ClinicalTrials.gg
RecruitingNCT06465069NEXUS-01Updated Nov 4, 2026

A Study of LY4052031 in Participants With Advanced or Metastatic Urothelial Cancer or Other Solid Tumors

A Phase 1 interventional study of LY4052031 and Pembrolizumab in Metastatic Solid Tumor, Recurrent Solid Tumor and Advanced Solid Tumor, sponsored by Eli Lilly and Company. Recruiting at 40 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Eli Lilly and Company · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2024; still recruiting 2 years 4 months later.
Updated Nov 4, 2026Site recruiting status changedEnrollment updated+5 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
460
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 72 studies in Neoplasm Metastasis by Eli Lilly and Company — 8 open to participants now, 16 under way, 7 of them phase 3. Neoplasm Metastasis · Eli Lilly and Company.

Planned enrollment
9th of 66
460 · median 77
Started
2024
with 3 others
Phase 1
43 of 72
4 open now
Primary completion
2027-05
later than 6 of 15 live
Registered
64th of 72
by date

Among the 72 studies in Neoplasm Metastasis by Eli Lilly and Company, this one is the 9th largest by planned enrollment of the 66 interventional ones that give a count, is one of 4 that started in 2024, is one of 43 in phase 1, reaches primary completion later than 6 of the 15 other live ones, and was the 64th registered.

Neoplasm Metastasis

4,040 studies on the registry are indexed under Neoplasm Metastasis; 886 are open to participants now.

Browse Neoplasm Metastasis studies →

Open to participants now

8 of the 72 studies in Neoplasm Metastasis by Eli Lilly and Company are open now, in 12 countries. Recruiting first, the newest first:

2 more — sign in →

By country, each count listing its studies:

All 8 open studies →

Who these studies take

Of the 688 Neoplasm Metastasis studies recruiting now, 536 (78%) set no upper age limit and 97 (14%) stop at 75 or younger; 48 take children under 18; 18 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 72 studies in Neoplasm Metastasis by Eli Lilly and Company, or all of them as a file.
02

Study summary

The purpose of this study is to find out whether the study drug, LY4052031, is safe, tolerable and effective in participants with advanced, or metastatic solid tumors including urothelial cancer. The study is conducted in two parts - phase Ia (dose-escalation, dose-optimization) and phase Ib (dose-expansion). The study will last up to approximately 4 years.

Read the detailed description

This is a Phase 1a/1b multicenter, open-label study in participants with advanced or metastatic solid tumor malignancies known to express Nectin 4. This study evaluates an antibody-drug conjugate that binds to the protein nectin-4, which is expressed on certain cancer cells, delivering the drug to the cancer. This study is comprised of two phases: Dose Escalation and Dose Optimization (1a), and Dose expansion (1b). Phase 1a will assess the safety, tolerability, and pharmacokinetics of LY4052031 to determine the recommended phase 2 dose (RP2D)/optimal dose. Phase 1b will evaluate efficacy and safety of LY4052031 as monotherapy or in combination with pembrolizumab at the RP2D/optimal dose in expansion cohorts based on tumor type and/or treatment history.

03

Conditions studied

  • Metastatic Solid Tumor
  • Recurrent Solid Tumor
  • Advanced Solid Tumor
  • Urinary Bladder Neoplasm
  • Triple Negative Breast Cancer
  • Non-small Cell Lung Cancer
  • Esophageal Cancer
  • Pancreatic Cancer
  • Ovarian Cancer
  • Cervical Cancer
  • Head and Neck Squamous Cell Carcinoma
  • Prostate Cancer
  • Renal Pelvis Cancer
  • Bladder Cancer

Keywords

  • Bladder Cancer
  • Bladder Neoplasm
  • Bladder Urothelial Carcinoma
  • Urinary Bladder Cancer
  • Urinary Tract Cancer
  • Urothelial Neoplasms
  • Renal Pelvis Cancer
  • Ureter Cancer
  • Nectin-4
  • Antibody Drug Conjugate (ADC)
  • Triple Negative Breast Cancer (TNBC)
  • Non-small Cell Lung Cancer (NSCLC)
  • Head and Neck Squamous Cell Carcinoma (HNSCC)
04

Who can participate

The criteria were revised on the registry on Oct 16, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Have one of the following solid tumor cancers:

    • Cohort A1: urothelial carcinoma, triple negative breast cancer, non-small cell lung cancer, esophageal cancer, pancreatic cancer, ovarian cancer, cervical cancer (squamous cell carcinoma), head and neck squamous cell carcinoma or prostate cancer
    • Cohort A2/B/D: urothelial carcinoma
    • Cohort C: triple negative breast cancer, non-small cell lung cancer, ovarian cancer, cervical cancer, HNSCC (head and neck squamous cell carcinoma), esophageal cancer, pancreatic cancer, or prostate cancer
  • Prior Systemic Therapy Criteria:

