A Phase 1/2 interventional study of LY3295668 in Neoplasms, Neoplasm Metastasis and Triple Negative Breast Neoplasms, sponsored by Eli Lilly and Company. Completed at 3 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-02.
Sponsored by Eli Lilly and Company · Phase 1/2, Interventional, and Treatment
This two-part study consists of a phase 1 dose escalation study in participants with locally advanced or metastatic solid tumors, and a phase 2 portion in up to 3 groups with either small cell lung cancer, breast cancer and/or one other solid tumor type.
9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.
This study's enrollment of 13 is below the median of 50 across 7,253 interventional studies indexed under Neoplasms.
Browse Neoplasms studies →Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.
Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Phase 1
Phase 2
Have evidence of a solid tumor that is locally advanced and/or metastatic, and in:
Exclusion Criteria:
25 milligrams (mg) LY3295668 twice daily (BID) administered orally in 21-day cycles.
Drug: LY3295668
50 mg LY3295668 BID administered orally in 21-day cycles.
Drug: LY3295668
75 mg LY3295668 BID administered orally in 21-day cycles.
Drug: LY3295668
25 mg LY3295668 BID administered orally in 21-day cycles.
Drug: LY3295668
Oral capsules
Also known as: AK-01, Erbumine
Phase 1: Maximum Tolerated Dose
Maximum Tolerated Dose (MTD) was defined as the dose immediately below the dose at which ≥2/3, ≥2/6, or ≥3/9 participants in a cohort experienced a dose limiting toxicity (DLT) during the first 21 days of treatment (Cycle 1) in Phase 1.
Time frame: Cycle 1 (21 days)
Phase 2: Percentage of Participants Who Achieved Partial Response (PR) or Complete Response (CR) [Objective Response Rate (ORR)]
Objective response rate (ORR) was defined as a percentage of responders who achieved complete response or partial response (CR+PR) as assessed by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v 1.1). Complete response (CR) is defined as disappearance of all target (and non-target) lesions, and no appearance of new lesion. Partial response (PR) was defined as at least a 30% decrease in the sum of longest diameters (LD) of target lesions, taking as reference the baseline sum of LD, no progression of non-target lesions, and no appearance of new lesions.
Time frame: Baseline to Objective Disease Progression (Up to 11 months)
Phase 1: Number of Participants With One or More Treatment-Emergent Adverse Events
A treatment-emergent adverse event (AE) is an AE that started or worsened (increased in severity) from the treatment start date to 30 days after the treatment end date. A summary of other non-serious Adverse Events (AEs), and all Serious Adverse Events (SAE's), regardless of causality, is located in the Reported Adverse Events section.
Time frame: Cycle 1 Day 1 through 30 Days After Treatment End Date (Up to 29 Months)
Phase 2: Number of Participants With One or More Treatment-Emergent Adverse Events
A treatment-emergent adverse event (AE) is an AE that started or worsened (increased in severity) from the treatment start date to 30 days after the treatment end date. A summary of other non-serious Adverse Events (AEs), and all Serious Adverse Events (SAE's), regardless of causality, is located in the Reported Adverse Events section.
Time frame: Cycle 1 Day 1 through 30 Days After Treatment End Date (Up to 29 Months)
Phase 2: Pharmacokinetic (PK): Area Under the Plasma Concentration-time Curve From Time Zero to 12 Hours Post-dose (AUC[0-12]) (Phase 2)
Area under the plasma concentration-time curve for LY3295668 from time zero to 12 hours.
Time frame: Cycle 1: Day 1 and Day 15: Predose, 1, 2, 4, 6, and 8 - 12 hours postdose; Cycle 1: Day 2 and Day 8 predose
Phase 2: PK: Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours Post-dose (AUC[0-24])
Area under the plasma concentration-time curve for LY3295668 from time zero to 24 hours.
Time frame: Cycle 1: Day 1 and Day 15: Predose, 1, 2, 4, 6, and 8-12 hours post-dose; Cycle 1: Day 2 and Day 8 Predose
Phase 2: PK: Maximum Observed Plasma Concentration (Cmax)
Maximum observed plasma concentration for LY3295668.
Time frame: Cycle 1: Day 1 and Day 15: Predose, 1, 2, 4, 6, and 8 hours post-dose
Phase 2: PK: Time of Maximum Observed Plasma Concentration (Tmax)
Time of maximum observed plasma concentration of LY3295668.
