NOVA-BCL6-1: A First-in-Human, Multicenter Phase 1a/1b Study to Investigate Safety, Tolerability, Pharmacokinetics, and Efficacy of LY4584180 in Adult Participants With Previously Treated Hematologic Malignanciesa
Have been diagnosed with and previously treated for any of the following hematologic malignancies and has received at least 2 prior lines of systemic therapy
All Phases
Diffuse large B-cell lymphoma, not otherwise specified (DLBCL-NOS)
High-grade B-cell lymphomas (BCLs): high-grade BCL with MYC and BCL2 and/or BCL6 rearrangement; high-grade BCL, NOS; and aggressive BCLs with 11q aberration
Follicular lymphoma (FL) 3b (follicular LBCL)
FL (Grade 1-3a)
Phase 1b or 1a backfill only:
Mantle cell lymphoma (MCL)
DLBCL transformed from indolent lymphomas (including Richter’s transformation)
Marginal zone lymphoma (MZL)
Waldenström macroglobulinemia (WM)/lymphoplasmacytic lymphoma (LPL): Prior therapy must have included a Bruton's tyrosine kinase (BTK) inhibitor
Chronic lymphocytic leukemia (CLL)/small lymphocytic lymphoma (SLL): Prior therapy must have included a BTK inhibitor and a BCL2 inhibitor
Have measurable disease. Measurable disease cannot be previously irradiated
Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Have discontinued all previous treatments for cancer and recovered from the acute effects of therapy
Have adequate organ function
Is capable of giving signed informed consent
Ability to comply with outpatient treatment, laboratory monitoring, and required clinic visits for the duration of study participation
Had prior treatment-related adverse events (AEs) that recovered to ≤Grade 1 or pretreatment baseline with the exception of alopecia
Key Exclusion Criteria
Have an active second malignancy
Have known or suspected history of central nervous system (CNS) involvement
Have known active cytomegalovirus (CMV) infection
Have known active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection or human immunodeficiency virus (HIV) documented during screening
Active HBV defined as positive for hepatitis B surface antigen (HBsAg) or polymerase chain reaction (PCR)-positive for HBV DNA
Active HCV
Have significant cardiovascular disease
Prolongation of the QTcF >470 msec during screening
Have evidence of other clinically significant uncontrolled condition(s)
Have active uncontrolled autoimmune cytopenia
a
This clinical trial is being conducted globally.
b
Participants will be randomized to 2 or more selected dose levels. More than 1 tumor type might be explored separately in distinct dose optimization cohorts.
c
Enrollment into individual Phase 1b cohorts will only occur after evaluating sufficient nonclinical CYP data when available. Initiation of each cohort will be based on the totality of safety, efficacy, and relevant nonclinical data, and in consultation with the SRC.
d
Subject to the results of monotherapy dosing safety and preliminary efficacy. Combination therapies will be administered in regions or countries where approved and available.
For information on trial enrollment, locations, and more, call
1-800-545-5979.