    • Cohort A1/C: Individual has received all standard therapies for which the participant was deemed to be an appropriate candidate by the treating investigator; OR there is no standard therapy available for the disease. There is no restriction on number of prior therapies
    • Cohort A2/B1/B2: Individual must have received at least one prior regimen in the advanced or setting. There is no restriction on number of prior therapies.
    • Cohort D: Treatment-naive for locally advanced or metastatic urothelial cancer.
  • Prior enfortumab vedotin specific requirements:

    • Cohorts A1/A2/C/D: prior treatment with enfortumab vedotin is allowed, but not required
    • Cohort B1: individual must be enfortumab vedotin naive in the advanced/metastatic setting
    • Cohort B2: individual must have received enfortumab vedotin in the metastatic/advanced setting.
  • Measurability of disease

    • Cohort A1: measurable or non- as defined by v1.1 (RECIST 1.1)
    • Measurable disease is required as defined by Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1) for all Cohorts. Cohort A1 may permit non-measurable disease as defined by RECIST v1.1
  • Have an (ECOG) performance status of 0 or 1
  • Have adequate sample available or undergo a screening biopsy if allowed per country specific regulations

Exclusion criteria

Exclusion Criteria:

  • Individual with known or suspected uncontrolled
  • Individual with uncontrolled hypercalcemia
  • Individual with uncontrolled diabetes
  • Individual with evidence of corneal keratopathy or keratitis, and history of corneal transplant
  • Any serious unresolved toxicities from prior therapy
  • Significant cardiovascular disease
  • Recent thromboembolic event and/or bleeding disorder
  • Prolongation of corrected for heart rate using Fridericia's formula (QTcF) ≥ 470 ms
  • History of pneumonitis/interstitial lung disease
  • History of Grade ≥3 skin toxicity associated with enfortumab vedotin that required treatment discontinuation
  • Individuals who are pregnant, breastfeeding or plan to breastfeed during study or within 30 days of last dose of study intervention
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
460 participants (estimated)

Study arms

  • Experimental
    LY4052031 (Dose-escalation, Cohort A1)

    Escalating doses of LY4052031 administered intravenously (IV).

    Drug: LY4052031

  • Experimental
    LY4052031 (Dose-optimization, Cohort A2)

    Comparing 2 or more doses (evaluated during dose escalation) of LY4052031 administered IV.

    Drug: LY4052031

  • Experimental
    LY4052031 (Dose-expansion, Cohort B1, B2, C1)

    LY4052031 administered IV.

    Drug: LY4052031

  • Experimental
    LY4052031+ Pembrolizumab (Dose-expansion, Cohort D)

    LY4052031 administered IV. Pembrolizumab administered IV.

    Drug: LY4052031 · Drug: Pembrolizumab

Interventions

06

What researchers measure

Primary outcomes

  1. Phase 1a: To determine the recommended phase 2 dose (RP2D) optimal dose(s) of LY4052031

    Number of participants with dose-limiting toxicities (DLTs)

    Time frame: Cycle 1 (21 Days)

  2. Phase 1b: To assess the antitumor activity of LY4052031 as monotherapy or in combination with pembrolizumab: Overall response rate (ORR)

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

    Time frame: Up to Approximately 48 Months or 4 Years

Secondary outcomes

  1. To characterize the pharmacokinetics (PK) properties of LY4052031: Minimum Plasma Concentration (Cmin)

    PK: Cmin of LY4052031

    Time frame: Cycle 1 (21 Days)

  2. To characterize the PK properties of LY4052031: Area under the concentration versus time curve (AUC)

    PK: AUC of LY4052031

    Time frame: Cycle 1 (21 Days)

  3. To evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Overall response rate (ORR)

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

    Time frame: Up to Approximately 48 Months or 4 Years

  4. To evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Duration of response (DOR)

    DOR per investigator assessed RECIST 1.1

    Time frame: Up to Approximately 48 Months or 4 Years

  5. To evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Time to response (TTR)

    TTR per investigator assessed RECIST 1.1

    Time frame: Up to Approximately 48 Months or 4 Years

  6. To evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Progression free survival (PFS)

    PFS per investigator assessed RECIST 1.1

    Time frame: Up to Approximately 48 Months or 4 Years

  7. To evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Disease control rate (DCR)

    DCR per investigator assessed RECIST 1.1

    Time frame: Up to Approximately 48 Months or 4 Years

  8. To evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Overall survival (OS)

    OS per investigator assessed RECIST 1.1

    Time frame: Up to Approximately 48 Months or 4 Years

07

Study locations

36 of 40 sites recruiting
08

References and documents

09

Timeline

4 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jul 2024 (actual). Primary completion is estimated for May 2027, 34 months after the start.

Of 286 industry-sponsored phase 1 interventional studies under Neoplasm Metastasis, half reached primary completion within 48 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 75. This study's planned 34 months is below that.

Counting every sponsor, half of 496 studies reached it within 54 months; a quarter within 33 and three quarters within 83.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 13, 2024
First posted
Jun 18, 2024
StartActual
Jul 1, 2024
Primary completionEst.
May 2027
CompletionEst.
May 2027
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites added, 1 site removed. 2 sites changed recruiting status (2 now recruiting)
Show 2 sites
  • University of California, San Diego (UCSD) - Moores Cancer Center · La Jolla, United StatesNot yet recruiting→Recruiting
  • Emory University · Atlanta, United StatesNot yet recruiting→Recruiting
Show 2 added (2 United States)
  • Emory University · Atlanta, United States
  • NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute) · New York, United States
Show 1 removed
  • NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute) · New York, United States
across 3 updates, Oct 2, 2026 – Nov 4, 2026
Enrollment
420→460
Oct 16, 2026
Eligibility
2 inclusion criteria edited, 1 added; 1 exclusion criterion edited
What changed in the criteria
Inclusion criteria
  • EditedCohort A2/B1B/B2D: urothelial carcinoma
  • AddedCohort D: Treatment-naive for locally advanced or metastatic urothelial cancer.
  • EditedCohorts A1/A2/C/D: prior treatment with enfortumab vedotin is allowed, but not required
Exclusion criteria
  • EditedHistory of Grade ≥3 skin toxicity when receivingassociated with enfortumab vedotin that required treatment discontinuation
Oct 16, 2026
Interventions
Added Drug: Pembrolizumab. Arms added: LY4052031+ Pembrolizumab (Dose-expansion, Cohort D)
Oct 16, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedPhase 1b: To assess the antitumor activity of LY4052031 Monotherapyas monotherapy or in combination with pembrolizumab: Overall response rate (ORR)Time frame: Up to Approximately 48 Months or 4 Years
Oct 16, 2026
Secondary outcomes
6 edited
What changed in the outcomes
  • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Overall response rate (ORR)Time frame: Up to Approximately 48 Months or 4 Years
  • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Duration of response (DOR)Time frame: Up to Approximately 48 Months or 4 Years
  • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Time to response (TTR)Time frame: Up to Approximately 48 Months or 4 Years
  • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Progression free survival (PFS)Time frame: Up to Approximately 48 Months or 4 Years
  • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Disease control rate (DCR)Time frame: Up to Approximately 48 Months or 4 Years
  • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Overall survival (OS)Time frame: Up to Approximately 48 Months or 4 Years
Oct 16, 2026
Show all 4 updates
  1. Nov 4, 2026
    1 site added
    Show site
    • NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute) · New York, United States
    + 1 other change: verification date
  2. Oct 22, 2026
    1 site removed. Emory University is now Recruiting
    Show 1 removed
    • NYU Langone Medical Center - Perlmutter Cancer Center (NYU Cancer Institute) · New York, United States
  3. Oct 16, 2026
    Enrollment 420→460
    Eligibility 2 inclusion criteria edited, 1 added; 1 exclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • EditedCohort A2/B1B/B2D: urothelial carcinoma
    • AddedCohort D: Treatment-naive for locally advanced or metastatic urothelial cancer.
    • EditedCohorts A1/A2/C/D: prior treatment with enfortumab vedotin is allowed, but not required
    Exclusion criteria
    • EditedHistory of Grade ≥3 skin toxicity when receivingassociated with enfortumab vedotin that required treatment discontinuation
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedPhase 1b: To assess the antitumor activity of LY4052031 Monotherapyas monotherapy or in combination with pembrolizumab: Overall response rate (ORR)Time frame: Up to Approximately 48 Months or 4 Years
    Secondary outcomes 6 edited
    What changed in the outcomes
    • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Overall response rate (ORR)Time frame: Up to Approximately 48 Months or 4 Years
    • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Duration of response (DOR)Time frame: Up to Approximately 48 Months or 4 Years
    • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Time to response (TTR)Time frame: Up to Approximately 48 Months or 4 Years
    • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Progression free survival (PFS)Time frame: Up to Approximately 48 Months or 4 Years
    • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Disease control rate (DCR)Time frame: Up to Approximately 48 Months or 4 Years
    • EditedTo evaluate the preliminary antitumor activity of LY4052031 monotherapy or in combination with pembrolizumab: Overall survival (OS)Time frame: Up to Approximately 48 Months or 4 Years
    Interventions Added Drug: Pembrolizumab. Arms added: LY4052031+ Pembrolizumab (Dose-expansion, Cohort D)
    + 2 other changes: description and index terms
  4. Oct 2, 2026
    1 site added. University of California, San Diego (UCSD) - Moores Cancer Center is now Recruiting
    Show site
    • Emory University · Atlanta, United States
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06465069
Responsible party
Sponsor
First posted
Jun 18, 2024
Start date
Jul 1, 2024
Primary completion
May 2027 (estimated)
Completion
May 2027 (estimated)
Last update
Nov 4, 2026

Study contacts

Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
Contact
LillyTrials@Lilly.com
1-317-615-4559
Physicians interested in becoming principal investigators please contact
Contact
clinical_inquiry_hub@lilly.com
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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