Clinical trial • Phase III • Oncology
LY3537982 for Non-small cell lung cancer | KRAS G12C-mutant non-small cell lung cancer
Phase III trial of LY3537982 for Non-small cell lung cancer | KRAS G12C-mutant non-small cell lung cancer.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Non-small cell lung cancer | KRAS G12C-mutant non-small cell lung cancer
- Trial Stage
- Phase III
- Drug Modality
- Small molecule | Monoclonal antibody
Key dates
- Initial CTIS Submission Date
- 03-11-2023
- First CTIS Authorization Date
- 05-03-2024
Trial design
Randomised, placebo to match ly3537982 plus pembrolizumab (comparator arm for part a); placebo plus pembrolizumab, pemetrexed and platinum (comparator arm for part b). (doses/schedules not fully specified in the provided record.)-controlled, adaptive Phase III trial.
- Randomised
- Yes
- Comparator
- Placebo to match LY3537982 plus pembrolizumab (comparator arm for Part A); placebo plus pembrolizumab, pemetrexed and platinum (comparator arm for Part B). (Doses/schedules not fully specified in the provided record.)
- Adaptive
- True, dose optimisation and safety lead-in elements (Dose Optimization: determining optimal LY3537982 dose of 50 or 100 mg BID; Safety Lead-In Part B to determine dose in combination with pembrolizumab, pemetrexed and platinum).
- Biomarker Stratified
- True, PD-L1 expression; strata: PD-L1 ≥50% (Part A) versus all-comers/irrespective of PD-L1 (Part B).
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 649
Eligibility
Recruits 649 Vulnerable population selected; subject information sheets and informed consent forms are included in the submission package. No explicit description of assent or specific consent/assent handling for vulnerable participants is available in the provided record..
- Vulnerable Population
- Vulnerable population selected; subject information sheets and informed consent forms are included in the submission package. No explicit description of assent or specific consent/assent handling for vulnerable participants is available in the provided record.
Inclusion criteria
- {"criterion_text":"- Have non-small cell lung cancer that is advanced or has spread to another part(s) of the body."}
- {"criterion_text":"- Have cancer with a change in the KRAS G12C gene."}
- {"criterion_text":"- Have a known programmed death-ligand 1 (PD-L1) expression of 0-100%. PD-L1 expression may predict how well the body responds to some types of treatment."}
- {"criterion_text":"- Be able to swallow capsules and/or tablets"}
- {"criterion_text":"- Be well enough to walk and do light work"}
Exclusion criteria
- {"criterion_text":"- Have other types of changes in genes such as EGFR, ALK, BRAF (V600E), HER2, MET (exon 14), ROS1, RET, or NTRK1/2/ that may be targeted treatments."}
- {"criterion_text":"- Have cancer that can be cured with treatments that target a specific part of the body (like surgery or radiation) Have an active infection or any serious medical conditions (other than cancer)"}
- {"criterion_text":"- Have an active infection or any serious medical conditions (other than cancer)"}
- {"criterion_text":"- Have active heart disease causing symptoms; or, history of heart attack or chest pain within 6 months of starting the study."}
- {"criterion_text":"- Have a known history of allergic reaction to components of the study drug (LY3537982), pembrolizumab, pemetrexed or platinum containing drugs"}
Endpoints
Primary endpoints
- {"endpoint_text":"- PFS per RECIST v1.1 by BICR","definition_or_measurement_approach":"Progression-free survival (PFS) assessed per RECIST v1.1 by blinded independent central review (BICR)."}
Recruitment
- Planned Sample Size
- 649
- Recruitment Window Months
- 67
- Consent Approach
- Informed consent is obtained using country-specific subject information sheets and informed consent forms (many country-specific ICFs and language versions are included in the submission: examples in CZ, BE, SE, PT, PL, NO, IT, ES, GR, HU, NL, FR, DE, EN). The record includes multiple ICF addenda (prescreening, post-progression, pregnancy-related ICFs) and patient-facing materials. No additional explicit details on assent or specific consent-provider roles are available in the provided record.
