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LY2228820

Phase 1

Advanced Cancer | Small molecule | Oncology |Eli Lilly and Company|Last Updated: Mar 24, 2020

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment89

FDA Designations

No designations recorded

Clinical trial landscape

LY2228820 · 2 trials · 4 indications

Phase 1 2
NCT01663857A Study LY2228820 for Recurrent Ovarian CancerEpithelial Ovarian Cancer
COMPLETED118 Analytics
NCT01393990A Study of LY2228820 in Participants With Advanced CancerAdvanced Cancer
COMPLETED89 Analytics
PHASE1COMPLETED
A Study LY2228820 for Recurrent Ovarian Cancer
Epithelial Ovarian CancerUnlock trial analytics
PHASE1COMPLETED
A Study of LY2228820 in Participants With Advanced Cancer
Advanced CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Phase 1b: Recommended Phase 2 Dose of LY2228820 in Combination With Gemcitabine and Carboplatin (Maximum Tolerated Dose [MTD])
Cycle 1 (21 Days)

Recommended Phase 2 dose of LY2228820 that could be safely administered in combination with gemcitabine and carboplatin based on defined dose limiting toxicities (DLT) assessment and MTD definition. The MTD is defined as the highest dose level at which no more than 33% of patients experience a DLT during Cycle 1 that does not exceed the single-agent MTD for LY2228820 (300 mg Q12H).

Phase 2: Progression-free Survival (PFS) in Participants Treated With LY2228820 Plus Gemcitabine and Carboplatin Versus Placebo Plus Gemcitabine and Carboplatin
Randomization to Date of Disease Progression or Death from any cause (up to 3 years)

PFS was defined as time from date of randomization to the date of investigator-determined objective progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or death due to any cause, whichever occurred first. Progressive disease (PD) is defined as at least a 20% increase in the sum of the largest diameter (LD) of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Number of Participants With Clinically Significant Effects (Physical Assessments and Safety Lab Tests)
Baseline to study completion (Up to 41 months)

Data presented are the number of participants who experienced at least one treatment emergent adverse event (TEAE). A TEAE is defined as an event that first occurred or worsened after the administration of at least 1 dose of study drug, regardless of causality. A summary of serious AEs (SAEs) and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

