NCT07226999RecruitingPhase 2/3
Symbiotic-Lung-04: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemotherapy in Adult Participants With Extensive-Stage Small Cell Lung Cancer
A GLOBAL PHASE 2/3 INTERVENTIONAL STUDY OF PF-08634404 IN COMBINATION WITH CHEMOTHERAPY IN PARTICIPANTS WITH EXTENSIVE STAGE SMALL CELL LUNG CANCER
Source: ClinicalTrials.gov · Last updated 8 Oct 2026
Brief summary (registry, in English)
This study is being done to learn more about a new medicine called PF-08634404 and how well it works when given with chemotherapy to adults with extensive-stage small cell lung cancer (ES-SCLC), a fast-growing type of lung cancer that has spread widely in the body. To join the study, participants must meet the following conditions: * Be 18 years or older. * Have extensive-stage small cell lung cancer confirmed by lab tests. * Have not received chemotherapy or radiation for this type of lung cancer. * Be in good physical condition and have healthy organs based on medical tests. The study has two parts: * In the first part, researchers will check how safe the study medicine is and how well people tolerate it when given with chemotherapy. * In the second part, they will compare study medicine plus chemotherapy to another approved treatment (atezolizumab plus chemotherapy) to see which works better. Participants will receive the treatment through IV infusions (medicine given directly into a vein). The treatment will be given in repeated time periods called cycles. Some participants will continue receiving the study medicine alone after the initial treatment.
- Status (registry)
- Recruiting
- Phase (registry)
- Phase 2/3
- Study type
- Interventional
- Enrollment
- 550 (estimated)
- First submitted
- 7 Nov 2025
- Start date
- 9 Dec 2025
- Primary completion date
- 14 Jun 2030
- Lead sponsor
- Pfizer
- Diseases
- Lung cancer
- NCT number
- NCT07226999
- EU CT number
- 2025-523522-41-00
What you commit to
- Study type: Interventional · Phase 2/3
- Planned participants: 550
- From 9 Dec 2025 to the primary completion date, 14 Jun 2030
- 71 sites in 10 countries
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- Leptomeningeal disease
- Clinically significant risk of hemorrhage or fistula
- history of another malignancy within 3 years
- active autoimmune diseases requiring systemic treatment within the past 2 years
Other
- known active CNS lesions, including brainstem, meningeal, or spinal cord metastases or compression
Who the study is looking for
- Histologically or cytologically confirmed extensive-stage small cell lung cancer (ES-SCLC).
- Participants have not received systemic therapy (chemotherapy, radiotherapy, chemoradiation) for ES-SCLC.
- Treatment-free for at least 6 months since last chemo/radiotherapy, among those treated (with curative intent) with prior chemo/radiotherapy for limited-stage SCLC
- Have at least one measurable lesion as the targeted lesion based on RECIST V1.1.
- Eastern Cooperative Oncology Group performance status of 0 or 1.
- Adequate organ function
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (71)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Sunshine Coast University Hospital Coordinator of this site? Confirm its status | Birtinya | Australia | Recruiting |
| Westmead Hospital Coordinator of this site? Confirm its status | Westmead | Australia | Recruiting |
| Guangdong Provincial People's Hospital Coordinator of this site? Confirm its status | Guangzhou | China | Recruiting |
| Fudan University Shanghai Cancer Center Coordinator of this site? Confirm its status | Shanghai | China | Recruiting |
| Marien Hospital Duesseldorf GmbH Coordinator of this site? Confirm its status | Duesseldorf | Germany | Not yet recruiting |
| Krankenhaus Nordwest GmbH Coordinator of this site? Confirm its status | Frankfurt am Main | Germany | Not yet recruiting |
| Hospital del Mar Coordinator of this site? Confirm its status | Barcelona | Spain | Recruiting |
| Hospital Universitari Vall d'Hebron Coordinator of this site? Confirm its status | Barcelona | Spain | Recruiting |
| Hospital Universitario de Jaén Coordinator of this site? Confirm its status | Jaén | Spain | Recruiting |
| Hospital de Jerez de la Frontera Coordinator of this site? Confirm its status | Jerez de la Frontera | Spain | Recruiting |
| Hospital Universitario 12 de Octubre Coordinator of this site? Confirm its status | Madrid | Spain | Recruiting |
| Hôpital Ambroise-Paré Coordinator of this site? Confirm its status | Boulogne-Billancourt | France | Not yet recruiting |
| Institut Gustave Roussy Coordinator of this site? Confirm its status | Villejuif | France | Not yet recruiting |
| Centro di Riferimento Oncologico di Aviano Coordinator of this site? Confirm its status | Aviano | Italy | Not yet recruiting |
| Azienda Ospedaliero-Universitaria San Luigi Gonzaga Coordinator of this site? Confirm its status | Orbassano | Italy | Not yet recruiting |
| I.F.O. Istituti Fisioterapici Ospitalieri Coordinator of this site? Confirm its status | Rome | Italy | Not yet recruiting |
| Kansai Medical University Hospital Coordinator of this site? Confirm its status | Hirakata | Japan | Recruiting |
| Japanese Foundation for Cancer Research Coordinator of this site? Confirm its status | Kotoku | Japan | Recruiting |
| Shizuoka Cancer Center Coordinator of this site? Confirm its status | Nagaizumi-chō | Japan | Recruiting |
| Doctor's Center Hematology & Oncology Group Coordinator of this site? Confirm its status | Manati | Puerto Rico | Recruiting |
| Pan American Center for Oncology Trials, LLC - Mayaguez Office Mayaguez Medical Center Coordinator of this site? Confirm its status | Mayagüez | Puerto Rico | Recruiting |
