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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