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PF-07220060 CDK4 inhibitor

Phase 3

Breast Cancer | Small Molecules | Oncology |Pfizer, Inc.|Trials Updated: Oct 28, 2026

PF-07220060 CDK4 inhibitor development status

Highest phase Phase 3
Registered trials 1 across 1 sponsor since Oct 2023

PF-07220060 CDK4 inhibitor target and mechanism

Molecular targetCDK4
ModalitySmall Molecules

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials6
Total Enrollment5,954

FDA Designations

No designations recorded

PF-07220060 CDK4 inhibitor clinical trials

PF-07220060 CDK4 inhibitor · 6 trials · 10 indications

Phase 3 2Phase 2 2Phase 1/2 2
NCT07890597A Study of a Medicine Called Atirmociclib in Combination With Giredestrant in Adult Participants With ER-positive, HER2-negative Early-stage Breast CancerEarly Breast Cancer
NOT YET_RECRUITING3,800 Analytics
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
PHASE3NOT YET_RECRUITING
A Study of a Medicine Called Atirmociclib in Combination With Giredestrant in Adult Participants With ER-positive, HER2-negative Early-stage Breast Cancer
Early Breast CancerUnlock trial 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

Invasive Breast Cancer Free Survival (iBCFS)
Baseline until recurrence up to 64 months

iBCFS is defined as the time from the date of randomization to the date of first documented occurrence of invasive ipsilateral breast tumor recurrence, local-regional invasive breast cancer recurrence, invasive contralateral breast cancer, distant recurrence, or death from any cause, as determined by investigator assessment per STEEP v2.0 criteria

Invasive Disease Free Survival (iDFS)
Baseline until recurrence up to 64 months

iDFS defined as the time from the date of randomization to the date of first documented occurrence of invasive ipsilateral breast tumor recurrence, local-regional invasive breast cancer recurrence, invasive contralateral breast cancer, distant recurrence, second primary invasive non-breast cancer, or death from any cause, as determined by investigator assessment per STEEP v2.0 criteria

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
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

Number of participants with dose limiting toxicities in the Dose Escalation or De-escalation Portion
At the end of Cycle 1 (each cycle is 28 days)

First cycle (28 days) dose limiting toxicities

Incidence of clinically significant AEs
Cycle 1 (each cycle is 28 days) through study completion, up to approximately 24 months

Adverse Events

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

safety laboratory abnormalities

Incidence of clinically significant abnormal vital and ECG parameters
Cycle 1 (each cycle is 28 days) through study completion, up to approximately 24 months

vital signs and heart rate corrected QT interval

Maximal Plasma Concentration (Cmax) of PF-07220060 given with and without food
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Part 1D)

Time to Maximum Plasma Concentration (Tmax) of PF-07220060 given with and without food
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Part 1D)

Area Under the Plasma Concentration Versus Time Curve from Time Zero to the Last Sampling Time Point (AUClast) of PF-07220060 given with and without food
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Part 1D)

Maximal Plasma Concentration (Cmax) of Midazolam with and without PF-07220060
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Part 1E)

Time to Maximum Plasma Concentration (Tmax) of Midazolam with and without PF-07220060
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Part 1E)

Area Under the Plasma Concentration Versus Time Curve from Time Zero to the Last Sampling Timepoint (AUClast) of Midazolam with and without PF-07220060
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Part 1E)

Steady State Maximal Concentration (Cmax,ss) of PF-07220060
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Giredestrant Combination Cohort)

Steady State Time to Maximum Plasma Concentration (Tmax,ss) of PF-07220060
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Giredestrant Combination Cohort)

Steady State Area Under the Plasma Concentration Versus Time Curve Within One Dose Interval (AUCτ,ss) of PF-07220060
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Giredestrant Combination Cohort)

Steady State Minimum Plasma Concentration (Cmin,ss) of PF-07220060
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments for PF-07220060 (Giredestrant Combination Cohort)

Steady State Maximal Concentration (Cmax,ss) of Giredestrant
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments (Giredestrant Combination Cohort)

Steady State Time to Maximum Plasma Concentration (Tmax,ss) of Giredestrant
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments (Giredestrant Combination Cohort)

Steady State Area Under the Plasma Concentration Versus Time Curve Within One Dose Interval (AUCτ,ss) of Giredestrant
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments (Giredestrant Combination Cohort)

Steady State Minimum Plasma Concentration (Cmin,ss) of Giredestrant
Cycle 1 (each cycle is 28 days)

Pharmacokinetic (PK) assessments (Giredestrant Combination Cohort)

