Brandywine

Researchers are evaluating the effectiveness and safety of combining standard chemotherapy and bevacizumab with or without the drug INCA33890 for the first treatment of metastatic microsatellite stable colorectal cancer. This is a Phase 3 randomized trial focusing on patients with stage IV colorectal adenocarcinoma that cannot be cured by surgery. Participants receive either INCA33890 or a placebo, both given alongside bevacizumab and FOLFOX chemotherapy at doses defined by the study protocol. Treatment is administered as part of the first-line therapy for metastatic disease, with participants randomly assigned to one of the two groups. During the study, participants will be regularly monitored through imaging and clinical assessments to measure progression-free survival for up to three years. Additional outcomes include overall survival, response to treatment, side effects, and quality of life measures up to four years. Safety and treatment effects will be closely followed throughout the trial period.

Researchers are evaluating the study medicine PF-08046054 compared to the standard treatment docetaxel in adults with non-small cell lung cancer NSCLC that has PD-L1 expression of 1% or higher. These participants have cancer that has spread or cannot be treated with surgery or definitive radiation and have shown disease progression during or after previous treatments including PD-L1 or PD-1 inhibitors, platinum-based chemotherapy, and targeted therapies for known genomic alterations. The study is a randomized phase 3 trial assessing treatment options for advanced NSCLC. Participants are randomly assigned to one of two groups one receives PF-08046054 as an intravenous IV infusion twice during each 21-day cycle, and the other receives docetaxel as an IV infusion once every 21 days. The study treatment may continue for up to 5 years if the participants cancer responds to therapy. Both treatments are given in cycles, and participants receive the medicine through infusions during clinic visits. During the study, participants will have regular clinic visits to monitor their health and how well the treatment is working. Assessments include measuring overall survival, progression-free survival, tumor response rates, and quality of life through questionnaires. Safety is monitored for adverse events up to 90 days after treatment ends. Blood samples are also taken to study the medicines levels and immune response. The total study duration can be up to 5 years depending on individual responses and outcomes.

Researchers are conducting the FLEX Registry, a large-scale, population-based study focusing on patients with stage I to III breast cancer who have undergone MammaPrint and BluePrint testing on their primary breast tumors. This observational registry aims to gather comprehensive full genome expression data linked with clinical information to explore new gene associations that may have prognostic or predictive value. The design is adaptive, allowing additional targeted substudies and arms to be added over time for more specific investigations. All participants will have their tumor samples tested using MammaPrint and BluePrint through the full-genome testing array provided by Agendia. Treatment decisions are made by the treating physician following NCCN guidelines or recognized alternatives, with no specific treatment mandated by the study. The registry plans to enroll about 30,000 patients from more than 125 US institutions, encompassing various treatment arms detailed in study appendices. Participants will have clinical data collected online at multiple time points at enrollment, during treatment, and at 1, 3, 5, and 10 years after diagnosis. This long-term follow-up allows researchers to study gene expression alongside clinical outcomes, supporting the creation of subgroup analyses and future targeted trials. The primary outcomes include establishing a large-scale full genome expression registry and providing infrastructure for examining smaller patient groups over the 10-year study period.

Researchers are evaluating the safety and effectiveness of datopotamab deruxtecan Dato-DXd compared with docetaxel in patients with advanced or metastatic non-squamous non-small cell lung cancer NSCLC that tests positive for trophoblast cell surface protein 2 TROP2 but lacks actionable genomic alterations. This phase III, randomized, open-label study also aims to assess the clinical performance of an investigational diagnostic test related to TROP2 expression. Participants will be randomly assigned to receive either Dato-DXd or docetaxel as an intravenous infusion every three weeks. Each treatment is given on Day 1 of a 21-day cycle. The study includes two groups one receiving Dato-DXd monotherapy and the other receiving docetaxel monotherapy. The study will continue until disease progression or other discontinuation criteria are met. Throughout the study, participants will undergo regular assessments to measure progression-free survival and overall survival over approximately 2.5 to 3.5 years. Additional evaluations include response rates, duration of response, symptom assessments, quality of life questionnaires, and biomarker analyses. Safety monitoring and diagnostic testing will also be conducted. The total participation time will depend on individual treatment duration and follow-up requirements.

