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Active, not recruitingNCT06561685ClinicalTrials.gov record

A Study of LY4050784 in Participants With Advanced or Metastatic Solid Tumors

Metastatic Solid Tumor · Advanced Solid Tumor · Non-small Cell Lung Cancer · SMARCA4-Deficient Tumor

THE QUICK READ

What this study involves

The registry does not currently label this study as recruiting. Ask about its status before planning a screening visit.

Study type
Interventional
Phase
Phase 1
Age range
18 years - Not specified
Sex eligible
All sexes
Healthy volunteers
Not accepted
Participants
340 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

The main purpose of this study is to find out whether the study drug, LY4050784, is safe, tolerable and effective in participants alone or in combination with other anticancer agents. In addition, with locally advanced or metastatic solid tumors with a BRG1 (Brahma-related gene 1, also known as SMARCA4) alteration who have previously received, do not qualify for, or are refusing standard of care treatments, or there is no standard therapy available for the disease. The study is conducted in two parts - phase Ia (dose-escalation) and phase Ib (dose-optimization, dose-expansion). The study will last up to approximately 4 years.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

Inclusion Criteria:

  • 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: 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.
  • 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 non-measurable disease as defined by Response Evaluation Criteria in Solid Tumors v1.1 (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

Exclusion Criteria:

  • Participants with known or likely 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 enrolment
  • 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 allogenic stem cell/organ transplant or compromised immune system within past 2 years (Part C only)
Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Not randomized
Masking
No masking
LY4050784 (Phase 1a - Dose Escalation)

Escalating doses of LY4050784 administered orally.

Drug: LY4050784

LY4050784 (Phase 1b - Dose Optimization/Part A)

Comparing 2 or more doses (evaluated during dose escalation) of LY4050784 administered orally.

Drug: LY4050784

LY4050784 (Phase 1b - Dose Expansion/Part B)

LY4050784 administered orally.

Drug: LY4050784

LY4050784 (Phase 1b - Dose Expansion/Part C) Cohort C1

LY4050784 administered orally in combination in combination with pembrolizumab administered IV in 21-day cycles. Participants may continue to receive treatment until discontinuation criteria are met.

Drug: LY4050784 · Drug: Pembrolizumab

LY4050784 (Phase 1b - Dose Expansion/Part C) Cohort C2a

LY4050784 administered orally in combination in combination with pembrolizumab, pemetrexed, and platinum (cisplatin or carboplatin) administered IV in 21-day cycles. Participants may continue to receive treatment until discontinuation criteria are met.

Drug: LY4050784 · Drug: Pembrolizumab · Drug: Cisplatin · Drug: Carboplatin · Drug: Pemetrexed

LY4050784 (Phase 1b - Dose Expansion/Part C) Cohort C2b

LY4050784 administered orally in combination in combination with pembrolizumab, paclitaxel/nab-paclitaxel and carboplatin administered IV in 21-day cycles. Participants may continue to receive treatment until discontinuation criteria are met.

Drug: LY4050784 · Drug: Pembrolizumab · Drug: Carboplatin · Drug: Paclitaxel · Drug: Nab paclitaxel

LY4050784 DRUG

Oral

Pembrolizumab DRUG

Administered IV.

Cisplatin DRUG

Administered IV.

Carboplatin DRUG

Administered IV.

Pemetrexed DRUG

Administered IV.

Paclitaxel DRUG

Administered IV.

Nab paclitaxel DRUG

Administered IV.

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Phase Ia: Number of Participants with One or More Treatment Emergent Adverse Events (TEAEs), Serious Adverse Event(s) (SAEs), and Adverse Event(s) (AEs)

Time frame: Up to Approximately 48 Months or 4 Years

A summary of TEAEs, SAEs, and AEs regardless of causality, will be reported in the Reported Adverse Events module

Phase 1a: To determine the maximum tolerated dose (MTD)/recommended phase 2 dose (RP2D) of LY4050784

Time frame: Up to Approximately 48 Months or 4 Years

Number of participants with dose-limiting toxicities (DLTs)

Phase 1b: To assess the antitumor activity of LY4050784 Monotherapy: Overall response rate (ORR)

Time frame: Up to Approximately 48 Months or 4 Years

ORR per investigator assessed Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)

Phase 1b (Dose optimization only): To confirm the RP2D/optimal dose based on safety and efficacy of LY4050784

Time frame: Up to Approximately 48 Months or 4 Years

A summary of TEAEs, SAEs, and AEs regardless of causality, will be reported in the Reported Adverse Events module, ORR and Duration of Response (DOR) per Investigator

Phase 1b (Combination cohorts/Part C): To assess the safety and tolerability of LY4050784 when administered in combination with other anticancer agents

Time frame: Up to Approximately 48 Months or 4 Years

A summary of TEAEs, SAEs, and AEs regardless of causality, will be reported in the Reported Adverse Events module

Secondary measures

To characterize the pharmacokinetics (PK) properties of LY4050784: Maximum Concentration (Cmax)

Time frame: Cycle 1 (Day 8)

PK: Cmax of LY4050784

To characterize the PK properties of LY4050784: Time to Maximum Concentration (Tmax)

