Description:
The main purpose of this study is to evaluate the safety and tolerability of anti-programmed cell death ligand 1 (PD-L1) checkpoint antibody LY3300054 in participants with advanced refractory solid tumors.
The main purpose of this study is to evaluate the safety and tolerability of anti-programmed cell death ligand 1 (PD-L1) checkpoint antibody LY3300054 in participants with advanced refractory solid tumors.
Active, not recruiting
Phase 1
| Drug | Synonyms | Arms |
|---|---|---|
| LY3300054 | : LY3300054 + Abemaciclib (HR+, HER2- Breast Cancer) Expansion | |
| Ramucirumab | LY3009806 | LY3300054 + Ramucirumab |
| Abemaciclib | LY2835219 | : LY3300054 + Abemaciclib (HR+, HER2- Breast Cancer) Expansion |
| Merestinib | LY2801653 | LY3300054 + Merestinib |
| LY3321367 | LY3300054 + LY3321367 Expansion |
| Name | Type | Description | Interventions |
|---|---|---|---|
| LY3300054 | Experimental | LY3300054 given intravenously (IV) on day 1 and day 15 of a 28 day cycle or LY3300054 given IV on day 1 of a 21 (or 28) day cycle. |
|
| LY3300054 + Ramucirumab | Experimental | LY3300054 and ramucirumab given IV on day 1 and day 15 of a 28 day cycle or ramucirumab given IV on day 1 and day 8 and LY3300054 given IV on day 1 of a 21 day cycle. |
|
| Abemaciclib + LY3300054 | Experimental | LY3300054 given IV on day 1 and day 15 and abemaciclib given orally every 12 hours of a 28 day cycle. |
|
| LY3300054 + Abemaciclib (Concurrent Dosing) | Experimental | LY3300054 given IV on day 1 and day 15 and abemaciclib given orally every 12 hours of a 28 day cycle. |
|
| LY3300054 + Abemaciclib | Experimental | LY3300054 given IV on day 1 and day 15 and abemaciclib given orally every 12 hours of a 28 day cycle. This arm will only be initiated if required. |
|
| LY3300054 + Merestinib | Experimental | LY3300054 given IV on day 1 and day 15 and merestinib given orally once daily of a 28 day cycle. |
|
| LY3300054 Expansion (Metastatic Cutaneous Melanoma) | Experimental | LY3300054 given IV on day 1 and day 15 of a 28 day cycle. |
|
| LY3300054 Expansion (MSI-H Solid Tumors) | Experimental | LY3300054 given IV on day 1 and day 15 of a 28 day cycle. |
|
| : LY3300054 + Abemaciclib (HR+, HER2- Breast Cancer) Expansion | Experimental | LY3300054 given IV on day 1 and day 15 and abemaciclib given orally every 12 hours of a 28 day cycle. |
|
| LY3300054 + LY3321367 Expansion (PD-1/PD-L1 Naïve, MSI-H) | Experimental | LY3300054 and LY3321367 given IV on day 1 and day 15 of a 28 day cycle. |
|
| LY3300054 + LY3321367 Expansion | Experimental | LY3300054 and LY3321367 given IV on day 1 and day 15 of a 28 day cycle. |
|
| LY3300054 + Merestinib (Pancreatic Cancer) Expansion | Experimental | LY3300054 given IV on day 1 and day 15 and merestinib given orally once daily of a 28 day cycle. |
|
Inclusion Criteria:
- Histologic or cytologic confirmation of advanced solid tumor.
- For LY3300054 + abemaciclib only: No participants with liver metastases. Participants
must have normal aspartate aminotransferase (AST), alanine aminotransferase (ALT),
total bilirubin, direct bilirubin.
- For LY3300054 + abemaciclib in HR+, HER- breast cancer:
- Express at least 1 of the hormone receptors [HR; estrogen receptor (ER) or
progesterone receptor (PR)] by immunohistochemistry (IHC) to fulfill the
requirement for HR+ disease on the primary tumor or metastatic lesion of the
breast cancer. ER and PR assays are considered positive if there is at least 1%
positive tumor nuclei in their sample as defined in the relevant American Society
of Clinical Oncology (ASCO)/College of American Pathologists (CAP) or local
guidelines.
- To fulfill the requirement of HER2- disease, a breast cancer must not
demonstrate, at initial diagnosis or upon subsequent biopsy, overexpression of
HER2 by either IHC or in-situ hybridization (ISH) as defined in the relevant
ASCO/CAP or local guidelines.
- Most recent HR and HER2 receptor testing should be used to determine eligibility.
- Have previously received prior treatment with at least 1 but no more than 3
chemotherapy regimens in the metastatic setting.
- Have AST, ALT, GGT, and AP that are ≤2.5x upper limit of normal (ULN) and normal
bilirubin (total and direct) regardless of liver involvement.
- For LY3300054 + merestinib in pancreatic cancer:
- Histologically or cytological confirmed diagnosis of metastatic or locally
advanced, unresectable pancreatic adenocarcinoma (excluding other pancreatic
malignancies for example, acinar cell carcinomas, adenosquamous carcinomas, and
neuroendocrine islet cell neoplasms).
- Have had disease progression, be refractory or intolerant to no more than 2 prior
systemic regimens.
- For LY3300054 + LY3321367 in PD-1/PD-L1-naive, MSI-H/MMR-deficient advanced solid
tumors:
- Have histologically or cytologically confirmed diagnosis of advanced solid tumor
AND shown to be MSI-H or MMR-deficient.
- For LY3300054 + LY3321367 in PD-1/PD-L1- resistant/refractory, MSI-H/MMR-deficient
advanced solid tumors:
- Have histologically or cytologically confirmed diagnosis of advanced solid tumor
AND shown to be MSI-H or MMR-deficient.
