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A Study of LY2157299 in Participants With Unresectable Hepatocellular Cancer (HCC)

Primary Purpose

Hepatocellular Carcinoma

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
LY2157299
Sorafenib
Sponsored by
Eli Lilly and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hepatocellular Carcinoma

Eligibility Criteria

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

Inclusion Criteria:

  • Have histological evidence of a diagnosis of HCC (except HCC with fibrolamellar or mixed histology) not amenable to curative surgery.
  • Have Child-Pugh Class A.
  • Have the presence of measurable or evaluable lesion as defined by the Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. A measurable or evaluable lesion showing demonstrable progression after locoregional therapy could be also included.
  • Have not received sorafenib prior to enrollment.
  • Have resolution to Grade less than or equal 1 by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 of all clinically significant toxic effects of prior locoregional therapy, surgery, chemoembolization, systemic chemotherapy.
  • Have a performance status of less than or equal 1 on the Eastern Cooperative Oncology Group (ECOG) scale.

Exclusion Criteria:

  • Are currently enrolled, or discontinued within 28 days prior to enrollment from, a clinical trial involving an investigational product or nonapproved use of a drug or device (other than the investigational product used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study.
  • Have undergone major surgery within 28 days prior to enrollment.
  • Have undergone hepatic locoregional therapy (including radiation, surgery, hepatic arterial embolization, chemoembolization, radiofrequency ablation, cryoablation, percutaneous ethanol injection, or percutaneous microwave coagulation therapy) within 28 days prior to enrollment.
  • Have moderate or severe cardiac disease.

    • Myocardial infarction within 6 months prior to enrollment, unstable angina pectoris, New York Heart Association (NYHA) Class III/IV congestive heart failure, or uncontrolled hypertension.
    • Documented major electrocardiogram (ECG) abnormalities at the investigator's discretion within 28 days prior to enrollment.
    • Major abnormalities documented by echocardiography with Doppler at investigator's direction within 28 days prior to enrollment.
    • Have persistently elevated brain natriuretic peptide (BNP) or elevated troponin I within 14 days prior to enrollment.
    • Predisposing conditions that are consistent with development of aneurysms of the ascending aorta or aortic stress.
    • Have a history of cardiac or aortic surgery.
  • Have undergone liver transplant.
  • Are pregnant or breastfeeding.

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.

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

LY2157299 + Sorafenib

Arm Description

LY2157299 will be administered orally twice daily for 14 days, followed by 14 days with no study drug per 28-day cycle. Sorafenib will be administered orally twice daily for 28 days, in each cycle.

Outcomes

Primary Outcome Measures

Number of Participants with LY2157299 Dose-Limiting Toxicities (DLT)

Secondary Outcome Measures

Pharmacokinetics (PK): Area Under the Plasma Concentration-time Curve (AUC) of LY2157299
PK: Maximum Observed Plasma Concentration (Cmax) of LY2157299
Time to Progression (TTP)
Progression-free Survival (PFS)
The Number of Participants with Best Response of Partial Response (PR), Complete Response (CR), Stable Disease (SD), or Progressive Disease (PD)

Full Information

First Posted
September 11, 2014
Last Updated
February 3, 2020
Sponsor
Eli Lilly and Company
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1. Study Identification

