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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

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment157

FDA Designations

No designations recorded

Clinical trial landscape

PF-07104091 monotherapy dose escalation · 1 trial · 3 indications

Phase 2 1
NCT04553133PF-07104091 as a Single Agent and in Combination TherapySmall Cell Lung Cancer
ACTIVE NOT_RECRUITING157 Analytics
PHASE2ACTIVE NOT_RECRUITING
PF-07104091 as a Single Agent and in Combination Therapy
Small Cell Lung CancerUnlock trial analytics

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 to 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 389 trials (matched to "Small Cell Lung Cancer")

Frequently asked questions about PF-07104091 monotherapy dose escalation

What is PF-07104091 used for?

PF-07104091 is an investigational small molecule being studied for the treatment of Small Cell Lung Cancer, Ovarian Cancer, and Breast Cancer. It is also being evaluated in healthy adults to understand how the body processes the drug. The drug is currently in Phase 1 clinical development.

Who makes PF-07104091?

PF-07104091 is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. The company is conducting clinical trials to evaluate the drug as a single agent and in combination with other therapies.

What phase is PF-07104091 in?

PF-07104091 is in Phase 1 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The drug is being studied in early-stage trials to assess its safety, tolerability, and how the body processes it.

What clinical trials is PF-07104091 in?

PF-07104091 is being studied in two clinical trials. NCT04553133 is a Phase 2 trial evaluating the drug as a single agent and in combination therapy for Small Cell Lung Cancer, Ovarian Cancer, and Breast Cancer. NCT07127770 is a Phase 1 trial in healthy adults to understand how the body processes the drug.

Is PF-07104091 the same as PF-07104091 + PF-07220060 + fulvestrant?

PF-07104091 is the base drug, and the combination of PF-07104091 with PF-07220060 and fulvestrant is a specific treatment regimen being studied in clinical trials. The combination is being evaluated for its potential efficacy in certain cancers, while PF-07104091 alone is also being tested as monotherapy.