Time frame: Cycle 1 (Day 8)

PK: Tmax of LY4050784

To characterize the PK properties of LY4050784: Area under the concentration versus time curve (AUC)

Time frame: Cycle 1 (Day 8)

PK: AUC of LY4050784

Phase Ia: To evaluate the preliminary antitumor activity of LY4050784: Overall response rate (ORR)

Time frame: Up to Approximately 48 Months or 4 Years

ORR per investigator assessed Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)

To evaluate the preliminary antitumor activity of LY4050784: Duration of response (DOR)

Time frame: Up to Approximately 48 Months or 4 Years

DOR per investigator assessed RECIST 1.1

To evaluate the preliminary antitumor activity of LY4050784: Time to response (TTR)

Time frame: Up to Approximately 48 Months or 4 Years

TTR per investigator assessed RECIST 1.1

To evaluate the preliminary antitumor activity of LY4050784: Disease control rate (DCR)

Time frame: Up to Approximately 48 Months or 4 Years

DCR per investigator assessed RECIST 1.1

To evaluate the preliminary antitumor activity of LY4050784: Progression free survival (PFS)

Time frame: Up to Approximately 48 Months or 4 Years

PFS per investigator assessed RECIST 1.1

To evaluate the PK properties of LY4050784 in combination cohorts: Maximum Concentration (Cmax) PK: Cmax of LY4050784

Time frame: Cycle 1 (Day 8)

Not reported in this registry record.

To evaluate the PK properties of LY4050784 in combination cohorts: Time to Maximum Concentration (Tmax) PK: Tmax of LY4050784

Time frame: Cycle 1 (Day 8)

Not reported in this registry record.

To evaluate the PK properties of LY4050784 in combination cohorts: Area under the concentration versus time curve (AUC)

Time frame: Cycle 1 (Day 8)

Not reported in this registry record.

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (32)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

32 locations

UCLASanta Monica, California, United StatesStatus unknown
University of Colorado Health HospitalAurora, Colorado, United StatesStatus unknown
Sarah Cannon Research Institute at HealthOneDenver, Colorado, United StatesStatus unknown
Florida Cancer Specialists ORLANDO/DDULake Mary, Florida, United StatesStatus unknown
University of MiamiMiami, Florida, United StatesStatus unknown
University of ChicagoNew Lenox, Illinois, United StatesStatus unknown
Massachusetts General HospitalBoston, Massachusetts, United StatesStatus unknown
Dana-Farber Cancer InstituteBoston, Massachusetts, United StatesStatus unknown
Columbia University Medical CenterNew York, New York, United StatesStatus unknown
Memorial Sloan Kettering Cancer CenterNew York, New York, United StatesStatus unknown
Ohio State University HospitalColumbus, Ohio, United StatesStatus unknown
Sarah Cannon Research InstituteNashville, Tennessee, United StatesStatus unknown
SCRI Oncology PartnersNashville, Tennessee, United StatesStatus unknown
Vanderbilt-Ingram Cancer CenterNashville, Tennessee, United StatesStatus unknown
MD Anderson Cancer CenterHouston, Texas, United StatesStatus unknown
USO-Virginia Cancer Specialists, PCFairfax, Virginia, United StatesStatus unknown
Medical College of WisconsinMilwaukee, Wisconsin, United StatesStatus unknown
Institut BergonieBordeaux, FranceStatus unknown
Institut CurieParis, FranceStatus unknown
Institut Gustave Roussy-Gustave Roussy Cancer Center -DITEPVillejuif, FranceStatus unknown
Charite-Universitatsmedizin BerlinBerlin, GermanyStatus unknown
Universitaetsklinikum EssenEssen, GermanyStatus unknown
Krankenhaus NordwestFrankfurt am Main, GermanyStatus unknown
National Cancer Center HospitalChūōku, JapanStatus unknown
National Cancer Center Hospital EastKashiwa, JapanStatus unknown
The Cancer Institute Hospital of JFCRKōtō City, JapanStatus unknown
Shizuoka Cancer CenterNagaizumi-cho,Sunto-gun, JapanStatus unknown
National Cancer CenterIlsandong-gu, South KoreaStatus unknown
Severance Hospital, Yonsei University Health SystemSeoul, South KoreaStatus unknown
The Catholic University of Korea, St. Vincent's HospitalSuwon, South KoreaStatus unknown
Hospital Universitari Vall d'HebronBarcelona, SpainStatus unknown
South Texas Accelerated Research Therapeutics (START) Madrid - Hospital Fundacion Jimenez DiazMadrid, SpainStatus unknown

Study team and timeline

Lead sponsor
Eli Lilly and Company
Study start
Sep 19, 2024 Actual
Primary completion
2027-10 Estimated
Study completion
2027-10 Estimated
First posted
Aug 20, 2024 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

No central contact is listed. Check the locations and the official record.

Official study title

An Open-label, Multicenter Study of LY4050784, a Selective SMARCA2/BRM Inhibitor, in Advanced Solid Tumor Malignancies With SMARCA4/BRG1 Alterations

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026