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PF-08634404

Phase 3

Advanced Non-Small Cell Lung Cancer | Monoclonal antibody | Oncology |Pfizer, Inc.|Last Updated: Sep 28, 2026

Development status

Highest phase Phase 3
Registered trials 11 across 1 sponsor since Oct 2025

Target and mechanism

Molecular targetPD-1
Target classImmune Checkpoint
ModalityMonoclonal antibody

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment1,410

FDA Designations

No designations recorded

Clinical trial landscape

PF-08634404 · 11 trials · 60 indications

Phase 3 3Phase 2 4Phase 1 4
NCT07578649Symbiotic-GYN-18: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Advanced or Recurrent MMR-proficient Endometrial CancerEndometrial Neoplasms
NOT YET_RECRUITING600 Analytics
NCT07222566Symbiotic-Lung-01 : A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Locally Advanced or Metastatic Non-Small Cell Lung CancerAdvanced Non-Small Cell Lung Cancer
RECRUITING1,410 Analytics
NCT07222800Symbiotic-GI-03: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Metastatic Colorectal CancerIntestinal Neoplasms
RECRUITING800 Analytics
PHASE3NOT YET_RECRUITING
Symbiotic-GYN-18: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Advanced or Recurrent MMR-proficient Endometrial Cancer
Endometrial NeoplasmsUnlock trial analytics
PHASE3RECRUITING
Symbiotic-Lung-01 : A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Locally Advanced or Metastatic Non-Small Cell Lung Cancer
Advanced Non-Small Cell Lung CancerUnlock trial analytics
PHASE3RECRUITING
Symbiotic-GI-03: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Metastatic Colorectal Cancer
Intestinal NeoplasmsUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-Free Survival (PFS) using RECIST v1.1 as assessed by Blinded Independent Central Review (BICR)
Approximately 36 months

PFS by BICR is defined as the time from the date of randomization to the date of first documented disease progression per RECIST v1.1 as assessed by BICR, or death due to any cause, whichever occurs first.

Overall Survival
Approximately 39 months

Overall survival defined as the time from the date of randomization to the date of death due to any cause.

Progression Free Survival (PFS) assessed by blinded independent central review (BICR)
Approximately 32 months

Progression-free survival is defined as the time from the date of randomization to the date of the first documentation of objective progressive disease (PD) assessed by BICR per RECIST v1.1, or death due to any cause, whichever occurs first.

Progression-free survival (PFS) per Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) by Blinded Independent Central Review (BICR)
Approximately 4 years

Progression-free survival is defined as the time from the date of randomization to the date of the first documentation of objective progressive disease (PD) assessed by BICR per RECIST 1.1, or death due to any cause, whichever occurs first.

Overall survival (OS)
Approximately 4 years

Overall survival defined as the time from the date of randomization to the date of death due to any cause.

Confirmed Objective Response Rate (ORR) as assessed by investigator based on Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)
From start of treatment until first documented CR or PR (approximately maximum up to 1 years)

Defined as the proportion of participants in whom a confirmed complete response (CR) or partial response (PR) is observed as best overall response. ORR using RECIST v1.1 as assessed by investigator.

Number of Participants with Adverse Events (AEs)
Up to 90 days after the last dose of treatment

Adverse Events (AEs) as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study intervention.

Part A: Surgical Feasibility Rate
Up to approximately 6 months after first dose

Surgical Feasibility rate is defined by the proportion of participants undergoing surgery and the proportion of participants with wound complications after surgery.

Part A: Pathological Complete Response (pCR) rate per International Association for the Study of Lung Cancer (IASLC) guidelines as assessed by central pathology review
Up to approximately 6 months after first dose

pCR rate by central pathology review is defined as the proportion of participants having pCR as assessed by central pathologist. pCR is defined as the absence of residual tumor in surgical specimens

Phase 2: Confirmed Objective response rate (ORR) using RECIST 1.1 as assessed by investigator
Approximately 4 years

Confirmed ORR by investigator is defined as the proportion of participants with confirmed Complete Response (CR) or Partial Response (PR) per RECIST v1.1 as assessed by investigator.

