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Safety and Tolerability of IC83/LY2603618 Administered After Pemetrexed 500 mg/m2 Every 21 Days in Patients With Cancer

A Phase 1 Dose-Escalation Study to Examine the Safety and Tolerability of IC83/LY2603618 Administered After Pemetrexed 500 mg/m2 Every 21 Days in Patients With Cancer

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00415636
Enrollment
31
Registered
2006-12-25
Start date
2007-01-31
Completion date
2010-07-31
Last updated
2018-10-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cancer

Brief summary

The purpose of this study is to evaluate the safety and tolerability of IC83/LY2603618 for the treatment of cancer.

Interventions

DRUGIC83/LY2603618

40 mg/m\^2 Day 1 and Day 9 of Cycle 1, Day 2 of subsequent cycles, unlimited 21-day cycles. Dose finding study: dose is escalated after a minimum of 6 participants receive 40 mg/m\^2.

DRUGpemetrexed

pemetrexed 500 mg/m\^2, intravenous (IV), Day 8 of Cycle 1, Day 1 of subsequent cycles, unlimited 21-day cycles

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Has at least one lesion that can be evaluated by Response Evaluation Criteria In Solid Tumors (RECIST) * Has fully recovered from all toxicities due to the following: 1. Local radiation therapy that ended at least 14 days prior to Cycle 1, Day 1. 2. Surgery. * Has a life expectancy of at least 3 months. * Negative serum pregnancy test.

Exclusion criteria

* Is pregnant or breastfeeding. * Is a woman of childbearing potential unwilling to use an approved, effective means of contraception according to the institution's standards. * Is a man of childbearing potential unwilling to use an approved, effective means of contraception according to the institution's standards. * Has a history of brain metastases, unless adequately treated and without radiologic evidence of progressive disease for at least 3 months after completion of therapy. * Has a known active infection.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Adverse Events (AEs)baseline up to 24 monthsSummary tables of serious AEs (SAEs) and all other non-serious adverse events (AEs) are located in the Reported Adverse Event Module.

Secondary

MeasureTime frameDescription
Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 1 and Day 9 of Cycle 1Cmax was estimated from the plasma concentration data of LY2603618 versus time profiles.
Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 1 and Day 9 of Cycle 1AUC\[0-∞\] was calculated from the plasma concentration data of LY2603618 versus time profiles.
Percentage of Participants With Best Overall Responsebaseline up to 24 monthsPercentage of participants with tumor response (best confirmed overall response) assessed as complete response (CR) or partial response (PR) to treatment according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria. CR=disappearance of all target lesions; PR=30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD)=20% increase in sum of longest diameter of target lesions; Stable Disease (SD) =small changes that do not meet above criteria. Best Overall Response (%)=number of participants with CR+PR/number of participants in treatment arm \* 100.

Countries

United States

Participant flow

Participants by arm

ArmCount
LY2603618 40 mg/m^2 (4.5-hour Infusion)
LY2603618 40 milligrams per square meter (mg/m\^2) was administered over the duration of 4.5 hours (30-minute bolus followed by a 4-hour infusion). Dose modifications were not allowed.
3
LY2603618 40 mg/m^2 (1-hour Infusion)
Based on pharmacokinetic (PK) data from Cohort 1 (LY2603618 40 mg/m\^2 \[4.5-hour infusion\]), LY2603618 40 mg/m\^2 dose in Cohort 2 (LY2603618 40 mg/m\^2 \[1-hour infusion\]) was repeated, but the dose was administered over the duration of 1 hour. Dose modifications were not allowed.
3
LY2603618 70 mg/m^2
Beginning with Cohort 3 (LY2603618 70 mg/m\^2), dose modifications were allowed. LY2603618 70 mg/m\^2 was administered over the course of 1 hour.
3
LY2603618 105 mg/m^2
LY2603618 105 mg/m\^2 administered over the duration of 1 hour.
13
LY2603618 150 mg/m^2
LY2603618 150 mg/m\^2 administered over the duration of 1 hour.
6
LY2603618 195 mg/m^2
LY2603618 195 mg/m\^2 administered over the duration of 1 hour.
3
Total31

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005
Overall StudyAdverse Event000110
Overall StudyDisease progression000301
Overall StudySymptomatic deterioration101201
Overall StudyWithdrawal by Subject000010

