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MOONRAY-01, A Study of LY3962673 in Participants With KRAS G12D-Mutant Solid Tumors

Phase 1
Recruiting
Conditions
Pancreatic Ductal Adenocarcinoma
Non-small Cell Lung Cancer
Colorectal Cancer
Interventions
Registration Number
NCT06586515
Lead Sponsor
Eli Lilly and Company
Brief Summary

The main purpose of this study is to assess safety \& tolerability and antitumor activity of LY3962673 as monotherapy and in combination with other chemotherapy agents in participants with KRAS G12D-mutant advanced solid tumor types. The study is expected to last approximately 5 years.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
540
Inclusion Criteria
  • Have Histological or cytologically proven diagnosis of locally advanced, unresectable, and/or metastatic cancer and measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
  • Have evidence of KRAS G12D mutation in tumor tissue or circulating tumor DNA
  • Have an ECOG performance status of ≤ 1
  • Must have received ≥ 1 prior line of systemic chemotherapy for advanced or metastatic disease
  • Participants with asymptomatic or treated CNS disease may be eligible.
Exclusion Criteria
  • Have known active CNS metastases and/or carcinomatous meningitis.
  • Have any unresolved toxicities from prior therapy greater than National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 Grade 1.
  • Have significant cardiovascular disease as unstable angina or acute coronary syndrome, history of myocardial infarction, known reduced left ventricular ejection fraction.
  • Have active uncontrolled systemic bacterial, viral, fungal, or parasitic infection.
  • Have known active hepatitis B virus (HBV) and hepatitis C virus (HCV).
  • Have other active malignancy unless in remission with life expectancy greater than (>) 2 years.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Phase 1a: LY3962673 Dose EscalationLY3962673Escalating doses of LY3962673 administered orally.
Phase 1b: LY3962673 Dose ExpansionLY3962673LY3962673 administered orally either alone or in combination with other chemotherapy agents.
Phase 1b: LY3962673 Dose ExpansionCetuximabLY3962673 administered orally either alone or in combination with other chemotherapy agents.
Phase 1b: LY3962673 Dose ExpansionGemcitabineLY3962673 administered orally either alone or in combination with other chemotherapy agents.
Phase 1b: LY3962673 Dose Expansionnab-paclitaxelLY3962673 administered orally either alone or in combination with other chemotherapy agents.
Phase 1b: LY3962673 Dose ExpansionOxaliplatinLY3962673 administered orally either alone or in combination with other chemotherapy agents.
Phase 1b: LY3962673 Dose ExpansionleucovorinLY3962673 administered orally either alone or in combination with other chemotherapy agents.
Phase 1b: LY3962673 Dose ExpansionIrinotecanLY3962673 administered orally either alone or in combination with other chemotherapy agents.
Phase 1b: LY3962673 Dose Expansion5-fluorouracilLY3962673 administered orally either alone or in combination with other chemotherapy agents.
Experimental: Phase 1a: LY3962673 MonotherapyLY3962673LY3962673 administered orally
Primary Outcome Measures
NameTimeMethod
Number of Participants with One or More Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Event(s) (SAEs) Considered by the Investigator to be Related to Study Drug AdministrationBaseline through 5 years

A summary of TEAEs, SAEs and other non-serious adverse events (AEs), regardless of causality, will be reported in the Reported Adverse Events module.

Phase 1a: Number of Participants with DLTDuring the first 28-day cycle of LY3962673 treatment
Phase 1a: Number of Participants with DLT Equivalent ToxicitiesDuring the first 28-day cycle of LY3962673 treatment
Phase 1b: Overall Response Rate (ORR)Up to approximately 5 years

ORR per investigator assessed Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)

Phase 1b: Best Overall Response (BOR)Up to approximately 5 years

BOR per investigator assessed RECIST 1.1

Phase 1b: Duration of Response (DOR)Up to approximately 5 years

DOR per investigator assessed RECIST 1.1

Phase 1b: Time to Response (TTR)Up to approximately 5 years

TTR per investigator assessed RECIST 1.1

Phase 1b: Disease Control Rate (DCR)Up to approximately 5 years

DCR per investigator assessed RECIST 1.1

Secondary Outcome Measures
NameTimeMethod
Phase 1a: Overall Response Rate (ORR)Up to approximately 5 years

ORR per investigator assessed Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)

