A Study to Learn About the Study Medicine Called PF-07248144 in Combination With Fulvestrant in People With HR-positive, HER2-negative Advanced or Metastatic Breast Cancer Who Progressed After a Prior Line of Treatment.

NCT ID: NCT07062965

Last Updated: 2025-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-05

Study Completion Date

2030-11-04

Brief Summary

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The purpose of this study is to learn about the safety and effects of the study medicine PF-07248144 when given along with fulvestrant for the possible treatment of HR-positive, HER2-negative advanced or metastatic breast cancer.

HR-positive breast cancer cells have proteins on their surface called receptors that bind to hormones like estrogen and progesterone (female sex hormones). These hormones can promote the growth of cancer cells.

HER2-negative describes cells that have a small amount or none of a protein called HER2 on their surface. In normal cells, HER2 helps control cell growth. Cancer cells that are HER2-negative may grow more slowly and are less likely to recur (come back) or spread to other parts of the body than cancer cells that have a large amount of HER2 on their surface.

Advanced cancer is a term that is often used to describe cancer that is unlikely to be cured.

Metastatic cancer is the type where the cancer cells spread from one part of the body to another.

This study is seeking for participants whose breast cancer has gotten worsen after receiving cyclin dependent kinase (CDK) 4/6 inhibitor-based therapy.

Half of participants in this study will receive their usual study treatment, everolimus with endocrine therapy (either exemestane or fulvestrant) for HR-positive/HER2-negative advanced or metastatic breast cancer (A/mBC). The study doctor will discuss which hormone therapy is right for the participant before treatment begins.

PF-07248144 is a tablet that will be taken by mouth at home every day in a 28-day cycle. Fulvestrant will be given as two injections (one injection in the buttock) at visits to the study clinic. Everolimus and exemestane are also tablets and will be taken by mouth at home every day in a 28-day cycle.

The study will compare the experiences of people receiving PF-07248144 in combination with fulvestrant to those of the people who do not. This will help see if PF-07248144 in combination with fulvestrant is safe and effective.

Detailed Description

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Conditions

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Breast Cancer

Keywords

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Locally advanced or metastatic breast cancer Estrogen receptor positive [ER(+)] Progesterone receptor positive [PR(+)] Human epidermal growth factor receptor 2 negative [HER2(-)] ER(+)/HER2(-) PR(+)/HER2(-) HR(+)/HER2(-) Advanced Breast Cancer Breast tumor Breast cancer Everolimus Exemestane Fulvestrant Metastatic breast cancer Endocrine Therapy Hormone Therapy Hormone positive breast cancer Recurrent breast cancer HR+ HER2-negative Relapse Recurrent Second line treatment Third line treatment Left Sided Breast Cancer Right Sided Breast Cancer Unilateral Breast Cancer Cancer of the Breast CDK4/6i CDK4/6i-based Therapy Bilateral Breast Cancer Progression After CDK4/6i-based therapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study participants will be randomly assigned into 1 of 2 groups in parallel for the entire duration of the study. The experimental arm will receive PF-07248144 and fulvestrant (Arm A) while the comparator arm will receive everolimus in combination with the study doctor's choice of endocrine therapy (exemestane or fulvestrant; Arm B).
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A: PF-07248144 plus fulvestrant

PF-07248144 tablet taken by mouth plus fulvestrant taken as a shot into the muscle.

Group Type EXPERIMENTAL

PF-07248144

Intervention Type DRUG

KAT6 inhibitor

Fulvestrant

Intervention Type DRUG

Endocrine therapy

Arm B: everolimus plus ET

Everolimus tablet taken by mouth plus investigator's choice of endocrine therapy of exemestane tablet taken by mouth or fulvestrant taken as a shot into the muscle.