Researchers are evaluating the safety and effectiveness of the combination of sapanisertib and serabelisib PIKTOR with paclitaxel in women with advanced or recurrent endometrial cancer. This Phase 2, open-label, single-arm study focuses on participants who have previously undergone systemic therapies, including platinum-based chemotherapy and immune checkpoint inhibitors, but whose cancer has not responded or returned. Participants will receive oral doses of sapanisertib and serabelisib together with intravenous paclitaxel. The study also includes a substudy that evaluates the combination of PIKTOR and paclitaxel with an insulin-suppressing diet. Treatment is administered under medical supervision at multiple centers. During the study, participants will undergo regular assessments to monitor tumor response, disease progression, survival, and treatment safety over extended periodsup to two years for response assessment and up to five years for survival and progression measures. Researchers will track adverse events and overall treatment tolerability. The total study duration and follow-up will allow detailed evaluation of treatment effects and participant health.

Researchers are evaluating sacituzumab govitecan-hziy alone and in combination with other therapies for people with metastatic urothelial cancer mUC that cannot be removed or has spread. The study aims to assess how well these treatments work and their safety. This is a Phase II open-label trial sponsored by Gilead Sciences, including multiple cohorts with different treatment plans to better understand the effects in various patient groups. Participants receive sacituzumab govitecan-hziy intravenously on Days 1 and 8 of a 21-day cycle, alone or combined with other drugs like pembrolizumab, cisplatin, avelumab, zimberelimab, and others depending on the cohort. Some cohorts receive combinations with chemotherapy drugs such as carboplatin and gemcitabine, with dose adjustments based on tolerability. Maintenance therapies involving avelumab or zimberelimab may follow initial treatment cycles if the disease does not progress. During the study, participants undergo regular imaging scans such as CT or MRI to measure tumor response following RECIST 1.1 criteria. Researchers monitor treatment responses, progression-free survival, overall survival, and adverse events through scheduled visits and assessments for up to two years after treatment. Laboratory tests and safety monitoring occur throughout the treatment and follow-up periods, with continued tumor evaluation even if treatment stops before progression is confirmed.

Researchers are studying a new medicine called PF-08634404 combined with chemotherapy in people 18 years and older who have locally advanced or metastatic gastric, gastroesophageal junction, or esophageal adenocarcinoma. This study aims to understand how well this combination works and how safe it is compared to another approved treatment, nivolumab plus chemotherapy, in those who have not yet received treatment for advanced disease. Participants will receive intravenous PF-08634404 combined with chemotherapy in repeated treatment cycles. The study has two parts the first part focuses on safety and response to the new treatment, and the second part compares the new treatment plus chemotherapy against nivolumab plus chemotherapy. Treatments are given intravenously, and the study lasts approximately four years to monitor effects and outcomes. During the study, participants will be regularly monitored with medical tests to assess tumor response, side effects, survival, and quality of life. Researchers will collect data on tumor shrinkage using RECIST 1.1 criteria, adverse events, laboratory results, and serum levels of the study drug. Follow-up includes assessments up to 90 days after treatment ends. The total participation duration spans about four years, covering both treatment and observation periods.

Researchers are evaluating whether a new medicine called PF-08634404, given with chemotherapy, works better than the current standard treatment of pembrolizumab combined with chemotherapy for adults with a type of lung cancer known as non-small cell lung cancer NSCLC. This study focuses on participants with locally advanced or metastatic NSCLC who are not candidates for surgery or curative chemoradiotherapy and have no known actionable genomic alterations. The study is a Phase 3 randomized trial with double-blind masking to compare these treatments. Participants are assigned to one of two parts based on their tumor type those with squamous NSCLC are in Part 1, and those with non-squamous NSCLC are in Part 2. Each participant is randomly placed into one of two treatment groups the experimental group receives PF-08634404 plus chemotherapy, while the control group receives pembrolizumab plus chemotherapy. Treatments are given through intravenous infusions in cycles, followed by maintenance therapy with either PF-08634404 or pembrolizumab, depending on the part of the study. Participants continue treatment as long as it helps and side effects are manageable. During the study, participants attend regular visits for treatment and health assessments. Cancer response is checked every 6 weeks for the first 48 weeks and then every 12 weeks after that. Researchers monitor overall survival, progression-free survival, objective response rates, duration of response, adverse events, lab abnormalities, and quality of life measures. The study includes detailed tracking of drug levels and immune responses. Participation may last up to approximately 39 months, with continuous safety and effectiveness monitoring.