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A Phase 1 Study of LY2787106 in Cancer and Anemia

Primary Purpose

Anemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LY2787106
Iron Supplementation
Sponsored by
Eli Lilly and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Anemia focused on measuring Cancer Related Anemia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Have histological or cytological evidence of non-myeloid cancer (solid tumors, lymphomas or multiple myeloma) that is metastatic and/or incurable
  • Have been treated with at least one systemic (oral, intravenous, or subcutaneous) anti-cancer therapy or regimen
  • Have a hemoglobin of less than or equal to 11 grams/deciliter (g/dL)
  • Have a hepcidin level of greater than or equal to 5 nanograms/milliliter (ng/mL)
  • Have given written informed consent prior to any study-specific procedures
  • Have adequate hematologic, hepatic, and renal organ function
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of less than or equal to 2
  • Available for the duration of the study and willing to follow study procedures
  • If male or female with reproductive potential: Must agree to use medically approved contraception during the trial and for 4 months following the last dose of study drug
  • If female with child bearing potential: Have a negative serum pregnancy test
  • Have an estimated life expectancy of greater than or equal to 12 weeks

Exclusion Criteria:

  • Have received treatment in the previous 21 days with, or have not recovered fully from, a drug that has not received regulatory approval for any indication
  • Have received erythropoiesis-stimulating agents in the previous 21 days or red blood cell transfusions in the previous 14 days, or in the investigator's opinion, likely to need red blood cell transfusion more frequently than every 21 days
  • Have received parenteral iron supplementation within the prior 14 days
  • Have a documented history of pure red cell aplasia, thalassemia major or sickle cell disease
  • Have a history of cirrhosis or major organ transplantation
  • QTc greater than 470 millisecond (msec)
  • Have evidence of clinically significant hemolysis or bleeding
  • Have a clinically significant systemic infection within 14 days of enrollment
  • Have a suspected or confirmed history of hemochromatosis.
  • Have other serious preexisting medical conditions (left to the discretion of the investigator)
  • Have symptomatic central nervous system malignancy or metastasis (screening not required)
  • Have acute or chronic leukemia
  • Are a female who is pregnant or lactating
  • Have a history of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C (screening not required)
  • Have received external beam radiotherapy to more than 25% of the bone marrow
  • Have known clinically significant hypersensitivity to biologic agents
  • Have received live vaccine(s) within 1 month of screening or with plans of doing that during the participation to the study
  • Have a history of congestive heart failure with New York Heart Association (NYHA) Class greater than 2 (NYHA Class 1 and 2 are eligible), unstable angina or recent myocardial infarction (within 1 year prior to administration of study drug)

Sites / Locations

  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

LY2787106 Dose Escalation

10 mg/kg LY2787106

10 mg/kg LY2787106+Iron

Arm Description

Part A: Dose escalation starting at 0.3 milligram/kilogram (mg/kg), intravenously (IV), day one of up to three 21-day cycles.

Part B: 10 mg/kg of LY2787106, administered IV, on day one of up to eight 7-day cycles. Participants who do not experience a stopping rule and who are felt to be benefiting during the defined treatment period may receive additional doses at the discretion of the investigator.

Part B: 10 mg/kg of LY2787106, administered IV, on day one of up to eight 7-day cycles with daily oral iron supplementation. Participants who do not experience a stopping rule and who are felt to be benefiting during the defined treatment period may receive additional doses at the discretion of the investigator.

Outcomes

Primary Outcome Measures

Number of Participants With Clinically Significant Events
Number of participants with one or more treatment emergent adverse event (TEAE) or any Serious AE (SAE). A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Event module.
Mean Change From Baseline in Hemoglobin With or Without Oral Iron Supplementation
This analysis assesses the mean change in Hemoglobin from baseline to the end of Cycle 4. The analysis was carried separately for Cohort B1 without supplemental iron and Cohort B2 with supplemental iron.

