A Study of LY4052031 in Participants With Advanced or Metastatic Urothelial Cancer or Other Solid Tumors

ID#: NCT06465069

Age: 18 years - 66+

Gender: All

Healthy Subjects: No

Study Phase: Phase 1

Recruitment Status: Recruiting

Start Date: July 01, 2024

End Date: May 01, 2027

Contact Information:
There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
13176154559
Summary: The purpose of this study is to find out whether the study drug, LY4052031, is safe, tolerable and effective in participants with advanced, or metastatic solid tumors including urothelial cancer. The study is conducted in two parts - phase Ia (dose-escalation, dose-optimization) and phase Ib (dose-expansion). The study will last up to approximately 4 years.
Eligibility:

Inclusion Criteria:

- Have one of the following solid tumor cancers:

- Cohort A1: urothelial carcinoma, triple negative breast cancer, non-small cell lung cancer, esophageal cancer, pancreatic cancer, ovarian cancer, cervical cancer (squamous cell carcinoma), head and neck squamous cell carcinoma or prostate cancer

- Cohort A2/B1/B2: urothelial carcinoma

- Cohort C: triple negative breast cancer, non-small cell lung cancer, ovarian cancer, cervical cancer, head and neck squamous cell carcinoma, esophageal cancer, pancreatic cancer, or prostate cancer

- Prior Systemic Therapy Criteria:

- Cohort A1/C: Individual has received all standard therapies for which the participant was deemed to be an appropriate candidate by the treating investigator; OR there is no standard therapy available for the disease. There is no restriction on number of prior therapies

- Cohort A2/B1/B2: Individual must have received at least one prior regimen in the advanced or metastatic setting. There is no restriction on number of prior therapies.

- Prior enfortumab vedotin specific requirements:

- Cohorts A1/A2/C: prior treatment with enfortumab vedotin is allowed, but not required

- Cohort B1: individual must be enfortumab vedotin naive in the advanced/metastatic setting

- Cohort B2: individual must have received enfortumab vedotin in the metastatic/advanced setting.

- Measurability of disease

- Cohort A1: measurable or non-measurable disease as defined by Response Evaluation Criteria in Solid Tumors v1.1 (RECIST 1.1)

- Cohorts A2, B1, B2, C: measurable disease required as defined by RECIST v1.1

- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

- Have adequate archival tumor tissue sample available or undergo a screening biopsy if allowed per country specific regulations

Exclusion Criteria:

- Individual with known or suspected uncontrolled CNS metastases

- Individual with uncontrolled hypercalcemia

- Individual with uncontrolled diabetes

- Individual with evidence of corneal keratopathy or keratitis, and history of corneal transplant

- Any serious unresolved toxicities from prior therapy

- Significant cardiovascular disease

- Recent thromboembolic event or bleeding disorder

- Prolongation of QT interval corrected for heart rate using Fridericia's formula (QTcF) ≥ 470 ms

- History of pneumonitis/interstitial lung disease

- History of Grade ≥3 skin toxicity when receiving enfortumab vedotin

- Individuals who are pregnant, breastfeeding or plan to breastfeed during study or within 30 days of last dose of study intervention