Baseline characteristics

CharacteristicLY2603618 40 mg/m^2 (1-hour Infusion)LY2603618 70 mg/m^2LY2603618 105 mg/m^2LY2603618 40 mg/m^2 (4.5-hour Infusion)LY2603618 150 mg/m^2LY2603618 195 mg/m^2Total
Age, Continuous58.0 years
STANDARD_DEVIATION 10.54
48.3 years
STANDARD_DEVIATION 16.07
60.6 years
STANDARD_DEVIATION 9.95
49.0 years
STANDARD_DEVIATION 6.24
63.5 years
STANDARD_DEVIATION 11.04
55.7 years
STANDARD_DEVIATION 18.77
58.1 years
STANDARD_DEVIATION 11.73
Eastern Cooperative Oncology Group (ECOG) Rating at Screening
ECOG Rating 0
1 Participants0 Participants4 Participants2 Participants1 Participants0 Participants8 Participants
Eastern Cooperative Oncology Group (ECOG) Rating at Screening
ECOG Rating 1
2 Participants3 Participants9 Participants1 Participants5 Participants3 Participants23 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants3 Participants12 Participants3 Participants6 Participants3 Participants30 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Primary Cancer Type
Breast
1 Participants1 Participants0 Participants3 Participants1 Participants0 Participants6 Participants
Primary Cancer Type
Non-small Cell Lung
0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants
Primary Cancer Type
Other
2 Participants2 Participants9 Participants0 Participants3 Participants2 Participants18 Participants
Primary Cancer Type
Pancreatic
0 Participants0 Participants3 Participants0 Participants2 Participants1 Participants6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
3 Participants2 Participants13 Participants2 Participants6 Participants2 Participants28 Participants
Region of Enrollment
United States
3 Participants3 Participants13 Participants3 Participants6 Participants3 Participants31 Participants
Sex: Female, Male
Female
1 Participants2 Participants5 Participants3 Participants3 Participants1 Participants15 Participants
Sex: Female, Male
Male
2 Participants1 Participants8 Participants0 Participants3 Participants2 Participants16 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
3 / 33 / 33 / 313 / 136 / 63 / 3
serious
Total, serious adverse events
1 / 30 / 32 / 38 / 134 / 62 / 3

Outcome results

Primary

Number of Participants With Adverse Events (AEs)

Summary tables of serious AEs (SAEs) and all other non-serious adverse events (AEs) are located in the Reported Adverse Event Module.

Time frame: baseline up to 24 months

Population: The safety population was comprised of all participants who received any amount of LY2603618.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
LY2603618 40 mg/m^2 (4.5-hour Infusion)Number of Participants With Adverse Events (AEs)Other Non-Serious Adverse Events (AEs)3 Participants
LY2603618 40 mg/m^2 (4.5-hour Infusion)Number of Participants With Adverse Events (AEs)Serious Adverse Events (SAEs)1 Participants
LY2603618 40 mg/m^2 (1-hour Infusion)Number of Participants With Adverse Events (AEs)Other Non-Serious Adverse Events (AEs)3 Participants
LY2603618 40 mg/m^2 (1-hour Infusion)Number of Participants With Adverse Events (AEs)Serious Adverse Events (SAEs)0 Participants
LY2603618 70 mg/m^2Number of Participants With Adverse Events (AEs)Other Non-Serious Adverse Events (AEs)3 Participants
LY2603618 70 mg/m^2Number of Participants With Adverse Events (AEs)Serious Adverse Events (SAEs)2 Participants
LY2603618 105 mg/m^2Number of Participants With Adverse Events (AEs)Other Non-Serious Adverse Events (AEs)13 Participants
LY2603618 105 mg/m^2Number of Participants With Adverse Events (AEs)Serious Adverse Events (SAEs)8 Participants
LY2603618 150 mg/m^2Number of Participants With Adverse Events (AEs)Other Non-Serious Adverse Events (AEs)6 Participants
LY2603618 150 mg/m^2Number of Participants With Adverse Events (AEs)Serious Adverse Events (SAEs)4 Participants
LY2603618 195 mg/m^2Number of Participants With Adverse Events (AEs)Other Non-Serious Adverse Events (AEs)3 Participants
LY2603618 195 mg/m^2Number of Participants With Adverse Events (AEs)Serious Adverse Events (SAEs)2 Participants
Secondary

Percentage of Participants With Best Overall Response

Percentage of participants with tumor response (best confirmed overall response) assessed as complete response (CR) or partial response (PR) to treatment according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria. CR=disappearance of all target lesions; PR=30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD)=20% increase in sum of longest diameter of target lesions; Stable Disease (SD) =small changes that do not meet above criteria. Best Overall Response (%)=number of participants with CR+PR/number of participants in treatment arm \* 100.

