Clinical trial Recruiting at 343 sites Phase 3 Interventional Ages 18 and up

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.

More Colorectal Neoplasms trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment800 (estimated)
SponsorPfizer
Industry-sponsored
Drugs / interventionsBevacizumab, chemotherapy
Locations372 sites (Chandler, Arizona and 371 other locations)
StatusRecruiting
StartedDecember 11, 2025
Main results expectedFebruary 23, 2030
Study endsAugust 17, 2031
Registry record updatedOctober 8, 2026
Trial IDNCT07222800 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.