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NCT02014116

A Study of LY3009120 in Participants With Advanced Cancer or Cancer That Has Spread to Other Parts of Their Body

Terminated Phase 1 Results posted Last updated 27 December 2019
What this trial tests

Phase 1 trial testing LY3009120 capsule in Neoplasms in 51 participants. Terminated before completion.

Timeline
26 November 2013
Primary endpoint
7 April 2017
5 October 2018

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment51
Start date26 November 2013
Primary completion7 April 2017
Estimated completion5 October 2018
Sites6 locations across France, United States, Australia, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

18 and older, any sex, with Neoplasms or Neoplasm Metastasis. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Tolerated Dose (MTD) of LY3009120 Primary · Cycle 1 (28 Days)

Maximum tolerated dose for the recommended Phase 2 dose (RP2D) of LY3009120 that might be safely administered to participants with advanced and/or metastatic cancer. Dose-limiting toxicity (DLT) is defined as an adverse event (AE) during Cycle 1 (28 days) that was possibly related to the study drug and met 1 of the following criteria: According to the National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v4.0: ≥Grade 3 non-hematological toxicity except nausea/vomiting, diarrhea, or constipation that can be controlled with appropriate care; Grade 3 elevations

GroupValue95% CI
Part A LY3009120300
Number of Participants With Tumor Response Secondary · Baseline through progressive disease (Up to 7.36 months)

Number of participants with tumor response using the Response Evaluation Criteria in Solid Tumors (RECIST 1.1). CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 millimeter (mm). PR is defined as at least a 30% decrease in the sum of diameter of target lesions. SD which is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum diameters while on study.

Complete Repsonse
GroupValue95% CI
Cohort A0
Cohort B0
Cohort C0
Partial Response
GroupValue95% CI
Cohort A0
Cohort B0
Cohort C0
Stable Disease
GroupValue95% CI
Cohort A0
Cohort B0
Cohort C5
Progressive Disease
GroupValue95% CI
Cohort A1
Cohort B4
Cohort C1
Not Assessed
GroupValue95% CI
Cohort A0
Cohort B1
Cohort C4
Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3009120 Cycle 1 Day 1 Secondary · Cycle 1 Day 1: Predose, 0.5, 1, 2, 4, 6, 8, 10 hours (h) post-dose

PK: Maximum concentration of LY3009120 after a single oral dose Cycle 1 Day 1.

GroupValue95% CI
50 mg LY3009120105.29± 228.24
100 mg LY3009120436± 96
200 mg LY3009120675± 81
300 mg LY3009120976± 72
400 mg LY3009120688± 46
500 mg LY30091201717.76± 1464.86
Pharmacokinetics (PK): Maximum Concentration (Cmax) at Steady State of LY3009120 Cycle 1 Day 15 Secondary · Cycle 1 Day 15: Predose, 0.5, 1, 2, 4, 6, 8, 10 h post-dose

PK: Maximum concentration of LY3009120 during a twice daily dosing interval at steady state, Cycle 1 Day 15.

GroupValue95% CI
50 mg LY3009120420.3± 241.2
100 mg LY3009120515± 75
200 mg LY3009120704.74± 1267.39
300 mg LY30091201430± 66
400 mg LY3009120775± 19
Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY3009120 Cycle 1 Day 28 Secondary · Cycle 1 Day 28: Predose, 0.5, 1, 2, 4, 6, 8, 10 h post-dose

PK: Maximum concentration of LY3009120 during a twice daily dosing interval at steady state, Cycle 1 Day 28.

GroupValue95% CI
50 mg LY3009120587.75± 206.15
100 mg LY3009120550± 113
200 mg LY3009120594± 32
300 mg LY30091201150± 69
400 mg LY3009120670± 30
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC [0-∞]) of LY3009120 Cycle 1 Day 1 Secondary · Cycle 1 Day 1: Predose, 0.5, 1, 2, 4, 6, 8, 10 h post-dose

PK: area under the concentration versus time curve \[0-∞\] of LY3009120 after a single oral dose Cycle 1 Day1.

GroupValue95% CI
50 mg LY3009120960± 1540
100 mg LY30091202360± 56
200 mg LY30091204640± 28
300 mg LY30091207560± 47
400 mg LY30091205910± 23
500 mg LY300912016,400± 14,700
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to the End of Dosing Interval at Steady State (AUC[0-τ]) of LY3009120 Cycle 1 Day 15 Secondary · Cycle 1 Day 15: Predose, 0.5, 1, 2, 4, 6, 8, 10 h post-dose

PK: area under the concentration versus time curve from time 0 to the end of the twice daily dosing interval at steady state \[AUC0-τ\].

GroupValue95% CI
50 mg LY30091202240± 1310
100 mg LY30091203520± 7920
200 mg LY30091205140± 6260
300 mg LY30091208460± 60
400 mg LY30091205440± 17
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to the End of Dosing Interval at Steady State (AUC[0-τ]) of LY3009120 Cycle 1 Day 28 Secondary · Cycle 1 Day 28: Predose, 0.5, 1, 2, 4, 6, 8, 10 h post-dose

PK: area under the concentration versus time curve from time 0 to the end of the twice daily dosing interval at steady state AUC\[0-τ\].

