AzTrials
AzTrials

Advanced MalignanciesPhase 1NCT07426757

An Open-Label Study to Evaluate PF-07994525 in Participants With Advanced Cancers

A Phase 1 study testing PF-07994525 and Midazolam in people with Advanced Malignancies and Advanced Cancer, run by Pfizer at 30 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is an open-label, dose escalation and dose expansion study evaluating the safety, tolerability, Pharmacokinetic (PK), Pharmacodynamic (PD), and antitumor activity of PF-07994525 in participants with R/R MM. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Malignancies, Advanced Cancer
What is being tested?
PF-07994525 and Midazolam
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
30 sitesin 2 countries
Study dates
1 Jul 2026to 10 Jul 2030
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participants aged 18 years or older (or the minimum age of consent in accordance with local regulations) at the time of informed consent.
  • Prior diagnosis of MM as defined according to IMWG criteria (Rajkumar et al. 2014)
  • Measurable disease based on IMWG criteria as defined by at least 1 of the following:
  • Serum M-protein >0.5 g/dL by serum protein electrophoresis (SPEP)
  • Urinary M-protein excretion >200 mg/24 hours by urine protein electrophoresis (UPEP)
  • Serum immunoglobulin Free Light Chain (FLC) ≥10 mg/dL (≥100 mg/L) AND abnormal serum immunoglobulin kappa to lambda FLC ratio (<0.26 or >1.65)
  • Participants must be refractory to, or intolerant to, all established therapies known to provide clinical benefit in multiple myeloma that are an appropriate therapeutic option, in the judgement of the investigator. A minimum of 3 prior lines of therapy are required.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

Who cannot join

  • Active plasma cell leukemia, Smoldering MM, Waldenströms macroglobulinemia, Amyloidosis, POEMS Syndrome.
  • Autologous stem cell transplant within 12 weeks prior to enrollment or active Graft-versus-host disease (GVHD).
  • Active or suspected cerebral/meningeal disease related to the underlying malignancy.
  • Any active, uncontrolled bacterial, fungal, or viral infection, including (but not limited to) COVID-19, Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), known HIV or AIDS related illness, unless deemed not clinically significant by the investigator (eg, onychomycosis).

Trial locations and contacts

30 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

30 sites in 2 countries

United States27 sites, 27 recruiting
  • Emory University Hospital Midtown

    Atlanta, Georgia, 30308

    Recruiting
  • Emory University Hospital

    Atlanta, Georgia, 30322

    Recruiting
  • Winship Cancer Institute, Emory University

    Atlanta, Georgia, 30322

    Recruiting
  • Ohio State University Hospitals

    Columbus, Ohio, 43210

    Recruiting
  • The James Cancer Hospital and Solove Research Institute

    Columbus, Ohio, 43210

    Recruiting
  • The James Outpatient Care West Campus

    Columbus, Ohio, 43210

    Recruiting
  • Sylvester Comprehensive Cancer Center- The Lennar Foundation Medical Center

    Coral Gables, Florida, 33146

    Recruiting
  • Sylvester Comprehensive Cancer Center - Coral Springs

    Coral Springs, Florida, 33065

    Recruiting
  • University of Miami Hospital and Clinics - Deerfield Beach

    Deerfield Beach, Florida, 33442

    Recruiting
  • Colorado Blood Cancer Institute

    Denver, Colorado, 80218

    Recruiting
  • Presbyterian/St. Luke's Medical Center

    Denver, Colorado, 80218

    Recruiting
  • Sylvester Comprehensive Cancer Center- Doral

    Doral, Florida, 33166

    Recruiting
  • Sylvester Comprehensive Cancer Center - Hollywood

    Hollywood, Florida, 33021

    Recruiting
  • Sylvester Comprehensive Cancer Center

    Miami, Florida, 33136

    Recruiting
  • University of Miami Hospital and Clinics

    Miami, Florida, 33136

    Recruiting
  • Sylvester Comprehensive Cancer Center- Kendall

    Miami, Florida, 33176

    Recruiting
  • Sarah Cannon Research Institute - Pharmacy

    Nashville, Tennessee, 37203

    Recruiting
  • SCRI Oncology Partners

    Nashville, Tennessee, 37203

    Recruiting
  • Tristar BMT

    Nashville, Tennessee, 37203

    Recruiting
  • TriStar Centennial Medical center

    Nashville, Tennessee, 37203

    Recruiting
  • Smilow Cancer Hospital - Yale New Haven Health

    New Haven, Connecticut, 06510

    Recruiting
  • Yale-New Haven Hospital-Yale Cancer Center

    New Haven, Connecticut, 06510

    Recruiting
  • Smilow Cancer Hospital Phase 1 Unit

    New Haven, Connecticut, 06511

    Recruiting
  • Yale University - Smilow Cancer Hospital; C/O Thomas Ferencz, RPh, BCOP

    New Haven, Connecticut, 06511

    Recruiting
  • Smilow Cancer Hospital - North Haven

    North Haven, Connecticut, 06473

    Recruiting
  • Sylvester Comprehensive Cancer Center - Sole Mia

    North Miami, Florida, 33181

    Recruiting
  • Sylvester Comprehensive Cancer Center - Plantation

    Plantation, Florida, 33324

    Recruiting

Other trials in United States

Canada3 sites, 3 recruiting
  • Arthur J.E. Child Comprehensive Cancer Centre

    Calgary, Alberta, T2N 5G2

    Recruiting
  • Juravinski Cancer Centre

    Hamilton, Ontario, L8V 5C2

    Not yet recruiting
  • University Health Network- Princess Margaret Cancer Centre

    Toronto, Ontario, M5G2M9

    Recruiting

Other trials in Canada

About this study

Official title: AN OPEN-LABEL PHASE 1 STUDY TO EVALUATE PF-07994525 IN PARTICIPANTS WITH ADVANCED MALIGNANCIES

This is an open-label, dose escalation and dose expansion study evaluating the safety, tolerability, Pharmacokinetic (PK), Pharmacodynamic (PD), and antitumor activity of PF-07994525 in participants with R/R MM.