Group Type ACTIVE_COMPARATOR

Fulvestrant

Intervention Type DRUG

Endocrine therapy

Everolimus

Intervention Type DRUG

mTOR inhibitor

Exemestane

Intervention Type DRUG

Endocrine therapy

Interventions

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PF-07248144

KAT6 inhibitor

Intervention Type DRUG

Fulvestrant

Endocrine therapy

Intervention Type DRUG

Everolimus

mTOR inhibitor

Intervention Type DRUG

Exemestane

Endocrine therapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Confirmed diagnosis of HR-positive HER2-negative breast cancer with evidence of locally advanced or metastatic disease, which is not amenable to surgical resection or radiation therapy with curative intent.
* Prior CDK4/6 inhibitor therapy in combination with endocrine therapy in advance metastatic setting or in adjuvant setting with documented progression during or within 12 months after the last dose of CDK4/6i.
* Participants are eligible if they previously received CDK4/6i or ET as a monotherapy, or in combination for rechallenge therapy in the advance or metastatic setting; have received prior therapy targeting estrogen receptor 1 (ESR1) or breast cancer gene (BRCA)1/2.
* Measurable disease evaluable per Response Evaluation Criterion in Solid Tumors (RECIST) v.1.1 or non-measurable bone-only disease
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0 or 1.

Exclusion Criteria

* Documented detectable PIK3CA/AKT1/PTEN alterations in tissue
* Received greater than two prior lines of systemic therapy in the advance or metastatic setting
* Had received any prior chemotherapy, including antibody drug conjugates (ADCs), in advance or metastatic setting. Participants who have previously received chemotherapy in the (neo)adjuvant setting are not excluded from the study.
* Any medical or psychiatric condition that may increase the risk of study participation or make the participant inappropriate for the study.
* Renal impairment, hepatic dysfunction, or hematologic abnormalities.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Ironwood Cancer & Research Centers

Chandler, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Gilbert, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Glendale, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Goodyear, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Mesa, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Mesa, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Phoenix, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Scottsdale, Arizona, United States

Site Status RECRUITING

Highlands Oncology Group, PA

Springdale, Arkansas, United States

Site Status NOT_YET_RECRUITING

Los Angeles Cancer Network - Anaheim

Anaheim, California, United States

Site Status NOT_YET_RECRUITING

Los Angeles Cancer Network - Fountain Valley

Fountain Valley, California, United States

Site Status NOT_YET_RECRUITING

Los Angeles Cancer Network - (Admin Only / Central IDS) - No Patients

Glendale, California, United States

Site Status NOT_YET_RECRUITING

Los Angeles Hematology Oncology Medical Group

Los Angeles, California, United States

Site Status NOT_YET_RECRUITING

Los Angeles Cancer Network - Van Nuys

Los Angeles, California, United States

Site Status NOT_YET_RECRUITING

Clinical and Translational Research Unit (CTRU)

Palo Alto, California, United States

Site Status NOT_YET_RECRUITING

Stanford Cancer Center

Palo Alto, California, United States

Site Status NOT_YET_RECRUITING

Stanford Women's Cancer Center

Palo Alto, California, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Derby

Derby, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Fairfield

Fairfield, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Glastonbury

Glastonbury, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Greenwich

Greenwich, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Guilford

Guilford, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital at Saint Francis

Hartford, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Yale New Haven Health

New Haven, Connecticut, United States

Site Status NOT_YET_RECRUITING

Yale-New Haven Hospital

New Haven, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - North Haven

North Haven, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Long Ridge

Stamford, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Torrington

Torrington, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Trumbull

Trumbull, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Waterbury

Waterbury, Connecticut, United States

Site Status NOT_YET_RECRUITING

Smilow Cancer Hospital - Waterford

Waterford, Connecticut, United States

Site Status NOT_YET_RECRUITING

MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status NOT_YET_RECRUITING

Summit Cancer Care, PC

Savannah, Georgia, United States

Site Status RECRUITING

Summit Cancer Care

Savannah, Georgia, United States

Site Status RECRUITING

Prime Saint Francis-Infusion Services Evanston

Evanston, Illinois, United States

Site Status NOT_YET_RECRUITING

Memorial Hospital.

Shiloh, Illinois, United States

Site Status NOT_YET_RECRUITING

Siteman Cancer Center - Shiloh

Shiloh, Illinois, United States

Site Status NOT_YET_RECRUITING

Orchard Healthcare Research Inc.

