Inhibition of lysine acetyltransferase KAT6 in ER+HER2- metastatic breast cancer: a phase 1 trial.
Toru Mukohara, Yeon Hee Park, David Sommerhalder...
https://pubmed.ncbi.nlm.nih.gov/38824244/Actively Recruiting
Led by Pfizer · Updated on 2026-04-16
320
Participants Needed
44
Research Sites
4 weeks
Total Duration
Researchers are studying PF-07248144, a KAT6 inhibitor, to assess its safety, tolerability, how the body processes it pharmacokinetics, and its effects pharmacodynamics in people with advanced or metastatic solid tumors. The study also looks for early signs that PF-07248144 may work as a treatment, either alone or combined with other drugs. This is an open-label, multi-center trial with several parts for detailed evaluation. The study includes two main phases Part 1 focuses on dose escalation to find the best dose for PF-07248144 alone and in combination with other drugs like fulvestrant, palbociclib plus letrozole, PF-07220060 with fulvestrant, or vepdegestrant. Part 2 involves dose expansion to further assess PF-07248144 alone or in combination at the recommended doses from Part 1. Different combinations are tested in separate study arms to evaluate their safety and effects. Participants will undergo various assessments including monitoring for side effects and laboratory tests for up to 24 months. Researchers will measure drug levels in the blood, look for dose-limiting toxicities, and evaluate anti-tumor activity such as progression-free survival and overall survival. The study includes detailed safety monitoring and outcome measures to understand how PF-07248144 works and its impact on advanced or metastatic solid tumors.
CONDITIONS
Study of PF-07248144 in Advanced or Metastatic Solid Tumors
P
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Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | PF-07248144 (alone or with endocrine/targeted therapy) | Current endocrine therapy ± targeted agent (contextual comparator) |
|---|---|---|
| What it is | An investigational oral drug (KAT6 inhibitor) tested alone or in combination with therapies such as fulvestrant, letrozole, palbociclib (CDK4/6 inhibitor), PF-07220060 (CDK4 inhibitor), or vepdegestrant. Evaluated in adults with advanced or metastatic ER+HER2- breast cancer, and some arms also include prostate and non-small cell lung cancer. | Current established care for advanced or metastatic ER+HER2- breast cancer after progression on CDK4/6 inhibitor plus endocrine therapy includes further endocrine agents, such as fulvestrant (with or without CDK4/6 inhibitor), or other approved regimens as per guidelines. |
| Primary use | Being studied for safety, tolerability, pharmacokinetics, and initial antitumor activity in people with advanced or metastatic ER+HER2- breast cancer and select other solid tumors who have progressed following standard treatments. | Used as treatment for hormone receptor–positive, HER2-negative advanced breast cancer after prior therapy, to control tumor growth or delay progression as recommended by treatment guidelines. |
| How it is given or performed | PF-07248144 is given by mouth, either alone or combined with other medications (fulvestrant, letrozole, palbociclib, PF-07220060, or vepdegestrant) in 28-day cycles. Dose escalation and expansion stages assess different dose levels and combinations. | Standard endocrine therapy is usually given as a regular injection (e.g., fulvestrant), oral tablet (e.g., letrozole), and may be combined with oral CDK4/6 inhibition; regimens and routes set by established practice. |
| Evidence status / maturity | Efficacy and safety are under investigation. Early-phase clinical data for PF-07248144 as a KAT6 inhibitor in advanced ER+HER2- breast cancer were recently published, but widespread clinical results and regulatory review are pending. | Extensive published evidence and guideline recommendations support the use of endocrine therapies (fulvestrant, letrozole) with or without CDK4/6 inhibitors in treating advanced ER+HER2- breast cancer. Results from large randomized trials define their benefits and risks. |
| Important limitations | Limited clinical experience and evidence. Long-term efficacy and most side effects are not yet fully characterized. Dose optimization is being studied due to dose escalation and expansion trial design. | Some patients develop resistance or progression after endocrine and targeted therapies. Chemotherapy is often considered when endocrine options are exhausted, highlighting the need for more active treatments. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 24 months
Participants receive PF-07248144, alone or in combination with other drugs, to evaluate safety, tolerability, and anti-tumor activity.
Regular visits during dose escalation and dose expansion phases
Duration - Up to 24 months
Participants are monitored for safety and treatment effects after stopping the study drug.
Visits as needed for safety assessments
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
10
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Toru Mukohara, Yeon Hee Park, David Sommerhalder...
https://pubmed.ncbi.nlm.nih.gov/38824244/Timothy R Bishop, Chitra Subramanian, Eric M Bilotta...
https://pubmed.ncbi.nlm.nih.gov/37127754/Pfizer
Lead Sponsor