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OpenTrials
Completed

NCT Number: NCT02857270

A Study of LY3214996 Administered Alone or in Combination With Other Agents in Participants With Advanced/Metastatic Cancer

The purpose of this study is to determine the safety of an extracellular signal regulated kinase (ERK1/2) inhibitor LY3214996 administered alone or in combination with other agents in participants with advanced cancer.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Have advanced or metastatic cancer (solid tumors) and be an appropriate candidate for experimental therapy.
  • Part B (No Longer Enrolling Participants): Have advanced or metastatic cancer with an activating mitogen-activated protein kinase pathway alteration, BRAF mutant metastatic melanoma refractory to or relapsed after treatment with RAF and/or MEK inhibitors, metastatic melanoma with a NRAS mutation, or BRAF mutant NSCLC.
  • Part C: Advanced, unresectable cancer (dose escalation) and advanced, unresectable, or metastatic non-small cell lung cancer with a BRAF or RAS mutation, or NRAS mutant melanoma (dose expansion).
  • Part D (No Longer Enrolling Participants): Have metastatic pancreatic ductal adenocarcinoma (dose escalation and dose expansion).
  • Part E: Metastatic BRAF V600E colorectal cancer.
  • Have discontinued previous treatments for cancer and have resolution, except where otherwise stated in the inclusion criteria, of all clinically significant toxic effects of prior chemotherapy, surgery, or radiotherapy to Grade ≤1 by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0.
  • Have adequate organ function.
  • Have a performance status of 0 to 1 on the Eastern Cooperative Oncology Group (ECOG) scale.

Exclusion criteria

  • Have serious preexisting medical conditions.
  • Have a known human immunodeficiency virus (HIV) infection or known activated/reactivated hepatitis A, B, or C.
  • Have symptomatic central nervous system malignancy or metastasis.
  • Have current hematologic malignancies, acute or chronic leukemia.
  • Have a second primary malignancy that in the judgment of the investigator or Lilly may affect the interpretation of results.
  • Have prior malignancies. Participants with carcinoma in situ of any origin and participants with prior malignancies who are in remission and whose likelihood of recurrence is very low, as judged by the Lilly clinical research physician, are eligible for this study.
  • Have a mean QT interval corrected for heart rate (QTc) of ≥470 milliseconds on screening electrocardiogram (ECG) as calculated using the Bazett's formula at several consecutive days of assessment.
  • Have participated, within the last 28 days in a clinical trial involving an investigational product or are currently enrolled in a clinical trial involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study.
  • Have previously completed or withdrawn from this study or any other study investigating an ERK1/2 inhibitor.
  • If female, is pregnant, breastfeeding, or planning to become pregnant.
  • Have history or findings of central or branch retinal artery or venous occlusion with significant vision loss or other retinal diseases that cause current visual impairment or would likely cause visual impairment over the time period of the study.
  • Currently using concomitant medications that are strong inhibitors or inducers of CYP3A4.
  • Part C: have serious and/or uncontrolled preexisting medical condition(s) that, in the judgment of the investigator, would preclude participation in this study, including interstitial lung disease (ILD) or severe dyspnea at rest or requiring oxygen therapy.
  • Part C4 NRAS Melanoma: have previously completed or withdrawn from a study investigating a MEK inhibitor.

Treatment and study plan

LY3214996

Drug

Administered orally

midazolam

Drug

Administered orally

Abemaciclib

Drug

Administered orally

Other names: LY2835219

Nab-paclitaxel

Drug

Administered IV

Gemcitabine

Drug

Administered IV

Encorafenib

Drug

Administered orally

Cetuximab

Drug

Administered IV

Primary outcomes

  1. Number of Participants with LY3214996 Dose Limiting Toxicities (DLTs)

    Time frame: Cycle 1 (21 Days)

Secondary outcomes

  1. Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC) of LY3214996 Administered as Monotherapy and when Administered in Combination with Nab-Paclitaxel Plus Gemcitabine, Abemaciclib and Encorafenib Plus Cetuximab

    Time frame: Cycle 1 Day 1 through Cycle 2 Day 1 (up to 28 Day Cycles)

  2. PK: AUC of Gemcitabine when Administered with LY3214996

    Time frame: Cycle 1 Day 1 through Cycle 1 Day 15 (28 Day Cycles)

  3. PK: AUC of Nab-Paclitaxel when Administered with LY3214996

    Time frame: Cycle 1 Day 1 through Cycle 1 Day 15 (28 Day Cycles)

  4. PK: AUC of Abemaciclib and its Metabolites when Administered with LY3214996

    Time frame: Cycle 1 Day 1 through Cycle 2 Day 1 (up to 22 Day Cycles)

  5. PK: AUC of Encorafenib when Administered with LY3214996

    Time frame: Cycle 1 Day 1 through Cycle 2 Day 1 (up to 22 Day Cycles)

  6. PK: AUC of Cetuximab when Administered with LY3214996

    Time frame: Cycle 1 Day 1 through Cycle 2 Day 1 (up to 22 Day Cycles)

  7. PK: AUC of Midazolam and its 1'-Hydroxymidazolam Metabolite when Administered Alone and in Combination with LY3214996

    Time frame: Cycle 1 Day 1 through Cycle 1 Day 16 (21 Day Cycles)

  8. Objective Response Rate (ORR): Percentage of Participants With a Complete (CR) or Partial Response (PR)

    Time frame: Baseline to Measured Progressive Disease or Start of New Anti-Cancer Therapy (Estimated up to 6 Months)

  9. Duration of Response (DoR)

    Time frame: Date of Complete Response (CR) or Partial Response (PR) to Date of Objective Disease Progression or Death Due to Any Cause (Estimated up to 12 Months)

  10. Time to First Response (TTR)

    Time frame: Baseline to Date of CR or PR (Estimated up to 6 Months)

  11. Progression Free Survival (PFS)

    Time frame: Baseline to Progressive Disease or Death of Any Cause (Estimated up to 12 Months)

  12. Disease Control Rate (DCR): Percentage of Participants who Exhibit Stable Disease (SD), CR or PR

    Time frame: Baseline through Measured Progressive Disease (Estimated up to 6 Months)

  13. Overall Survival (OS) (Dose Expansion Arms Only)

    Time frame: Baseline to Date of Death from Any Cause (Estimated up to 2 Years)

Sponsors and collaborators

Lead sponsor

Eli Lilly and Company

Industry

Registry information

Official study title

A Phase 1 Study of an ERK1/2 Inhibitor (LY3214996) Administered Alone or in Combination With Other Agents in Advanced Cancer

Important dates

Study start
2016
Primary completion
2021
Study completion
2022
First posted
Aug 5, 2016
Registry last updated
Nov 22, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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