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PF-07220060

Phase 3

Breast Cancer | Small molecule | Oncology |Pfizer, Inc.|Trials Updated: Sep 14, 2026

PF-07220060 development status

Highest phase Phase 3
Registered trials 13 across 5 sponsors since Feb 2018

PF-07220060 target and mechanism

Molecular targetCDK4
ModalitySmall molecule

Also known as PF-07220060 CDK4 inhibitor, atirmociclib (PF-07220060), atirmociclib, Oral [14C]PF-07220060

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment2,086

FDA Designations

No designations recorded

PF-07220060 clinical trials

PF-07220060 · 5 trials · 7 indications

Phase 3 1Phase 2 3Phase 1 1
NCT06760637Study of PF-07220060 With Letrozole in Adults With HR-positive HER2-negative Breast Cancer Who Have Not Received Anticancer Treatment for Advanced/Metastatic DiseaseBreast Cancer
ACTIVE NOT_RECRUITING1,035 Analytics
PHASE3ACTIVE NOT_RECRUITING
Study of PF-07220060 With Letrozole in Adults With HR-positive HER2-negative Breast Cancer Who Have Not Received Anticancer Treatment for Advanced/Metastatic Disease
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) by BICR
From the date of randomization until disease progression or death due to any cause (up to approximately 4 years)

Time from the date of randomization to the date of the first documentation of objective progressive disease as determined by blinded independent central review (BICR) per RECIST v1.1, or death due to any cause, whichever occurs first

Percentage of Participants With Complete Cell Cycle Arrest (CCCA) at Day 14
Day 14

CCCA was determined by antigen Kiel 67 (Ki-67) value as decided by Sponsor. Ki-67 was extensively used as a prognostic and predictive biomarker for cancer diagnosis and treatment. Ki-67 expression was measured by immunohistochemistry. Assessment at Day 14 was done in blinded manner by centrally assessed biopsy.

Progression-Free Survival (PFS) progression, as determined by investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
From Initiation up to 2 years
Number of participants with dose limiting toxicities in the Dose Escalation Portion
Baseline up to day 28 of Cycle 1.

First cycle (28 days) dose limiting toxicities (Parts 1A, 1B, 1C, 1F)

Incidence of clinically significant AEs
Weekly during Cycle 1 and 2 and then every 28 days through study completion, up to approximately 24 months; Each cycle is 28 days

Adverse Events

Incidence of clinically significant laboratory assessments
Weekly during Cycle 1 and 2 (each cycle is 28 days) and then every 28 days through study completion, up to approximately 24 months

safety laboratory abnormalities

Incidence of clinically significant abnormal vital and ECG parameters
Day 1, Day 8, Day 15 of Cycle 1 and starting from Cycle 2, and then every 28 days through study completion, up to approximately 24 months (Each cycle is 28 days)

vital signs and heart rate corrected QT interval

Food Effect
Day -7 through the end of Cycle 1

Maximal Concentration, Time to Maximum Plasma Concentration, Area under the Plasma Concentration (Part 1D)

DDI
D1 to the end of Cycle 1

Maximal Concentration, Time to Maximum Plasma Concentration, Area under the Plasma Concentration (Part 1E)

Dose Escalation: Number of participants with Dose-limiting toxicities (DLT) during first cycle
Cycle 1 (28 days)

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

Number of participants with treatment emergent adverse events (AEs)
From baseline until end of study treatment or study completion (approximately 2 years)
Incidence of participants with clinical laboratory abnormalities
From baseline until end of study treatment or study completion (approximately 2 years)
Number of participants with vital signs abnormalities
From baseline until end of study treatment or study completion (approximately 2 years)
Number of participants with corrected QT (QTc) interval
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