Time frame: baseline up to 24 months

Population: A modified intent-to-treat population (mITT) was used to summarize the data for tumor response. The mITT population consisted of all participants who received any dose of study drug and had at least 1 nonmissing postbaseline tumor response assessment.

ArmMeasureGroupValue (NUMBER)
LY2603618 40 mg/m^2 (4.5-hour Infusion)Percentage of Participants With Best Overall ResponseComplete Response (CR)0 Percentage of participants
LY2603618 40 mg/m^2 (4.5-hour Infusion)Percentage of Participants With Best Overall ResponsePartial Response (PR)0 Percentage of participants
LY2603618 40 mg/m^2 (4.5-hour Infusion)Percentage of Participants With Best Overall ResponseStable Disease (SD)0 Percentage of participants
LY2603618 40 mg/m^2 (4.5-hour Infusion)Percentage of Participants With Best Overall ResponseProgressive Disease (PD)100 Percentage of participants
LY2603618 40 mg/m^2 (4.5-hour Infusion)Percentage of Participants With Best Overall ResponseNot Determined0 Percentage of participants
LY2603618 40 mg/m^2 (4.5-hour Infusion)Percentage of Participants With Best Overall ResponseBest Overall Response (CR + PR)0 Percentage of participants
LY2603618 40 mg/m^2 (1-hour Infusion)Percentage of Participants With Best Overall ResponsePartial Response (PR)0 Percentage of participants
LY2603618 40 mg/m^2 (1-hour Infusion)Percentage of Participants With Best Overall ResponseProgressive Disease (PD)33.3 Percentage of participants
LY2603618 40 mg/m^2 (1-hour Infusion)Percentage of Participants With Best Overall ResponseBest Overall Response (CR + PR)0 Percentage of participants
LY2603618 40 mg/m^2 (1-hour Infusion)Percentage of Participants With Best Overall ResponseComplete Response (CR)0 Percentage of participants
LY2603618 40 mg/m^2 (1-hour Infusion)Percentage of Participants With Best Overall ResponseStable Disease (SD)66.7 Percentage of participants
LY2603618 40 mg/m^2 (1-hour Infusion)Percentage of Participants With Best Overall ResponseNot Determined0 Percentage of participants
LY2603618 70 mg/m^2Percentage of Participants With Best Overall ResponseBest Overall Response (CR + PR)0 Percentage of participants
LY2603618 70 mg/m^2Percentage of Participants With Best Overall ResponseNot Determined0 Percentage of participants
LY2603618 70 mg/m^2Percentage of Participants With Best Overall ResponseProgressive Disease (PD)50 Percentage of participants
LY2603618 70 mg/m^2Percentage of Participants With Best Overall ResponseStable Disease (SD)50 Percentage of participants
LY2603618 70 mg/m^2Percentage of Participants With Best Overall ResponseComplete Response (CR)0 Percentage of participants
LY2603618 70 mg/m^2Percentage of Participants With Best Overall ResponsePartial Response (PR)0 Percentage of participants
LY2603618 105 mg/m^2Percentage of Participants With Best Overall ResponseProgressive Disease (PD)70 Percentage of participants
LY2603618 105 mg/m^2Percentage of Participants With Best Overall ResponsePartial Response (PR)10 Percentage of participants
LY2603618 105 mg/m^2Percentage of Participants With Best Overall ResponseStable Disease (SD)20 Percentage of participants
LY2603618 105 mg/m^2Percentage of Participants With Best Overall ResponseBest Overall Response (CR + PR)10 Percentage of participants
LY2603618 105 mg/m^2Percentage of Participants With Best Overall ResponseNot Determined0 Percentage of participants
LY2603618 105 mg/m^2Percentage of Participants With Best Overall ResponseComplete Response (CR)0 Percentage of participants
LY2603618 150 mg/m^2Percentage of Participants With Best Overall ResponseComplete Response (CR)0 Percentage of participants
LY2603618 150 mg/m^2Percentage of Participants With Best Overall ResponseNot Determined0 Percentage of participants
LY2603618 150 mg/m^2Percentage of Participants With Best Overall ResponsePartial Response (PR)0 Percentage of participants
LY2603618 150 mg/m^2Percentage of Participants With Best Overall ResponseStable Disease (SD)75 Percentage of participants
LY2603618 150 mg/m^2Percentage of Participants With Best Overall ResponseProgressive Disease (PD)25 Percentage of participants
LY2603618 150 mg/m^2Percentage of Participants With Best Overall ResponseBest Overall Response (CR + PR)0 Percentage of participants
LY2603618 195 mg/m^2Percentage of Participants With Best Overall ResponseProgressive Disease (PD)50 Percentage of participants
LY2603618 195 mg/m^2Percentage of Participants With Best Overall ResponseStable Disease (SD)50 Percentage of participants
LY2603618 195 mg/m^2Percentage of Participants With Best Overall ResponseNot Determined0 Percentage of participants
LY2603618 195 mg/m^2Percentage of Participants With Best Overall ResponseBest Overall Response (CR + PR)0 Percentage of participants
LY2603618 195 mg/m^2Percentage of Participants With Best Overall ResponsePartial Response (PR)0 Percentage of participants
LY2603618 195 mg/m^2Percentage of Participants With Best Overall ResponseComplete Response (CR)0 Percentage of participants
Secondary

Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])

AUC\[0-∞\] was calculated from the plasma concentration data of LY2603618 versus time profiles.

Time frame: Day 1 and Day 9 of Cycle 1

Population: Pharmacokinetic (PK) analyses were conducted for individual participants who received at least 1 dose of study drug and had PK samples collected.

ArmMeasureGroupValue (MEAN)Dispersion
LY2603618 40 mg/m^2 (4.5-hour Infusion)Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 97540 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 1790
LY2603618 40 mg/m^2 (4.5-hour Infusion)Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 17580 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 790
LY2603618 40 mg/m^2 (1-hour Infusion)Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 110300 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 2810
LY2603618 40 mg/m^2 (1-hour Infusion)Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 911000 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 2550
LY2603618 70 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 19510 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 5560
LY2603618 70 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 910900 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 6280
LY2603618 105 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 176400 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 65000
LY2603618 105 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 952000 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 33900
LY2603618 150 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 161900 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 53300
LY2603618 150 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 955000 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 45000
LY2603618 195 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 9119000 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 30300
LY2603618 195 mg/m^2Pharmacokinetic (PK) Parameter: Area Under the IC83/LY2603618 Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC[0-∞])Day 1122000 nanograms*hour per milliliter (ng*h/mL)Standard Deviation 42000
Secondary

Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618

Cmax was estimated from the plasma concentration data of LY2603618 versus time profiles.

Time frame: Day 1 and Day 9 of Cycle 1

Population: Pharmacokinetic (PK) analyses were conducted for individual participants who received at least 1 dose of study drug and had PK samples collected.

ArmMeasureGroupValue (MEAN)Dispersion
LY2603618 40 mg/m^2 (4.5-hour Infusion)Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 1578 nanograms per millimeter (ng/mL)Standard Deviation 181
LY2603618 40 mg/m^2 (4.5-hour Infusion)Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 9614 nanograms per millimeter (ng/mL)Standard Deviation 169
LY2603618 40 mg/m^2 (1-hour Infusion)Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 11560 nanograms per millimeter (ng/mL)Standard Deviation 358
LY2603618 40 mg/m^2 (1-hour Infusion)Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 92010 nanograms per millimeter (ng/mL)Standard Deviation 581
LY2603618 70 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 12310 nanograms per millimeter (ng/mL)Standard Deviation 1330
LY2603618 70 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 92510 nanograms per millimeter (ng/mL)Standard Deviation 942
LY2603618 105 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 14220 nanograms per millimeter (ng/mL)Standard Deviation 1370
LY2603618 105 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 94540 nanograms per millimeter (ng/mL)Standard Deviation 2270
LY2603618 150 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 14230 nanograms per millimeter (ng/mL)Standard Deviation 1370
LY2603618 150 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 93560 nanograms per millimeter (ng/mL)Standard Deviation 1320
LY2603618 195 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 16840 nanograms per millimeter (ng/mL)Standard Deviation 839
LY2603618 195 mg/m^2Pharmacokinetic (PK) Parameter: Maximum Observed Plasma Concentration (Cmax) of IC83/LY2603618Day 97580 nanograms per millimeter (ng/mL)Standard Deviation 1260

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026