Phase 2: Number of participants with treatment-emergent adverse events
Through 90 days after the last study intervention; Approximately 4 years

Adverse Events (AEs) as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study intervention.

Phase 3: Progression Free Survival (PFS) using RECIST 1.1 as assessed by BICR
Approximately 4 years

PFS by BICR is defined as the time from the date of randomization to the date of first documented disease progression per RECIST 1.1 as assessed by BICR, or death due to any cause, whichever occurs first.

Phase 3: Overall Survival (OS)
Approximately 4 years

OS is defined as the time from the date of randomization to the date of death due to any cause.

Phase 2: Confirmed Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors version 1.1 [RECIST 1.1] based on the investigator's assessment
Up to approximately 2 years after completion of study treatment of last study participant

Defined as the proportion of participants in whom a confirmed complete response (CR) or partial response (PR) is observed as best overall response. ORR using RECIST v1.1 as assessed by investigator.

Confirmed Objective Response Rate (ORR) by investigator
Up to approximately 3 years

ORR is defined as the proportion of participants in the analysis population having a BOR of confirmed CR or confirmed PR according to RECIST v1.1 as assessed by investigator.

Number of Participants with Treatment Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Through 90 days after the last study intervention; Up to approximately 3 years

AEs as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness and relationship to study intervention.

Number of participants with dose limiting toxicity (DLT) in Part 1 of Cohort B
Through 90 days after the last study intervention; Up to approximately 3 years

The number of participants who experienced DLTs in participants receiving PF-08634404 in combination with EV.

Confirmed objective response rate (ORR) using RECIST v1.1 as assessed by investigator
Up to approximately 3 years

ORR is defined as the proportion of participants in the analysis population having a best overall response (BOR) of confirmed complete response (CR) or confirmed partial response (PR) according to RECIST v1.1 as assessed by investigator.

Number of participants with dose limiting toxicity (DLT)
Though end of DLT evaluation period (Up to approximately 3 years)

The number of participants who experienced DLTs during the DLT evaluation period in Cohort B (combination 1) and Cohort C (combination 2).

Phase I: Number of participants with dose limiting toxicity (DLT)
Through 90 days after the last study intervention; Up to approximately 5 years

Dose limiting toxicity based on dose limiting toxicity evaluable participants. The number of participants who experienced DLTs during the DLT observation period.

Phase 2: Confirmed Objective Response Rate (ORR) per RECIST v1.1 by investigator
Up to approximately 5 Years

ORR is defined as the proportion of participants with a Best Overall Response (BOR) of confirmed Complete Response (CR) or confirmed Partial Response (PR) per RECIST v1.1.

Number of Participants With Adverse Events
Through end of study and up to approximately 24 months

Adverse Events as characterized by type, frequency, severity (as graded by NCI CTCAE version 5.0), timing, seriousness, and relationship to study intervention.

Phase 1b: Number of participants with Dose limiting toxicities (DLT)
Through 90 days after the last dose of study intervention; Approximately 24 months

DLTs are a predefined set of adverse events that are at least possibly related to any or all of the study interventions. The number of participants who experienced DLTs during the DLT observation period.

Phase 2: Confirmed Overall Response Rate (ORR) using RECIST 1.1 as assessed by investigator
Approximately 24 months

ORR is the proportion of participants with a best overall response (BOR) of confirmed CR or confirmed PR per RECIST 1.1 by investigator.

Phase 2: Recommended dose of PF-08634404 in combination with ipilimumab
Approximately 24 months

The doses of PF-08634404 and ipilimumab selected to be used in combination based on safety, tolerability, pharmacokinetics, and initial anti-tumor efficacy from Phase 2.

