- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06238479
A Study of LY4101174 in Participants With Recurrent, Advanced or Metastatic Solid Tumors
April 18, 2024 updated by: Eli Lilly and Company
A Phase 1 Trial Investigating LY4101174, an Antibody-Drug Conjugate Targeting Nectin-4, in Participants With Recurrent, Advanced or Metastatic Solid Tumors
The purpose of this study is to find out whether the study drug, LY4101174, is safe, tolerable and effective in participants with advanced, or metastatic solid tumors.
The study is conducted in two parts - phase Ia (dose-escalation, dose-optimization) and phase Ib (dose-expansion).
The study will last up to approximately 4 years.
Study Overview
Status
Recruiting
Conditions
- Cervical Cancer
- Pancreatic Cancer
- Esophageal Cancer
- Ovarian Cancer
- Prostate Cancer
- Bladder Cancer
- Triple Negative Breast Cancer
- Advanced Solid Tumor
- Metastatic Solid Tumor
- Non-small Cell Lung Cancer
- Head and Neck Squamous Cell Carcinoma
- Renal Pelvis Cancer
- Urinary Bladder Neoplasm
- Recurrent Solid Tumor
Intervention / Treatment
Detailed Description
This is a Phase 1a/1b multicenter, open-label study in participants with advanced or metastatic solid tumor malignancies known to express Nectin 4. This study is comprised of two phases: Dose Escalation and Dose Optimization (1a), and Dose expansion (1b).
Phase 1a will assess the safety, tolerability, and pharmacokinetics of LY4101174 to determine the recommended phase 2 dose (RP2D)/optimal dose.
Phase 1b will evaluate efficacy and safety of LY4101174 at the RP2D/optimal dose in 7 expansion cohorts based on tumor type and/or treatment history.
Study Type
Interventional
Enrollment (Estimated)
280
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Patient Advocacy
- Phone Number: 855-569-6305
- Email: clinicaltrials@loxooncology.com
Study Locations
-
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Recruiting
- Massachusetts General Hospital
-
-
Missouri
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Saint Louis, Missouri, United States, 63110
- Not yet recruiting
- Washington University School of Medicine
-
-
New York
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New York, New York, United States, 10016
- Recruiting
- Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
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New York, New York, United States, 10065
- Not yet recruiting
- Memorial Sloan Kettering Cancer Center
-
-
North Carolina
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Chapel Hill, North Carolina, United States, 27599-7305
- Not yet recruiting
- University of North Carolina Medical Center
-
-
Texas
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Dallas, Texas, United States, 75390-8884
- Not yet recruiting
- UT Southwestern Medical Center
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San Antonio, Texas, United States, 78229-3307
- Recruiting
- South Texas Accelerated Research Therapeutics (START)
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
Have one of the following solid tumor cancers:
- Cohort A1: urothelial carcinoma, triple negative breast cancer, non-small cell lung cancer, esophageal cancer, pancreatic cancer, ovarian cancer, cervical cancer (squamous cell carcinoma), head and neck squamous cell carcinoma or prostate cancer
- Cohort A2/B1/B2: urothelial carcinoma
- Cohort C1: triple negative breast cancer
- Cohort C2: non-small cell lung cancer
- Cohort C3: ovarian or fallopian tube cancer
- Cohort C4: cervical cancer
- Cohort C5: head and neck squamous cell carcinoma
Prior Systemic Therapy Criteria:
- Cohort A1/C1-5: Individual has received all standard therapies for which the participant was deemed to be an appropriate candidate by the treating investigator; OR there is no standard therapy available for the disease. There is no restriction on number of prior therapies
- Cohort A2/B1/B2: Individual must have received at least one prior regimen in the advanced or metastatic setting. There is no restriction on number of prior therapies.
Prior enfortumab vedotin specific requirements:
- Cohorts A1/A2/C1-5: prior treatment with enfortumab vedotin is allowed, but not required
- Cohort B1: individual must be enfortumab vedotin naive in the advanced/metastatic setting
- Cohort B2: individual must have received enfortumab vedotin in the metastatic/advanced setting.
Measurability of disease
- Cohort A1: measurable or non-measurable disease as defined by Response Evaluation Criteria in Solid Tumors v1.1 (RECIST 1.1)
Cohorts A2, B1, B2, C1-5: measurable disease required as defined by RECIST v1.1
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Have adequate archival tumor tissue sample available or undergo a screening biopsy if allowed per country specific regulations
Exclusion Criteria:
- Individual with known or suspected uncontrolled CNS metastases
- Individual with uncontrolled hypercalcemia
- Individual with uncontrolled diabetes
- Individual with evidence of corneal keratopathy or history of corneal transplant
- Any serious unresolved toxicities from prior therapy
- Significant cardiovascular disease
- Current of history of intestinal obstruction in the previous 3 months
- Recent thromboembolic event or bleeding disorder
- Prolongation of QT interval corrected for heart rate using Fridericia's formula (QTcF) ≥ 470 ms
- History of pneumonitis/interstitial lung disease
- History of Grade ≥3 skin toxicity when receiving enfortumab vedotin
- Individuals who are pregnant, breastfeeding or plan to breastfeed during study or within 30 days of last dose of study intervention
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: LY4101174 (Dose-escalation, Cohort A1)
Escalating doses of LY4101174 administered intravenously (IV).
