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A Study of LY2875358 in Participants With Advanced Cancer

14 février 2017 mis à jour par: Eli Lilly and Company

A Phase 1 Study of LY2875358 in Patients With Advanced Cancer

The objective of this study is to determine a recommended Phase 2 dose range of LY2875358 that may be safely administered to participants with advanced cancer. In Part A and Part A2 of this study, escalating doses of LY2875358 as monotherapy and in combination with erlotinib will be evaluated for safety and tolerability, respectively. Part B is a dose-confirmation segment for LY2875358 therapy in 5 different types of cancer: nonsquamous non-small cell lung cancer (NSCLC), castrate resistant prostate cancer (CRPC) with bone metastases, renal cell carcinoma (RCC), hepatocellular carcinoma (HCC), or uveal melanoma with liver metastases, and for LY2875358 in combination with trametinib in participants with uveal melanoma with liver metastases.

Aperçu de l'étude

Description détaillée

Protocol amendment (November, 2013) expanded Part B to study LY2875358 in combination with trametinib in participants with uveal melanoma with liver metastasis.

Type d'étude

Interventionnel

Inscription (Anticipé)

117

Phase

  • La phase 1

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

    • California
      • La Jolla, California, États-Unis, 92037-0845
        • University of California - San Diego
      • Los Angeles, California, États-Unis, 90048-5615
        • Cedars Sinai Medical Center
      • San Francisco, California, États-Unis, 94115
        • Univ of California San Francisco
      • Santa Monica, California, États-Unis, 90404
        • UCLA
    • Florida
      • Jacksonville, Florida, États-Unis, 32224
        • Mayo Clinic of Jacksonville
    • Georgia
      • Atlanta, Georgia, États-Unis, 30322
        • Emory University
    • Massachusetts
      • Boston, Massachusetts, États-Unis, 02114
        • Massachusetts General Hospital
    • Michigan
      • Ann Arbor, Michigan, États-Unis, 48109-0946
        • University of Michigan
    • Minnesota
      • Rochester, Minnesota, États-Unis, 55902
        • Mayo Clinic
    • Pennsylvania
      • Philadelphia, Pennsylvania, États-Unis, 19107
        • Thomas Jefferson University

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

18 ans et plus (Adulte, Adulte plus âgé)

Accepte les volontaires sains

Non

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Part A: Have histological or cytological evidence of cancer (solid tumor, lymphoma, or multiple myeloma) that is advanced and/or metastatic and an appropriate candidate for experimental therapy
  • Part A2: Histologic or cytologic diagnosis of advanced Non Small Cell Lung Cancer (NSCLC), Stage IIIB with malignant pleural effusion or Stage IV, completed at least 1 prior systemic regimen, and eligible for erlotinib therapy.
  • Part B: Candidate for experimental therapy after standard therapies used or non-eligible for standard therapies. Histological or cytological evidence of 1 of the 5 tumor types:
  • Castrate-resistant prostate cancer (CRPC) with bone metastasis:

    --Progressive Disease in the setting of castrate level of testosterone

  • Renal Cell Carcinoma (RCC):

    --Histologic diagnosis of either clear-cell or papillary RCC (metastatic and unresectable, or bilateral, multifocal, unresectable RCC localized to kidneys).

  • NSCLC:

    --Histologic or cytologic diagnosis of advanced NSCLC, Stage IIIB with malignant pleural effusion or Stage IV

  • Hepatocellular Carcinoma (HCC)

    --Histologic or cytologic diagnosis of hepatocellular carcinoma

  • Uveal Melanoma with liver metastasis
  • Part A: Have the presence of measurable or nonmeasurable disease as defined by the RECIST v1.1 (Eisenhauer et al. 2009) or Revised Response Criteria for Malignant Lymphoma (Cheson et al. 2007) or have measureable disease for multiple myeloma.
  • Part A2 & B (RCC, NSCLC, HCC, and uveal melanoma): Have measurable disease as defined by RECIST v1.1.
  • Give written informed consent prior to any study-specific procedures.
  • Adequate organ function.
  • Performance status of less than or equal to 2 on ECOG scale.
  • Discontinued all previous cancer therapies, and any agents that have not received regulatory approval, for at least 21 days and recovered from the acute effects of therapy. Must have discontinued mitomycin-C or nitrosourea therapy for at least 42 days.
  • Reliable and available for the duration of the study and willing to follow study procedures.
  • Males and females (reproductive potential): Use medically approved contraceptive precautions during the study and for 4 months following the last dose of study drug.
  • Females (childbearing potential): Have had a negative serum pregnancy test before the first dose of study drug and not be breast-feeding.
  • Estimated life expectancy that will permit the participants to complete 8 weeks of treatment.