Secondary Endpoints

Overall Survival (OS)
Approximately 56 months
PFS using RECIST v1.1 as assessed by investigator
Approximately 36 months
Objective Response Rate (ORR) as assessed by BICR and investigator
Approximately 56 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PF-08634404 plus ChemotherapyEXPERIMENTALPF-08634404 plus Chemotherapy, followed by PF-08634404 maintenance therapy
Pembrolizumab plus ChemotherapyACTIVE_COMPARATORPembrolizumab plus Chemotherapy, followed by Pembrolizumab maintenance therapy
Arm AEXPERIMENTALParticipants will receive PF-08634404 combined with chemotherapy regimen 1, followed by maintenance therapy with PF-08634404.
Arm BACTIVE_COMPARATORParticipants will receive pembrolizumab combined with chemotherapy regimen 1, followed by maintenance therapy with pembrolizumab.
Arm CEXPERIMENTALParticipants will receive PF-08634404 combined with chemotherapy regimen 2, followed by maintenance therapy with PF-08634404 and chemotherapy.
Arm DACTIVE_COMPARATORParticipants will receive pembrolizumab combined with chemotherapy regimen 2, followed by maintenance therapy with pembrolizumab and chemotherapy.
PF-08634404 + ChemotherapyEXPERIMENTALParticipants will receive PF-08634404 intravenously (IV) in combination with Chemotherapy.
Bevacizumab + ChemotherapyACTIVE_COMPARATORParticipants will receive bevacizumab IV in combination with Chemotherapy.
PF-08634404EXPERIMENTALParticipants will receive PF-08634404 in combination with chemotherapy intravenously, followed by maintenance therapy with PF-08634404.
Part A: Neoadjuvant PF-08634404 + ChemotherapyEXPERIMENTALParticipants with treatment naïve early-stage or locally advanced, resectable NSCLC without Actionable Genomic Alterations (AGAs) who are candidates for neoadjuvant treatment will receive intravenous (IV) PF-08634404 in combination with chemotherapy.
Part B: Adjuvant PF-08634404 MonotherapyEXPERIMENTALParticipants with early-stage or locally advanced, resectable NSCLC without AGAs who did not achieve pCR after standard-of-care (SOC) neoadjuvant chemo-immunotherapy and are candidates for adjuvant treatment will receive PF-08634404 IV.
Part C: PF-08634404 Monotherapy Consolidation after Definitive ChemoradiotherapyEXPERIMENTALParticipants with locally advanced, unresectable NSCLC without AGAs who did not have progressive disease per RECIST 1.1 after definitive, platinum-based concurrent chemoradiotherapy (cCRT) and are candidates for consolidation treatment will receive PF-08634404 IV.
Phase 2 PortionEXPERIMENTALPF-08634404 + Chemotherapy
Phase 3: Arm AEXPERIMENTALPF-08634404 + Chemotherapy
Phase 3: Arm BACTIVE_COMPARATORNivolumab + Chemotherapy
Phase 2 Single armEXPERIMENTALParticipants will receive PF-08634404 in combination with chemotherapy
Phase 3 Experimental ArmEXPERIMENTALParticipants will receive PF-08634404 in combination with chemotherapy
Phase3 Control ArmACTIVE_COMPARATORParticipants will receive atezolizumab in combination with chemotherapy
Cohort AEXPERIMENTALParticipants with previously treated LA/mUC will receive PF-08634404 administered intravenously as monotherapy.
Cohort BEXPERIMENTALParticipants with untreated LA/mUC will receive PF-08634404 in combination with enfortumab vedotin
Cohort CEXPERIMENTALParticipants will receive PF-08634404 IV in combination with axitinib.
Cohort DEXPERIMENTALParticipants will receive PF-08634404 in combination with Casdatifan.
PF-08634404 + PF-08046054/SGN-PDL1V (Part B)EXPERIMENTALParticipants will receive PF-08634404 in combination with other anticancer agents as per protocol.
PF-08634404 + Sigvotatug Vedotin (Part A)EXPERIMENTALParticipants will receive PF-08634404 in combination with Sigvotatug Vedotin.
Phase 1bEXPERIMENTALParticipants will be allocated to sequential dose levels of PF-08634404 and ipilimumab.
Phase 2EXPERIMENTALParticipants will be randomized to receive either PF-08634404 monotherapy or PF-08634404 combined with ipilimumab.

