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CTRI Number  CTRI/2025/04/084336 [Registered on: 07/04/2025] Trial Registered Prospectively
Last Modified On: 04/04/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   A Study to Learn About the Medicine Called PF-07220060 in Combination With Letrozole compared to CDK4/6i With Letrozole in People Over 18 Yr of Age With HR+ve, HER2-ve Advanced/Metastatic Breast Cancer who Have not Received any Prior Systemic Anticancer Treatment for Advanced/Metastatic Disease 
Scientific Title of Study   An Interventional, Open-Label, Randomized, Multicenter Phase 3 Study of PF-07220060 Plus Letrozole Compared to CDK4/6 Inhibitor Plus Letrozole in Participants Over 18 Years of Age With Hormone Receptor-Positive, HER2-Negative Advanced/Metastatic Breast Cancer who Have not Received any Prior Systemic Anticancer Treatment for Advanced/Metastatic Disease 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
2024-512925-95-00  EudraCT 
NCT06760637  ClinicalTrials.gov 
Protocol No C4391024 Version-Original,dated 3-Sep-2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Dr Seema Pai 
Designation  Sr Director Clinical Site Operations – India Cluster 
Affiliation  Pfizer Limited 
Address  The Capital, 1802-1901, Plot No. C-70, G Block, Bandra Kurla Complex, Bandra (East)

Mumbai
MAHARASHTRA
400051
India 
Phone  02266932000  
Fax    
Email  seema.pai@pfizer.com  
 
Details of Contact Person
Public Query
 
Name  Dr Seema Pai 
Designation  Sr Director Clinical Site Operations – India Cluster 
Affiliation  Pfizer Limited 
Address  The Capital, 1802-1901, Plot No. C-70, G Block, Bandra Kurla Complex, Bandra (East)


MAHARASHTRA
400051
India 
Phone  02266932000  
Fax    
Email  seema.pai@pfizer.com  
 
Source of Monetary or Material Support  
Pfizer Inc. 66 Hudson Boulevard East New York 10001 United States 
 
Primary Sponsor  
Name  Pfizer Inc 
Address  66 Hudson Boulevard East New York 10001 United States 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
Pfizer Limited  The Capital, 1802/1901, Plot No. C-70, G Block, Bandra Kurla Complex, Bandra (East), Mumbai 400051, Maharashtra, India 
 
Countries of Recruitment     Argentina
Australia
Belgium
Brazil
Bulgaria
Canada
Chile
China
Czech Republic
Denmark
Finland
France
Germany
Greece
Hungary
India
Ireland
Israel
Italy
Japan
Mexico
Netherlands
Poland
Slovakia
Spain
Sweden
Switzerland
Taiwan
Turkey
United Kingdom
United States of America
Republic of Korea  
Sites of Study  
No of Sites = 11  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shailesh Bondarde  Apex Wellness Hospital  Survey No. 799, plot no 187, Behind Prakash Petrol Pump, Govind nagar, Nashik 422009
Nashik
MAHARASHTRA 
9822012427

shaileshbondarde1971@gmail.com 
Dr Sandip Ganguly  Apollo Hospitals  58, Canal Circular Road, Kolkata 700054
Kolkata
WEST BENGAL 
9903974739

dr.sandipganguly@gmail.com 
Dr Priya Tiwari  Artemis hospital  Sector 51, Gurugram 122001
Gurgaon
HARYANA 
8377828241

Priya.Tiwari@artemishospitals.com 
Dr Krishna Mohan MVT  Basavatarakam Indo American Cancer Hospital and Research Institute  Road No. 10, Banjara Hills, Hyderabad - 500034
Hyderabad
TELANGANA 
9866154503

mvtkm@yahoo.com 
Dr Nirmal Raut  Bhakti Vedanta Hospital and Research Institute  Bhakti Vedanta Hospital and Research Institute, 3rd floor, Medical Research Department, Bhaktivedanta Swami Marg, Mira Road, Opposite to ISKCON temple, Thane 401107
Thane
MAHARASHTRA 
9930398156

pinirmal123@gmail.com 
Dr Sachin Hingmere  LMMFs, Deenanath Mangeshkar Hospital and Research Center  off karve road, Erandawane
Pune
MAHARASHTRA 
9324517684

sshingmire@yahoo.com 
Dr Anshul Agarwal  Nirmal Hospital Pvt Ltd  Department of Clinical Research, Ring Road, Surat 395002
Surat
GUJARAT 
91 9377113143

dranshulragarwal@gmail.com 
Dr Dinesh Doval  Rajiv Gandhi Cancer Institute and Research Centre  Department of Oncology, Room No. 52, Sector V Rohini west Metro station Delhi, Southwest Delhi
New Delhi
DELHI 
911127051011

dcdoval@gmail.com 
Dr Tushar Vishvasrao Patil  Sahyadri Super Speciality Hospital  30 C, Erandwane, Karve Road, Pune 411004
Pune
MAHARASHTRA 
9552522556

tushar.patil@sahyadrihospitals.com 
Dr Satheesh C T  Spandana Oncology Centre  #919, New No. 68, 28th main road, 9th block, Jayanagar, Bangalore 560069
Bangalore
KARNATAKA 
9242698750

