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临床试验/NCT02597036
NCT02597036终止1 期

A Phase 1 Study of LY3127804 as Monotherapy and in Combination With Ramucirumab in Patients With Advanced Solid Tumors

Eli Lilly and Company3 个研究点 分布在 2 个国家目标入组 62 人开始时间: 2015年11月6日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
入组人数
62
试验地点
3
主要终点
Recommended Phase 2 Dose of LY3127804 Monotherapy and in Combination With Ramucirumab

研究概览

简要总结

The main purpose of this study is to evaluate the safety of the study drug known as LY3127804 given as monotherapy and in combination with Ramucirumab for participants with advanced or metastatic solid tumors. The study will also include a safety exploration for the combination of LY3127804 plus ramucirumab and paclitaxel

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Have a diagnosis of cancer that is advanced and/or metastatic.
  • Have disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST ) version 1.
  • Have adequate organ function.
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or
  • Have discontinued previous treatments for cancer for at least 28 days or 5 half-lives prior to study enrolment.

排除标准

  • Have serious preexisting medical conditions.
  • Have received treatment with a drug predominantly targeting Ang2 activity.
  • Have symptomatic central nervous system (CNS) malignancy or metastasis.
  • Have current hematologic malignancies.
  • Have an active fungal, bacterial, and/or known viral infection.
  • Have a corrected QT interval using Fridericia's correction (QTcF) of >470 msec on screening electrocardiogram (ECG) at several consecutive days of assessment.
  • Have a known sensitivity to mAbs or other therapeutic proteins.
  • Have a history of hypertensive crisis or hypertensive encephalopathy or current poorly controlled hypertension despite standard medical management.
  • Have a significant bleeding disorder or vasculitis or had a Grade ≥3 bleeding episode within 3 months prior to receiving treatment.
  • Receive anticoagulation therapy at therapeutic dose.
  • Have experienced any arterial or venothrombotic or thromboembolic events within 6 months prior to study treatment.
  • Have liver cirrhosis with a Child-Pugh class B or worse or cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis.
  • The participant is pregnant prior to randomization or breastfeeding.
  • The participant has sensory peripheral neuropathy ≥ Grade 2 (Part E only).

研究组 & 干预措施

Part A LY3127804

Experimental

Participants received escalating doses of 4 milligram per kilogram (mg/kg), 8 mg/kg, 12 mg/kg, 16 mg/kg, 20 mg/kg and 27 mg/kg LY3127804 administered as intravenous (IV) infusion on days 1 and 15 of a 28-day cycle.

干预措施: LY3127804 (Drug)

Part B LY3127804 + 8 mg/kg Ramucirumab

Experimental

Participants received escalating doses of 8 mg/kg / 12 mg/kg / 16 mg/kg / 20 mg/kg / 27 mg/kg LY3127804 plus 8 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle.

干预措施: LY3127804 (Drug)

Part B LY3127804 + 8 mg/kg Ramucirumab

Experimental

Participants received escalating doses of 8 mg/kg / 12 mg/kg / 16 mg/kg / 20 mg/kg / 27 mg/kg LY3127804 plus 8 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle.

干预措施: Ramucirumab (Drug)

Part C LY3127804 + 12 mg/kg Ramucirumab

Experimental

Participants received 20 mg/kg LY3127804 plus 12 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle.

干预措施: LY3127804 (Drug)

Part C LY3127804 + 12 mg/kg Ramucirumab

Experimental

Participants received 20 mg/kg LY3127804 plus 12 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle.

干预措施: Ramucirumab (Drug)

Part D LY3127804 + Ramucirumab - Not Enrolled

Experimental

Participants were to receive LY3127804 and Ramucirumab IV Q2W until participant qualifies for study discontinuation.

Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C.

干预措施: LY3127804 (Drug)

Part D LY3127804 + Ramucirumab - Not Enrolled

Experimental

Participants were to receive LY3127804 and Ramucirumab IV Q2W until participant qualifies for study discontinuation.

Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C.

干预措施: Ramucirumab (Drug)

Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled

Experimental

Participants were to receive LY3127804 and Ramucirumab IV Q2W and Paclitaxel IV on day 1, 8, and 15 until participant qualifies for study discontinuation.

Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C.

干预措施: LY3127804 (Drug)

Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled

Experimental

Participants were to receive LY3127804 and Ramucirumab IV Q2W and Paclitaxel IV on day 1, 8, and 15 until participant qualifies for study discontinuation.

Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C.

干预措施: Ramucirumab (Drug)

Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled

Experimental

Participants were to receive LY3127804 and Ramucirumab IV Q2W and Paclitaxel IV on day 1, 8, and 15 until participant qualifies for study discontinuation.

Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C.

干预措施: Paclitaxel (Drug)

结局指标

主要结局

Recommended Phase 2 Dose of LY3127804 Monotherapy and in Combination With Ramucirumab

时间窗: Baseline through Cycle 1 (28 Day Cycle)

Recommended Phase 2 dose was determined based on observed safety, pharmacokinetics (PK) and efficacy. However maximum tolerated dose (MTD) was not determined. For the purpose of this study, the MTD is defined as the highest tested dose in a single-agent setting that has less than (\<) 33% probability of causing a DLT. MTD in the combination setting was determined based on the nature and timing of the DLTs in the combination setting. Dose-limiting toxicities were not reported in any treatment cohort. Therefore, the maximum tolerated LY3127804 dose could not be determined.

次要结局

  • Number of Participants With Anti-Ramucirumab Antibodies(Cycle 1 Pre-Dose through 30 Days After Last Dose of Study Drug (Up to 5 Months))
  • Number of Participants With Dose Limiting Toxicities (DLTs)(Baseline through Cycle 1 (28 Day Cycle))
  • Pharmacokinetics: AUC of Ramucirumab in Combination With LY3127804(predose, end of infusion (1h), 24h, 96h, 168h, 336 h following Ramucirumab dose on day 1)
  • Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC) of LY3127804(predose, end of infusion (1h), 2h, 24h, 96h, 168h, 336 h following dose on day 1 and at predose, end of infusion (1h), 24h, 168h and 336 h following dose on day 15 and at predose, end of infusion (1h), 2h, 168h, 336h following dose on day 29)
  • Number of Participants With Anti-LY3127804 Antibodies(Cycle 1 Pre-Dose through 30 Days After Last Dose of Study Drug (Up To 5 Months))
  • Percentage of Participants Who Exhibit Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)](Baseline through Measured Progressive Disease or Death (Up to 4 Months))
  • Progression Free Survival (PFS)(Baseline to Measured Progressive Disease or Death (Up to 4 Months))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (3)

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