Unique Protocol Identification Number
NCT02240433
Brief Title
A Study of LY2157299 in Participants With Unresectable Hepatocellular Cancer (HCC)
Official Title
A Phase 1b Study of LY2157299 in Combination With Sorafenib in Patients With Unresectable Hepatocellular Carcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
February 1, 2020
Overall Recruitment Status
Completed
Study Start Date
November 12, 2014 (Actual)
Primary Completion Date
July 19, 2017 (Actual)
Study Completion Date
December 25, 2019 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The main purpose of this study is to evaluate safety and tolerability of LY2157299 when combined with sorafenib in Japanese hepatocellular carcinoma (HCC) participants.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hepatocellular Carcinoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
9 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LY2157299 + Sorafenib
Arm Type
Experimental
Arm Description
LY2157299 will be administered orally twice daily for 14 days, followed by 14 days with no study drug per 28-day cycle. Sorafenib will be administered orally twice daily for 28 days, in each cycle.
Intervention Type
Drug
Intervention Name(s)
LY2157299
Intervention Description
LY2157299 administered orally
Intervention Type
Drug
Intervention Name(s)
Sorafenib
Intervention Description
Sorafenib administered orally
Primary Outcome Measure Information:
Title
Number of Participants with LY2157299 Dose-Limiting Toxicities (DLT)
Time Frame
Cycle 1 (28 days)
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK): Area Under the Plasma Concentration-time Curve (AUC) of LY2157299
Time Frame
Cycle 1 Day1: predose through 6 hours post dose; Cycle1 Day14: predose through 24 hours post dose
Title
PK: Maximum Observed Plasma Concentration (Cmax) of LY2157299
Time Frame
Cycle 1 Day 1: Predose through 6 hours post dose; Cycle 1 Day 14: Predose through 24 hours post dose
Title
Time to Progression (TTP)
Time Frame
Baseline to objective progressive disease (estimated as 6 months)
Title
Progression-free Survival (PFS)
Time Frame
Baseline to objective progressive disease or death (estimated as 6 months)
Title
The Number of Participants with Best Response of Partial Response (PR), Complete Response (CR), Stable Disease (SD), or Progressive Disease (PD)
Time Frame
Baseline to objective progressive disease (estimated as 6 months)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have histological evidence of a diagnosis of HCC (except HCC with fibrolamellar or mixed histology) not amenable to curative surgery. Have Child-Pugh Class A. Have the presence of measurable or evaluable lesion as defined by the Response Evaluation Criteria In Solid Tumors (RECIST) v1.1. A measurable or evaluable lesion showing demonstrable progression after locoregional therapy could be also included. Have not received sorafenib prior to enrollment. Have resolution to Grade less than or equal 1 by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.03 of all clinically significant toxic effects of prior locoregional therapy, surgery, chemoembolization, systemic chemotherapy. Have a performance status of less than or equal 1 on the Eastern Cooperative Oncology Group (ECOG) scale. Exclusion Criteria: Are currently enrolled, or discontinued within 28 days prior to enrollment from, a clinical trial involving an investigational product or nonapproved use of a drug or device (other than the investigational product used in this study), or concurrently enrolled in any other type of medical research judged not to be scientifically or medically compatible with this study. Have undergone major surgery within 28 days prior to enrollment. Have undergone hepatic locoregional therapy (including radiation, surgery, hepatic arterial embolization, chemoembolization, radiofrequency ablation, cryoablation, percutaneous ethanol injection, or percutaneous microwave coagulation therapy) within 28 days prior to enrollment. Have moderate or severe cardiac disease. Myocardial infarction within 6 months prior to enrollment, unstable angina pectoris, New York Heart Association (NYHA) Class III/IV congestive heart failure, or uncontrolled hypertension. Documented major electrocardiogram (ECG) abnormalities at the investigator's discretion within 28 days prior to enrollment. Major abnormalities documented by echocardiography with Doppler at investigator's direction within 28 days prior to enrollment. Have persistently elevated brain natriuretic peptide (BNP) or elevated troponin I within 14 days prior to enrollment. Predisposing conditions that are consistent with development of aneurysms of the ascending aorta or aortic stress. Have a history of cardiac or aortic surgery. Have undergone liver transplant. Are pregnant or breastfeeding.
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 from 9 AM to 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
Chiba
ZIP/Postal Code
277 8577
Country
Japan
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
Kanagawa
ZIP/Postal Code
241-8515
Country
Japan
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
Suita-shi
ZIP/Postal Code
565-0871
Country
Japan

12. IPD Sharing Statement

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A Study of LY2157299 in Participants With Unresectable Hepatocellular Cancer (HCC)

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