| Hospital Oncologico Dr. Isaac Gonzalez-Martinez Coordinator of this site? Confirm its status | San Juan | Puerto Rico | Recruiting |
| Pan American Center for Oncology Trials LLC Coordinator of this site? Confirm its status | San Juan | Puerto Rico | Recruiting |
| National Cheng Kung University Hospital Coordinator of this site? Confirm its status | Tainan | Taiwan | Recruiting |
| National Taiwan University Hospital Coordinator of this site? Confirm its status | Taipei | Taiwan | Recruiting |
| Taipei Medical University Hospital Coordinator of this site? Confirm its status | Taipei | Taiwan | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Allen | United States | Recruiting |
| Texas Oncology - DFW Coordinator of this site? Confirm its status | Arlington | United States | Recruiting |
| Texas Oncology - Gulf Coast Coordinator of this site? Confirm its status | Beaumont | United States | Recruiting |
| Texas Oncology - DFW Coordinator of this site? Confirm its status | Bedford | United States | Recruiting |
| Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care Coordinator of this site? Confirm its status | Blacksburg | United States | Recruiting |
| Virginia Oncology Associates Coordinator of this site? Confirm its status | Chesapeake | United States | Recruiting |
| University Hospitals Cleveland Medical Center* Coordinator of this site? Confirm its status | Cleveland | United States | Recruiting |
| BRCR Coral Springs Coordinator of this site? Confirm its status | Coral Springs | United States | Recruiting |
| Texas Oncology - DFW Coordinator of this site? Confirm its status | Dallas | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Denison | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Denton | United States | Recruiting |
| Highlands Oncology Group Coordinator of this site? Confirm its status | Fayetteville | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Flower Mound | United States | Recruiting |
| Texas Oncology - DFW Coordinator of this site? Confirm its status | Fort Worth | United States | Recruiting |
| Texas Oncology - San Antonio Coordinator of this site? Confirm its status | Fredericksburg | United States | Recruiting |
| Texas Oncology - DFW Coordinator of this site? Confirm its status | Grapevine | United States | Recruiting |
| Virginia Oncology Associates Coordinator of this site? Confirm its status | Hampton | United States | Recruiting |
| Texas Oncology - Gulf Coast Coordinator of this site? Confirm its status | Houston | United States | Recruiting |
| US Oncology Investigational Product Center (IPC) Coordinator of this site? Confirm its status | Irving | United States | Recruiting |
| US Oncology Investigational Products Center (IPC) Coordinator of this site? Confirm its status | Irving | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Lewisville | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Longview | United States | Recruiting |
| Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care Coordinator of this site? Confirm its status | Low Moor | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | McKinney | United States | Recruiting |
| Texas Oncology - San Antonio Coordinator of this site? Confirm its status | New Braunfels | United States | Recruiting |
| Virginia Oncology Associates Coordinator of this site? Confirm its status | Newport News | United States | Recruiting |
| Virginia Oncology Associates Coordinator of this site? Confirm its status | Norfolk | United States | Recruiting |
| Mid Florida Hematology and oncology Center Coordinator of this site? Confirm its status | Orange City | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Palestine | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Paris | United States | Recruiting |
| Texas Oncology - Gulf Coast Coordinator of this site? Confirm its status | Pearland | United States | Recruiting |
| Texas Oncology - DFW Coordinator of this site? Confirm its status | Plano | United States | Recruiting |
| Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care Coordinator of this site? Confirm its status | Roanoke | United States | Recruiting |
| Highlands Oncology Group Coordinator of this site? Confirm its status | Rogers | United States | Recruiting |
| Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care Coordinator of this site? Confirm its status | Salem | United States | Recruiting |
| Texas Oncology - San Antonio Coordinator of this site? Confirm its status | San Antonio | United States | Recruiting |
| Highlands Oncology Group Coordinator of this site? Confirm its status | Springdale | United States | Recruiting |
| Texas Oncology - Gulf Coast Coordinator of this site? Confirm its status | Sugar Land | United States | Recruiting |
| BRCR Global- Tamarac Coordinator of this site? Confirm its status | Tamarac | United States | Recruiting |
| Texas Oncology- Gulf Coast Coordinator of this site? Confirm its status | The Woodlands | United States | Recruiting |
| Texas Oncology - Northeast Texas Coordinator of this site? Confirm its status | Tyler | United States | Recruiting |
| Virginia Oncology Associates Coordinator of this site? Confirm its status | Virginia Beach | United States | Recruiting |
| Texas Oncology - Gulf Coast Coordinator of this site? Confirm its status | Webster | United States | Recruiting |
| Virginia Oncology Associates Coordinator of this site? Confirm its status | Williamsburg | United States | Recruiting |
| Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care Coordinator of this site? Confirm its status | Wytheville | United States | Recruiting |
This page is information, not medical advice. Discuss any trial with your doctor.