extraneous causes; Hematologic toxicity; Non-Hematologic Toxicity; Delay of ≥ 3 weeks in receiving the next scheduled administration due to persisting treatment-related toxicities.

Phase 2: AUCτ of PF-06801591 at Steady State
Phase 2: Cycle 4 Day 1, 8, 15, 22 and Cycle 5 Day 1 for the PF-06801591 300 mg SC Q4W arm, and Cycle 3 Day 1, 8, 15, 29 and Cycle 4 Day 1 for the PF-06801591 600 mg SC Q6W arm

This study included Asian participants with advanced solid tumors (Phase 1b) and global participants with 1L and 2L NSCLC (Phase 2). AUCτ is area under the plasma concentration-time profile from time zero to the next dose (at steady state, starting at Week 12). (τ = X days, where X = 28 days for Q4W regimen and 42 days for Q6W regimen)

Phase 2: Ctrough of PF-06801591 at Steady State, at Week 12
Phase 2: Cycle 4 Day 1 for the PF-06801591 300 mg SC Q4W arm, and Cycle 3 Day 1 for the PF-06801591 600 mg SC Q6W arm

This study included Asian participants with advanced solid tumors (Phase 1b) and global participants with 1L and 2L NSCLC (Phase 2). Steady state Ctrough is pre-dose concentration following multiple dosing at steady state (Week 12)

Percentage of Participants With Dose-Limiting Toxicities (DLT) - Part 1
Cycle 1 in Part 1 (21 days for IV administration of PF-06801591; 28 days for SC administration of PF-06801591)

DLT was defined as any of the following drug-related adverse events (AEs) occurring during the first cycle (21 days for IV dosing, 28 days for SC dosing) in Part 1: Grade 5 AE; Grade 4 neutropenia lasting \>5 days from initiation of granulocyte colony stimulating factor; Grade 4 thrombocytopenia with bleeding; Platelet transfusion requirement or a platelet count \<10,000/uL; Grade 4 non-hematologic AE; Grade 3 AE lasting \>7 days despite optimal supportive care; Grade 3 central nervous system AE regardless of duration; met criteria for drug induced liver injury. Severity of AEs were graded according to Common Terminology Criteria for Adverse Events (CTCAE) v4.03. Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

Number of Participants With All-Causality Treatment-Emergent Adverse Events (AEs) - Part 1 and Part 2
Baseline up to 28 days after last dose of study treatment (maximum of 1634 days)

AE = any untoward medical occurrence in participant who received study treatment without regard to possibility of causal relationship. Treatment-emergent events = between first dose of study treatment and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. A serious adverse event (SAE) was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Grades of severity were defined by CTCAE v4.03. Grades of severity were defined by CTCAE v4.03. Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

Number of Participants With Treatment-Related Treatment-Emergent Adverse Events (AEs) - Part 1 and Part 2
Baseline up to 28 days after last dose of study treatment (maximum of 1634 days)

Treatment-related AE was any untoward medical occurrence attributed to study treatment in a participant who received study treatment. Treatment-emergent events = between first dose of study treatment and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-related AEs and SAEs were determined by the investigator. Grades of severity were defined by CTCAE v4.03. Grades of severity were defined by CTCAE v4.03. Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

Number of Participants With Laboratory Test Abnormalities - Part 1 and Part 2
Baseline up to 28 days after last dose of study treatment (maximum of 1634 days)

Following parameters were analyzed for laboratory examination: hematology (anemia, hemoglobin increased, lymphocyte count decreased, lymphocyte count increased, neutrophil count decreased, platelet count decreased, white blood cell decreased); chemistries (increase of alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, blood bilirubin, CPK, creatinine, gamma-glutamyl transferase \[GGT\], lipase, and serum amylase); urinalysis (proteinuria); coagulation (activated partial thromboplastin time prolonged, international normalized ratio \[INR\] increased). Grades of severity were defined by CTCAE v4.03. Grade 0 = No Change from normal or reference range (this grade is not included in the CTCAE v4.03 document but may used in certain circumstances). Grade 1 = mild adverse event (AE). Grade 2 = moderate AE; Grade 3 = severe AE. Grade 4 = life-threatening consequences; urgent intervention indicated. Grade 5 = death related to AE.

Objective Response Rate (ORR) Based on RECIST Version 1.1 - Part 2
Baseline up to end of treatment in Part 2 (maximum of 851 days)

ORR was defined as percentage of participants with confirmed objective response (OR) of complete response (CR) and partial response (PR) based on RECIST version 1.1. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis \< 10 mm). All target lesions must be assessed. PR was defined as \>= 30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. All target lesions must be assessed.

Objective Response Rate (ORR) Based on Immune Related RECIST (irRECIST) - Part 2
Baseline up to end of treatment in Part 2 (maximum of 851 days)

ORR was defined as percentage of participants with objective response (OR) of complete response (CR) and partial response (PR) based on irRECIST. CR was defined as complete disappearance of all target lesions with the exception of nodal disease. All target nodes must decrease to normal size (short axis \< 10 mm). All target lesions must be assessed. PR was defined as \>= 30% decrease under baseline of the sum of diameters of all target measurable lesions. The short diameter was used in the sum for target nodes, while the longest diameter was used in the sum for all other target lesions. All target lesions must be assessed.