Secondary Outcome Measures

Pharmacokinetics (PK): Maximum Concentration (Cmax)
Cmax is the maximum serum concentration after a single IV dose of the study drug.
PK: Area Under the Curve (AUC[0-∞])
AUC is the area under the concentration versus time curve from time zero to infinity.
Recommended Dose for Future Studies: Maximum Tolerated Dose (MTD)
MTD is defined as being the highest tested dose below the level at which one-third or more of participants experience a Dose-limiting toxicity (DLT). DLT is defined as an adverse event occurring in any part of the study that is related to the study medication, occurs during Cycle 1 of Part A, and fulfills any one of the following criteria: Clinically significant Grade 2 toxicity, such as angina, arrhythmia, seizure, dyspnea, rash with significant blistering or desquamation, or other event deemed significant by either the investigator. ≥Grade 3 anemia (excluding participants with baseline <9.0 g/dL) or hemoglobin (Hb) decrease >1.0 g/dL if baseline Hb <9.0 g/dL, confirmed by 2 independent measurements. ≥ Grade 3 cytokine release syndrome/acute infusion reaction. Other ≥ Grade 3 hematological or non-hematological toxicity.
Change From Baseline in Serum Iron
Mean change in serum iron from baseline to the end of Cycle 4.
Mean Change From Baseline in Reticulocyte Count
Mean change in reticulocyte count from baseline to the end of Cycle 4.

Full Information

First Posted
January 28, 2011
Last Updated
February 17, 2018
Sponsor
Eli Lilly and Company
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1. Study Identification

Unique Protocol Identification Number
NCT01340976
Brief Title
A Phase 1 Study of LY2787106 in Cancer and Anemia
Official Title
A Phase 1 Safety Study of LY2787106 in Patients With Cancer and Anemia
Study Type
Interventional

2. Study Status

Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eli Lilly and Company

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will evaluate the safety LY2787106 in participants with cancer and anemia. It will also evaluate when LY2787106 can improve anemia. This study has two parts: Part A is a dose escalation evaluation. Part B is an evaluation of LY2787106 at a defined dose given with and without iron supplementation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anemia
Keywords
Cancer Related Anemia