Exclusion Criteria:

  • Serious preexisting medical conditions
  • Symptomatic central nervous system malignancy or metastasis (screening not required).
  • Acute or chronic leukemia.
  • Active infection including HIV, hepatitis A, B or C
  • Have second primary malignancy that may affect the interpretation of results.
  • Have received a liver transplant, or have liver cirrhosis with a Child-Pugh Stage of B or C.
  • Patients with active alcohol abuse, as determined by the treating investigator.
  • Part A2: Unable to swallow tablets. Intolerant of therapy with erlotinib. Concomitant treatment with the cytochrome P450 3A (CYP3A) modulators. Must not have received treatment with any of these modulators within 14 days of study treatment.
  • Have a history of New York Heart Association class ≥3, unstable angina, myocardial infarction 6 months prior to study drug
  • QTc greater than 470 msec.
  • Received previous treatment with any c-MET experimental therapeutic.
  • Part B Expansion Cohort 1 (CRPC):

    1. Increasing use of daily doses of opioid analgesics within 28 days prior to enrollment in the study.
    2. Neuroendocrine prostate cancer.
    3. Patients who have a solitary bone metastasis that has been irradiated are not eligible.
  • Part B Expansion Cohort 6 (LY2875358 plus trametinib in participants with uveal melanoma with liver metastasis): Contra-indications for trametinib

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Non randomisé
  • Modèle interventionnel: Affectation à un seul groupe
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: LY2875358
Part A Dose escalation of LY2875358 administered intravenously (IV), Day 1 and 15 every 28 days for at least two cycles.
Expérimental: LY2875358 + erlotinib
Part A2 Dose escalation of LY2875358 administered IV, on Day 1 and 15 every 28 days for at least two cycles in combination with daily erlotinib dosing (150 mg) taken orally (PO).
Expérimental: LY2875358 at Part A highest dose
Part B (Dose Exploration): LY2875358 at Part A highest dose administered IV, on Day 1 and 15 every 28 days for at least two cycles.
Expérimental: LY2875358 at Part A highest dose + trametinib
Part B (in combination with trametinib): LY2875358 at Part A highest dose administered IV, on Day 1 and 15 every 28 days for at least two cycles, in combination with trametinib at 2 mg orally once daily

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Délai
Recommended Phase 2 dose range of LY2875358 monotherapy and in combination with erlotinib
Délai: Baseline through Cycle 1
Baseline through Cycle 1

Mesures de résultats secondaires

Mesure des résultats
Délai
Pharmacokinetics: Maximum plasma concentration (Cmax)
Délai: Days 1, 2, 4, 5, 6, 8, 15, and 22 of Cycle 1. Days 1, 15, and 22 of Cycle 2. Days 1 and 15 of Cycles 3 and beyond, as well as 14 days, 29 days, and 57 days following the final treatment
Days 1, 2, 4, 5, 6, 8, 15, and 22 of Cycle 1. Days 1, 15, and 22 of Cycle 2. Days 1 and 15 of Cycles 3 and beyond, as well as 14 days, 29 days, and 57 days following the final treatment
Number of participants with a tumor response
Délai: Baseline to study completion (12 months)
Baseline to study completion (12 months)
Pharmacokinetics: Area under the concentration-time curve (AUC)
Délai: Days 1, 2, 4, 5, 6, 8, 15, and 22 of Cycle 1. Days 1, 15, and 22 of Cycle 2. Days 1 and 15 of Cycles 3 and beyond, as well as 14 days, 29 days, and 57 days following the final treatment
Days 1, 2, 4, 5, 6, 8, 15, and 22 of Cycle 1. Days 1, 15, and 22 of Cycle 2. Days 1 and 15 of Cycles 3 and beyond, as well as 14 days, 29 days, and 57 days following the final treatment
Time to progression and overall survival
Délai: Baseline to study completion (12 months)
Baseline to study completion (12 months)
Pharmacokinetics: Area under the concentration-time curve (AUC) of erlotinib or trametinib in combination with LY2875358
Délai: Cycle 1
Cycle 1
Change from baseline in Brief Pain Inventory (BPI) in Part B: Expansion Cohort 1
Délai: Baseline to study completion (12 months)
Baseline to study completion (12 months)

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

13 avril 2010

Achèvement primaire (Réel)

8 janvier 2015

Achèvement de l'étude (Réel)

26 octobre 2016

Dates d'inscription aux études

Première soumission

28 janvier 2011

Première soumission répondant aux critères de contrôle qualité

31 janvier 2011

Première publication (Estimation)

1 février 2011

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

15 février 2017

Dernière mise à jour soumise répondant aux critères de contrôle qualité

14 février 2017

Dernière vérification

1 février 2017

Plus d'information

Termes liés à cette étude

Autres numéros d'identification d'étude

  • 13298
  • I4C-MC-JTBA (Autre identifiant: Eli Lilly and Company)

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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