A PHASE 2/3 INTERVENTIONAL STUDY OF PF-08634404 IN COMBINATION WITH CHEMOTHERAPY IN TREATMENT-NAÏVE PARTICIPANTS WITH LOCALLY ADVANCED OR METASTATIC GASTRIC, GASTROESOPHAGEAL JUNCTION, OR ESOPHAGEAL ADENOCARCINOMA

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Investigational drug late phase More information Active drug More information Moderate burden on patient More information

Trial Details

Sponsor: Pfizer (industry)

Phase: 2/3

Start date: Feb. 6, 2026

Planned enrollment: 840

Trial ID: NCT07392892
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More trial details at ClinicalTrials.gov More info

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Investigational Drug AI Analysis

chevron Show for: PF-08634404 (SSGJ-707)

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Goal: To evaluate whether adding PF-08634404 to chemotherapy is safe and active in the first-line treatment of locally advanced or metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma, and to determine in the phase 3 portion whether PF-08634404 plus chemotherapy improves outcomes compared with nivolumab plus chemotherapy.

Patients: The trial enrolls adults with histologically or cytologically confirmed gastric, gastroesophageal junction, or esophageal adenocarcinoma that is locally advanced or metastatic. Eligible patients must be treatment-naïve for advanced or metastatic disease, have ECOG performance status 0–1, adequate organ function, HER2-negative disease, and PD-L1-positive disease by local testing. Key exclusions include active CNS metastases, clinically significant bleeding or fistula risk, recent major surgery or trauma, significant cardiovascular comorbidity, active autoimmune disease requiring recent systemic therapy, prior allogeneic transplant, and noninfectious or drug-induced interstitial lung disease/pneumonitis.

Design: This is a randomized, industry-sponsored phase 2/3 interventional treatment study. The phase 2 portion evaluates PF-08634404 plus chemotherapy for safety, tolerability, and preliminary antitumor activity. The phase 3 portion randomizes patients to PF-08634404 plus chemotherapy versus nivolumab plus chemotherapy, with efficacy assessed by RECIST 1.1, including blinded independent central review for key phase 3 endpoints. Treatment is administered in repeated cycles and follow-up continues for approximately 4 years.

Treatments: The experimental regimen is PF-08634404 in combination with chemotherapy. PF-08634404, also known as SSGJ-707, is an investigational bispecific antibody targeting PD-1 and VEGF, designed to combine immune checkpoint blockade with anti-angiogenic activity. Early phase 2 data in advanced NSCLC have reported encouraging response rates, including confirmed ORRs around 59%–75% in first-line chemotherapy combinations at 10 mg/kg every 3 weeks, with grade ≥3 treatment-related adverse events reported in approximately 39% and rare treatment-related deaths including hemoptysis; efficacy and safety in gastroesophageal adenocarcinoma remain investigational. The active comparator regimen is nivolumab plus chemotherapy, an established first-line immunotherapy-based approach for selected patients with advanced HER2-negative gastroesophageal adenocarcinoma.

Outcomes: In phase 2, the primary endpoints are investigator-assessed confirmed objective response rate by RECIST 1.1 and treatment-emergent adverse events. Phase 2 secondary endpoints include duration of response, progression-free survival, overall survival, laboratory abnormalities, PF-08634404 serum concentrations, and anti-drug antibodies. In phase 3, the primary endpoints are blinded independent central review-assessed progression-free survival and overall survival. Phase 3 secondary endpoints include objective response rate, investigator-assessed PFS, duration of response, PFS2, safety and laboratory abnormalities, PF-08634404 pharmacokinetics and immunogenicity, and patient-reported outcomes using FACT-Ga and Gastric Cancer Subscale measures.

Burden on patient: The patient burden is moderate. Treatment requires recurrent clinic visits for intravenous study therapy and chemotherapy, similar to standard first-line chemoimmunotherapy, with routine laboratory monitoring, adverse-event assessments, and serial radiographic tumor assessments over a prolonged follow-up period. Additional burden comes from protocol-specific blood sampling for PF-08634404 pharmacokinetics and anti-drug antibody testing, and completion of quality-of-life questionnaires in the phase 3 portion. No mandatory on-treatment biopsy is specified, which keeps the burden below that of more intensive translational or early phase dose-escalation studies.