Skokie, Illinois, United States

Site Status NOT_YET_RECRUITING

Prime Saint Francis-Infusion Services Skokie

Skokie, Illinois, United States

Site Status NOT_YET_RECRUITING

Mercy Medical Center - Baltimore

Baltimore, Maryland, United States

Site Status RECRUITING

The Cancer & Hematology Centers

Big Rapids, Michigan, United States

Site Status RECRUITING

The Cancer & Hematology Centers

Grand Rapids, Michigan, United States

Site Status RECRUITING

The Cancer & Hematology Centers

Grand Rapids, Michigan, United States

Site Status RECRUITING

The Cancer & Hematology Centers

Holland, Michigan, United States

Site Status RECRUITING

The Cancer & Hematology Centers

Norton Shores, Michigan, United States

Site Status RECRUITING

Siteman Cancer Center - St Peters

City of Saint Peters, Missouri, United States

Site Status NOT_YET_RECRUITING

Siteman Cancer Center - West County

Creve Coeur, Missouri, United States

Site Status NOT_YET_RECRUITING

Siteman Cancer Center - North County

Florissant, Missouri, United States

Site Status NOT_YET_RECRUITING

Siteman Cancer Center

St Louis, Missouri, United States

Site Status NOT_YET_RECRUITING

Barnes-Jewish Hospital

St Louis, Missouri, United States

Site Status NOT_YET_RECRUITING

Washington University School of Medicine - Siteman Cancer Center

St Louis, Missouri, United States

Site Status NOT_YET_RECRUITING

Siteman Cancer Center - South County

St Louis, Missouri, United States

Site Status NOT_YET_RECRUITING

Comprehensive Cancer Centers of Nevada

Henderson, Nevada, United States

Site Status NOT_YET_RECRUITING

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status NOT_YET_RECRUITING

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status NOT_YET_RECRUITING

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status NOT_YET_RECRUITING

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status NOT_YET_RECRUITING

MD Anderson The Woodlands

Conroe, Texas, United States

Site Status NOT_YET_RECRUITING

The University of Texas M. D. Anderson Cancer Center

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

MD Anderson West Houston

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

MD Anderson League City

League City, Texas, United States

Site Status NOT_YET_RECRUITING

MD Anderson in Sugar Land

Sugar Land, Texas, United States

Site Status NOT_YET_RECRUITING

Cancer Research SA Pty Ltd

Adelaide, South Australia, Australia

Site Status NOT_YET_RECRUITING

ICON Cancer Centre - Kurralta Park

Kurralta Park, South Australia, Australia

Site Status NOT_YET_RECRUITING

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

Site Status NOT_YET_RECRUITING

Western Health-Sunshine & Footscray Hospitals

St Albans, Victoria, Australia

Site Status NOT_YET_RECRUITING

Algemeen Ziekenhuis klina

Brasschaat, Antwerpen, Belgium

Site Status NOT_YET_RECRUITING

Institut Jules Bordet

Anderlecht, Bruxelles-capitale, Région de, Belgium

Site Status NOT_YET_RECRUITING

UZ Leuven

Leuven, Vlaams-brabant, Belgium

Site Status RECRUITING

AZ Groeninge Campus Kennedylaan

Kortrijk, West-vlaanderen, Belgium

Site Status NOT_YET_RECRUITING

Multiprofile Hospital for Active Treatment Serdikamed EOOD

Sofia, Sofia (stolitsa), Bulgaria

Site Status NOT_YET_RECRUITING

Complex Oncology Center - Burgas

Burgas, , Bulgaria

Site Status NOT_YET_RECRUITING

Specialized Hospital for Active Treatment of Oncology - Haskovo

Haskovo, , Bulgaria

Site Status NOT_YET_RECRUITING

Complex Oncology Center - Plovdiv EOOD

Plovdiv, , Bulgaria

Site Status RECRUITING

Complex Oncology Center - Shumen

Shumen, , Bulgaria

Site Status NOT_YET_RECRUITING

MHAT for Women's Health Nadezhda

Sofia, , Bulgaria

Site Status NOT_YET_RECRUITING

Jewish General Hospital

Montreal, Quebec, Canada

Site Status NOT_YET_RECRUITING

CHU de Québec-Université Laval, Hôpital du Saint-Sacrement

Québec, Quebec, Canada

Site Status RECRUITING

Fujian Medical University Union Hospital

Fuzhou, Fujian, China

Site Status NOT_YET_RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status NOT_YET_RECRUITING

