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LY3023414

Phase 2

Prostate Cancer Metastatic | Small molecule | Oncology |Eli Lilly and Company|Last Updated: Apr 8, 2022

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment142

FDA Designations

No designations recorded

Clinical trial landscape

LY3023414 · 4 trials · 9 indications

Phase 2 1Phase 1 3
NCT02407054A Study of Enzalutamide and LY3023414 in Men With Prostate CancerProstate Cancer Metastatic
COMPLETED142 Analytics
PHASE2COMPLETED
A Study of Enzalutamide and LY3023414 in Men With Prostate Cancer
Prostate Cancer MetastaticUnlock trial analytics

Study Endpoints

Primary Endpoints

Part B: Progression Free Survival (PFS)
Randomization to Measured Progressive Disease or Death from Any Cause (Up To 34 Months)

PFS was defined as the time from randomization until the date of clinical (symptomatic or radiographic) and/or prostate specific antigen (PSA) disease progression per Prostate Cancer Clinical Trials Working Group (PCWG2) or death by any cause regardless of whether the participants withdraws from study drug or receives a subsequent anti-cancer therapy (as determined by the investigator). Participants who have not progressed or died at the time of assessment were censored at the time of the last date of assessment (tumor evaluation or PSA level).

Urinary Excretion of LY3023414 Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose Administered
Baseline up to 144 hours postdose
Fecal Excretion of LY3023414 Radioactivity Over Time Expressed as a Percentage of the Total Radioactive Dose Administered
Baseline up to 144 hours postdose
Number of Participants with LY3023414 Dose-Limiting Toxicities (DLT)
Cycle 1 (21 days)
Recommended Phase 2 dose
Baseline to disease progression or participant discontinuation (estimated 9 weeks)

Secondary Endpoints

Part B: Time to Disease Progression (TTP)
Randomization to Objective Disease Progression (Up To 34 Months)
Part B: Percentage of Participants With Prostate Specific Antigen Response
12 Weeks
Part A: Pharmacokinetic (PK): Area Under the Concentration-time Curve Over the Dosing Interval (AUCτ) of LY3023414
Part A: 200 mg LY3023414 + 160 mg Enzalutamide: Cycle 1 Day 15 Pre-dose of LY3023414 and enzalutamide 1.5, 3, and 6 hours post LY3023414 dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: 200 mg LY3023414 BID + 160 mg of Enzalutamide QDEXPERIMENTALParticipants received 200 milligrams (mg) LY3023414 orally twice daily (BID) during the initial week to assess pharmacokinetics (PK). Thereafter, participants received 200 mg of LY3023414 BID in combination with 160 mg of enzalutamide QD beginning Cycle 1 Day 1. A treatment cycle was defined as 28 days.
Part B: 200 mg LY3023414 BID + 160 mg Enzalutamide QDEXPERIMENTALParticipants received 200 mg LY3023414 orally BID in combination with 160 mg enzalutamide orally once daily (QD).
Part B: Placebo + 160 mg Enzalutamide QDACTIVE_COMPARATORParticipants received placebo in combination with 160 mg enzalutamide QD.
[¹⁴C]-LY3023414EXPERIMENTALSingle oral dose of \[¹⁴C\]-LY3023414 administered on Day 1
LY3023414EXPERIMENTALLY3023414 administered orally, twice daily in 21-day cycles. Treatment will continue until disease progression, development of unacceptable toxicity, or other discontinuation criteria are met.
Part A: LY3023414 Once DailyEXPERIMENTALLY3023414 administered orally once daily (QD) at escalating doses for two 21 day cycles to participants with advanced/metastatic cancer (including lymphoma); participants receiving benefit may continue until disease progression or discontinuation.
Part A2: LY3023414 Twice DailyEXPERIMENTALLY3023414 administered orally twice daily (BID) at escalating doses for two 21 day cycles to participants with advanced/metastatic cancer (including lymphoma); participants receiving benefit may continue until disease progression or discontinuation.
Part B1 : LY3023414 + MidazolamEXPERIMENTALLY3023414 administered orally BID for two 21 day cycles to participants with advanced/metastatic cancer; participants receiving benefit may continue until disease progression or discontinuation. Dose based on Part A. 0.2 milligrams (mg) midazolam administered orally once before LY3023414 on Day 1 and once after LY3023414 on Day 15.
Part B2: LY3023414 + FulvestrantEXPERIMENTALLY3023414 administered orally BID for two 28 day cycles to participants with advanced/metastatic breast cancer; participants receiving benefit may continue until disease progression or discontinuation. 500 mg fulvestrant administered IM once every 28 days.
Part B3: LY3023414EXPERIMENTALLY3023414 administered orally BID for two 21 day cycles to participants with malignant mesothelioma; participants receiving benefit may continue until disease progression or discontinuation.
Part B4: LY3023414 + pemetrexed/cisplatinEXPERIMENTALLY3023414 administered orally BID for two 21 day cycles to participants with malignant mesothelioma; participants receiving benefit may continue until disease progression or discontinuation. 500 mg/m2 pemetrexed and 75 mg/m2 administered IV once every 21 days.
Part B5: LY3023414EXPERIMENTALLY3023414 administered orally BID for two 21 day cycles to participants with indolent non-Hodgkin's lymphoma; participants receiving benefit may continue until disease progression or discontinuation.
Part B6: LY3023414EXPERIMENTALLY3023414 administered orally BID for two 21 day cycles to participants with squamous NSCLC; participants receiving benefit may continue until disease progression or discontinuation.
Part B7: LY3023414 + Abemaciclib + LetrozoleEXPERIMENTALLY3023414 administered orally BID with abemaciclib administered orally BID and letrozole administered orally once a day for two 28 day cycles to participants with breast cancer; participants receiving benefit may continue until disease progression or discontinuation.

