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L'essai clinique NCT04956640 pour Carcinome pulmonaire non à petites cellules, Néoplasmes colorectaux, Néoplasmes Endométriaux, Néoplasmes ovariens, Néoplasmes pancréatiques, Néoplasmes des voies biliaires est en recrutement. Consultez la vue en carte du Radar des Essais Cliniques et les outils de découverte par IA pour tous les détails, ou posez vos questions ici.
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Study of LY3537982 in Cancer Patients With a Specific Genetic Mutation (KRAS G12C) Phase I, Phase II 540

En recrutement
Les détails de l'essai clinique sont principalement disponibles en anglais. Cependant, l'IA Trial Radar peut vous aider ! Cliquez simplement sur 'Expliquer l'étude' pour voir et discuter des informations sur l'étude dans la langue sélectionnée.
L'essai clinique NCT04956640 est conçu pour étudier le traitement de Carcinome pulmonaire non à petites cellules, Néoplasmes colorectaux, Néoplasmes Endométriaux, Néoplasmes ovariens, Néoplasmes pancréatiques, Néoplasmes des voies biliaires. Il s'agit d'une étude interventionnel en Phase I Phase II. Son statut actuel est : en recrutement. L'étude a débuté le 19 juillet 2021 et vise à recruter 540 participants. Dirigée par Eli Lilly, l'étude devrait être terminée d'ici le 1 avril 2027. Les données du site ClinicalTrials.gov ont été mises à jour pour la dernière fois le 25 septembre 2025.
Résumé succinct
The purpose of this study is to find out whether the study drug, LY3537982, is safe and effective in cancer patients who have a specific genetic mutation (KRAS G12C). Patients must have already received or were not able to tolerate the standard of care, except for specific groups who have not had cancer treatment. The study will last up to approximately 4 years.
Description détaillée
This is an open-label, multicenter Phase 1/2 study to evaluate safety, tolerability, and preliminary efficacy of oral LY3537982 in patients with KRAS G12C-mutant solid tumors.

This study will be conducted in 4 parts: Phase 1a dose escalation, Phase 1b dose expansion, Phase 1b dose optimization, and Phase 2. KRAS G12C mutations will be identified through standard of care testing.

Titre officiel

A Phase 1/2 Study of LY3537982 in Patients With KRAS G12C-Mutant Advanced Solid Tumors

Pathologies
Carcinome pulmonaire non à petites cellulesNéoplasmes colorectauxNéoplasmes EndométriauxNéoplasmes ovariensNéoplasmes pancréatiquesNéoplasmes des voies biliaires
Autres identifiants de l'étude
  • LOXO-RAS-20001
  • 2021-000595-12 (Numéro EudraCT)
  • J3M-OX-JZQA (Autre Identifiant) (Eli Lilly and Company)
  • MK-3475-E27/KEYNOTE E27 (Autre Identifiant) (Merck Sharp & Dohme LLC)
  • 2022-502756-31-00 (Numéro CTIS (UE))
Numéro NCT
Date de début (réel)
2021-07-19
Dernière mise à jour publiée
2025-09-25
Date de fin (estimée)
2027-04
Inscription (estimée)
540
Type d'étude
Interventionnel
PHASE
Phase I
Phase II
Statut
En recrutement
Mots clés
Frontline
1L
First Line
Objectif principal
Traitement
Méthode d'allocation
Non randomisé
Modèle d'intervention
Séquentiel
Masquage
Aucun (ouvert)
Bras / Interventions
Groupe de participants/BrasIntervention/Traitement
ExpérimentalLY3537982 (Dose Escalation)
LY3537982 administered orally.
LY3537982
Oral
ExpérimentalLY3537982 (Dose Expansion)
LY3537982 administered orally either alone or with another investigational agent.
LY3537982
Oral
Pembrolizumab
Intravenous
Cetuximab
Intravenous
Pemetrexed
Intravenous
Cisplatin
Intravenous
Carboplatine
Intravenous
ExpérimentalLY3537982 (Dose Optimization)
LY3537982 administered orally either alone or with another investigational agent
LY3537982
Oral
Pembrolizumab
Intravenous
Cetuximab
Intravenous
Critère principal d'évaluation
Critères d'évaluationDescription de la mesurePériode
Phase 1a: To determine the recommended phase 2 dose (RP2D) of LY3537982 monotherapy
Measured by the number of patients with dose-limiting toxicities (DLTs)
Cycle 1 (21 Days)
Phase 1b: To assess the safety and tolerability of LY3537982 when administered alone or in combination with other investigational agents
Measured by the number of patients with dose-limiting toxicities (DLTs)
Cycle 1 (21 Days)
Phase 1b: To determine the optimal dose of LY3537982 to be administered to treatment-naïve participants with advanced NSCLC in combination with pembrolizumab
Measured by TEAEs
Estimated up to 2 years
To determine the optimal dose of LY3537982 to be administered to participants who have received at least one prior oxaliplatin- or irinotecan-containing regimen for advanced or metastatic CRC in combination with cetuximab
Estimated up to 2 years
To assess the antitumor activity of LY3537982 monotherapy in participants with advanced pancreatic cancer with KRAS G12C mutation
Estimated up to 2 years
Critère secondaire d'évaluation
Critères d'évaluationDescription de la mesurePériode
To assess preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Objective response rate (ORR)
ORR
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Duration of Response (DOR)
DOR
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Best Overall Response (BOR)
BOR
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Time to response (TTR)
TTR
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Disease control rate (DCR)
DCR
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Progression-free survival (PFS)
PFS
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Overall survival (OS)
OS
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Intracranial DOR based on modified RECIST v1.1 (Certain arms of the study only)
Intracranial DOR
Estimated up to 2 years
To assess the preliminary antitumor activity of LY3537982 when administered alone or in combination with other investigational agents: Whole-body ORR based on RECIST v1.1 and modified RECIST v1.1 (Certain arms of the study only)
Whole-body ORR
Estimated up to 2 years
To characterize the pharmacokinetics (PK) properties of LY3537982: Area under the plasma concentration versus time curve (AUC)
PK: AUC of LY3537982
Predose estimated up to 2 years
To characterize the PK properties of LY3537982: Maximum drug concentration (Cmax)
PK: Cmax of LY3537982
Predose estimated up to 2 years
Assistant à la participation
Critères d'éligibilité