Southern Medical University Nanfang Hospital

Guangzhou, Guangdong, China

Site Status NOT_YET_RECRUITING

Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Nanchang People's Hospital

Nanchang, Jiangxi, China

Site Status NOT_YET_RECRUITING

The 2nd Affiliated Hospital of Dalian Medical University

Dalian, Liaoning, China

Site Status NOT_YET_RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Second Affiliated hospital of Zhejiang University school of medicine

Hangzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Fakultni Thomayerova nemocnice

Prague, Praha 4, Czechia

Site Status RECRUITING

Fakultni nemocnice v Motole

Prague, Praha 5, Czechia

Site Status RECRUITING

Fakultni nemocnice Bulovka

Prague, Praha 8, Czechia

Site Status RECRUITING

Docrates Syöpäsairaala

Helsinki, Uusimaa, Finland

Site Status NOT_YET_RECRUITING

IASO General Clinic

Athens, Attica, Greece

Site Status NOT_YET_RECRUITING

Hygeia Hospital

Marousi, Attikí, Greece

Site Status NOT_YET_RECRUITING

European Interbalkan Medical Center

Thessaloniki, Thessaloníki, Greece

Site Status NOT_YET_RECRUITING

University General Hospital of Larissa

Larissa, Thessalía, Greece

Site Status NOT_YET_RECRUITING

Nirmal Hospital Pvt Ltd.

Surat, Gujarat, India

Site Status NOT_YET_RECRUITING

Artemis hospital

Gurugram, Haryana, India

Site Status NOT_YET_RECRUITING

Spandana Oncology Centre (SOC)

Bengaluru, Karnataka, India

Site Status NOT_YET_RECRUITING

Apex Wellness Hospital

Nashik, Maharashtra, India

Site Status NOT_YET_RECRUITING

Bhakti Vedanta Hospital and Research Institute

Thane, Maharashtra, India

Site Status NOT_YET_RECRUITING

Rabin Medical Center

Petah Tikva, Central District, Israel

Site Status NOT_YET_RECRUITING

Sheba Medical Center

Ramat Gan, Central District, Israel

Site Status NOT_YET_RECRUITING

Shaare Zedek Medical Center

Jerusalem, Jerusalem, Israel

Site Status NOT_YET_RECRUITING

Rambam Health Care Campus

Haifa, Northern District, Israel

Site Status NOT_YET_RECRUITING

Sourasky Medical Center

Tel Aviv, TELL ABĪB, Israel

Site Status NOT_YET_RECRUITING

Azienda USL Toscana Nord Ovest_Ospedale Civile di Livorno

Livorno, Tuscany, Italy

Site Status NOT_YET_RECRUITING

Istituto Europeo di Oncologia IRCCS

Milan, , Italy

Site Status NOT_YET_RECRUITING

Chiba cancer center

Chiba, Chiba, Japan

Site Status RECRUITING

National Hospital Organization Shikoku Cancer Center

Matsuyama, Ehime, Japan

Site Status RECRUITING

Tokai University Hospital

Isehara, Kanagawa, Japan

Site Status RECRUITING

Kanagawa cancer center

Yokohama, Kanagawa, Japan

Site Status RECRUITING

The University of Osaka Hospital

Suita, Osaka, Japan

Site Status RECRUITING

Juntendo University Hospital

Bunkyo-ku, Tokyo, Japan

Site Status RECRUITING

National Cancer Center Hospital

Chuo-ku, Tokyo, Japan

Site Status RECRUITING

St. Luke's International Hospital

Chuo-ku, Tokyo, Japan

Site Status RECRUITING

The Cancer Institute Hospital of JFCR

Koto, Tokyo, Japan

Site Status RECRUITING

Japan Institute for Health Security National Center for Global Health and Medicine

