PF-08634404 plus chemotherapy for adults with metastatic colorectal cancer
Official title: AN INTERVENTIONAL, PHASE 3, DOUBLE-BLIND, RANDOMIZED STUDY TO EVALUATE THE EFFICACY AND SAFETY OF PF-08634404 IN COMBINATION WITH CHEMOTHERAPY VERSUS BEVACIZUMAB IN COMBINATION WITH CHEMOTHERAPY IN TREATMENT-NAÏVE PARTICIPANTS WITH METASTATIC COLORECTAL CANCER
Run by Pfizer · NCT07222800 · Data updated 2026-11-12
This trial will test whether adding a new drug called PF-08634404 to standard chemotherapy helps adults whose colorectal cancer has spread.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 800 (estimated) |
| Sponsor | Pfizer Industry-sponsored |
| Drugs / interventions | Bevacizumab, chemotherapy |
| Locations | 372 sites (Chandler, Arizona and 371 other locations) |
| Status | Recruiting |
| Started | December 11, 2025 |
| Main results expected | February 23, 2030 |
| Study ends | August 17, 2031 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT07222800 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with stage IV colorectal adenocarcinoma who have not received prior systemic therapy for metastatic disease, have at least one measurable lesion, ECOG 0–1, and adequate organ function are the intended participants.
✕Probably not a fit
Patients with MSI‑high/dMMR tumors, BRAF V600E mutations, active symptomatic central nervous system metastases, significant bleeding/fistula risk, recent major surgery, or prior allogeneic organ transplant are unlikely to qualify or benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized phase 3 trial enrolls adults with previously untreated metastatic colorectal adenocarcinoma and assigns them to receive either PF-08634404 plus standard chemotherapy or bevacizumab plus the same chemotherapy. Eligible participants must have measurable disease, ECOG performance status 0–1, and adequate organ function, while tumors with BRAF V600E mutation or MSI‑high/dMMR are excluded. The study will compare clinical outcomes such as tumor response and survival and will monitor safety and adverse events throughout treatment. The trial is being run at several Ironwood Cancer & Research Centers locations in Arizona.
Why it matters
Potential benefit: If successful, adding PF-08634404 to chemotherapy could provide better tumor control or extend survival compared with current first‑line therapy.
How similar studies have gone: Combining targeted agents with chemotherapy, such as bevacizumab plus chemo, has an established benefit in metastatic colorectal cancer, while PF-08634404 is a novel agent now being tested in a phase 3 comparison.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histological or cytological confirmed colorectal adenocarcinoma. * Evidence of Stage IV metastatic disease. * No prior systemic therapy for metastatic disease. * Eastern Cooperative Oncology Group performance status (ECOG) 0-1 * At least one measurable lesion according to RECIST 1.1 per Investigator assessment. * Adequate hepatic, liver, and renal function Exclusion Criteria: Participants are excluded from the study if any of the following criteria apply: * Locally confirmed BRAF V600E mutation * Locally confirmed microsatellite instability (MSI)-high or DNA mismatch repair deficiency (dMMR) colorectal cancer * Participants with known active symptomatic CNS lesions, including leptomeningeal metastasis, 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
Where it's running
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Ironwood Cancer & Research Centers
Chandler, Arizona, United States Recruiting -
Ironwood Cancer & Research Centers
Gilbert, Arizona, United States Recruiting -
Ironwood Cancer & Research Centers
Glendale, Arizona, United States Recruiting -
Ironwood Cancer & Research Centers
Goodyear, Arizona, United States Recruiting -
Ironwood Cancer & Research Centers
Mesa, Arizona, United States Recruiting -
Ironwood Cancer & Research Centers
Mesa, Arizona, United States Recruiting
Show 44 more locations
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Ironwood Cancer & Research Centers
Phoenix, Arizona, United States Recruiting -
Mayo Clinic Building- Phoenix
Phoenix, Arizona, United States Recruiting -
Mayo Clinic Hospital
Phoenix, Arizona, United States Recruiting -
Mayo Clinic
Scottsdale, Arizona, United States Recruiting -
Ironwood Cancer & Research Centers
Scottsdale, Arizona, United States Recruiting -
Highlands Oncology Group
Fayetteville, Arkansas, United States Recruiting -
Highlands Oncology Group
Rogers, Arkansas, United States Recruiting -
Highlands Oncology Group
Springdale, Arkansas, United States Recruiting -
UCSF at Berkeley Outpatient Center
Berkeley, California, United States Recruiting -
Alta Bates Summit Medical Center-Herrick Campus Comprehensive Cancer Center
Berkeley, California, United States Recruiting -
UCSD Medical Center - Encinitas
Encinitas, California, United States Recruiting -
Palo Alto Medical Foundation - Fremont Center
Fremont, California, United States Recruiting -
UC San Diego Medical Center - La Jolla (Jacobs Medical Center / Thornton Pavilion)
La Jolla, California, United States Recruiting -
UC San Diego Moores Cancer Center
La Jolla, California, United States Recruiting -
UCSD Koman Family Outpatient Pavilion
La Jolla, California, United States Recruiting -
Palo Alto Medical Foundation - Palo Alto Center
Palo Alto, California, United States Recruiting -
Roseville Medical Plaza Care Center
Roseville, California, United States Recruiting -
Sutter Medical Center, Sacramento Infusion Center at Roseville
Roseville, California, United States Recruiting -
University of California, Davis Comprehensive Cancer Center
Sacramento, California, United States Recruiting -
University of California, Davis Medical Center
Sacramento, California, United States Recruiting -
UC San Diego McGrath Outpatient Pavilion - Hillcrest
San Diego, California, United States Recruiting -
UC San Diego Medical Center - Hillcrest
San Diego, California, United States Recruiting -
UC San Diego Medical Center - Rancho Bernardo
San Diego, California, United States Recruiting -
UCSF at China Basin
San Francisco, California, United States Recruiting -
UCSF at Mount Zion
San Francisco, California, United States Recruiting -
UCSF at Parnassus
San Francisco, California, United States Recruiting -
UCSF Medical Center
San Francisco, California, United States Recruiting -
Dorothy Schneider Cancer Center
San Mateo, California, United States Recruiting -
Palo Alto Medical Foundation - San Mateo Care Center
San Mateo, California, United States Recruiting -
Airway Drive Care Center
Santa Rosa, California, United States Recruiting -
Palo Alto Medical Foundation - Sunnyvale Center
Sunnyvale, California, United States Recruiting -
UCSD Medical Center - Vista
Vista, California, United States Recruiting -
Rocky Mountain Cancer Centers, LLP
Aurora, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers - Boulder
Boulder, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers, LLP
Centennial, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers, LLP
Colorado Springs, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers, LLP
Colorado Springs, Colorado, United States Recruiting -
Intermountain Health Cancer Center Saint Joseph
Denver, Colorado, United States Recruiting -
Intermountain Health Saint Joseph Hospital - Research Office
Denver, Colorado, United States Recruiting -
Intermountain Health Saint Joseph Hospital
Denver, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers, LLP
Denver, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers, LLP
Denver, Colorado, United States Recruiting -
Rocky Mountain Cancer Centers, LLP
Englewood, Colorado, United States Recruiting -
Banner MD Anderson Cancer Center at North Colorado Medical Center
Greeley, Colorado, United States Recruiting
+322 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Pfizer CT.gov Call Center
- Email: ClinicalTrials.gov_Inquiries@pfizer.com
- Phone: 1-800-718-1021
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.