The study will consist of 2 parts: Part 1 (Dose Escalation) will consist of PF-07994525 dose escalation to assess the safety, tolerability, and preliminary antitumor activity in participants with R/R MM. In Part 2 (Dose expansion), PF-07994525 may be evaluated in additional participants with R/R MM to further assess safety, PK, PD, and preliminary anti-tumor activity.

Being tested
PF-07994525, Midazolam
Keywords
Advanced Malignancies, Advanced Cancers, Advanced Cancer

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PF-07994525Drug

    Oral administration

  • MidazolamDrug

    Oral administration

Study groups in NCT07426757
Study groupRoleWhat they receive
Part 1ExperimentalMonotherapy Dose Expansion
Receives: Drug: PF-07994525; Drug: Midazolam
Part 2ExperimentalMonotherapy Dose Escalation
Receives: Drug: PF-07994525

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Type, incidence and severity of participants with adverse events (AEs)

    Type, incidence, severity (graded by National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE] version 5.0), timing, seriousness, and relatedness of adverse events (AEs)

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  2. Type, incidence and severity of participants with laboratory abnormalities

    Type, incidence, and severity (graded by NCI CTCAE version 5.0) of laboratory abnormalities

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  3. Number of participants with dose modifications

    Frequency of dose modifications (eg, dose delay, treatment interruptions, dose reductions, and treatment discontinuations) due to AEs

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  4. Part 1: Number of Participants With Dose-limiting Toxicities (DLTs)

    Occurrence of DLTs as defined by the protocol

    Measured: Baseline to end of DLT evaluation period

  5. Part 1: Recommended Monotherapy Dose for Expansion (RDE)

    RDE will be based on cumulative safety, preliminary antitumor activity and pharmacokinetics findings

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  6. Part 2: Recommended Dose for future development

    Safety, and preliminary anti-tumor activity

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

Secondary outcomes (20)
  1. Objective response rate (ORR) per International Myeloma Working Group (IMWG) response criteria as determined by investigator.

    Measured: Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

  2. Complete response rate (CRR) per International Myeloma Working Group (IMWG) response criteria as determined by investigator.

    Measured: Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

  3. Time to response (TTR) per IMWG as determined by investigator

    Measured: Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

  4. Duration of response (DOR) per IMWG as determined by investigator

    Measured: Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

  5. Duration of complete response (DOCR) per IMWG as determined by investigator

    Measured: Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

  6. Progression-free survival (PFS) per IMWG as determined by investigator

    Measured: Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

  7. Overall survival (OS)

    Measured: Baseline until the date of the first documentation of disease progression, death, or start of new anticancer therapy (approximately 2 years)

  8. Single, Multiple Dose and food effect: Maximum Observed Concentration (Cmax)

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  9. Single, Multiple Dose and food effect: Time to Maximum concentration (Tmax)

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  10. Single, Multiple Dose and food effect: AUC from time zero to time of last measurable concentration (AUClast)

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  11. Single Dose and food effect: Terminal Elimination half-life (t1/2) as data permit

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  12. Single Dose and food effect: AUC versus time curve from time 0 extrapolated to infinity (AUCinf) as data permit

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  13. Single, Multiple Dose and food effect: apparent clearance of drug (CL/F) as data permit

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  14. Single, Multiple Dose and food effect: Apparent volume of distribution during terminal phase (Vz/F) as data permit

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  15. Multiple Dose: AUC at steady state over the dosing interval (AUCtau) as data permit

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  16. Multiple Dose: Cmin as data permit

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  17. Multiple Dose: Accumulation ratio (Rac) as data permit

    Pharmacokinetic (PK) assessments for PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  18. AUC from time zero to time of last measurable concentration (AUClast)

    PK parameters of CYP3A4 probe substrate midazolam with and without PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  19. Time to Maximum concentration (Tmax)

    PK parameters of CYP3A4 probe substrate midazolam with and without PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

  20. Maximum Observed Concentration (Cmax)

    PK parameters of CYP3A4 probe substrate midazolam with and without PF-07994525

    Measured: From the first day through 30-37 days after the last study treatment, up to approximately 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Feb 2026
  2. Study start1 Jul 2026
  3. Primary completion10 Jul 2029 (estimated)
  4. Study completion10 Jul 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07426757
Sponsor's protocol ID
C6331001
Other IDs
KAT2i
Status last verified
Nov 2026
First submitted
16 Feb 2026
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PF-07994525 and Midazolam in people with Advanced Malignancies and Advanced Cancer, run by Pfizer at 30 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 30 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Pfizer CT.gov Call Center (1-800-718-1021, ClinicalTrials.gov_Inquiries@pfizer.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Type, incidence and severity of participants with adverse events (AEs) (time frame: From the first day through 30-37 days after the last study treatment, up to approximately 2 years). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in