Best Overall Response (BOR)Up to approximately 5 years

BOR per investigator assessed RECIST 1.1

Duration of Response (DOR)Up to approximately 5 years

DOR per investigator assessed RECIST 1.1

Time to Response (TTR)Up to approximately 5 years

TTR per investigator assessed RECIST 1.1

Disease Control Rate (DCR)Up to approximately 5 years

DCR per investigator assessed RECIST 1.1

Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of LY3962673Predose through Day 168

PK: Cmax of LY3962673

PK: Time to Maximum Concentration (Tmax) of LY3962673Predose through Day 168

PK: Tmax of LY3962673

PK: Area Under the Concentration Versus Time Curve (AUC) of LY3962673Predose through Day 168

PK: AUC of LY3962673

Trial Locations

Locations (48)

City of Hope

🇺🇸

Duarte, California, United States

University of California, Los Angeles (UCLA)

🇺🇸

Los Angeles, California, United States

Sarah Cannon Research Institute at HealthOne

🇺🇸

Denver, Colorado, United States

Sibley Memorial Hospital

🇺🇸

Washington, District of Columbia, United States

Florida Cancer Specialists - Lake Nona - Sarah Cannon Research Institute

🇺🇸

Orlando, Florida, United States

Emory University School of Medicine

🇺🇸

Atlanta, Georgia, United States

Community Health Network

🇺🇸

Indianapolis, Indiana, United States

Massachusetts General Hospital

🇺🇸

Boston, Massachusetts, United States

Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

South Texas Accelerated Research Therapeutics (START) Midwest

🇺🇸

Grand Rapids, Michigan, United States

New York University (NYU) Langone Medical Center

🇺🇸

New York, New York, United States

David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

University of Cincinnati (UC) - Cancer Institute

🇺🇸

Cincinnati, Ohio, United States

Cleveland Clinic

🇺🇸

Cleveland, Ohio, United States

University of Pittsburgh Medical Center (UPMC) - Hillman Cancer Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Sarah Cannon Research Institute

🇺🇸

Nashville, Tennessee, United States

USO - US Oncology Research Network

🇺🇸

Nashville, Tennessee, United States

Vanderbilt University School of Medicine

🇺🇸

Nashville, Tennessee, United States

MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

South Texas Accelerated Research Therapeutics (START)

🇺🇸

San Antonio, Texas, United States

Huntsman Cancer Institute

🇺🇸

Salt Lake City, Utah, United States

Fred Hutchinson Cancer Center

🇺🇸

Seattle, Washington, United States

University of Wisconsin - Carbone Cancer Center

🇺🇸

Madison, Wisconsin, United States

The Ottawa Hospital

🇨🇦

Ottawa, Ontario, Canada

Princess Margaret Hospital

🇨🇦

Toronto, Ontario, Canada

Centre Leon Berard

🇫🇷

Lyon, France

Centre d'Essais Precoces en Cancerologie de Marseille (CEPCM) - AP-HM Hopital de La Timone

🇫🇷

Marseille, France

Oncopole Claudius Regaud

🇫🇷

Toulouse, France

Institut Gustave Roussy

🇫🇷

Villejuif cedex, France

Charite Universitaetsmedizin Berlin

🇩🇪

Berlin, Germany

Universitaetsklinikum Carl Gustav Carus Dresden

🇩🇪

Dresden, Germany

Universitaetsklinikum Essen

🇩🇪

Essen, Germany

Klinikum der Ludwig-Maximilians-Universitaet Muenchen

🇩🇪

Munchen, Germany

START Dublin Early Phase Clinical Trials Unit

🇮🇪

Dublin, Ireland

Azienda Ospedaliera Universitaria - Universita degli Studi della Campania Luigi Vanvitelli

🇮🇹

Napoli, Italy

UOC Fase I - Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore

🇮🇹

Roma, Italy

Centro Ricerche Cliniche di Verona s.r.l.

🇮🇹

Verona, Italy

Kanagawa cancer center

🇯🇵

Kanagawa, Japan

National Cancer Center Hospital East

🇯🇵

Kashiwa, Chiba, Japan

Aichi Cancer Center Hospital

🇯🇵

Nagoya, Japan

Kansai Medical University Hospital

🇯🇵

Osaka, Japan

National Cancer Center Hospital

🇯🇵

Tokyo, Japan

South Texas Accelerated Research Therapeutics (START) Barcelona- HM Nou Delfos

🇪🇸

Barcelona, Spain

Hospital Universitario Vall d'Hebron

🇪🇸

Barcelona, Spain

South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jimenez Diaz

🇪🇸

Madrid, Spain

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Spain

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