Secondary Endpoints

Overall Survival (OS)
From the date of randomization until death due to any cause (up to approximately 13 years).
Progression Free Survival (PFS) by Investigator
From the date of randomization until disease progression or death due to any cause (up to approximately 4 years)
OR by BICR and by investigator
From randomization to progression or death whichever occurs first (up to approximately 4 years)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm AEXPERIMENTALPF-07220060 tablet taken by mouth plus Letrozole tablet taken by mouth
Arm BACTIVE_COMPARATORInvestigator's Choice of CDK4/6 inhibitor (tablet/capsule) taken by mouth with letrozole tablet taken by mouth
Arm A/Experimental/PF-07220060 plus letrozoleEXPERIMENTALPF-07220060 given as tablet by mouth twice a day for 14 days. Letrozole given as tablet by mouth once a day for 14 days.
Arm B/Control/letrozoleACTIVE_COMPARATORLetrozole given by mouth once a day for 14 days.
1A Monotherapy Escalation Arm 1EXPERIMENTALPF-07220060 Monotherapy Escalation
1A Monotherapy Escalation Arm 2EXPERIMENTALPF-07220060 Monotherapy Escalation
1A Monotherapy Escalation Arm 3EXPERIMENTALPF-07220060 Monotherapy Escalation
1A Monotherapy Escalation Arm 4EXPERIMENTALPF-07220060 Monotherapy Escalation
1B Combination Dose Finding Arm 1EXPERIMENTALPF-07220060 with Letrozole combination Escalation
1B Combination Dose Finding Arm 2EXPERIMENTALPF-07220060 with Letrozole Combination Escalation
1C Combination Dose Finding Arm 1EXPERIMENTALPF-07220060 with Fulvestrant Combination Escalation
1C Combination Dose Finding Arm 2EXPERIMENTALPF-07220060 with Fulvestrant Combination Escalation
2B Combination Dose ExpansionEXPERIMENTALPF-07220060 with Letrozole Combination Expansion
2C Combination Dose ExpansionEXPERIMENTALPF-07220060 with fulvestrant Combination Expansion
1D Monotherapy Food EffectEXPERIMENTALPF-07220060 Monotherapy Food Effect
1A Monotherapy Escalation Arm 5EXPERIMENTALPF-07220060 Monotherapy Escalation
1F Combination Dose FindingEXPERIMENTALPF-07220060 with Enzalutamide Escalation
1E DDI CohortEXPERIMENTALPF-07220060 DDI with Midazolam
2D Combination Dose ExpansionEXPERIMENTALPF-07220060 with enzalutamide Combination Expansion
2A Combination Dose ExpansionEXPERIMENTALPF-07220060 with fulvestrant combination dose expansion
2E Combination Dose ExpansionEXPERIMENTALPF-07220060 Monotherapy OR PF-07220060 plus fulvestrant combination therapy
Part 1 Dose Escalation - Dose Level 4EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)
Part 2AEXPERIMENTALPF-07220060 + PF-07104091 + Fulvestrant (ER+/HER2- Breast Cancer with at least 1 prior systemic therapy for advanced or metastatic disease, including CDK4/6 inhibitor treatment and Endocrine Therapy)
Part 1 Dose Escalation - Dose Level 3EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)
Part 2BEXPERIMENTALPF-07220060 + PF-07104091 + Fulvestrant (ER+/HER2- Breast Cancer with at least 1 prior endocrine therapy and up to 1 prior line of chemotherapy for advanced or metastatic disease and no prior treatment with any CDK4/6 inhibitor for advanced disease)
Part 1 Dose Escalation - Dose Level 5EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)
Part 2CEXPERIMENTALPF-07220060 + PF-07104091 + Letrozole (ER+/HER2- Breast Cancer with no prior treatment with any CDK4/6 inhibitor for advanced disease)
Part 1 Dose Escalation - Dose Level 2EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)
Part 1 Dose Escalation - Dose Level 1EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)
Part 1 Dose Escalation - Dose Level 6EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)
Part 1 Dose Escalation - Dose Level 7EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)
Part 1 Dose Escalation - Dose Level 8EXPERIMENTALPF-07220060 + PF-07104091 dose escalation (Breast Cancer or solid tumors)

