Description:
The reason for this study is to see if the study drug LY3484356 alone or in combination with
other anticancer therapies is safe and effective in participants with advanced or metastatic
breast cancer or endometrial cancer.
Title
- Brief Title: A Study of LY3484356 in Participants With Advanced or Metastatic Breast Cancer or Endometrial Cancer
- Official Title: EMBER: A Phase 1a/1b Study of LY3484356 Administered as Monotherapy and in Combination With Anticancer Therapies for Patients With ER+ Locally Advanced or Metastatic Breast Cancer and Other Select Non-Breast Cancers
Clinical Trial IDs
- ORG STUDY ID:
17502
- SECONDARY ID:
J2J-MC-JZLA
- SECONDARY ID:
2019-003581-41
- NCT ID:
NCT04188548
Conditions
- Breast Cancer
- Advanced Breast Cancer
- Metastatic Breast Cancer
- Endometrial Cancer
Interventions
Drug | Synonyms | Arms |
---|
LY3484356 | | Dose Escalation LY3484356 |
Abemaciclib | LY2835219 | Part A: Dose Expansion: LY3484356 + Abemaciclib +/- AI |
Everolimus | | Part B: Dose Expansion: Cohort E4: LY3484356 + Everolimus |
Alpelisib | | Part B: Dose Expansion: Cohort E5: LY3484356 + Alpelisib |
Trastuzumab | | Part C:Dose Expansion: LY3484356 + Trastuzumab +/- Abemaciclib |
Aromatase Inhibitor (AI) | | Part A: Dose Expansion: LY3484356 + Abemaciclib +/- AI |
Purpose
The reason for this study is to see if the study drug LY3484356 alone or in combination with
other anticancer therapies is safe and effective in participants with advanced or metastatic
breast cancer or endometrial cancer.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose Escalation LY3484356 | Experimental | LY3484356 given orally. | |
Part A: Dose Expansion: LY3484356 + Abemaciclib +/- AI | Experimental | LY3484356 and abemaciclib given orally in combination with or without Aromatase Inhibitor (AI) of physician's choice (Anastrozole, Exemestane, or Letrozole) administered orally. | - LY3484356
- Abemaciclib
- Aromatase Inhibitor (AI)
|
Part B: Dose Expansion: Cohort E3: LY3484356 | Experimental | LY3484356 given orally. | |
Part B: Dose Expansion: Cohort E4: LY3484356 + Everolimus | Experimental | LY3484356 and everolimus given orally. | |
Part B: Dose Expansion: Cohort E5: LY3484356 + Alpelisib | Experimental | LY3484356 and alpelisib given orally. | |
Part C:Dose Expansion: LY3484356 + Trastuzumab +/- Abemaciclib | Experimental | LY3484356 administered orally in combination with trastuzumab intravenously with or without Abemaciclib. | - LY3484356
- Abemaciclib
- Trastuzumab
|
Part D: Dose Expansion: LY3484356 +/- Abemaciclib | Experimental | LY3484356 and Abemaciclib given orally with trastuzumab administered intravenously. | |
Eligibility Criteria
Inclusion Criteria:
All study parts:
- Participants must be willing to provide adequate archival tissue sample
- Participants must be willing to use highly effective birth control
- Participants must have adequate organ function
- Participants must be able to swallow capsules
Dose escalation- Participants must have one of the following:
- Parts A and B: ER+ HER2- breast cancer with evidence of locally advanced unresectable
or metastatic disease who have had the following:
- Part A: may have had up to 1 prior regimen of any kind for in the advanced/metastatic
setting and no prior cyclin-dependent kinase 4/6 (CDK4/6) inhibitor therapy.
- Part B: may have had up to 2 prior regimens, no more than 1 of which may be endocrine
therapy in the advanced/metastatic setting, and must have received a prior CDK4/6
inhibitor
- Cohort E4: No prior everolimus.
- Cohort E5: No prior alpelisib and must have a phosphatidylinositol 3-kinase catalytic
α (PIK3Cα) mutation as determined by local testing.
- Part C: ER+, human epidermal growth factor receptor 2 positive (HER2+) breast cancer
with evidence of locally advanced unresectable or metastatic disease who have had at
least 2 HER2-directed therapies for advanced disease and prior trastuzumab,
pertuzumab, and TDM-1 required in any setting.