Interventions

NameTypeDescription
PF-08634404BIOLOGICALSolution for IV infusion
PembrolizumabBIOLOGICALSolution for IV infusion
Standard of Care ChemotherapyDRUGSolution for IV infusion
Chemotherapy Regimen 1DRUGInjection for IV use
Chemotherapy Regimen 2DRUGInjection for IV use
BevacizumabBIOLOGICALInjection for intravenous use
ChemotherapyDRUGInjection for intravenous use
NivolumabBIOLOGICALParticipants will receive Nivolumab intravenously.
AtezolizumabBIOLOGICALInjection for intravenous use
Enfortumab VedotinBIOLOGICALPowder for concentrate for solution for infusion
IpilimumabDRUGSolution for infusion
AxitinibDRUGTablet
CasdatifanDRUGTablet
Sigvotatug VedotinBIOLOGICAL-Powder for concentrate for solution for infusion. Single use vial
PF-08046054/SGN-PDL1VBIOLOGICAL-Powder for concentrate for solution for infusion. Single use vial.
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites39

Inclusion Criteria: * Women ≥18 years of age who are confirmed not pregnant at screening. * Histologically or cytologically confirmed endometrial cancer that is recurrent or advanced; carcinosarcomas are eligible but pure sarcomas are excluded. * Newly diagnosed FIGO Stage III disease with measurab...

Countries:United StatesJapanArgentinaAustraliaBrazilCanadaChinaCzechiaFranceGermanyGreeceHungaryIndiaIsraelItalyPolandPuerto RicoSpainTaiwanTurkey (Türkiye)BelgiumDenmarkHong Kong
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Competitive Landscape -Non-Small Cell Lung Cancer 387 trials (matched to "Advanced Non-Small Cell Lung Cancer")

Top 20 of 79 competitors

CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK24PHASE3Pembrolizumab, Olaparib, Sacituzumab tirumotecan, Intismeran autogene, Pembrolizumab Berahyaluronidase alfa
AstraZeneca PLCAZN62PHASE3Datopotamab deruxtecan, Durvalumab, Oleclumab, Monalizumab, Tremelimumab
Revolution Medicines, Inc.RVMD8PHASE3Daraxonrasib, Elironrasib, Zoldonrasib, RMC-5127
Eli Lilly and CompanyLLY18PHASE3Selpercatinib, Pemetrexed, Abemaciclib, Olomorasib, LY3537982
AbbVie, Inc.ABBV10PHASE3Telisotuzumab vedotin, Telisotuzumab Adizutecan, Livmoniplimab, Budigalimab, ABBV-927
Bristol-Myers Squibb CompanyBMY18PHASE3Repotrectinib, Nivolumab, Pumitamig, Relatlimab, Adagrasib
BioNTech SE Sponsored ADRBNTX7PHASE3Gotistobart, Pumitamig, BNT326, BNT116, BNT324
Gilead Sciences, Inc.GILD4PHASE3Sacituzumab govitecan, Zimberelimab, Domvanalimab, Etrumadenant
Pfizer Inc.PFE16PHASE3Lorlatinib, Crizotinib, Avelumab, Talazoparib, Axitinib
Johnson & JohnsonJNJ17PHASE3Lazertinib, Amivantamab, JNJ-90301900, JNJ-86974680, Cetrelimab
ArriVent BioPharma, Inc.AVBP9PHASE3Firmonertinib
Amgen Inc.AMGN4PHASE3ABP 234, Sotorasib, Anvumetostat
Novartis AG Sponsored ADRNVS9PHASE3Opnurasib, TNO155, DKY709, Spartalizumab, trametinib
GSK plc Sponsored ADRGSK3PHASE3Dostarlimab, Belrestotug, Nelistotug, Cobolimab
Summit Therapeutics IncSMMT2PHASE3Ivonescimab
Nuvation Bio, Inc. Class ANUVB4PHASE3Taletrectinib
Genmab A/S Sponsored ADRGMAB4PHASE3Acasunlimab, Rina-S, GEN1042
Regeneron Pharmaceuticals, Inc.REGN7PHASE2Cemiplimab, Marlotamig, Fianlimab, REGN5093
BeOne Medicines Ltd. Sponsored ADRONC6PHASE3Tislelizumab, BGB-A445, LBL-007, BGB-15025, BGB-43395
BeyondSpring Inc.BYSI1PHASE3Plinabulin
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Recent Changes (Last 90 Days)

