Evidence map›Paper›PMID 40243688›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

First-in-Human Phase I/IIa Study of the First-in-Class CDK2/4/6 Inhibitor PF-06873600 Alone or with Endocrine Therapy in Patients with Breast Cancer.

Timothy A Yap, Jonathan W Goldman, Shaveta Vinayak, Antoaneta Tomova, Erika Hamilton, Yoichi Naito, Antonio Giordano, Igor Bondarenko, Toshinari Yamashita, Li Zhou and 7 more

Abstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Next-generation CDK inhibitors in HR+/HER2- breast cancer.The Journal of clinical investigation · 2026
    Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Seize the engine: Emerging cell cycle targets in breast cancer.Clinical and translational medicine · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Timothy A YapDepartment of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-2154-3309
Jonathan W GoldmanUCLA Hematology/Oncology, Los Angeles, California.ORCID 0000-0002-4925-8243
Shaveta VinayakUniversity of Washington/Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0001-9197-7316
Antoaneta TomovaComplex Oncology Center Plovdiv, Plovdiv, Bulgaria.ORCID 0009-0009-1413-6041
Erika HamiltonSarah Cannon Research Institute, Nashville, Tennessee.ORCID 0000-0002-1911-0336
Yoichi NaitoNational Cancer Center Hospital East, Chiba, Japan.ORCID 0000-0002-8490-9064
Antonio GiordanoDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-7760-9717
Igor BondarenkoMunicipal Non-profit Enterprise "City Clinical Hospital #4" of Dnipro City Council, Dnipro, Ukraine.ORCID 0000-0002-7071-2471
Toshinari YamashitaKanagawa Cancer Center, Kanagawa, Japan.ORCID 0000-0002-6479-1660
Li ZhouPfizer Inc., La Jolla, California.ORCID 0000-0002-9147-9357
Allison MoreauPfizer Inc., La Jolla, California.ORCID 0009-0001-9255-8217
Heather NeumannPfizer Inc., La Jolla, California.ORCID 0009-0004-9909-2052
Jessica TougiasPfizer Inc., Redding, Connecticut.ORCID 0009-0001-0433-1101
Feng LiuPfizer Inc., La Jolla, California.ORCID 0009-0003-9694-0602
Jennifer ParkPfizer Inc., La Jolla, California.ORCID 0009-0007-8662-9748
Maria DelioukinaPfizer Inc., La Jolla, California.ORCID 0009-0005-6827-7502
Komal JhaveriMemorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0472-1254

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeThe discovery that cyclin E overexpression is a key cyclin-dependent kinase (CDK) 4/6 inhibitor resistance mechanism has reinvigorated interest in targeting CDK2 and the simultaneous inhibition of CDK2/4/6 as a novel therapeutic approach. This first-in-human study assessed the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of PF-06873600, the first-in-class inhibitor of CDK2/4/6. PATIENTS AND

methodsDose escalation included 78 patients with advanced breast cancer, triple-negative breast cancer, or ovarian cancer who received oral PF-06873600 at doses ranging from 1 to 50 mg twice daily (part 1A, n = 51) or PF-06873600 with endocrine therapy (part 1B, n = 16; part 1C, n = 11) to determine the recommended dose for expansion (RDE). Dose expansion (part 2A, n = 45; part 2C, n = 28) assessed preliminary antitumor activity, safety, and tolerability at the RDE in combination with fulvestrant in patients with hormone receptor+/HER2- metastatic breast cancer. Pharmacodynamics and translational readouts were assessed by measuring phosphorylated Rb and Ki67 in tumor biopsies and ctDNA.

resultsThe RDE of PF-06873600 was 25 mg twice daily. During dose escalation, 6 of 42 (14.3%) evaluable patients had treatment-related dose-limiting toxicities. The most common all-causality adverse events (N = 151) were nausea (62.9%), anemia (44.4%), and fatigue (43.7%). Reductions in Ki67-positive cells, phosphorylated Rb histo-score, and ctDNA levels were observed. Three RECIST partial responses (PR) were observed in part 1. In part 2A, there were three PRs (objective response rate, 6.7%; 95% confidence interval, 1.4%-18.3%), and in part 2C, there were five PRs (objective response rate, 22.7%; 95% confidence interval, 7.8%-45.4%).

conclusionsPF-06873600 demonstrated a benefit-risk profile consistent with the CDK4/6 inhibitor class of drugs, with preliminary clinical activity in hormone receptor+/HER2- metastatic breast cancer.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsCyclin-Dependent Kinase 2Cyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Protein Kinase InhibitorsAdultAgedAged, 80 and overFemaleHumansMiddle AgedTreatment OutcomeCDK2 protein, humanCDK4 protein, humanCDK6 protein, humanCyclin-Dependent Kinase 2Cyclin-Dependent Kinase 4Cyclin-Dependent Kinase 6Protein Kinase Inhibitors

Identifiers

PMID40243688
PMCPMC12260505

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.