Sponsor: Pfizer (industry)
Phase: 2/3
Start date: Feb. 6, 2026
Planned enrollment: 840
PF-08634404 (also referred to as SSGJ-707) is an investigational PD-1/VEGF bispecific antibody being developed for multiple solid tumors, including non-small cell lung cancer (NSCLC) and metastatic colorectal cancer (mCRC). Clinical development has included Phase 2 studies in China (under the SSGJ-707 name) and Pfizer-sponsored global studies (under the PF-08634404 code).
Sources: ClinicalTrials.gov: NCT07222566, JITC abstract (2025 supplement)
First-line advanced NSCLC (SSGJ-707 + platinum-based chemotherapy; Phase 2, NCT06412471; data cutoff July 4, 2025)
Confirmed objective response rate (ORR) reported for the SSGJ-707 10 mg/kg Q3W regimen:
- Nonsquamous NSCLC: ORR 58.6%
- Squamous NSCLC (cohort A): ORR 75.0%
- Squamous NSCLC (cohort B): ORR 69.2% with carboplatin + nab-paclitaxel; 37.5% with carboplatin + paclitaxel (noted as majority pending confirmation in the abstract)
Comparator arm (tislelizumab + chemotherapy) confirmed ORR:
- Nonsquamous: 38.7%
- Squamous: 47.6%
Source: JITC abstract (2025 supplement)
First-line advanced NSCLC (SSGJ-707 monotherapy; Phase 2, NCT06361927; interim results as of Jan 10, 2025)
In patients with treatment-naïve advanced NSCLC and PD-L1 expression ≥1%, the abstract reports (among evaluable patients) an ORR of:
- 61.8% and disease control rate (DCR) 97.1% at 10 mg/kg Q3W (dose group sizes and evaluable counts are described in the abstract).
Source: JCO (ASCO 2025) abstract record (ResearchGate mirror), DOI: 10.1200/JCO.2025.43.16_suppl.8543
mCRC (SSGJ-707; Phase 2 trial registered; results not posted in the registry record)
A Phase 2 study evaluating first-line mCRC regimens including SSGJ-707 is registered, but no outcome results are posted in the record at this time.
Source: ClinicalTrials.gov: NCT06493760
First-line advanced NSCLC (SSGJ-707 + chemotherapy; Phase 2, NCT06412471; data cutoff July 4, 2025)
For the SSGJ-707 10 mg/kg arms across study parts:
- Grade ≥3 treatment-related adverse events (TRAEs): 39.0% (vs 32.8% with tislelizumab + chemotherapy)
- TRAEs led to treatment discontinuation in 1.9% (2 patients)
- TRAEs associated with death in 2.9% (3 patients; hemoptysis in 2; unknown cause in 1)
Source: JITC abstract (2025 supplement)
Global Phase 3 (Pfizer): PF-08634404 + chemotherapy vs pembrolizumab + chemotherapy in locally advanced/metastatic NSCLC (planned enrollment 1500; not yet recruiting as of last update posted Oct 30, 2025).
Source: ClinicalTrials.gov: NCT07222566
Phase 2 (China): SSGJ-707 in first-line mCRC (includes combination arms; no posted results)
Source: ClinicalTrials.gov: NCT06493760
Last updated: Jan 2026
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
Inclusion Criteria:
* Histological or cytological confirmed gastric, gastroesophageal junction or esophageal adenocarcinoma.
* Evidence of locally advanced or metastatic disease.
* Eastern Cooperative Oncology Group performance status (ECOG) 0-1
* No prior systemic therapy for advanced or metastatic disease.
* Adequate hepatic, liver, and renal function
* HER-2 negative status based on local testing
* PD-L1 positive status based on local testing
Exclusion Criteria:
* Participants with known active CNS metastases, including leptomeningeal, brainstem, meningeal, or spinal cord metastases or compression
* Clinically significant risk of hemorrhage or fistula
* Major surgery or severe trauma within 4 weeks prior to the first dose, or planned major surgery during the study
* History of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.
* Any Grade ≥3 bleeding/hemorrhage events within 28 days of Cycle 1 Day 1, or prior history of clinically significant bleeding events
* Clinically significant cardiovascular disease, or other comorbidities, within 6 months prior to first dose
* Participants with active autoimmune diseases requiring systemic treatment within the past 2 years
* Evidence of non-infectious or drug-induced interstitial lung disease (ILD) pneumonitis
Colorado Springs, Colorado, 80907, United States
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Colorado Springs, Colorado, 80923, United States
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Denver, Colorado, 80218, United States
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Longmont, Colorado, 80504, United States
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Thornton, Colorado, 80260, United States
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Boulder, Colorado, 80303, United States
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Centennial, Colorado, 80112, United States
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Chicago, Illinois, 60631, United States
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Niles, Illinois, 60714, United States
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Arlington Heights, Illinois, 60005, United States
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Bloomington, Illinois, 61704, United States
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Galesburg, Illinois, 61401, United States
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Peoria, Illinois, 61615, United States
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Ottawa, Illinois, 61350, United States
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Pekin, Illinois, 61554, United States
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Peru, Illinois, 61354, United States
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Washington, Illinois, 61571, United States
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Largo, Maryland, 20774, United States
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Reno, Nevada, 89502, United States
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Reno, Nevada, 89502, United States
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Reno, Nevada, 89502, United States
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Cincinnati, Ohio, 45242, United States
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Langhorne, Pennsylvania, 19047, United States
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Media, Pennsylvania, 19063, United States
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Irving, Texas, 75063, United States
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Manati, United States, 00674, Puerto Rico
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Irving, Texas, 75063, United States
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Fairfax, Virginia, 22031, United States
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Manassas, Virginia, 20110, United States
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Reston, Virginia, 20190, United States
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Hampton, Virginia, 23666, United States
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Newport News, Virginia, 23606, United States
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Virginia Beach, Virginia, 23456, United States
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