Last updated: May 2026

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Rocky Mountain Cancer Centers, LLP

Colorado Springs, Colorado, 80907, United States

No email / No phone

Status: Recruiting

Rocky Mountain Cancer Centers, LLP

Colorado Springs, Colorado, 80923, United States

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Rocky Mountain Cancer Centers, LLP

Denver, Colorado, 80218, United States

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Rocky Mountain Cancer Centers, LLP

Aurora, Colorado, 80012, United States

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Rocky Mountain Cancer Centers, LLP

Denver, Colorado, 80220, United States

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Rocky Mountain Cancer Centers, LLP

Englewood, Colorado, 80113, United States

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Rocky Mountain Cancer Centers, LLP

Lakewood, Colorado, 80228, United States

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Rocky Mountain Cancer Centers, LLP

Littleton, Colorado, 80120, United States

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Rocky Mountain Cancer Centers, LLP

Lone Tree, Colorado, 80124, United States

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Rocky Mountain Cancer Centers, LLP

Longmont, Colorado, 80504, United States

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Rocky Mountain Cancer Centers, LLP

Pueblo, Colorado, 81003, United States

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Rocky Mountain Cancer Centers, LLP

Thornton, Colorado, 80260, United States

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Rocky Mountain Cancer Centers, LLP

Boulder, Colorado, 80303, United States

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Rocky Mountain Cancer Centers, LLP

Centennial, Colorado, 80112, United States

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Illinois Cancer Specialists

Chicago, Illinois, 60631, United States

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Illinois Cancer Specialists

Niles, Illinois, 60714, United States

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Illinois Cancer Specialists

Arlington Heights, Illinois, 60005, United States

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Illinois CancerCare - Bloomington

Bloomington, Illinois, 61704, United States

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Illinois CancerCare - Galesburg

Galesburg, Illinois, 61401, United States

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Illinois CancerCare, P.C.

Peoria, Illinois, 61615, United States

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Illinois CancerCare-Ottawa-Fox River Cancer Center

Ottawa, Illinois, 61350, United States

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Illinois CancerCare-Pekin

Pekin, Illinois, 61554, United States

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Illinois CancerCare-Peru - Valley Regional Cancer Center

Peru, Illinois, 61354, United States

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Illinois CancerCare-Washington

Washington, Illinois, 61571, United States

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Maryland Oncology Hematology, P.A.

Largo, Maryland, 20774, United States

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Maryland Oncology Hematology, P.A.

Annapolis, Maryland, 21401, United States

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Maryland Oncology Hematology, P.A.

Bethesda, Maryland, 20817, United States

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Maryland Oncology Hematology, P.A.

Brandywine, Maryland, 20613, United States

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Maryland Oncology Hematology, P.A.

Columbia, Maryland, 21044, United States

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Maryland Oncology Hematology, P.A.

Germantown, Maryland, 20876, United States

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Maryland Oncology Hematology, P.A.

Rockville, Maryland, 20850, United States

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Maryland Oncology Hematology, P.A.

Silver Spring, Maryland, 20904, United States

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Renown Health Medical Oncology

Reno, Nevada, 89502, United States

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Renown Office of Clinical Research

Reno, Nevada, 89502, United States

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Renown Regional Medical Center

Reno, Nevada, 89502, United States

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Oncology Hematology Care Clinical Trials, LLC

Cincinnati, Ohio, 45242, United States

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Oncology Hematology Care Clinical Trials, LLC

Cincinnati, Ohio, 45245, United States

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Oncology Hematology Care Clinical Trials, LLC

Fairfield, Ohio, 45014, United States

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Oncology Hematology Care Clinical Trials, LLC

Cincinnati, Ohio, 45211, United States

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Alliance Cancer Specialists, PC

Doylestown, Pennsylvania, 18901, United States

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Alliance Cancer Specialists, PC

Langhorne, Pennsylvania, 19047, United States

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Alliance Cancer Specialists, PC

Media, Pennsylvania, 19063, United States

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Alliance Cancer Specialists, PC

Sellersville, Pennsylvania, 18960, United States

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Alliance Cancer Specialists, PC

Wynnewood, Pennsylvania, 19096, United States

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Alliance Cancer Specialists, PC

Bensalem, Pennsylvania, 19020, United States

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US Oncology Investigational Products Center (IPC)

Irving, Texas, 75063, United States

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Status: Recruiting

Pan American Center for Oncology Trials, LLC - Manati Office

Manati, United States, 00674, Puerto Rico

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Status: Not yet recruiting

US Oncology Investigational Products Center (IPC)

Irving, Texas, 75063, United States

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Status: Not yet recruiting

Virginia Cancer Specialists, PC

Fairfax, Virginia, 22031, United States

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Virginia Cancer Specialists, PC

Manassas, Virginia, 20110, United States

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Virginia Cancer Specialists, PC

Reston, Virginia, 20190, United States

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Virginia Cancer Specialists, PC

Woodbridge, Virginia, 22191, United States

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Virginia Cancer Specialists, PC

Arlington, Virginia, 22201, United States

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Virginia Oncology Associates

Chesapeake, Virginia, 23320, United States

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Virginia Oncology Associates

Hampton, Virginia, 23666, United States

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Virginia Oncology Associates

Newport News, Virginia, 23606, United States

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Virginia Oncology Associates

Norfolk, Virginia, 23502, United States

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Virginia Oncology Associates

Virginia Beach, Virginia, 23456, United States

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