GroupValue95% CI
50 mg LY30091203120± 1300
100 mg LY30091203100± 102
200 mg LY30091205200± 7
300 mg LY30091206580± 47
400 mg LY30091204640± 18

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline to Study Completion (Up to 33 months). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1
Serious: 0/3 (0%)
Deaths: 2/3
Cohort 2
Serious: 2/4 (50%)
Deaths: 2/4
Cohort 3
Serious: 1/3 (33%)
Deaths: 1/3
Cohort 4
Serious: 5/7 (71%)
Deaths: 5/7
Cohort 5
Serious: 1/2 (50%)
Deaths: 0/2
Cohort 6
Serious: 12/16 (75%)
Deaths: 4/16
Cohort A
Serious: 1/1 (100%)
Deaths: 1/1
Cohort B
Serious: 5/5 (100%)
Deaths: 4/5
Cohort C
Serious: 6/10 (60%)
Deaths: 4/10

Serious adverse events (41 terms)

ReactionSystemCohort 1Cohort 2Cohort 3Cohort 4Cohort 5Cohort 6Cohort ACohort BCohort C
PyrexiaGeneral disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Angina pectorisCardiac disorders
Cardiac arrestCardiac disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Intestinal perforationGastrointestinal disorders
Large intestine perforationGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
StomatitisGastrointestinal disorders
Upper gastrointestinal haemorrhageGastrointestinal disorders
General physical health deteriorationGeneral disorders
HyperthermiaGeneral disorders
Oedema peripheralGeneral disorders
PainGeneral disorders
ErysipelasInfections and infestations
PneumoniaInfections and infestations
Septic shockInfections and infestations
Blood bilirubin increasedInvestigations
DehydrationMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in jawMusculoskeletal and connective tissue disorders
Cancer painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (203 terms — click to expand)

ReactionSystemCohort 1Cohort 2Cohort 3Cohort 4Cohort 5Cohort 6Cohort ACohort BCohort C
ConstipationGastrointestinal disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Oedema peripheralGeneral disorders
Back painMusculoskeletal and connective tissue disorders
Abdominal painGastrointestinal disorders
AscitesGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
OedemaGeneral disorders
BronchitisInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
HypophosphataemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Dermatitis acneiformSkin and subcutaneous tissue disorders
Pericardial effusionCardiac disorders
Sinus tachycardiaCardiac disorders
Vision blurredEye disorders
AstheniaGeneral disorders
PyrexiaGeneral disorders
Oral candidiasisInfections and infestations
Blood bilirubin increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
Weight decreasedInvestigations
DehydrationMetabolism and nutrition disorders
HypoalbuminaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
AnxietyPsychiatric disorders
HypoxiaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Pyrexia, Pleural effusion, Angina pectoris, Cardiac arrest, Abdominal pain, Diarrhoea, Intestinal perforation, Large intestine perforation.

Data from ClinicalTrials.gov NCT02014116 adverse events section.

Sponsor's own description

The main purpose of this study is to see how safe the investigational drug known as LY3009120 is and whether it will work to help people with advanced cancer or cancer that has spread to other parts of the body.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Role of oncogenic KRAS in the prognosis, diagnosis and treatment of colorectal cancer.
    Zhu G, Pei L, Xia H, Tang Q, et al · · 2021 · cited 342× · PMID 34742312 · DOI 10.1186/s12943-021-01441-4
  2. New perspectives for targeting RAF kinase in human cancer.
    Karoulia Z, Gavathiotis E, Poulikakos PI. · · 2017 · cited 332× · PMID 28984291 · DOI 10.1038/nrc.2017.79
  3. Targeting the ERK Signaling Pathway in Melanoma.
    Savoia P, Fava P, Casoni F, Cremona O. · · 2019 · cited 137× · PMID 30934534 · DOI 10.3390/ijms20061483
  4. Low-Dose Vertical Inhibition of the RAF-MEK-ERK Cascade Causes Apoptotic Death of KRAS Mutant Cancers.
    Ozkan-Dagliyan I, Diehl JN, George SD, Schaefer A, et al · · 2020 · cited 84× · PMID 32553168 · DOI 10.1016/j.celrep.2020.107764
  5. Receptor tyrosine kinases and downstream pathways as druggable targets for cancer treatment: the current arsenal of inhibitors.
    Montor WR, Salas AROSE, Melo FHM. · · 2018 · cited 80× · PMID 29455659 · DOI 10.1186/s12943-018-0792-2
  6. A Phase I Study of LY3009120, a Pan-RAF Inhibitor, in Patients with Advanced or Metastatic Cancer.
    Sullivan RJ, Hollebecque A, Flaherty KT, Shapiro GI, et al · · 2020 · cited 74× · PMID 31645440 · DOI 10.1158/1535-7163.mct-19-0681
  7. Treatment of <i>NRAS</i>-mutated advanced or metastatic melanoma: rationale, current trials and evidence to date.
    Boespflug A, Caramel J, Dalle S, Thomas L. · · 2017 · cited 44× · PMID 28717400 · DOI 10.1177/1758834017708160
  8. Targeting mutant NRAS signaling pathways in melanoma.
    Vu HL, Aplin AE. · · 2016 · cited 42× · PMID 26987942 · DOI 10.1016/j.phrs.2016.03.007

Verify or expand the search:

Other recruiting trials for Neoplasms

Currently open trials in the same condition.

Other Eli Lilly and Company trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02014116.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing