CClinicalTrials.gg
Active, not recruitingNCT06607185Updated Jul 20, 2026

A Study of the Pan-KRAS Inhibitor LY4066434 in Participants With KRAS Mutant Solid Tumors

A Phase 1 interventional study of LY4066434. and Cetuximab in Pancreatic Ductal Adenocarcinoma, Non-small Cell Lung Cancer and Colorectal Cancer, sponsored by Eli Lilly and Company. Active, not recruiting at 45 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-20.

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

Phase
Phase 1
Study type
Interventional
Enrollment
750
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The main purpose of the study is to assess whether the study drug, LY4066434, is safe and tolerable when administered to participants with locally advanced or metastatic solid tumors with certain KRAS mutations. LY4066434 will be given alone or in combination with other treatments. The study will have 2 parts: monotherapy dose escalation and dose optimization. The study is expected to last up to approximately 5 years.

02

Conditions studied

  • Pancreatic Ductal Adenocarcinoma
  • Non-small Cell Lung Cancer
  • Colorectal Cancer
  • Advanced Solid Tumor
  • Metastatic Solid Tumor

Keywords

  • KRAS
  • KRAS mutation
  • KRASG12C
  • KRASG12D
  • KRASG12V
  • KRASG12S
  • KRASG12A
  • KRASG13D
  • LY4066434
  • Targeted therapy
  • Lung cancer
  • Pancreas cancer
  • Colon cancer
  • Rectal cancer
  • Colorectal cancer
  • Ovarian cancer
  • Endometrial cancer
  • Cholangiocarcinoma
  • Esophageal cancer
  • KRAS-mutant tumor
  • PanKRAS
  • Pan KRAS
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,630 are open to participants now.

This study's planned enrollment of 750 is above the median of 62 across 5,211 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

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.

04

Who can participate

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

Inclusion criteria

  • Have evidence of KRAS G12C, G12D, G12V, G12A, G12S, or G13D mutation in tumor tissue or circulating tumor DNA
  • Histological or cytologically proven diagnosis of a locally advanced, unresectable, and/or metastatic solid tumor cancer
  • Have measurable disease per RECIST 1.1
  • Have an ECOG performance status of ≤1
  • Must not be pregnant and/or planning to breastfeed during the trial or within 180 days of the last dose of trial intervention
  • Must be able to swallow tablets
  • Participants with asymptomatic or treated CNS disease may be eligible

Exclusion criteria

Exclusion Criteria:

  • Have known active CNS metastases and/or carcinomatous meningitis
  • Have any unresolved toxicities from prior therapy greater than NCI CTCAE Version 5.0 Grade 1 at the time of starting trial treatment, except for alopecia, hearing loss, peripheral neuropathy and ongoing endocrinopathies controlled on appropriate replacement therapy
  • Have significant cardiovascular disease defined as unstable angina or acute coronary syndrome, history of myocardial infarction, known left ventricular ejection fraction or heart failure, uncontrolled or symptomatic arrhythmias.
  • Have known active hepatitis B virus (HBV), hepatitis C virus (HCV) or untreated HIV infection
  • Have other active malignancy unless in remission with life expectancy greater than 2 years.
  • Have active uncontrolled systemic bacterial, viral, fungal, or parasitic infection
  • Have history of non-infectious pneumonitis/interstitial lung disease that received steroids or has current clinically significant pneumonitis/interstitial lung disease
05

Study design

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

Study arms

  • Experimental
    LY4066434 Monotherapy Dose Escalation

    Escalating doses of LY4066434 administered orally.

    Drug: LY4066434.

  • Experimental
    LY4066434 Dose Optimization

    LY4066434 administered orally either alone or with another investigational agent.

    Drug: LY4066434. · Drug: Cetuximab · Drug: Nab paclitaxel · Drug: Gemcitabine · Drug: Oxaliplatin · Drug: Leucovorin · Drug: Irinotecan · Drug: 5Fluorouracil · Drug: Carboplatin · Drug: Cisplatin · Drug: Pemetrexed · Drug: Pembrolizumab

Interventions

  • DrugLY4066434.

    Administered orally.

  • DrugCetuximab

    Administered intravenously.

  • DrugNab paclitaxel

    Administered intravenously.

  • DrugGemcitabine

    Administered intravenously.

  • DrugOxaliplatin

    Administered intravenously.

  • DrugLeucovorin

    Administered intravenously.

    Also known as: Folinic Acid

  • DrugIrinotecan

    Administered intravenously.

  • Drug5Fluorouracil

    Administered intravenously.

  • DrugCarboplatin

    Administered intravenously.

  • DrugCisplatin

    Administered intravenously.

  • DrugPemetrexed

    Administered intravenously.

  • DrugPembrolizumab

    Administered intravenously.