Time frame: Cycle 1: Day 1 and Day 15: Predose, 1, 2, 4, 6, and 8 hours post-dose
Phase 2: PK: Apparent Terminal Elimination Half-life (t1/2)
Apparent terminal elimination half-life of LY3295668.
Time frame: Cycle 1: Day 1 and Day 15: Predose, 1, 2, 4, 6, and 8-12 hours post-dose; Cycle 1: Day 2 and Day 8 Predose
Phase 2: PK: Apparent Total Plasma Clearance (CL/F)
Apparent total plasma clearance of LY3295668.
Time frame: Cycle 1: Day 1 and Day 15: Predose, 1, 2, 4, 6, and 8 -12 hours post-dose; Cycle 1: Day 2 and Day 8 Predose
Phase 2: PK: Apparent Volume of Distribution (Vz/F)
Apparent volume of distribution of LY3295668.
Time frame: Cycle 1: Day 1 and Day 15: Predose, 1, 2, 4, 6, and 8 -12 hours post-dose; Cycle 1: Day 2 and Day 8 Predose
Phase 1: Number of Participants With Worst Post-Baseline Grade >=3 White Blood Cell Count (WBC)
Presented are participants with the worst post-baseline WBC Grade \>= 3 using the National Cancer Institute (NCI) Common Terminology Criteria For Adverse Events version 4.03 (CTCAE v4.03). where Grade 1: \< Lower Limit Normal (LLN) - 3000/mm3; \<LLN - 3.0 x10e9/L, Grade 2: \<3000 - 2000/mm3; \<3.0 - 2.0 x10e9/L, Grade 3: \<2000 - 1000/mm3; \<2.0 1.0 x10e9/L, Grade 4: \<1000/mm3; \<1.0 x10e9/L.
Time frame: Cycle 1 Day 1 through 30 Days After Treatment End Date (Up to 29 Months)
Phase 1: Number of Participants With Worst Post-Baseline Grade >=3 Neutrophils (Segmented and Blended)
Presented are participants with the worst post-baseline neutrophils Grade \>=3 using the NCI-CTCAE v4.03 where Grade 1: \< LLN - 1500/mm3; \<LLN - 1.5 x10e9/L, Grade 2: \<1500 - 1000/mm3; \<1.5 - 1.0 x10e9/L, Grade 3: \<1000 - 500/mm3; \<1.0 - 0.5 x10e9/L, Grade 4: \<500/mm3; \<0.5 x 10e9/L.
Time frame: Cycle 1 Day 1 through 30 Days After Treatment End Date (Up to 29 Months)
Phase 1: Number of Participants With Worst Post-Baseline Grade >=3 Lymphocytes
Presented are participants with the worst post-baseline lymphocytes Grade \>=3 using the NCI-CTCAE version 4.03 where Grade 1: \<LLN - \<800/mm3, \<LLN - 0.8 x 10e9/L, Grade 2: \<800 - 500/mm3; \<0.8 - 0.5 x 10e9/L, Grade 3: \<500 - 200/mm3; \<0.5 - 0.2 x 10e9/L, \<200mm3; \<0.2 x 10e9/L.
Time frame: Cycle 1 Day 1 through 30 Days After Treatment End Date (Up to 29 Months)
| Milestone | 25 Milligrams (mg) LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) | 25 mg LY3295668 (Phase 2) |
|---|---|---|---|---|
| Started | 8 | 2 | 2 | 1 |
| Received at least one dose of study drug | 8 | 2 | 2 | 1 |
| Completed | 8 | 2 | 2 | 1 |
| Not completed | 0 | 0 | 0 | 0 |
Maximum Tolerated Dose (MTD) was defined as the dose immediately below the dose at which ≥2/3, ≥2/6, or ≥3/9 participants in a cohort experienced a dose limiting toxicity (DLT) during the first 21 days of treatment (Cycle 1) in Phase 1.
| milligram (mg) | LY3295668 Phase 1 |
|---|---|
| Phase 1: Maximum Tolerated Dose | 25 |
Objective response rate (ORR) was defined as a percentage of responders who achieved complete response or partial response (CR+PR) as assessed by Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v 1.1). Complete response (CR) is defined as disappearance of all target (and non-target) lesions, and no appearance of new lesion. Partial response (PR) was defined as at least a 30% decrease in the sum of longest diameters (LD) of target lesions, taking as reference the baseline sum of LD, no progression of non-target lesions, and no appearance of new lesions.
