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PF-07104091 monotherapy dose escalation

Phase 2

Small Cell Lung Cancer | Small molecule | Oncology |Pfizer, Inc.|Last Updated: May 6, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment157
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04553133PF-07104091 as a Single Agent and in Combination TherapyPHASE2 ACTIVE NOT_RECRUITING 157Sep 16, 2020Dec 31, 2026May 6, 202622 United States, Argentina +2
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Study Endpoints
Primary Endpoints
Dose Escalation: Number of participants with Dose-limiting toxicities (DLT) during first cycle
28 days

Number of participants with DLTs, which are typically Grade 3 or higher adverse events will be summarized by dose level

To evaluate incidence of treatment emergent adverse events and laboratory abnormalities
From baseline until end of study treatment or study completion (approximately 2 years)

Type, incidence, severity, timing, seriousness and relationship to study treatment of adverse events and any laboratory abnormalities will be summarized by dose level

Evaluate pulse rate that is out of normal range and changes in pulse rate as compared to baseline
From baseline until end of study treatment or study completion (approximately 2 years)

Identify pulse rate readings that are outside the normal range. The number and percentage of participants who experienced significant pulse rate change from baseline will be summarized by dose level

Evaluate blood pressure that is out of normal range and changes in blood pressure as compared to baseline
From baseline until end of study treatment or study completion (approximately 2 years)

Identify systolic and diastolic readings that are outside the normal range. The number and percentage of participants who experienced significant blood pressure change from baseline will be summarized by dose level

To evaluate heart rate corrected QT interval and changes in corrected QT interval as compared to baseline
From baseline until end of study treatment or study completion (approximately 2 years)

Determine the effect of the drug on QT prolongation. The number and percentage of participants who experienced QT interval prolongation will be summarized by dose level

To evaluate the preliminary antitumor activity of PF-07104091 as a single agent and in combination with palbociclib and in combination with letrozole or fulvestrant or fulvestrant alone by objective response rate (ORR) in dose expansion
From baseline through disease progression or study completion (approximately 2 years)

Percentage of participants with a best overall response of complete response (CR) or partial response (PR) using RECIST 1.1

Secondary Endpoints
Maximum plasma concentration (Cmax) of PF-07104091 after a single dose and multiple dose
Day 1 and Day 15 of Cycle 1 (each cycle is 28 days)
Time to maximum plasma concentration (Tmax) of PF-07104091 after a single dose and multiple dose
Day 1 and Day 15 of Cycle 1 (each cycle is 28 days)
Area under the concentration versus time curve from time zero to the last quantifiable time point prior to the next dose (AUClast) of PF-07104091
Day 1 and Day 15 of Cycle 1 (each cycle is 28 days)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PF-07104091EXPERIMENTALCDK2 monotherapy dose escalation
PF-07104091 + palbociclib + fulvestrantEXPERIMENTALCDK2 + palbociclib + fulvestrant
PF-07104091 + palbociclib + letrozoleEXPERIMENTALCDK2 + palbociclib + letrozole
PF-07104091 monotherapy dose expansion (SCLC)EXPERIMENTALPF-07104091 monotherapy dose expansion (SCLC)
PF-07104091 monotherapy dose expansion (ovarian)EXPERIMENTALPF-07104091 monotherapy dose expansion (ovarian)
PF-07104091 + fulvestrant (post CDK4/6) dose expansionEXPERIMENTALPF-07104091 + fulvestrant (post CDK4/6) dose expansion
PF-07104091 + fulvestrant (post CDK 4/6) dose escalationEXPERIMENTALCDK2+ fulvestrant (post CDK 4/6) dose escalation
Interventions
NameTypeDescription
PF-07104091 monotherapy dose escalationDRUGPF-07104091 will be administered orally
PF-07104091 + palbociclib + fulvestrantDRUGPF-07104091 will be administered orally in combination with palbociclib and fulvestrant
PF-07104091 + palbociclib + letrozoleDRUGPF-07104091 will be administered orally in combination with palbociclib and letrozole
PF-07104091 monotherapy dose expansion (ovarian)DRUGPF-07104091 will be administered orally
PF-07104091 monotherapy dose expansion (SCLC)DRUGPF-07104091 will be administered orally
PF-07104091 + Fulvestrant (post CDK4/6)DRUGPF-07104091 will be administered orally in combination with fulvestrant
PF-0704091 + Fulvestrant (post CDK4/6)DRUGPF-07104091 + fulvestrant (post 4/6) dose expansion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites22

Inclusion Criteria: * Participants with HR-positive HER2-negative advanced or metastatic breast cancer (received at least two prior lines in the advanced or metastatic setting including one prior line of combined CDK4/6 inhibitor and endocrine therapy and no more than two prior lines of cytotoxic c...

Countries:United StatesArgentinaBulgariaChina
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Competitive Landscape -Non-Small Cell Lung Cancer 406 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK25PHASE3Pembrolizumab, Olaparib, Etoposide, Carboplatin, Cisplatin
Amgen Inc.AMGN5PHASE3AMG 510, Docetaxel, ABP 234, Pembrolizumab, Sotorasib
AstraZeneca PLCAZN63PHASE3Datopotamab deruxtecan, Durvalumab, Carboplatin, Pembrolizumab, Cisplatin
Revolution Medicines, Inc.RVMD8PHASE3daraxonrasib, docetaxel, RMC-6291, Elironrasib, Daraxonrasib
Eli Lilly and CompanyLLY19PHASE3Selpercatinib, Carboplatin, Cisplatin, Pemetrexed, Pembrolizumab
AbbVie, Inc.ABBV10PHASE3Telisotuzumab Vedotin, Docetaxel, Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab
Bristol-Myers Squibb CompanyBMY20PHASE3Repotrectinib, Crizotinib, Nivolumab, Carboplatin, Cisplatin
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Docetaxel, PM8002, Carboplatin, Pemetrexed
Gilead Sciences, Inc.GILD4PHASE3Sacituzumab Govitecan-hziy, Docetaxel, Zimberelimab, Domvanalimab, Pembrolizumab
GSK plc Sponsored ADRGSK4PHASE3Cobolimab, Dostarlimab, Docetaxel, Belrestotug, Pembrolizumab
Johnson & JohnsonJNJ18PHASE3Lazertinib, Amivantamab, Pemetrexed, Carboplatin, Osimertinib
Pfizer Inc.PFE21PHASE3Lorlatinib, Crizotinib, Avelumab, Lorlatanib, Talazoparib
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib, Drug: Furmonertinib, Furmonertinib, JAB-21822, JAB 21822
Novartis AG Sponsored ADRNVS9PHASE3JDQ443, docetaxel, TNO155, tislelizumab, DKY709
Summit Therapeutics IncSMMT2PHASE3Ivonescimab, Pembrolizumab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib, Crizotinib, AB-106
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Pembrolizumab, Docetaxel, Rina-S, GEN1042
Incyte CorporationINCY1PHASE3Retifanlimab, Pemetrexed, Cisplatin, Carboplatin, Paclitaxel
Regeneron Pharmaceuticals, Inc.REGN6PHASE2cemiplimab, Platinum Doublet, fianlimab, Pemetrexed, Paclitaxel
BeOne Medicines Ltd. Sponsored ADRONC6PHASE3Tislelizumab, Cisplatin, Paclitaxel, Pemetrexed Disodium, Carboplatin
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT04553133Enrollment: 154 → 157
LOWMay 24, 2026NCT04553133studyFirstPostDate: changed