06

What researchers measure

Primary outcomes

  1. Number of Participants with Dose-limiting Toxicities (DLTs)

    Time frame: During the first cycle of LY4066434 treatment (up to 28 days)

  2. 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 Administration

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

    Time frame: Up to approximately 5 years

Secondary outcomes

  1. Overall Response Rate (ORR)

    ORR as assessed by investigator per Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST v1.1)

    Time frame: Up to approximately 5 years

  2. Best Overall Response (BOR)

    BOR as assessed by investigator per RECIST v1.1

    Time frame: Up to approximately 5 years

  3. Duration of Response (DOR)

    DOR as assessed by investigator per RECIST v1.1

    Time frame: Up to approximately 5 years

  4. Disease Control Rate (DCR)

    DCR as assessed by investigator per RECIST v1.1

    Time frame: Up to approximately 5 years

  5. Time to Response (TTR)

    TTR as assessed by investigator per RECIST v1.1

    Time frame: Up to approximately 5 years

  6. Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of LY4066434 Alone

    PK: Cmax of LY4066434

    Time frame: Predose through Day 168

  7. Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of LY4066434 in Combination With Other Agents

    PK: Cmax of LY4066434

    Time frame: Predose through Day 168

  8. PK: Time to Maximum Concentration (Tmax) of LY4066434 Alone

    PK: Tmax of LY4066434

    Time frame: Predose through Day 168

  9. PK: Time to Maximum Concentration (Tmax) of LY4066434 in Combination With Other Agents

    PK: Tmax of LY4066434

    Time frame: Predose through Day 168

  10. PK: Area Under the Concentration Versus Time Curve (AUC) of LY4066434 Alone

    PK: AUC of LY4066434

    Time frame: Predose through Day 168

  11. PK: Area Under the Concentration Versus Time Curve (AUC) of LY4066434 in Combination With Other Agents

    PK: AUC of LY4066434

    Time frame: Predose through Day 168

07

Study locations

45 sites
  • University of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
  • Mayo Clinic
    Phoenix, Arizona 85054, United States
  • City of Hope
    Duarte, California 91010, United States
  • University of California, Los Angeles (UCLA)
    Santa Monica, California 90404, United States
  • Yale University School of Medicine - Yale Cancer Center
    New Haven, Connecticut 06520-8028, United States
  • The University of Chicago Medical Center (UCMC)
    Chicago, Illinois 60637, United States
  • Indiana University (IU)
    Indianapolis, Indiana 46202, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • South Texas Accelerated Research Therapeutics (START) Midwest
    Grand Rapids, Michigan 49546, United States
  • Columbia University
    New York, New York 10032, United States
  • David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15213, United States
  • Sarah Cannon Research Institute/SCRI
    Nashville, Tennessee 37203, United States
  • SCRI Oncology Partners
    Nashville, Tennessee 37203, United States
  • University of Texas Southwestern
    Dallas, Texas 75244, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • South Texas Accelerated Research Therapeutics (START)
    San Antonio, Texas 78229, United States
  • Virginia Cancer Specialists
    Fairfax, Virginia 22031, United States
  • Swedish Cancer Institute (SCI)
    Seattle, Washington 98104, United States
  • Universite Libre de Bruxelles (ULB) - Institut Jules Bordet
    Brussels, 1070, Belgium
  • Cliniques universitaires Saint-Luc
    Brussels, 1200, Belgium
  • UZ Gent
    Ghent, 9000, Belgium
  • Centre Leon Berard
    Lyon, 69373, France
  • Krankenhaus Nordwest GmbH
    Frankfurt, 60488, Germany
  • Asklepios Kliniken Hamburg GmbH - Asklepios Klinik Altona
    Hamburg, 22763, Germany
  • SLK-Kliniken Heilbronn GmBH
    Heilbronn, 74078, Germany
  • Universitaetsklinikum Wuerzburg
    Würzburg, 97080, Germany
  • Centro Ricerche Cliniche di Verona s.r.l.
    Verona, 37134, Italy
  • National Cancer Center Hospital East
    Chiba, 277-8577, Japan
  • Kyoto University Hospital
    Kyoto, 606-8507, Japan
  • Shizuoka Cancer Center
    Shizuoka, 411-8777, Japan
  • National Cancer Center Hospital
    Tokyo, 104-0045, Japan
  • Cancer Institute Hospital of JFCR
    Tokyo, 135-8550, Japan
  • Hospital del Mar
    Barcelona, 08003, Spain
  • Hospital Universitario Vall d'Hebron
    Barcelona, 08035, Spain
  • Institut Catala d'Oncologia - L'Hospitalet
    Barcelona, 08908, Spain
  • Hospital General Universitario Gregorio Maranon
    Madrid, 28007, Spain
  • Hospital Universitario Ramon y Cajal
    Madrid, 28034, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Hospital Regional Universitario de Malaga
    Málaga, 29010, Spain
  • National Taiwan University Hospital Hsin-Chu Branch
    Hsinchu, 300195, Taiwan
  • National Taiwan University Hospital
    Taipei, 10016, Taiwan
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06607185
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Sep 23, 2024
Start date
Oct 21, 2024
Primary completion
Jan 2030 (estimated)
Completion
Jan 2030 (estimated)
Last update
Jul 20, 2026

Study contacts

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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