| percentage of participants | 25 mg LY3295668 (Phase 2) |
|---|---|
| Phase 2: Percentage of Participants Who Achieved Partial Response (PR) or Complete Response (CR) [Objective Response Rate (ORR)] | 0 |
A treatment-emergent adverse event (AE) is an AE that started or worsened (increased in severity) from the treatment start date to 30 days after the treatment end date. A summary of other non-serious Adverse Events (AEs), and all Serious Adverse Events (SAE's), regardless of causality, is located in the Reported Adverse Events section.
| Participants | 25 mg LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) |
|---|---|---|---|
| Phase 1: Number of Participants With One or More Treatment-Emergent Adverse Events | 7 | 2 | 2 |
A treatment-emergent adverse event (AE) is an AE that started or worsened (increased in severity) from the treatment start date to 30 days after the treatment end date. A summary of other non-serious Adverse Events (AEs), and all Serious Adverse Events (SAE's), regardless of causality, is located in the Reported Adverse Events section.
| Participants | 25 mg LY3295668 (Phase 2) |
|---|---|
| Phase 2: Number of Participants With One or More Treatment-Emergent Adverse Events | 1 |
Area under the plasma concentration-time curve for LY3295668 from time zero to 12 hours.
No measurements were reported for this outcome.
Area under the plasma concentration-time curve for LY3295668 from time zero to 24 hours.
No measurements were reported for this outcome.
Maximum observed plasma concentration for LY3295668.
| micrograms per liter (µg/L) | 25 mg LY3295668 (Phase 2) |
|---|---|
| Day 1 | NA ± NA |
| Day 15 | NA ± NA |
Time of maximum observed plasma concentration of LY3295668.
| hours | 25 mg LY3295668 (Phase 2) |
|---|---|
| Day 1 | NA ± NA |
| Day 15 | NA ± NA |
Apparent terminal elimination half-life of LY3295668.
No measurements were reported for this outcome.
Apparent total plasma clearance of LY3295668.
No measurements were reported for this outcome.
Apparent volume of distribution of LY3295668.
No measurements were reported for this outcome.
Presented are participants with the worst post-baseline WBC Grade \>= 3 using the National Cancer Institute (NCI) Common Terminology Criteria For Adverse Events version 4.03 (CTCAE v4.03). where Grade 1: \< Lower Limit Normal (LLN) - 3000/mm3; \<LLN - 3.0 x10e9/L, Grade 2: \<3000 - 2000/mm3; \<3.0 - 2.0 x10e9/L, Grade 3: \<2000 - 1000/mm3; \<2.0 1.0 x10e9/L, Grade 4: \<1000/mm3; \<1.0 x10e9/L.
| Participants | 25 mg LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) |
|---|---|---|---|
| Phase 1: Number of Participants With Worst Post-Baseline Grade >=3 White Blood Cell Count (WBC) | 1 | 0 | 0 |
Presented are participants with the worst post-baseline neutrophils Grade \>=3 using the NCI-CTCAE v4.03 where Grade 1: \< LLN - 1500/mm3; \<LLN - 1.5 x10e9/L, Grade 2: \<1500 - 1000/mm3; \<1.5 - 1.0 x10e9/L, Grade 3: \<1000 - 500/mm3; \<1.0 - 0.5 x10e9/L, Grade 4: \<500/mm3; \<0.5 x 10e9/L.
| Participants | 25 mg LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) |
|---|---|---|---|
| Phase 1: Number of Participants With Worst Post-Baseline Grade >=3 Neutrophils (Segmented and Blended) | 1 | 0 | 1 |
Presented are participants with the worst post-baseline lymphocytes Grade \>=3 using the NCI-CTCAE version 4.03 where Grade 1: \<LLN - \<800/mm3, \<LLN - 0.8 x 10e9/L, Grade 2: \<800 - 500/mm3; \<0.8 - 0.5 x 10e9/L, Grade 3: \<500 - 200/mm3; \<0.5 - 0.2 x 10e9/L, \<200mm3; \<0.2 x 10e9/L.