Secondary Endpoints

Cohort A: EFS as Assessed by the Investigator: Arm B Versus Arm C
From randomization (Day 1) to the first documentation of high-grade disease, progression of disease, persistence of CIS or death due to any cause, whichever occurred first (maximum follow up duration was up to 257.1 weeks)
Cohort A: Overall Survival (OS) for Participants: Arm A Versus Arm C
From randomization (Day 1) until date of death due to any cause or censoring date
Cohort A: OS of Participants: Arm B Versus Arm C
From randomization (Day 1) until date of death due to any cause or censoring date
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PF-06801591 + BCG induction and maintenanceEXPERIMENTALPF-06801591 in combination with Bacillus Calmette Guerin(induction+maintenance).
PF-06801591 + BCG induction onlyEXPERIMENTALPF-06801591 in combination with Bacillus Calmette Guerin (induction only).
BCG induction and maintenanceACTIVE_COMPARATORBacillus Calmette Guerin (induction and maintenance).
BCG Unresponsive CISEXPERIMENTALPF-06801591
BCG Unresponsive NMIBCEXPERIMENTALPF-06801591
Arm A1 (Phase 1b)EXPERIMENTAL -
Arm B1 (Phase 1b)EXPERIMENTAL -
Arm A2 (Phase 2)EXPERIMENTAL -
Arm B2 (Phase 2)EXPERIMENTAL -
Arm 1 PF-06801591EXPERIMENTAL0.5 mg/kg IV every 21 days (Part 1)
Arm 2 PF-06801591EXPERIMENTAL1.0 mg/kg IV every 21 days (Part 1)
Arm 3 PF-06801591EXPERIMENTAL3.0 mg/kg IV every 21 days (Part 1)
Arm 4 PF-06801591EXPERIMENTAL10 mg/kg IV every 21 days (Part 1)
Arm 5 PF-06801591EXPERIMENTAL300 mg SC every 28 days (Part 1 and 2)

Interventions

NameTypeDescription
PF-06801591DRUGA monoclonal antibody (mAb) that blocks the interaction between PD-1 and PD-L1/PD-L2.
Bacillus Calmette-GuerinDRUGImmunotherapy treatment approved by FDA for patients with high-risk non-muscle invasive bladder cancer
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites194

Inclusion Criteria: * Histological confirmed diagnosis of high risk non-muscle invasive transitional cell carcinoma (TCC) of the urothelium of the urinary bladder (tumors of mixed transitional/non-transitional cell histology are allowed, but TCC must be the predominant histology) * Complete resecti...

Countries:United StatesAustraliaBelgiumCanadaChinaFranceGermanyItalyJapanPolandRussiaSouth KoreaSpainUnited KingdomTaiwanUkraineBulgariaMalaysia
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Recent Changes (Last 90 Days)

MEDIUMJul 16, 2026NCT04181788TRIAL_REMOVED: changed
MEDIUMJul 16, 2026NCT04181788TRIAL_REMOVED: changed
MEDIUMJul 16, 2026NCT04181788TRIAL_REMOVED: changed
HIGHJun 16, 2026NCT04181788Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJun 16, 2026NCT04181788Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJun 16, 2026NCT04181788Status: ACTIVE_NOT_RECRUITING → COMPLETED
HIGHJun 16, 2026NCT04181788Status: ACTIVE_NOT_RECRUITING → COMPLETED
LOWMay 26, 2026NCT04165317primaryCompletionDate: changed
LOWMay 26, 2026NCT04181788primaryCompletionDate: changed
LOWMay 24, 2026NCT04165317studyFirstPostDate: changed
LOWMay 24, 2026NCT04181788studyFirstPostDate: changed

Frequently asked questions about PF-06801591

What is PF-06801591 used for?

PF-06801591, also known as sasanlimab, is an investigational oncology drug being studied for non-muscle invasive bladder cancer, advanced malignancies, and various solid tumors including melanoma, head and neck cancer, ovarian cancer, sarcoma, non-small cell lung cancer, and urothelial carcinoma. It is being developed by Pfizer, Inc. (PFE).

What does PF-06801591 target?

PF-06801591 targets the PD-1 receptor, as indicated by its description as a PD-1 inhibitor in clinical trial NCT04181788. By blocking PD-1, it is designed to enhance the immune system's ability to fight cancer cells. This mechanism is being evaluated across multiple oncology indications.

Who makes PF-06801591?

PF-06801591 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker PFE. The drug is also known as sasanlimab in clinical trials.

What phase is PF-06801591 in?

PF-06801591 is in Phase 3 clinical development for non-muscle invasive bladder cancer, based on the active trial NCT04165317. It has also completed Phase 1 studies for advanced malignancies and other solid tumors. The drug is investigational and not yet approved by regulatory authorities.

What clinical trials is PF-06801591 in?

PF-06801591 is being studied in three clinical trials: NCT02573259, a completed Phase 1 dose escalation study in multiple solid tumors; NCT04165317, an active Phase 3 study in non-muscle invasive bladder cancer; and NCT04181788, a completed Phase 1 study in advanced malignancies. These trials have enrolled a total of 1,068 participants across multiple countries.

Is PF-06801591 the same as sasanlimab?

Yes, PF-06801591 is the same as sasanlimab. The drug is referred to by both names in clinical trial records, with sasanlimab used in the titles of trials NCT04165317 and NCT04181788. Pfizer, Inc. is the developer of this investigational PD-1 inhibitor.