Phase 1
N=33
A Phase 1 Study of LY2787106 in Cancer and Anemia
Anemia
Bottom Line
View on ClinicalTrials.gov: NCT01340976 ↗Enrolled (actual)
33
Serious AEs
18.2%
Results posted
Oct 2018
Primary outcome: Primary: Number of Participants With Clinically Significant Events — 4; 3; 6; 5 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- LY2787106 (Drug); Iron Supplementation (Dietary_supplement)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Eli Lilly and Company
- Primary completion
- Dec 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Clinically Significant Events |
4; 3; 6; 5; 0; 0 | — |
| PRIMARY Mean Change From Baseline in Hemoglobin With or Without Oral Iron Supplementation |
-0.5; -0.2 | — |
| SECONDARY Pharmacokinetics (PK): Maximum Concentration (Cmax) |
5450; 22300; 79000; 205000; 258000; 199000 | — |
| SECONDARY PK: Area Under the Curve (AUC[0-∞]) |
663; 2146; 8934; 24503; 21000; 16798 | — |
| SECONDARY Recommended Dose for Future Studies: Maximum Tolerated Dose (MTD) |
— | — |
| SECONDARY Change From Baseline in Serum Iron |
-0.4; -4.6 | — |
| SECONDARY Mean Change From Baseline in Reticulocyte Count |
1.2; 0.0 | — |
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.
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)
Data sourced from ClinicalTrials.gov (NCT01340976). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.