An Open-Label, Multicenter Study of LY4050784, a Selective SMARCA2 (BRM) Inhibitor, in Advanced Solid Tumor Malignancies with SMARCA4 (BRG1) Alterationsa
Have one of the following locally advanced or metastatic solid tumor malignancy with SMARCA4 (BRG1) alteration:
Phase 1a dose escalation: Presence of any alteration in SMARCA4 (BRG1)
Phase 1b expansion (Part A): Non-small cell lung cancer (NSCLC) that is locally advanced and not suitable for definitive locoregional therapy, or metastatic with presence of a known or likely loss of function alteration in SMARCA4 (BRG1) or loss of protein expression
Phase 1b expansion (Part B): Any tumor type (other than NSCLC) that has the presence of a known or likely loss of function alteration in SMARCA4 (BRG1) or loss of protein expression
Phase 1b expansion (Part C): NSCLC that is locally advanced and not suitable for definitive locoregional therapy, or metastatic with presence of a known or likely loss of function alteration in SMARCA4 (BRG1) or loss of protein expression
Prior systemic therapy criteria:
Phase 1a dose escalation and Phase 1b (Part B): Participants who received all standard therapies for which the individual was deemed to be an appropriate candidate by the treating investigator; or the individual is refusing the remaining most appropriate standard of care treatment; or there is no standard therapy available for the disease
Phase 1b expansion (Part A): Participants must have received at least one line of therapy for advanced or metastatic disease
Phase 1b expansion (Part C): Participants may be treatment naïve or have received therapy for advanced or metastatic disease
Measurability of disease:
Phase 1a dose escalation (excluding backfill): Measurable or nonmeasurable disease as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Phase 1a backfill and Phase 1b expansion: Measurable disease required as defined by RECIST v1.1
Have an Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
Key Exclusion Criteria
Participants with known loss of function alteration of SMARCA2 (BRM) or malignancy with known association with SMARCA2 (BRM) alterations
Prior exposure to SMARCA2 (BRM) inhibitor(s) and/or degrader(s) (prior exposure may be permitted for dose escalation)
Participants with known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement
Participants with history of increased risk of prolonged QT or significant arrythmia
Significant cardiovascular disease
Participants with active and/or treated for an additional primary malignancy within 2 years prior to enrollment
Participants who are pregnant, breastfeeding or plan to breastfeed, or expecting to conceive or father children during study or within 6 months after the last dose of study intervention
Participants with history of active autoimmune diseases, history of allogeneic stem cell/organ transplant or compromised immune system within past 2 years (Part C only)
a
This clinical trial is being conducted in the United States and Japan.
b
Each dose level will enroll 3-6 DLT-evaluable patients.
c
Administered orally.
d
Prior platinum doublet, immunotherapy, and antibody-drug conjugate therapy allowed. Sponsor may initiate a randomized dose optimization cohort within Phase 1b across 2 or more dose levels.
For information on trial enrollment, locations, and more, call
1-800-545-5979.