drsatheeshct@gmail.com 
Dr Sudeep Gupta  Tata memorial Centre  Tata Memorial Hospital, Homi Babha Building, Dr Ernest Borges Rd, Parel East, Parel, Mumbai 400012
Mumbai
MAHARASHTRA 
9821298642

sudeepgupta04@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 11  
Name of Committee  Approval Status 
Apex Wellness Ethics Committee, Apex wellness Hospital  Approved 
Artemis Health Science institutional Ethics Committee  Approved 
Bhaktivedanta Hospital Ethics Committee Bhaktivedanta Hospital and Research institute  Approved 
EC for Spandana Oncology Centre, Spandana Oncology Centre  Approved 
Institutional Ethics Committee Basavatarakam Indo American Cancer Hospital abd research Institute  Approved 
Institutional Ethics Committee, Apollo Multispeciality Hospitals Limited  Approved 
Institutional Ethics committee, Deenanath Mangeshkar Hospital and Research Centre  Submittted/Under Review 
Institutional Review Board, Rajiv Gandhi Cancer Institute and Research Centre  Approved 
NIRMAL HOSPITAL PVT. LTD ETHICS COMMITTEE  Approved 
Sahyadri Hospitals Pvt. Ltd., Ethics Committee, Sahyadri Clinical Research and Develeopment Center  Approved 
TMH Institutional Ethics Committee - I/ II, Tata Memorial Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Arm A: PF-07220060 Letrozole  PF-07220060 tablet taken orally twice daily plus Letrozole tablet taken orally daily.  
Comparator Agent  Arm B: Letrozole, Abemaciclib, Palbociclib, Ribociclib  Investigators Choice of CDK4/6 inhibitor (tablet/capsule) taken by mouth with letrozole tablet taken by mouth 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  - Histological confirmation of breast cancer with evidence of locally advanced or metastatic disease, which is not amenable to surgical resection or radiation therapy with curative intent.
- Documented estrogen receptor (ER) and/or progesterone receptor (PR)-positive tumor
- Documented HER2-negative tumor
- Previously untreated with any systemic anticancer therapy for their locally advanced or metastatic disease.
- Measurable disease or non-measurable bone only disease as defined by RECIST version 1.1 
 
ExclusionCriteria 
Details  - In visceral crisis at risk of immediately life-threatening complications in the short term.
- Current or past history of central nervous system metastases.
- Have received prior (neo)adjuvant endocrine therapy (ET) and had recurrence during or within 12 months after the last dose of ET.
- Have received prior (neo)adjuvant CDK4/6i and had recurrence during or within 12 months after the last dose of CDK4/6i.
- Inadequate renal function, hepatic dysfunction, or hematologic abnormalities. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Progression Free Survival (PFS) by BICR: Time from the date of randomization to the date of the first documentation of objective progressive disease as determined by blinded independent central review (BICR) per RECIST v1.1, or death due to any cause, whichever occurs first  Upto 13 years 
 
Secondary Outcome  
Outcome  TimePoints 
Overall Survival (OS): Time from the date of randomization to the date of death due to any cause  Up to approximately 13 years 
Progression Free Survival (PFS) by Investigator: Time from the date of randomization to the date of the first documentation of objective progressive disease as determined by investigator per RECIST v1.1, or death due to any cause, whichever occurs first  Up to approximately 4 years 
OR by BICR & by investigator: Time from randomization date (every 8 weeks during the first 48 weeks & then every 12 weeks) to the date of progression OR death whichever occurs first
 
Up to approximately 4 years 
Duration of Response (DoR) by BICR & by investigator: Time from the date of CR or PR to the first documentation of objective progressive disease, or death due to any cause, whichever occurs first  Up to approximately 4 years 
Incidence of treatment emergent treatment related adverse events (AE): Incidence & severity of AEs graded according to the NCI CTCAE v5.0  Up to 13 years. 
Estimated mean change from baseline in EORTC QLQ C30  Up to approximately 4 years 
Estimated mean change from baseline in BPI-SF  Up to approximately 4 years 
Estimated mean change from baseline in EQ-5D-5L  Up to approximately 4 years 
Estimated mean change from baseline in EORTC Breast Cancer Module (BR42)  Up to approximately 4 years 
Mean change from baseline of ctDNA  Up to approximately 4 years 
 
Target Sample Size   Total Sample Size="1020"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   05/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  06/01/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="13"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The purpose of this study is to determine the safety and efficacy of PF-07220060 with letrozole compared to approved treatments (ie, palbociclib, ribociclib or abemaciclib with letrozole) in people with breast cancer:

  • HR-positive (breast cancer cells that need estrogen or progesterone to grow)
  • HER2-negative (cells that have a small amount or none of a protein called HER2 on their surface);
  • locally advanced (that has spread from where it started to nearby tissue or lymph nodes) or metastatic disease (the spread of cancer to other places in the body)
  • who have not received any prior systemic anti-cancer treatment for advanced/metastatic disease.

Approximately half of the participants will receive PF-07220060 plus letrozole while the other half of participants will receive the investigator’s choice of treatment plus letrozole.

The study team will monitor how each participant is doing with the study treatment during regular visits at the study clinic.

 
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