| Participants | 25 mg LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) |
|---|---|---|---|
| Phase 1: Number of Participants With Worst Post-Baseline Grade >=3 Lymphocytes | 2 | 1 | 0 |
Collected over Up to 29 Months. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 25 Milligrams (mg) LY3295668 | 1/9 (11.1%) | 4/9 (44.4%) | 9/9 (100%) |
| 50 mg LY3295688 | 0/2 (0%) | 1/2 (50%) | 2/2 (100%) |
| 75 mg LY3295688 | 0/2 (0%) | 2/2 (100%) | 2/2 (100%) |
| Event | 25 Milligrams (mg) LY3295668 | 50 mg LY3295688 | 75 mg LY3295688 |
|---|---|---|---|
| Corneal depositsEye disorders | 0/9 | 0/2 | 1/2 |
| DiarrhoeaGastrointestinal disorders | 0/9 | 1/2 | 1/2 |
| StomatitisGastrointestinal disorders | 0/9 | 1/2 | 0/2 |
| Mucosal inflammationGeneral disorders | 0/9 | 0/2 | 1/2 |
| Pericardial effusionCardiac disorders | 1/9 | 0/2 | 0/2 |
| InfluenzaInfections and infestations | 1/9 | 0/2 | 0/2 |
| Pneumocystis jirovecii pneumoniaInfections and infestations | 1/9 | 0/2 | 0/2 |
| PneumoniaInfections and infestations | 1/9 | 0/2 | 0/2 |
| Adenocarcinoma of colonNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 1/9 | 0/2 | 0/2 |
| PresyncopeNervous system disorders | 1/9 | 0/2 | 0/2 |
| Event | 25 Milligrams (mg) LY3295668 | 50 mg LY3295688 | 75 mg LY3295688 |
|---|---|---|---|
| DiarrhoeaGastrointestinal disorders | 4/9 | 1/2 | 2/2 |
| NauseaGastrointestinal disorders | 2/9 | 0/2 | 2/2 |
| Mucosal inflammationGeneral disorders | 1/9 | 2/2 | 2/2 |
| AlopeciaSkin and subcutaneous tissue disorders | 2/9 | 1/2 | 2/2 |
| FatigueGeneral disorders | 5/9 | 0/2 | 0/2 |
| AnaemiaBlood and lymphatic system disorders | 2/9 | 1/2 | 0/2 |
| NeutropeniaBlood and lymphatic system disorders | 0/9 | 0/2 | 1/2 |
| Eye pruritusEye disorders | 0/9 | 1/2 | 0/2 |
| Lacrimation increasedEye disorders | 0/9 | 1/2 | 0/2 |
| Night blindnessEye disorders | 0/9 | 1/2 | 0/2 |
All participants who received at least one dose of study drug.
| Age, Categorical(Participants) | 25 Milligrams (mg) LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) | 25 mg LY3295668 (Phase 2) | Total |
|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 7 | 0 | 0 | 0 | 7 |
| >=65 years | 1 | 2 | 2 | 1 | 6 |
| Sex: Female, Male(Participants) | 25 Milligrams (mg) LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) | 25 mg LY3295668 (Phase 2) | Total |
|---|---|---|---|---|---|
| Female | 4 | 1 | 2 | 1 | 8 |
| Male | 4 | 1 | 0 | 0 | 5 |
| Ethnicity (NIH/OMB)(Participants) | 25 Milligrams (mg) LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) | 25 mg LY3295668 (Phase 2) | Total |
|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 | 0 |
| Not Hispanic or Latino | 8 | 2 | 2 | 1 | 13 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | 25 Milligrams (mg) LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) | 25 mg LY3295668 (Phase 2) | Total |
|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 |
| Asian | 1 | 0 | 0 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 |
| White | 5 | 2 | 2 | 1 | 10 |
| More than one race | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 2 | 0 | 0 | 0 | 2 |
| Region of Enrollment(Participants) | 25 Milligrams (mg) LY3295668 (Phase 1) | 50 mg LY3295668 (Phase 1) | 75 mg LY3295668 (Phase 1) | 25 mg LY3295668 (Phase 2) | Total |
|---|---|---|---|---|---|
| Canada | 8 | 2 | 2 | 1 | 13 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Supporting information: Study protocol, Sap, Csr
This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.
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Eli Lilly and Company