|
Intravenous
|
Experimental: LY4101174 (Dose-optimization, Cohort A2)
Comparing 2 or more doses (evaluated during dose escalation) of LY4101174 administered IV.
|
Intravenous
|
Experimental: LY4101174 (Dose-expansion, Cohort B1, B2, C1-C5))
LY4101174 administered IV.
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Intravenous
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Phase 1a: To determine the recommended dose of LY4101174
Time Frame: First 2 Cycles (28 days)
|
Number of participants with dose-limiting toxicities (DLTs)
|
First 2 Cycles (28 days)
|
Phase 1a: To determine the recommended phase 2 dose (RP2D) or optimal dose of LY4101174
Time Frame: First 2 Cycles (28 days)
|
Number of participants with DLTs
|
First 2 Cycles (28 days)
|
Phase 1b: To assess the antitumor activity of LY4101174 Monotherapy: Overall response rate (ORR)
Time Frame: Up to Approximately 48 Months or 4 Years
|
ORR per investigator assessed Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)
|
Up to Approximately 48 Months or 4 Years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To characterize the pharmacokinetics (PK) properties of LY4101174: Minimum Plasma Concentration (Cmin)
Time Frame: Cycle 1 (14 Days)
|
PK: Cmin of LY4101174
|
Cycle 1 (14 Days)
|
To characterize the PK properties of LY4101174: Area under the concentration versus time curve (AUC)
Time Frame: Cycle 1 (14 Days)
|
PK: AUC of LY4101174
|
Cycle 1 (14 Days)
|
To evaluate the preliminary antitumor activity of LY4101174: Overall response rate (ORR)
Time Frame: Up to Approximately 48 Months or 4 Years
|
ORR per investigator assessed Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)
|
Up to Approximately 48 Months or 4 Years
|
To evaluate the preliminary antitumor activity of LY4101174: Duration of response (DOR)
Time Frame: Up to Approximately 48 Months or 4 Years
|
DOR per investigator assessed RECIST 1.1
|
Up to Approximately 48 Months or 4 Years
|
To evaluate the preliminary antitumor activity of LY4101174: Time to response (TTR)
Time Frame: Up to Approximately 48 Months or 4 Years
|
TTR per investigator assessed RECIST 1.1
|
Up to Approximately 48 Months or 4 Years
|
To evaluate the preliminary antitumor activity of LY4101174: Progression free survival (PFS)
Time Frame: Up to Approximately 48 Months or 4 Years
|
PFS per investigator assessed RECIST 1.1
|
Up to Approximately 48 Months or 4 Years
|
To evaluate the preliminary antitumor activity of LY4101174: Disease control rate (DCR)
Time Frame: Up to Approximately 48 Months or 4 Years
|
DCR per investigator assessed RECIST 1.1
|
Up to Approximately 48 Months or 4 Years
|
To evaluate the preliminary antitumor activity of LY4101174: Overall survival (OS)
Time Frame: Up to Approximately 48 Months or 4 Years
|
OS per investigator assessed RECIST 1.1
|
Up to Approximately 48 Months or 4 Years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Director: Xiaojian (Thomas) Xu, Loxo Oncology, Inc.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 5, 2024
Primary Completion (Estimated)
August 26, 2026
Study Completion (Estimated)
March 4, 2027
Study Registration Dates
First Submitted
January 26, 2024
First Submitted That Met QC Criteria
January 26, 2024
First Posted (Actual)
February 2, 2024
Study Record Updates
Last Update Posted (Actual)
April 19, 2024
Last Update Submitted That Met QC Criteria
April 18, 2024
Last Verified
April 1, 2024
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Skin Diseases
- Neoplasms by Histologic Type
- Urologic Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Urologic Diseases
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Urinary Bladder Diseases
- Disease Attributes
- Breast Diseases
- Head and Neck Neoplasms
- Carcinoma, Squamous Cell
- Breast Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Neoplasms
- Recurrence
- Urinary Bladder Neoplasms
- Pelvic Neoplasms
- Squamous Cell Carcinoma of Head and Neck
- Triple Negative Breast Neoplasms
Other Study ID Numbers
- LOXO-ENC-23001
- J5A-OX-JZWA (Other Identifier: Eli Lilly and Company)
- 2023-509867-26-00 (Other Identifier: EU Trial Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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