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NCT07226999From ClinicalTrials.govRecruiting

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

  • Small Cell Lung Cancer (SCLC)

At a glance

Phase
Phase 2
Study type
Interventional
Sponsor
Pfizer
Enrolment target
550
Started
9 December 2025
Main results due
14 June 2030
Study sites
82
Registry updated
28 September 2026

Can you take part?

  • Aged 18 years and over.
  • Open to any sex.
  • You need the condition being studied — healthy volunteers are not accepted.

These are the headline rules only. Every study has a longer list, and whether you are eligible is decided by the research team at the site — never by this page.

Read the full eligibility criteria
Inclusion Criteria:

* 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

Exclusion Criteria:

* known active CNS lesions, including brainstem, meningeal, or spinal cord metastases or compression
* 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

What this study is about

In the sponsor’s own words, from the registry.

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.

Study sites(82)

  • Highlands Oncology Group

    Fayetteville, Arkansas, United States

    Recruiting

  • Highlands Oncology Group

    Rogers, Arkansas, United States

    Recruiting

  • Highlands Oncology Group

    Springdale, Arkansas, United States

    Recruiting

  • BRCR Coral Springs

    Coral Springs, Florida, United States

    Recruiting

  • Mid Florida Hematology and Oncology Center

    Orange City, Florida, United States

    Recruiting

  • BRCR Global - Tamarac

    Tamarac, Florida, United States

    Recruiting

  • University Hospitals Cleveland Medical Center

    Cleveland, Ohio, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Allen, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Arlington, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Arlington, Texas, United States

    Recruiting

  • Texas Oncology - Gulf Coast

    Beaumont, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Bedford, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Dallas, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Dallas, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Dallas, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Dallas, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Dallas, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Denison, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Denton, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Flower Mound, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Fort Worth, Texas, United States

    Recruiting

  • Texas Oncology - San Antonio

    Fredericksburg, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Grapevine, Texas, United States

    Recruiting

  • Texas Oncology - Gulf Coast

    Houston, Texas, United States

    Recruiting

  • Texas Oncology - Gulf Coast

    Houston, Texas, United States

    Recruiting

  • US Oncology Investigational Product Center (IPC)

    Irving, Texas, United States

    Recruiting

  • US Oncology Investigational Products Center (IPC)

    Irving, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Lewisville, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Longview, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    McKinney, Texas, United States

    Recruiting

  • Texas Oncology - San Antonio

    New Braunfels, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Palestine, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Paris, Texas, United States

    Recruiting

  • Texas Oncology - Gulf Coast

    Pearland, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Plano, Texas, United States

    Recruiting

  • Texas Oncology - DFW

    Plano, Texas, United States

    Recruiting

  • Texas Oncology - San Antonio

    San Antonio, Texas, United States

    Recruiting

  • Texas Oncology - San Antonio

    San Antonio, Texas, United States

    Recruiting

  • Texas Oncology - San Antonio

    San Antonio, Texas, United States

    Recruiting

  • Texas Oncology - Gulf Coast

    Sugar Land, Texas, United States

    Recruiting

  • Texas Oncology - Gulf Coast

    The Woodlands, Texas, United States

    Recruiting

  • Texas Oncology - Northeast Texas

    Tyler, Texas, United States

    Recruiting

  • Texas Oncology - Gulf Coast

    Webster, Texas, United States

    Recruiting

  • Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

    Blacksburg, Virginia, United States

    Recruiting

  • Virginia Oncology Associates

    Chesapeake, Virginia, United States

    Recruiting

  • Virginia Oncology Associates

    Hampton, Virginia, United States

    Recruiting

  • Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

    Low Moor, Virginia, United States

    Recruiting

  • Virginia Oncology Associates

    Newport News, Virginia, United States

    Recruiting

  • Virginia Oncology Associates

    Norfolk, Virginia, United States

    Recruiting

  • Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

    Roanoke, Virginia, United States

    Recruiting

  • Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

    Salem, Virginia, United States

    Recruiting

  • Virginia Oncology Associates

    Virginia Beach, Virginia, United States

    Recruiting

  • Virginia Oncology Associates

    Williamsburg, Virginia, United States

    Recruiting

  • Oncology & Hematology Associates of Southwest Virginia, Inc., DBA Blue Ridge Cancer Care

    Wytheville, Virginia, United States

    Recruiting

  • Westmead Hospital

    Westmead, New South Wales, Australia

    Recruiting

  • Sunshine Coast University Hospital

    Birtinya, Queensland, Australia

    Recruiting

  • Guangdong Provincial People's Hospital

    Guangzhou, Guangdong, China

    Recruiting

  • Fudan University Shanghai Cancer Center

    Shanghai, Shanghai Municipality, China

    Recruiting

  • Gustave Roussy

    Villejuif, France

    Recruiting

  • Hôpital Ambroise Paré

    Boulogne-Billancourt, Île-de-France Region, France

    Recruiting

Showing 60 of 82 sites — filter to narrow it down. 82 of the 82 sites on this study are recruiting right now — a site can stop enrolling while the study as a whole is still open.

Source: ClinicalTrials.gov record NCT07226999. Trialion does not run this study, is not paid to refer anyone to it, and cannot enrol you. Eligibility is always decided by the research team at the site.

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Symbiotic-Lung-04: A Study to Learn About the Study Medicine Called PF-08634404 in Combination With Chemothera | Trialion