EMBER: A Phase 1a/1b Study of LY3484356 Administered as Monotherapy and in Combination With Anticancer Therapies for Patients With ER+ Locally Advanced or Metastatic Breast Cancer and Other Select Non-Breast Cancers

Who is this study for? Adult patients with endometrial cancer or breast cancer
What treatments are being studied? LY3484356
Status: Active_not_recruiting
Location: See all (74) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The reason for this study is to see if the study drug LY3484356 alone or in combination with other anticancer therapies is safe and effective in participants with advanced or metastatic breast cancer or endometrial cancer.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

⁃ All study parts:

• Participants must be willing to provide adequate archival tissue sample

• Participants must be willing to use highly effective birth control

• Participants must have adequate organ function

• Participants must be able to swallow capsules

⁃ Dose escalation- Participants must have one of the following:

• Parts A and B: ER+ HER2- breast cancer with evidence of locally advanced unresectable or metastatic disease who have had the following:

• Part A: may have had up to 1 prior regimen of any kind for in the advanced/metastatic setting and no prior cyclin-dependent kinase 4/6 (CDK4/6) inhibitor therapy.

• Part B: may have had up to 2 prior regimens, no more than 1 of which may be endocrine therapy in the advanced/metastatic setting, and must have received a prior CDK4/6 inhibitor

• Cohort E4: No prior everolimus.

• Cohort E5: No prior alpelisib and must have a phosphatidylinositol 3-kinase catalytic α (PIK3Cα) mutation as determined by local testing.

• Part C: ER+, human epidermal growth factor receptor 2 positive (HER2+) breast cancer with evidence of locally advanced unresectable or metastatic disease who have had at least 2 HER2-directed therapies in any setting.

• Part D: ER+, EEC that has progressed after platinum containing chemotherapy and no prior fulvestrant or aromatase inhibitor therapy.

• Part E: ER+ and HER2+ breast cancer with evidence of locally advanced, unresectable, or metastatic disease.

• Part E: Participants must have received induction taxane chemotherapy combined with trastuzumab + pertuzumab as first-line treatment for advanced/metastatic disease and must not have progressed on this regimen.

• Part E: Participants must not have received more than 1 HER2-directed regimen or any endocrine therapy for advanced disease or any prior CDK4/6 inhibitor therapy.

⁃ Participants with ER+/HER2- breast cancer enrolled in this study must have had evidence of clinical benefit while on endocrine therapy for at least 24 months in the adjuvant setting or at least 6 months in the advanced/metastatic setting or have untreated de novo metastatic breast cancer