Interventions

NameTypeDescription
LY3023414DRUGAdministered orally
EnzalutamideDRUGAdministered orally
PlaceboDRUGAdministered orally
[¹⁴C]-LY3023414DRUGLY3023414 in solution containing approximately 100 microCi \[¹⁴C\]-LY3023414
MidazolamDRUG0.2 mg administered orally once before LY3023414 on Day 1 and once after LY3023414 on Day 15.
FulvestrantDRUG500 mg administered IM on Day 1 and Day 15 in cycle 1 and Day 1 every 28 days for additional cycles.
PemetrexedDRUG500 mg/m2 administered IV once on Day 1 every 21 days
CisplatinDRUG75 mg/m2 administered IV once on Day 1 every 21 days
AbemaciclibDRUGAdministered orally
LetrozoleDRUGAdministered orally
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites36

Inclusion Criteria: * Histologically or cytologically confirmed adenocarcinoma of the prostate. * Metastatic disease documented by positive bone scan or metastatic lesions on computed tomography (CT) or magnetic resonance imaging (MRI) scan. * Prostate cancer progression documented by PSA and/or ra...

Countries:United StatesJapanItalyPuerto Rico
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Competitive Landscape -Prostate Cancer 254 trials (matched to "Prostate Cancer Metastatic")

Frequently asked questions about LY3023414

What is LY3023414 used for?

LY3023414 is an investigational small molecule being studied for the treatment of advanced cancer, including metastatic cancer, non-Hodgkin's lymphoma, metastatic breast cancer, malignant mesothelioma, and non-small cell lung cancer. It has also been studied in metastatic prostate cancer and in healthy participants for research purposes.

Who makes LY3023414?

LY3023414 is being developed by Eli Lilly and Company, a pharmaceutical company listed on the New York Stock Exchange under the ticker symbol LLY.

What phase is LY3023414 in?

LY3023414 is an investigational drug that has completed Phase 1 and Phase 2 clinical trials. It is not approved by the FDA and remains in clinical development. Completed studies include Phase 1 trials in advanced cancer and a Phase 2 trial in metastatic prostate cancer.

What clinical trials has LY3023414 been in?

LY3023414 has been studied in several completed clinical trials. NCT01655225 was a Phase 1 study in advanced cancer with 156 participants. NCT02407054 was a Phase 2 study combining enzalutamide and LY3023414 in men with metastatic prostate cancer. NCT02536586 was a Phase 1 study in Japanese participants with advanced cancer, and NCT02575703 was a Phase 1 study in healthy participants.

Is LY3023414 the same as enzalutamide?

No, LY3023414 is not the same as enzalutamide. LY3023414 is an investigational small molecule developed by Eli Lilly, while enzalutamide is a separate drug. They have been studied in combination in a Phase 2 clinical trial for men with metastatic prostate cancer.