- Part D: ER+, EEC that has progressed after platinum containing chemotherapy and no
prior fulvestrant or aromatase inhibitor therapy.
Participants with ER+/HER2- breast cancer enrolled in this study must have had evidence of
clinical benefit while on endocrine therapy for at least 24 months in the adjuvant setting
or at least 6 months in the advanced/metastatic setting or have untreated de novo
metastatic breast cancer
Exclusion Criteria:
- Participants must not have certain infections such as hepatitis or tuberculosis or HIV
that are not well controlled
- Participants must not have another serious medical condition
- Participants must not have cancer of the central nervous system that is unstable
- Participants must not be pregnant or breastfeeding
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of Participants with Dose Limiting Toxicities (DLTs) and DLT-Equivalent Toxicities |
Time Frame: | Baseline through Cycle 1 (21/28 Day Cycle) |
Safety Issue: | |
Description: | Number of Participants with DLTs and DLT-Equivalent Toxicities |
Secondary Outcome Measures
Measure: | Pharmacokinetics (PK): Area Under the Concentration Time Curve (AUC) of LY3484356 |
Time Frame: | Predose Cycle 1 Day 1 through Predose Cycle 2 Day 1 (21/28 Day Cycles) |
Safety Issue: | |
Description: | PK: AUC of LY3484356 |
Measure: | PK: Maximum Concentration (Cmax) of LY3484356 |
Time Frame: | Predose Cycle 1 Day 1 through Predose Cycle 2 Day 1 (21/28 Day Cycles) |
Safety Issue: | |
Description: | PK: Cmax of LY3484356 |
Measure: | PK: AUC of LY3484356 in Combination with Other Anticancer Therapies |
Time Frame: | Predose Cycle 1 Day 1 through Predose Cycle 2 Day 1 (21/28 Day Cycles) |
Safety Issue: | |
Description: | PK: AUC of LY3484356 in Combination with Other Anticancer Therapies |
Measure: | PK: Cmax of LY3484356 in Combination with Other Anticancer Therapies |
Time Frame: | Predose Cycle 1 Day 1 through Predose Cycle 2 Day 1 (21/28 Day Cycles) |
Safety Issue: | |
Description: | PK: Cmax of LY3484356 in Combination with Other Anticancer Therapies |
Measure: | Overall Response Rate (ORR): Percentage of Participants with Confirmed Complete Response (CR) or Partial Response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 |
Time Frame: | Baseline through Disease Progression or Death (Estimated up to 28 Months) |
Safety Issue: | |
Description: | ORR: Percentage of Participants with Confirmed CR or PR as per RECIST v1.1 |
Measure: | Duration of Response (DoR): Time From the Date of First Evidence of CR, PR (per RESIST v1.1) to the Date of Objective Progression or Death Due to Any Cause, Whichever is Earlier |
Time Frame: | Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Estimated up to 28 Months) |
Safety Issue: | |
Description: | DoR: Time From the Date of First Evidence of CR, PR (per RESIST v1.1) to the Date of Objective Progression or Death Due to Any Cause, Whichever is Earlier |
Measure: | Disease Control Rate (DCR): Percentage of Participants with a Best Overall Response (BOR) of CR, PR, and Stable Disease (SD) as per RECIST v1.1 |
Time Frame: | Baseline through Measured Progressive Disease (Estimated up to 28 Months) |
Safety Issue: | |
Description: | DCR: Percentage of Participants with a BOR of CR, PR, and SD as per RECIST v1.1 |
Measure: | Clinical Benefit Rate (CBR): Percentage of Participants with a BOR of CR or PR, or SD lasting ≥24 weeks as per RECIST v1.1 |
Time Frame: | Baseline through Measured Progressive Disease (Estimated up to 28 Months) |
Safety Issue: | |
Description: | CBR: Percentage of Participants with a BOR of CR or PR, or SD lasting ≥24 weeks as per RECIST v1.1 |
Measure: | Progression Free Survival (PFS): Time From Baseline to the Date of Objective Progression or Death Due to Any Cause, Whichever is Earlier |
Time Frame: | Baseline to Objective Progression or Death Due to Any Cause (Estimated up to 28 Months) |
Safety Issue: | |
Description: | PFS: Time From Baseline to the Date of Objective Progression or Death Due to Any Cause, Whichever is Earlier |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Eli Lilly and Company |
Last Updated
August 18, 2021