Locations
United States
Arkansas
Highlands Oncology Group
Springdale
Arizona
Banner MD Anderson Cancer Center
Gilbert
Mayo Clinic in Arizona - Phoenix
Phoenix
California
Beverly Hills Cancer Center
Beverly Hills
University of California, Irvine
Orange
UCSF Medical Center at Mission Bay
San Francisco
Florida
Mayo Clinic in Florida
Jacksonville
Lake Nona DDU
Orlando
Georgia
Winship Cancer Center Emory University
Atlanta
Indiana
Community Cancer Center North
Indianapolis
Massachusetts
Dana-Farber Cancer Institute
Boston
Massachusetts General Hospital
Boston
Maryland
Johns Hopkins University
Baltimore
Minnesota
Minnesota Oncology/Hematology PA
Minneapolis
Mayo Clinic
Rochester
Missouri
Washington University
Saint Louis
North Carolina
Duke University
Durham
New Jersey
Memorial Sloan Kettering - Bergen
Montvale
New York
Memorial Sloan Kettering Cancer Center
Commack
Memorial Sloan Kettering Cancer Center
New York
Wilmot Cancer Institute
Rochester
Ohio
Ohio State University Medical Center
Columbus
Oklahoma
University of Oklahoma Health Sciences Center, Stephenson Cancer Center
Oklahoma City
Oregon
Asante Rogue Regional Medical Center
Medford
Pennsylvania
UPMC Hillman Cancer Center Harrisburg
Harrisburg
Rhode Island
Rhode Island Hospital
Providence
Tennessee
SCRI Oncology Partners
Nashville
Tennessee Oncology Nashville
Nashville
Vanderbilt Health One Hundred Oaks
Nashville
Texas
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas
UT Southwestern Med Center
Dallas
University of Texas MD Anderson Cancer Center
Houston
South Texas Accelerated Research Therapeutics (START)
San Antonio
Minnesota Oncology/Hematology PA
The Woodlands
Oncology and Hematology Associates of Southwest Virginia Inc
The Woodlands
Texas Oncology - San Antonio Medical Center
The Woodlands
US Oncology
The Woodlands
USO-Rocky Mountain Cancer Center
The Woodlands
Texas Oncology - Tyler
Tyler
Virginia
Inova Schar Cancer Institute
Fairfax
Vermont
The University of Vermont Medical Center Inc.
Burlington
Washington
Seattle Cancer Care Alliance
Seattle
Other Locations
Australia
Cancer Research SA
Adelaide
St Vincent's Hospital Sydney
Darlinghurst
Breast Cancer Research Centre-WA
Nedlands
Linear Clinical Research
Nedlands
Calvary Mater Newcastle
Waratah
Belgium
Institut Jules Bordet
Anderlecht
Antwerp University Hospital
Edegem
UZ Leuven
Leuven
France
Institut Curie
Paris
Institut de cancérologie Strasbourg Europe (ICANS)
Strasbourg
Japan
Hyogo Cancer Center
Akashi
National Cancer Center Hospital
Chuo-ku
Republic of Korea
Asan Medical Center
Seoul
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Severance Hospital, Yonsei University Health System
Seoul
Spain
Hospital Clínic de Barcelona
Barcelona
Hospital Universitari Vall d'Hebron
Barcelona
Hospital Clinico San Carlos
Madrid
Hospital General Universitario Gregorio Marañon
Madrid
Hospital Universitario 12 de Octubre
Madrid
Hospital Universitario Fundación Jiménez Díaz
Madrid
Hospital Universitario HM Sanchinarro
Madrid
Hospital Universitario Ramón y Cajal
Madrid
Fundación Instituto Valenciano de Oncología
Valencia
Hospital Clínico Universitario de Valencia
Valencia
Taiwan
Kaohsiung Medical University Hospital
Kaohsiung
China Medical University Hospital
Taichung
National Cheng-Kung Uni. Hosp.
Tainan
Mackay Memorial Hospital
Taipei
National Taiwan University Hospital
Taipei
Taipei Veterans General Hospital
Taipei
Time Frame
Start Date: 2019-12-10
Completion Date: 2027-12
Participants
Target number of participants: 500
Treatments
Experimental: Dose Escalation LY3484356
LY3484356 given orally.
Experimental: Part A: Dose Expansion: LY3484356 + Abemaciclib +/- AI
LY3484356 and abemaciclib given orally in combination with or without Aromatase Inhibitor (AI) of physician's choice (Anastrozole, Exemestane, or Letrozole) administered orally.
Experimental: Part B: Dose Expansion: Cohort E3: LY3484356
LY3484356 given orally.
Experimental: Part B: Dose Expansion: Cohort E4: LY3484356 + Everolimus
LY3484356 and everolimus given orally.
Experimental: Part B: Dose Expansion: Cohort E5: LY3484356 + Alpelisib
LY3484356 and alpelisib given orally.
Experimental: Part C:Dose Expansion: LY3484356 + Trastuzumab +/- Abemaciclib
LY3484356 administered orally in combination with trastuzumab intravenously with or without Abemaciclib.
Experimental: Part D: Dose Expansion: LY3484356 +/- Abemaciclib
LY3484356 and Abemaciclib given orally with trastuzumab administered intravenously.
Experimental: Part E: Dose Expansion: LY3484356 + Trastuzumab + Pertuzumab
LY3484356 administered orally in combination with trastuzumab and pertuzumab administered intravenously.
Related Therapeutic Areas
Sponsors
Leads: Eli Lilly and Company

This content was sourced from clinicaltrials.gov