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
33 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LY2787106 Dose Escalation
Arm Type
Experimental
Arm Description
Part A: Dose escalation starting at 0.3 milligram/kilogram (mg/kg), intravenously (IV), day one of up to three 21-day cycles.
Arm Title
10 mg/kg LY2787106
Arm Type
Experimental
Arm Description
Part B: 10 mg/kg of LY2787106, administered IV, on day one of up to eight 7-day cycles. Participants who do not experience a stopping rule and who are felt to be benefiting during the defined treatment period may receive additional doses at the discretion of the investigator.
Arm Title
10 mg/kg LY2787106+Iron
Arm Type
Experimental
Arm Description
Part B: 10 mg/kg of LY2787106, administered IV, on day one of up to eight 7-day cycles with daily oral iron supplementation. Participants who do not experience a stopping rule and who are felt to be benefiting during the defined treatment period may receive additional doses at the discretion of the investigator.
Intervention Type
Drug
Intervention Name(s)
LY2787106
Intervention Description
Administered IV.
Intervention Type
Dietary Supplement
Intervention Name(s)
Iron Supplementation
Intervention Description
Administered orally.
Primary Outcome Measure Information:
Title
Number of Participants With Clinically Significant Events
Description
Number of participants with one or more treatment emergent adverse event (TEAE) or any Serious AE (SAE). A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Event module.
Time Frame
Baseline to Study Completion (up to 5 Years)
Title
Mean Change From Baseline in Hemoglobin With or Without Oral Iron Supplementation
Description
This analysis assesses the mean change in Hemoglobin from baseline to the end of Cycle 4. The analysis was carried separately for Cohort B1 without supplemental iron and Cohort B2 with supplemental iron.
Time Frame
Baseline, Cycle 4 (7-day cycle)
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK): Maximum Concentration (Cmax)
Description
Cmax is the maximum serum concentration after a single IV dose of the study drug.
Time Frame
Days 1, 2, and 4 of Cycles 1 and 5, Day 1 of Cycles 2, 3, 4, 6, 7 and 8 (Part A 21-day cycles, Part B 7-day cycles) and 1, 3, and 9 weeks after the last infusion
Title
PK: Area Under the Curve (AUC[0-∞])
Description
AUC is the area under the concentration versus time curve from time zero to infinity.
Time Frame
Days 1, 2, and 4 of Cycles 1 and 5, Day 1 of Cycles 2, 3, 4, 6, 7 and 8 (Part A 21-day cycles, Part B 7-day cycles) and 1, 3, and 9 weeks after the last infusion
Title
Recommended Dose for Future Studies: Maximum Tolerated Dose (MTD)
Description
MTD is defined as being the highest tested dose below the level at which one-third or more of participants experience a Dose-limiting toxicity (DLT). DLT is defined as an adverse event occurring in any part of the study that is related to the study medication, occurs during Cycle 1 of Part A, and fulfills any one of the following criteria: Clinically significant Grade 2 toxicity, such as angina, arrhythmia, seizure, dyspnea, rash with significant blistering or desquamation, or other event deemed significant by either the investigator. ≥Grade 3 anemia (excluding participants with baseline <9.0 g/dL) or hemoglobin (Hb) decrease >1.0 g/dL if baseline Hb <9.0 g/dL, confirmed by 2 independent measurements. ≥ Grade 3 cytokine release syndrome/acute infusion reaction. Other ≥ Grade 3 hematological or non-hematological toxicity.
Time Frame
Baseline to Cycle 1 of Part A
Title
Change From Baseline in Serum Iron
Description
Mean change in serum iron from baseline to the end of Cycle 4.
Time Frame
Baseline, Cycle 4 (7-day cycle)
Title
Mean Change From Baseline in Reticulocyte Count
Description
Mean change in reticulocyte count from baseline to the end of Cycle 4.
Time Frame
Baseline, Cycle 4 (7-day cycle)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have histological or cytological evidence of non-myeloid cancer (solid tumors, lymphomas or multiple myeloma) that is metastatic and/or incurable Have been treated with at least one systemic (oral, intravenous, or subcutaneous) anti-cancer therapy or regimen Have a hemoglobin of less than or equal to 11 grams/deciliter (g/dL) Have a hepcidin level of greater than or equal to 5 nanograms/milliliter (ng/mL) Have given written informed consent prior to any study-specific procedures Have adequate hematologic, hepatic, and renal organ function Have an Eastern Cooperative Oncology Group (ECOG) performance status of less than or equal to 2 Available for the duration of the study and willing to follow study procedures If male or female with reproductive potential: Must agree to use medically approved contraception during the trial and for 4 months following the last dose of study drug If female with child bearing potential: Have a negative serum pregnancy test Have an estimated life expectancy of greater than or equal to 12 weeks Exclusion Criteria: Have received treatment in the previous 21 days with, or have not recovered fully from, a drug that has not received regulatory approval for any indication Have received erythropoiesis-stimulating agents in the previous 21 days or red blood cell transfusions in the previous 14 days, or in the investigator's opinion, likely to need red blood cell transfusion more frequently than every 21 days Have received parenteral iron supplementation within the prior 14 days Have a documented history of pure red cell aplasia, thalassemia major or sickle cell disease Have a history of cirrhosis or major organ transplantation QTc greater than 470 millisecond (msec) Have evidence of clinically significant hemolysis or bleeding Have a clinically significant systemic infection within 14 days of enrollment Have a suspected or confirmed history of hemochromatosis. Have other serious preexisting medical conditions (left to the discretion of the investigator) Have symptomatic central nervous system malignancy or metastasis (screening not required) Have acute or chronic leukemia Are a female who is pregnant or lactating Have a history of human immunodeficiency virus (HIV), hepatitis B, or hepatitis C (screening not required) Have received external beam radiotherapy to more than 25% of the bone marrow Have known clinically significant hypersensitivity to biologic agents Have received live vaccine(s) within 1 month of screening or with plans of doing that during the participation to the study Have a history of congestive heart failure with New York Heart Association (NYHA) Class greater than 2 (NYHA Class 1 and 2 are eligible), unstable angina or recent myocardial infarction (within 1 year prior to administration of study drug)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Organizational Affiliation
Eli Lilly and Company
Official's Role
Study Director
Facility Information:
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
La Jolla
State/Province
California
ZIP/Postal Code
92093
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19106
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
The Woodlands
State/Province
Texas
ZIP/Postal Code
77380
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
City
Vancouver
State/Province
Washington
ZIP/Postal Code
98684
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
28327200
Citation
Vadhan-Raj S, Abonour R, Goldman JW, Smith DA, Slapak CA, Ilaria RL Jr, Tiu RV, Wang X, Callies S, Cox J, Tuttle JL, Lau YK, Roeland EJ. A first-in-human phase 1 study of a hepcidin monoclonal antibody, LY2787106, in cancer-associated anemia. J Hematol Oncol. 2017 Mar 21;10(1):73. doi: 10.1186/s13045-017-0427-x.
Results Reference
derived

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A Phase 1 Study of LY2787106 in Cancer and Anemia

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