Shinjuku-ku, Tokyo, Japan

Site Status RECRUITING

Center Hospital of the National Center for Global Health and Medicine

Shinjyuku-ku, Tokyo, Japan

Site Status RECRUITING

National Hospital Organization Kyushu Cancer Center

Fukuoka, , Japan

Site Status RECRUITING

Hiroshima City Hospital

Hiroshima, , Japan

Site Status RECRUITING

Okayama University Hospital

Okayama, , Japan

Site Status RECRUITING

Showa Medical University Hospital

Tokyo, , Japan

Site Status RECRUITING

Tergooi MC

Hilversum, North Holland, Netherlands

Site Status NOT_YET_RECRUITING

St. Antonius Ziekenhuis, locatie Utrecht

Utrecht, , Netherlands

Site Status NOT_YET_RECRUITING

Centrum Badań Klinicznych Jagiellońskie Centrum Innowacji sp. z o.o.

Krakow, Lesser Poland Voivodeship, Poland

Site Status NOT_YET_RECRUITING

Ad-Vance Medical Research

Ponce, , Puerto Rico

Site Status RECRUITING

Onkologicky Ustav sv. Alzbety

Bratislava, Bratislava Region, Slovakia

Site Status NOT_YET_RECRUITING

Nemocnica s poliklinikou Stefana Kukuru Michalovce a.s.

Michalovce, Košice Region, Slovakia

Site Status NOT_YET_RECRUITING

Nemocnica AGEL Komarno

Komárno, Nitra Region, Slovakia

Site Status NOT_YET_RECRUITING

Narodny onkologicky ustav

Bratislava, , Slovakia

Site Status NOT_YET_RECRUITING

Nemocnica Bory, a.s.

Bratislava, , Slovakia

Site Status NOT_YET_RECRUITING

Seoul National University Bundang Hospital

Seongnam-si, Kyǒnggi-do, South Korea

Site Status RECRUITING

Gangnam Severance Hospital, Yonsei University Health System

Gangnam-gu, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Korea University Anam Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Seoul National University Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status RECRUITING

Severance Hospital, Yonsei University Health System

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Asan Medical Center

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Samsung Medical Center

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

The Catholic Univ. of Korea Seoul St. Mary's Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Korea University Guro Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Kyungpook National University Chilgok Hospital

Deagu, Taegu-kwangyǒkshi, South Korea

Site Status RECRUITING

CHUAC-Complejo Hospitalario Universitario A Coruña

A Coruña, A Coruña [LA Coruña], Spain

Site Status RECRUITING

Hospital Universitario Virgen de la Victoria

Málaga, Málaga, Spain

Site Status NOT_YET_RECRUITING

Hospital Universitario de Jaen

Jaén, , Spain

Site Status RECRUITING

Södersjukhuset

Stockholm, Stockholms LÄN [se-01], Sweden

Site Status NOT_YET_RECRUITING

Sahlgrenska Universitetssjukhuset

Gothenburg, Västra Götalands LÄN [se-14], Sweden

Site Status RECRUITING

Chi Mei Medical Center

Tainan, Tainan, Taiwan

Site Status NOT_YET_RECRUITING

National Cheng Kung University Hospital

Tainan, , Taiwan

Site Status NOT_YET_RECRUITING

National Taiwan University Hospital

Taipei, , Taiwan

Site Status NOT_YET_RECRUITING

Mackay Memorial Hospital

Taipei, , Taiwan

Site Status RECRUITING

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status NOT_YET_RECRUITING

Koo Foundation Sun Yat-Sen Cancer Center

Taipei, , Taiwan

Site Status RECRUITING

Countries

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United States Australia Belgium Bulgaria Canada China Czechia Finland Greece India Israel Italy Japan Netherlands Poland Puerto Rico Slovakia South Korea Spain Sweden Taiwan

Central Contacts

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Pfizer CT.gov Call Center

Role: CONTACT

Phone: 1-800-718-1021

Email: [email protected]

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C4551002

To obtain contact information for a study center near you, click here.

Other Identifiers

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2025-520566-22-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

C4551002

Identifier Type: -

Identifier Source: org_study_id