Secondary Endpoints

Phase 2: Percentage of Participants Who Achieve Complete Response or Partial Response (Overall Response Rate)
Baseline to Disease Progression (up to 3 years)
Phase 2: Overall Survival
Baseline to Date of Death from any cause (up to 5 years)
Phase 1b and 2: Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to 8 Hours (AUC 0-8) of LY2228820
Phase1b:Cycle(C)1 Day(D)1:Predose(PRD),0.5,1,2,4,6,8 hours(hr)postdose(PD); C1D10:PRD,0.5,1,2,8hrPD; C2D10:PRD,0.5,1,2,4,6,8,12hrPD; C7D3:PRD,0.5,1,2,4,6hrPD; Phase 2: C1D3:PRD,0.5,1,2,4,6,8hrPD; C1D10:PRD,0.5,1,2,4,6,8hrPD; C7D3:PRD,0.5,1,2,4,6,8hrPD
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1b (Cohort 1) LY2228820 200 milligrams (mg)EXPERIMENTALCohort 1: Cycles 1-6 (21 day cycles)- LY2228820 200 mg administered orally every 12 hours on days 1-10. Gemcitabine 1000 milligrams per square meter (mg/m\^2) administered intravenously (IV) over 30 minutes on days 3 and 10. Carboplatin dose Area Under Curve (AUC) 4 (maximum dose 600 mg) administered IV over 30 minutes on day 3.. Cohort 1: Cycles 7+ (28 day cycles)- LY2228820 300 mg administered orally every 12 hours on days 1-14.
Phase 1b (Cohort 2) LY2228820 300 mgEXPERIMENTALCohort 2: Cycles 1-6 (21 day cycles)- LY2228820 300 mg administered orally every 12 hours on days 1-10. Gemcitabine 1000 mg/m\^2 administered IV over 30 minutes on days 3 and 10. Carboplatin dose Area Under Curve (AUC) 4 (maximum dose 600 mg) administered IV over 30 minutes on day 3. Cohort 2: Cycles 7+ (28 day cycles)- LY2228820 300 mg administered orally every 12 hours on days 1-14.
Phase 2 (Arm A) LY2228820 200 mgEXPERIMENTALArm A: Cycles 1-6 (21 day cycles)- LY2228820 200 mg administered orally every 12 hours on days 1-10. Gemcitabine 1000 mg/m\^2 administered IV over 30 minutes on days 3 and 10. Carboplatin dose Area Under Curve (AUC) 4 (maximum dose 600 mg) administered IV over 30 minutes on day 3. Arm A: Cycles 7+ (28 day cycles)- LY2228820 300 mg administered orally every 12 hours on days 1-14.
Phase 2 (Arm B) PlaceboPLACEBO_COMPARATORArm B: Cycles 1-6 (21 day cycles)- Placebo administered orally every 12 hours on days 1-10. Gemcitabine 1000 mg/m\^2 administered IV over 30 minutes on days 3 and 10. Carboplatin dose Area Under Curve (AUC) 4 (maximum dose 600 mg) administered IV over 30 minutes on day 3. Arm B: Cycle 7+ (28 day cycles)- Placebo administered orally on days 1-14 to maintain blind.
LY2228820EXPERIMENTALThe study had 4 parts, dose-escalation (Part A), 2 dose-confirmation (Parts B and C), and a tumor-specific expansion for metastatic breast cancer (Part D). Part A: Participants received escalating doses of 10, 20, 40, 65, 90, 120, 160, 200, 300, 420 and 560 milligrams (mg) of LY2228820 every 12 hours on Days 1 through 14 of a 28-day cycle. Part B: Participants received 420 mg of LY2228820 every 12 hours Days 1 through 14 of a 28-day cycle. Participants received midazolam orally 2 days before the first dose and again after the morning dose of study drug on Day 8 during the first cycle of treatment. Part C: Participants received 300 mg of LY2228820 every 12 hours Days 1 through 14 of a 28-day cycle. Part D: Participants received 200 mg and 300 mg of LY2228820 in combination with tamoxifen.

Interventions

NameTypeDescription
LY2228820DRUGAdministered Orally
CarboplatinDRUGAdministered IV
PlaceboDRUGAdministered Orally
GemcitabineDRUGAdministered IV
MidazolamDRUG -
TamoxifenDRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites30

Inclusion Criteria: * Have been diagnosed with ovarian, fallopian tube, or primary peritoneal cancer * Have been treated one time with a platinum-based chemotherapy and your disease has come back at least six months after you completed treatment * Are able to swallow tablets * Have given written in...

Countries:United StatesAustraliaBelgiumGermany
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Competitive Landscape -Cancer 5 trials (matched to "Advanced Cancer")

Frequently asked questions about LY2228820

What is LY2228820 used for?

LY2228820 is an investigational small molecule being studied for the treatment of advanced cancer and recurrent epithelial ovarian cancer, including fallopian tube and primary peritoneal cancers. It is in Phase 1 clinical development and is not yet approved by the FDA.

Who is developing LY2228820?

LY2228820 is being developed by Eli Lilly and Company, a pharmaceutical company traded on the New York Stock Exchange under the ticker LLY. The drug is currently in Phase 1 clinical trials for oncology indications.

What phase is LY2228820 in?

LY2228820 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being evaluated in clinical trials for safety and efficacy.

What clinical trials is LY2228820 in?

LY2228820 has been studied in two completed Phase 1 trials. NCT01393990 enrolled 89 participants with advanced cancer in the United States. NCT01663857 enrolled 118 female participants with recurrent ovarian, fallopian tube, or primary peritoneal cancer across the United States, Australia, Belgium, and Germany.

Is LY2228820 the same as ralimetinib?

LY2228820 is also known as ralimetinib. It is a small molecule drug candidate developed by Eli Lilly and Company for oncology indications, including advanced cancer and epithelial ovarian cancer.