Âges éligibles
Adulte, Adulte âgé
Âge minimum
18 Years
Sexes éligibles
Tous
  • Patients have measurable disease per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1).
  • Patients must have disease with evidence of KRAS G12C mutation in tumor tissue or circulating tumor deoxyribonucleic acid (DNA).
  • Participants must have a histological or a cytologically proven diagnosis of locally advanced, unresectable, and/or metastatic cancer and meet cohort-specific criteria.
  • Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
  • Have adequate organ function.
  • Have discontinued all previous treatments for cancer with resolution of any significant ongoing adverse events (AEs), (except in certain scenarios).
  • Must be able to swallow capsule/tablet.
  • Agree and adhere to contraceptive use, if applicable.
  • For some parts of the study, (i.e., one of the two arms with LY3537982 in combination with pembrolizumab and the arm of LY3537982 in combination with pembrolizumab, pemetrexed, and platinum therapy) histologically or cytologically confirmed Stage IIIB-IIIC or Stage IV NSCLC that is previously untreated in the advanced/metastatic setting and not suitable for curative intent radical surgery or radiation therapy. Previously untreated patients who received adjuvant and neoadjuvant therapy are eligible if the last dose of the systemic treatment was completed at least 6 months prior to enrollment. For untreated patients in the arm with LY3537982 in combination with pembrolizumab noted above, a single cycle of pembrolizumab may be initiated within 21 days prior to enrollment. For untreated patients in the arm of LY3537982 in combination with pembrolizumab, pemetrexed, and platinum therapy, a single cycle of any or all of the drugs other than LY3537982 may be initiated within 21 days prior to enrollment. Start of study treatment may be delayed to allow sufficient time for recovery from treatment-related toxicity.
  • For one part of the study, participants must have received at least one prior oxaliplatin- or irinotecan-containing regimen for advanced or metastatic CRC.

  • Disease suitable for local therapy administered with curative intent.

  • Have an active, ongoing, or untreated infection.

  • Have a serious pre-existing medical condition(s) that, in the judgment of the investigator, would preclude participation in this study.

  • Have a serious cardiac condition.

  • Have a second active primary malignancy or have been diagnosed and/or treated for an additional malignancy within 3 years prior to enrollment.

  • For some parts of the study only: have untreated active central nervous system (CNS) metastases and/or leptomeningeal disease. Patients with treated CNS metastases are eligible for this study if their disease is asymptomatic, radiographically stable for at least 30 days, and they do not require treatment with steroids in the two-week period prior to study treatment. Patients with active CNS metastases are eligible for one part of the study.

  • Have received prior treatment with any KRAS G12C small molecule inhibitor, except in certain scenarios where such prior therapy is allowed as per protocol.

  • The following patients will be excluded from some parts of the study:

    • Experienced certain serious side effects with prior immunotherapy.
    • Have an active autoimmune disease that has required systemic anti-autoimmune treatment in the past 2 years.
    • Have received a live vaccine within 30 days prior to the first dose of study drug.
  • Pregnant, breastfeeding, or expecting to conceive or father children within the projected duration of the trial through 35 days after the last dose of study medication.

  • Known allergic reaction against any of the components of the study treatments.