Methods
- Use of country-specific recruitment materials including posters, brochures, trial-awareness brochures, doctor referral letters and visit cards (documents present for multiple countries e.g. CZ, BE, SE, PT, PL, NO, IT, ES, GR, HU).
- Site lists and study guides distributed to participating sites; study participant contact cards and patient information cards for participants.
- Patient-facing communications and reminders using Greenphire ClinCard materials (fee schedules, cardholder FAQ, messaging templates) and Medable eCOA materials.
Sponsor
Primary sponsor
- Full Name
- Eli Lilly & Co.
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United States
Contract research organisations
- Name
- Iqvia Rds Inc.
- Responsibilities
- Listed sponsor duties include roles with codes [1,12,2] (clinical operations/support roles indicated in sponsor duties)
- Name
- Pharmaceutical Product Development LLC
- Responsibilities
- Sponsor duties code 10 listed (role details not expanded in record)
- Name
- PPD / Pharmaceutical Product Development LLC
- Responsibilities
- CRO functions indicated (sponsor duties present) as per submission
Third parties
- {"country":"United States","full_name":"Precision for Medicine (aka Quartz Bio)","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Health care"}
- {"country":"Greece","full_name":"Pharmaserve Lilly S.A.C.I.","duties_or_roles":"Negotiation and Execution of Clinical trial agreements with the participating sites, make study payments based on invoices (sponsor duty value provided)","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Medable Inc.","duties_or_roles":"Sponsor duties codes: 6","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services S.a.r.l.","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Biotel Research LLC","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"RWS Life Sciences Inc.","duties_or_roles":"Sponsor duties codes: 6","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Ventana Medical Systems Inc.","duties_or_roles":"In vitro diagnostics, provide biomarker analysis services","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Foundation Medicine Inc.","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Clinical Trial Reimbursement (value provided)","organisation_type":"Non-Pharmaceutical company"}
- {"country":"United States","full_name":"Iqvia Rds Inc.","duties_or_roles":"Sponsor duties codes: 1, 12, 2","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"Sponsor duties codes: 10","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Q2 Solutions LLC","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"United States","full_name":"QIAGEN Manchester Limited","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Health care"}
- {"country":"United States","full_name":"Biotel Research LLC","duties_or_roles":"Sponsor duties codes: 4","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- LY3537982
- Active Substance
- LY3537982
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- Oral
- Authorisation Status
- prodAuthStatus: 1 (as recorded in productDictionaryInfo)
- Starting Dose
- 50 mg BID (or 100 mg BID) — dose optimisation being evaluated (50 or 100 mg BID)
- Dose Levels
- 50 mg BID; 100 mg BID
- Frequency
- BID
- Dose Escalation Increase
- Initial dose 50 mg BID with an evaluated dose of 100 mg BID
- Investigational Product Name
- Placebo to match LY3537982
- Modality
- Other
- Investigational Product Name
- Pembrolizumab
- Active Substance
- Pembrolizumab
- Modality
- Monoclonal antibody
- Routes Of Administration
- SOLUTION FOR INJECTION
- Route
- Intravenous (injection/infusion)
- Authorisation Status
- prodAuthStatus: 2 (marketing authorisation related fields present)
- Investigational Product Name
- Pemetrexed disodium
- Active Substance
- Pemetrexed disodium
- Modality
- Small molecule (chemotherapy)
- Routes Of Administration
- SOLUTION FOR INJECTION
- Route
- Intravenous
- Authorisation Status
- prodAuthStatus: 2
- Investigational Product Name
- Carboplatin
- Active Substance
- Carboplatin
- Modality
- Small molecule (chemotherapy)
- Routes Of Administration
- SOLUTION FOR INJECTION
- Route
- Intravenous
- Authorisation Status
- prodAuthStatus: 2
- Investigational Product Name
- Cisplatin
- Active Substance
- Cisplatin
- Modality
- Small molecule (chemotherapy)
- Routes Of Administration
- SOLUTION FOR INJECTION
- Route
- Intravenous
- Authorisation Status
- prodAuthStatus: 2
- Combination Treatment
- Yes
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