LOWSep 28, 2026NCT07222800primaryCompletionDate: changed
LOWSep 28, 2026NCT07227012lastUpdatePostDate: changed
LOWSep 28, 2026NCT07476287primaryCompletionDate: changed
LOWSep 28, 2026NCT07226999lastUpdatePostDate: changed
MEDIUMSep 28, 2026NCT07392892primaryCompletionDate: changed
LOWSep 28, 2026NCT07421700primaryCompletionDate: changed
LOWSep 28, 2026NCT07578649lastUpdatePostDate: changed
LOWSep 28, 2026NCT07227012lastUpdatePostDate: changed
LOWSep 28, 2026NCT07476287primaryCompletionDate: changed
LOWSep 28, 2026NCT07421700primaryCompletionDate: changed
LOWSep 28, 2026NCT07226999lastUpdatePostDate: changed
MEDIUMSep 28, 2026NCT07392892primaryCompletionDate: changed
LOWSep 28, 2026NCT07222800primaryCompletionDate: changed
LOWSep 28, 2026NCT07578649lastUpdatePostDate: changed
LOWSep 25, 2026NCT07489066lastUpdatePostDate: changed
LOWSep 25, 2026NCT07227298lastUpdatePostDate: changed
LOWSep 25, 2026NCT07222566lastUpdatePostDate: changed
LOWSep 25, 2026NCT07489066lastUpdatePostDate: changed
LOWSep 25, 2026NCT07227298lastUpdatePostDate: changed
LOWSep 25, 2026NCT07222566lastUpdatePostDate: changed

Frequently asked questions about PF-08634404

What is PF-08634404 used for?

PF-08634404 is an investigational monoclonal antibody being studied in oncology for advanced non-small cell lung cancer, advanced or metastatic non-small cell lung cancer, hepatocellular carcinoma, renal cell carcinoma, and endometrial neoplasms. It is also being evaluated in transformed small cell lung cancer and urothelial cancer. It is not yet approved for any indication.

What does PF-08634404 target?

PF-08634404 targets PD-1, an immune checkpoint protein. By binding to PD-1, the antibody is designed to block checkpoint signaling and support T-cell-mediated antitumor immune responses. PD-1 inhibitors are a well-established class of oncology immunotherapies, and PF-08634404 is being developed within that class.

Who is developing PF-08634404?

PF-08634404 is being developed by Pfizer, Inc., which trades on the New York Stock Exchange under the ticker PFE. Pfizer is the sponsor of the clinical program evaluating the antibody across multiple solid tumor types, including lung, gynecologic, genitourinary, and hepatocellular cancers.

What phase is PF-08634404 in?

PF-08634404 is in Phase 3 development. The program includes a Phase 3 trial in advanced or recurrent MMR-proficient endometrial cancer and Phase 2 and Phase 1 studies in lung and urothelial cancers. PF-08634404 is investigational and has not been approved by the FDA for any indication.

What clinical trials is PF-08634404 in?

PF-08634404 is being evaluated in several trials, including NCT07578649 (Phase 3, Symbiotic-GYN-18, in advanced or recurrent MMR-proficient endometrial cancer), NCT07489066 (Phase 2, Symbiotic-Lung-10, in early-stage or locally advanced NSCLC), NCT07476287 (Phase 2, Symbiotic-Lung-14, in transformed small cell lung cancer), and NCT07421700 (Phase 1, Symbiotic-GU-06, in urothelial cancer).