Contact central de l'étude
Contact: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or, 1-317-615-4559, [email protected]
Contact: Physicians interested in becoming principal investigators please contact, [email protected]
49 Centres de l'étude dans 6 pays

Aquitaine

Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest, Bordeaux, Aquitaine, 33076, France
En recrutement

Auvergne-Rhône-Alpes

Centre Leon Berard, Lyon, Auvergne-Rhône-Alpes, 69008, France
En recrutement
Institut du Cancer de Montpellier - Val d'aurelle, Montpellier, 34298, France
En recrutement
Institut Claudius Regaud - IUCT Oncopole, Toulouse, 31052, France
En recrutement
Gustave Roussy, Villejuif, 94805, France
En recrutement

Alberta

Cross Cancer Institute, Edmonton, Alberta, T6G 1Z2, Canada
En recrutement

Ontario

Princess Margaret Hospital (Ontario), Toronto, Ontario, M4X 1K9, Canada
En recrutement

Alabama

University of Alabama at Birmingham, Birmingham, Alabama, 35233, United States
En recrutement

California

USC Norris Cancer Hospital, Los Angeles, California, 90033, United States
En recrutement
Chao Family Comprehensive Cancer Ctr., Orange, California, 92868, United States
En recrutement

Connecticut

Yale-New Haven Hospital, New Haven, Connecticut, 06510, United States
En recrutement

Florida

AdventHealth Orlando, Orlando, Florida, 32803, United States
En recrutement
Florida Cancer Specialists, Sarasota, Florida, 34236, United States
En recrutement

Indiana

Indiana Univ Melvin & Bren Simon Cancer Center, Indianapolis, Indiana, 46202, United States
En recrutement
Community Health Network, Indianapolis, Indiana, 46250, United States
En recrutement

Louisiana

Mary Bird Perkins Cancer Center, Baton Rouge, Louisiana, 70809, United States
En recrutement

Massachusetts

Massachusetts General Hospital, Boston, Massachusetts, 02114, United States
En recrutement

New Hampshire

Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, 03756, United States
En recrutement

New York

NYU Langone Health- Long Island, Mineola, New York, 11501, United States
En recrutement
NYU Langone, New York, New York, 10016, United States
En recrutement
Memorial Sloan Kettering Cancer Center, New York, New York, 10065, United States
En recrutement

North Carolina

The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, United States
En recrutement
Novant Health Cancer Institute - Elizabeth, Charlotte, North Carolina, 28204, United States
En recrutement
Novant Health Cancer Institute - Forsyth, Winston-Salem, North Carolina, 27103, United States
En recrutement

Pennsylvania

Fox Chase Cancer Center, Philadelphia, Pennsylvania, 19111-2497, United States
En recrutement
UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, 15232, United States
En recrutement

Tennessee

Sarah Cannon Cancer Center, Nashville, Tennessee, 37203, United States
En recrutement
Vanderbilt Univeristy School of Medicine, Nashville, Tennessee, 37212-6303, United States
En recrutement

Texas

South Texas Accelerated Research Therapeutics (START), San Antonio, Texas, 78229-3307, United States
En recrutement

Utah

START Mountain Region, West Valley City, Utah, 84119, United States
En recrutement

Virginia

Inova Health System IRB, Fairfax, Virginia, 22031, United States
En recrutement
USO-Virginia Cancer Specialists, PC, Fairfax, Virginia, 22031, United States
En recrutement

Wisconsin

University of Wisconsin-Madison Hospital and Health Clinic, Madison, Wisconsin, 53792-4108, United States
En recrutement

New South Wales

Royal North Shore Hospital, St Leonards, New South Wales, 2065, Australia
En recrutement
St Vincent's Hospital Sydney, Sydney, New South Wales, 2010, Australia
En recrutement

South Australia

Cancer Research SA, Adelaide, South Australia, 5000, Australia
En recrutement

Victoria

Peninsula and Southeast Oncology, Frankston, Victoria, 3199, Australia
En recrutement

Western Australia

Linear Clinical Research, Nedlands, Western Australia, 6009, Australia
En recrutement

Aichi-ken

Aichi Cancer Center Hospital, Nagoya, Aichi-ken, 464-8681, Japan
En recrutement

Chiba

National Cancer Center Hospital East, Kashiwa, Chiba, 277-8577, Japan
En recrutement

Hokkaido

Hokkaido University Hospital, Sapporo, Hokkaido, 060-8648, Japan
En recrutement

Ishikawa-ken

Kanazawa University Hospital, Kanazawa, Ishikawa-ken, 920, Japan
En recrutement

Tokyo

National Cancer Center Hospital, Chuo-ku, Tokyo, 104-0045, Japan
En recrutement
Wakayama Medical University Hospital, Wakayama, 641-8510, Japan
En recrutement

Gyeonggi-do

National Cancer Center, Goyang-si, Gyeonggi-do, 10408, South Korea
En recrutement
The Catholic University of Korea, St. Vincent's Hospital, Suwon, Gyeonggi-do, 16247, South Korea
En recrutement

Jeonranamdo

Chonnam National University Hwasun Hospital, Hwasun-gun, Jeonranamdo, 58128, South Korea
En recrutement

Korea

Seoul National University Hospital, Seoul, Korea, 03080, South Korea
En recrutement
Asan Medical Center, Seoul, Korea, 05505, South Korea
En recrutement