Interventions

NameTypeDescription
PF-07220060DRUGCDK4 inhibitor
letrozoleDRUGendocrine therapy
abemaciclibDRUGCDK4/6 inhibitor
palbociclibDRUGCDK4/6 inhibitor
ribociclibDRUGCDK4/6 inhibitor
PF-07220060 CDK4 inhibitorDRUGExperimental
FulvestrantDRUGExperimental and Active comparator
EverolimusDRUGActive Comparator
ExemestaneDRUGActive Comparator
MidazolamDRUGBenzodiazepine used for DDI
EnzalutamideCOMBINATION_PRODUCTAndrogen Receptor inhibitor
PF-07220060 + PF-07104091 combination dose escalationDRUGPF-07104091 and PF-07220060 will be administered orally
PF-07104091 + PF-07220060 + fulvestrant dose expansionDRUGPF-07104091 and PF-07220060 will be administered orally in combination with fulvestrant
PF-07104091 + PF-07220060 + letrozole dose expansionDRUGPF-07104091 and PF-07220060 will be administered orally in combination with letrozole
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites463

Inclusion Criteria: * Histological confirmation of breast cancer with evidence of locally advanced or metastatic disease, which is not amenable to surgical resection or radiation therapy with curative intent. * Documented estrogen receptor (ER) and/or progesterone receptor (PR)-positive tumor * Doc...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChinaCzechiaDenmarkFinlandFranceGermanyGreeceHungaryIndiaIrelandIsraelItalyJapanNetherlandsPolandSlovakiaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)United KingdomMexicoSouth Africa
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Competitive Landscape -Breast Cancer 601 trials

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Recent Changes (Last 90 Days)

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LOWAug 20, 2026NCT06105632lastUpdatePostDate: changed
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MEDIUMAug 15, 2026NCT06465368TRIAL_REMOVED: changed
MEDIUMAug 15, 2026NCT06465368TRIAL_REMOVED: changed

Frequently asked questions about PF-07220060

What is PF-07220060?

PF-07220060, also known as atirmociclib, is an investigational oral small molecule developed by Pfizer for advanced or metastatic breast cancer. It is a CDK4 inhibitor and is also being studied in healthy volunteers and in people with hepatic impairment. It is currently in Phase 2 development and has not been approved by the FDA.

What is PF-07220060 used for in breast cancer?

PF-07220060 is being studied for the treatment of advanced or metastatic breast cancer. Development is biomarker selected, meaning patients are chosen based on a specific biomarker. It remains investigational and is in Phase 2 clinical development, so it is not yet available as an approved therapy for breast cancer.

What does PF-07220060 target?

PF-07220060 targets CDK4, a cyclin-dependent kinase involved in cell cycle progression. By inhibiting CDK4, the drug is designed to interfere with the signaling that drives tumor cell division. This CDK4 inhibition is the basis for its study in advanced or metastatic breast cancer.

Who makes PF-07220060?

PF-07220060 is developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is running the clinical program for atirmociclib, including the Phase 2 breast cancer studies and the Phase 1 studies in healthy volunteers and hepatic impairment.

What phase is PF-07220060 in?

PF-07220060 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. The program includes Phase 2 studies in advanced or metastatic breast cancer along with Phase 1 studies in healthy participants and people with hepatic impairment.

What clinical trials is PF-07220060 in?

PF-07220060 has been studied in trials including NCT07677358, a recruiting Phase 1 study of atirmociclib in people with normal liver function and different levels of liver disease, and NCT07215078, a completed Phase 1 study of dose-proportional exposure in healthy participants. Other completed Phase 1 trials include NCT07160738 and NCT07130097.

Is PF-07220060 the same as atirmociclib?

Yes, atirmociclib is the alternative name for PF-07220060. The two names refer to the same Pfizer CDK4 inhibitor. Related search terms include PF-07220060 CDK4 inhibitor and the PF-07220060 plus PF-07104091 combination dose escalation, which refers to study of PF-07220060 in combination with another agent.