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Clinical Trials/NCT02240433
NCT02240433CompletedPhase 1

A Phase 1b Study of LY2157299 in Combination With Sorafenib in Patients With Unresectable Hepatocellular Carcinoma

Eli Lilly and Company1 site in 1 country9 target enrollmentStarted: November 12, 2014Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Completed
Enrollment
9
Locations
1
Primary Endpoint
Number of Participants with LY2157299 Dose-Limiting Toxicities (DLT)

Study Overview

Brief Summary

The main purpose of this study is to evaluate safety and tolerability of LY2157299 when combined with sorafenib in Japanese hepatocellular carcinoma (HCC) participants.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
20 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Have histological evidence of a diagnosis of HCC (except HCC with fibrolamellar or mixed histology) not amenable to curative surgery.
  • Have Child-Pugh Class A.
  • Have the presence of measurable or evaluable lesion as defined by the Response Evaluation Criteria In Solid Tumors (RECIST) v1.
  • A measurable or evaluable lesion showing demonstrable progression after locoregional therapy could be also included.
  • Have not received sorafenib prior to enrollment.
  • Have resolution to Grade less than or equal 1 by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 of all clinically significant toxic effects of prior locoregional therapy, surgery, chemoembolization, systemic chemotherapy.
  • Have a performance status of less than or equal 1 on the Eastern Cooperative Oncology Group (ECOG) scale.

Exclusion Criteria

  • Are currently enrolled, or discontinued within 28 days prior to enrollment from, a clinical trial involving an investigational product or nonapproved use of a drug or device (other than the investigational product used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
  • Have undergone major surgery within 28 days prior to enrollment.
  • Have undergone hepatic locoregional therapy (including radiation, surgery, hepatic arterial embolization, chemoembolization, radiofrequency ablation, cryoablation, percutaneous ethanol injection, or percutaneous microwave coagulation therapy) within 28 days prior to enrollment.
  • Have moderate or severe cardiac disease.
  • Myocardial infarction within 6 months prior to enrollment, unstable angina pectoris, New York Heart Association (NYHA) Class III/IV congestive heart failure, or uncontrolled hypertension.
  • Documented major electrocardiogram (ECG) abnormalities at the investigator's discretion within 28 days prior to enrollment.
  • Major abnormalities documented by echocardiography with Doppler at investigator's direction within 28 days prior to enrollment.
  • Have persistently elevated brain natriuretic peptide (BNP) or elevated troponin I within 14 days prior to enrollment.
  • Predisposing conditions that are consistent with development of aneurysms of the ascending aorta or aortic stress.
  • Have a history of cardiac or aortic surgery.
  • Have undergone liver transplant.
  • Are pregnant or breastfeeding.

Arms & Interventions

LY2157299 + Sorafenib

Experimental

LY2157299 will be administered orally twice daily for 14 days, followed by 14 days with no study drug per 28-day cycle. Sorafenib will be administered orally twice daily for 28 days, in each cycle.

Intervention: LY2157299 (Drug)

LY2157299 + Sorafenib

Experimental

LY2157299 will be administered orally twice daily for 14 days, followed by 14 days with no study drug per 28-day cycle. Sorafenib will be administered orally twice daily for 28 days, in each cycle.

Intervention: Sorafenib (Drug)

Outcomes

Primary Outcomes

Number of Participants with LY2157299 Dose-Limiting Toxicities (DLT)

Time Frame: Cycle 1 (28 days)

Secondary Outcomes

  • Pharmacokinetics (PK): Area Under the Plasma Concentration-time Curve (AUC) of LY2157299(Cycle 1 Day1: predose through 6 hours post dose; Cycle1 Day14: predose through 24 hours post dose)
  • PK: Maximum Observed Plasma Concentration (Cmax) of LY2157299(Cycle 1 Day 1: Predose through 6 hours post dose; Cycle 1 Day 14: Predose through 24 hours post dose)
  • Time to Progression (TTP)(Baseline to objective progressive disease (estimated as 6 months))
  • Progression-free Survival (PFS)(Baseline to objective progressive disease or death (estimated as 6 months))
  • The Number of Participants with Best Response of Partial Response (PR), Complete Response (CR), Stable Disease (SD), or Progressive Disease (PD)(Baseline to objective progressive disease (estimated as 6 months))

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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