- Prior exposure to PD-1/PD-L1 agent regardless of response.
- For Phase 1b LY3300054 monotherapy or combination therapy, no prior treatment with a
PD-1 or PD-L1 agent is allowed.
- Exception: the LY3321367 combination in participants with PD-1/PD-L1-
resistant/refractory, MSI-H, where prior exposure to PD-1/PD-L1 agent required.
- For Phase 1a LY3300054 monotherapy or combination therapy, previous immunotherapy is
acceptable if the following criteria are met:
- Must not have experienced a toxicity that led to permanent discontinuation of
prior immunotherapy.
- Must have completely recovered or recovered to baseline prior to screening from
any prior adverse events (AEs) occurring while receiving prior immunotherapy.
- Must not have experienced a Grade ≥3 immune-related AE or an immune-related
neurologic or ocular AE of any grade while receiving prior immunotherapy.
- Must not have required the use of additional immunosuppressive agents other than
corticosteroids for the management of an AE, not have experienced recurrence of
an AE if re-challenged, and not currently require maintenance doses of >10
milligrams prednisone or equivalent per day.
- Have at least 1 measurable lesion assessable using standard techniques by Response
Evaluation Criteria in Solid Tumors (RECIST) v1.1.
- Have adequate organ function.
- Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG)
scale.
- Have an estimated life expectancy of ≥12 weeks, in the judgment of the investigator.
- Have submitted a tumor tissue sample, as follows:
- For participants entering the Phase 1a dose escalation: have submitted, if
available, the most recent archival tumor tissue sample.
- For those participating ONLY in Phase 1b expansions: Have submitted tumor tissue
sample from a newly obtained core or excisional biopsy for a tumor lesion
(preferred) or a recent biopsy taken with 3 months prior to study enrollment and
following the participants most recent prior systemic treatment and be willing to
undergo a biopsy procedure during the study treatment period for collection of
additional tumor tissue sample.
Exclusion Criteria:
- Have a serious concomitant systemic disorder including human immunodeficiency virus
(HIV), active hepatitis B virus (HBV), active hepatitis C virus (HCV), active
autoimmune disorder or disease requiring high dose of steroids.
- Have a bowel obstruction, history or presence of inflammatory enteropathy or extensive
intestinal resection or chronic diarrhea.
- Have evidence of interstitial lung disease that is symptomatic or may interfere with
the detection or management of suspected drug-related pulmonary toxicity or active,
noninfectious pneumonitis.
- Have an active infection requiring systemic therapy.
- Have moderate or severe cardiovascular disease.
- Have symptomatic or uncontrolled brain metastases, spinal cord compression, or
leptomeningeal disease requiring concurrent treatment.
- Have received a live vaccine within 30 days before the first dose of study treatment.
- Have a significant bleeding disorder or vasculitis or had a Grade ≥3 bleeding episode
within 12 weeks prior to enrollment.
| Maximum Eligible Age: | N/A |
| Minimum Eligible Age: | 18 Years |
| Eligible Gender: | All |
| Healthy Volunteers: | No |
| Measure: | Number of Participants with LY3300054 Dose Limiting Toxicities (DLTs) |
| Time Frame: | Baseline through Cycle 1 (Approximately 28 Days) |
| Safety Issue: | |
| Description: |
| Measure: | Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3300054 |
| Time Frame: | Predose Cycle 1 Day 1 Through Follow Up (Approximately 6 Months) |
| Safety Issue: | |
| Description: |
| Measure: | PK: Cmax of Ramucirumab |
| Time Frame: | Predose Cycle 1 Day 1 Through Follow Up (Approximately 6 Months) |
| Safety Issue: | |
| Description: |
| Measure: | PK: Cmax of Abemaciclib |
| Time Frame: | Predose Cycle 1 Day 1 Through Follow Up (Approximately 6 Months) |
| Safety Issue: | |
| Description: |
| Measure: | PK: Cmax of Merestinib |
| Time Frame: | Predose Cycle 1 Day 1 Through Follow Up (Approximately 6 Months) |
| Safety Issue: | |
| Description: |
| Measure: | PK: Cmax of LY3321367 |
| Time Frame: | Predose Cycle 1 Day 1 Through Follow Up (Approximately 6 Months) |
| Safety Issue: | |
| Description: |
| Measure: | Objective Response Rate (ORR): Proportion of Participants With a Complete Response (CR) or Partial Response (PR) |
| Time Frame: | Baseline to Measured Progressive Disease (Approximately 6 Months ) |
| Safety Issue: | |
| Description: |
| Measure: | Progression Free Survival (PFS) |
| Time Frame: | Baseline to Measured Progressive Disease or Death (Approximately 12 Months) |
| Safety Issue: | |
| Description: |
| Measure: | Duration of Response (DoR) |
| Time Frame: | Date of CR or PR to Date of Measured Progressive Disease or Death Due to Any Cause (Approximately 12 Months) |
| Safety Issue: | |
| Description: |
| Measure: | Time to Response (TTR) |
| Time Frame: | Baseline to Date of CR or PR (Approximately 6 Months) |
| Safety Issue: | |
| Description: |
| Measure: | Disease Control Rate (DCR): Proportion of Participants who Exhibit Stable Disease (SD), CR or PR |
| Time Frame: | Baseline to Measured Progressive Disease (Approximately 6 Months) |
| Safety Issue: | |
| Description: |
| Phase: | Phase 1 |
| Primary Purpose: | Interventional |
| Overall Status: | Active, not recruiting |
| Lead Sponsor: | Eli Lilly and Company |
July 16, 2021