Secondary Endpoints

Disease Recurrence Free Survival (DRFS)
Baseline until recurrence up to 64 months
Overall survival (OS)
Baseline until recurrence up to 64 months
Number and percentage of Participants with Treatment-Emergent Adverse Events (AEs)
Baseline until recurrence up to 64 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A : Atirmociclib + giredestrantEXPERIMENTALAtirmociclib tablet given orally twice daily, plus giredestrant capsule given orally once per day
Arm B: Placebo for atirmociclib + giredestrantACTIVE_COMPARATORPlacebo atirmociclib tablets given orally twice a day plus giredestrant capsule given once a day
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.
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)
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
1A Monotherapy Escalation Arm 5EXPERIMENTALPF-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
1D Monotherapy Food EffectEXPERIMENTALPF-07220060 Monotherapy Food Effect
1E DDI CohortOTHERPF-07220060 DDI with Midazolam
1F Combination Dose FindingEXPERIMENTALPF-07220060 with Enzalutamide Escalation
1G Combination Dose Finding Arm 1EXPERIMENTALPF-07220060 with Tamoxifen Combination De-Escalation
2A Combination Dose ExpansionEXPERIMENTALPF-07220060 with fulvestrant combination expansion
2B Combination Dose ExpansionEXPERIMENTALPF-07220060 with Letrozole Combination Expansion
2C Combination Dose ExpansionEXPERIMENTALPF-07220060 with fulvestrant Combination Expansion
2E Combination Dose ExpansionEXPERIMENTALPF-07220060 Monotherapy OR PF-07220060 plus fulvestrant combination therapy
2F Combination Dose ExpansionEXPERIMENTALPF-07220060 with Tamoxifen Combination Expansion
Giredestrant Combination Cohort (Group A)EXPERIMENTALPF-07220060 with Giredestrant Combination
Giredestrant Combination Cohort (Group B)EXPERIMENTALPF-07220060 with Giredestrant Combination

Interventions

NameTypeDescription
AtirmociclibDRUGAtirmociclib tablet given orally twice daily, plus giredestrant capsule given orally once per day
giredestrantDRUGgiredestrant capsule given once a day
Atirmociclib placeboOTHERAtirmociclib placebo tablet given twice a day
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
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
MidazolamOTHERBenzodiazepine
EnzalutamideCOMBINATION_PRODUCTAndrogen Receptor inhibitor
TamoxifenCOMBINATION_PRODUCTEndocrine Therapy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo

KEY INCLUSION CRITERIA 1. Histologically confirmed unilateral primary adenocarcinoma of the breast * ER-positive by local assessment * documented HER2-negative 2. Node positive or node negative as defined by: * Pathological node positive (microscopic and/or macroscopic tumor involvement ...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChinaCzechiaDenmarkFinlandFranceGermanyGreeceHungaryIndiaIrelandIsraelItalyJapanNetherlandsPolandSlovakiaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)United KingdomMexicoSouth Africa
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Competitive Landscape -Breast Cancer 612 trials

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Recent Changes (Last 90 Days)

LOWOct 28, 2026NCT04557449lastUpdatePostDate: changed
LOWOct 28, 2026NCT04557449lastUpdatePostDate: changed
LOWOct 22, 2026NCT07890597NEW_TRIAL: changed
LOWOct 22, 2026NCT07890597NEW_TRIAL: changed
MEDIUMOct 21, 2026NCT04557449Status: ACTIVE_NOT_RECRUITING → RECRUITING
MEDIUMOct 21, 2026NCT04557449Status: ACTIVE_NOT_RECRUITING → RECRUITING
MEDIUMOct 21, 2026NCT04557449Status: ACTIVE_NOT_RECRUITING → RECRUITING
LOWOct 16, 2026NCT06760637lastUpdatePostDate: changed
LOWOct 16, 2026NCT06760637lastUpdatePostDate: changed
MEDIUMSep 15, 2026NCT05262400Enrollment: 192 → 235
MEDIUMSep 15, 2026NCT05262400Enrollment: 192 → 235
MEDIUMSep 15, 2026NCT05262400Enrollment: 192 → 235
LOWAug 20, 2026NCT06105632lastUpdatePostDate: changed
LOWAug 20, 2026NCT04557449lastUpdatePostDate: changed
LOWAug 20, 2026NCT06105632lastUpdatePostDate: changed
LOWAug 20, 2026NCT04557449lastUpdatePostDate: changed
MEDIUMAug 15, 2026NCT06465368TRIAL_REMOVED: changed
MEDIUMAug 15, 2026NCT06465368TRIAL_REMOVED: changed
MEDIUMAug 15, 2026NCT06465368TRIAL_REMOVED: changed

Frequently asked questions about PF-07220060 CDK4 inhibitor

What is PF-07220060 used for?

PF-07220060 is being studied for advanced or metastatic breast cancer, early breast cancer, and liposarcoma. In breast cancer it is tested in hormone receptor positive, HER2-negative disease, including ER-positive early-stage settings, and is given in combinations such as letrozole, fulvestrant, or giredestrant.

What does PF-07220060 target?

PF-07220060 targets CDK4, a cyclin-dependent kinase involved in cell cycle progression. It is an oral small molecule designed to inhibit CDK4, and it is being developed as a targeted therapy for breast cancer and liposarcoma. It is also known as atirmociclib.

Who makes PF-07220060?

PF-07220060 is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer is running the clinical program for the drug, including combination studies with letrozole, fulvestrant, and giredestrant in breast cancer.

What phase is PF-07220060 in?

PF-07220060 is in Phase 2 development, and the program also includes Phase 3 trials. It is investigational and is not described as approved. The studies include a completed Phase 2 trial and active Phase 3 trials in breast cancer.

What clinical trials is PF-07220060 in?

PF-07220060 trials include NCT07890597, a Phase 3 study with giredestrant in ER-positive, HER2-negative early breast cancer; NCT06760637, a Phase 3 study with letrozole in HR-positive, HER2-negative breast cancer; NCT06465368, a completed Phase 2 study with letrozole; and NCT06105632, a Phase 2 study with fulvestrant.

Is atirmociclib the same as PF-07220060?

Yes, atirmociclib is another name for PF-07220060. The compound is also referred to as a CDK4 inhibitor, and some listings describe the PF-07220060 plus PF-07104091 combination dose escalation. All of these names refer to the same Pfizer-developed agent.