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A Study of LY2875358 in Participants With Advanced Cancer

14 febbraio 2017 aggiornato da: 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.

Panoramica dello studio

Descrizione dettagliata

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

Tipo di studio

Interventistico

Iscrizione (Anticipato)

117

Fase

  • Fase 1

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

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

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

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

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Non randomizzato
  • Modello interventistico: Assegnazione di gruppo singolo
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: LY2875358
Part A Dose escalation of LY2875358 administered intravenously (IV), Day 1 and 15 every 28 days for at least two cycles.
Sperimentale: 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).
Sperimentale: 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.
Sperimentale: 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

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Lasso di tempo
Recommended Phase 2 dose range of LY2875358 monotherapy and in combination with erlotinib
Lasso di tempo: Baseline through Cycle 1
Baseline through Cycle 1

Misure di risultato secondarie

Misura del risultato
Lasso di tempo
Pharmacokinetics: Maximum plasma concentration (Cmax)
Lasso di tempo: 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
Lasso di tempo: Baseline to study completion (12 months)
Baseline to study completion (12 months)
Pharmacokinetics: Area under the concentration-time curve (AUC)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: Cycle 1
Cycle 1
Change from baseline in Brief Pain Inventory (BPI) in Part B: Expansion Cohort 1
Lasso di tempo: Baseline to study completion (12 months)
Baseline to study completion (12 months)

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

13 aprile 2010

Completamento primario (Effettivo)

8 gennaio 2015

Completamento dello studio (Effettivo)

26 ottobre 2016

Date di iscrizione allo studio

Primo inviato

28 gennaio 2011

Primo inviato che soddisfa i criteri di controllo qualità

31 gennaio 2011

Primo Inserito (Stima)

1 febbraio 2011

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

15 febbraio 2017

Ultimo aggiornamento inviato che soddisfa i criteri QC

14 febbraio 2017

Ultimo verificato

1 febbraio 2017

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • 13298
  • I4C-MC-JTBA (Altro identificatore: Eli Lilly and Company)

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Prove cliniche su Cancro avanzato

Prove cliniche su LY2875358

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