Breast CancerPhase 1PIKASSO-01NCT05307705
A Study of LOXO-783 in Patients With Breast Cancer/Other Solid Tumors
A Phase 1 study testing LOXO-783, Fulvestrant and Imlunestrant in people with Breast Cancer, run by Eli Lilly and Company at 50 sites in 12 countries.
Trial summary
The main purpose of this study is to learn more about the safety, side effects, and effectiveness of LOXO-783. LOXO-783 may be used to treat breast cancer and other solid tumors that have a change in a particular gene (known as the PIK3CA gene). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- LOXO-783, Fulvestrant and Imlunestrant
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 260 participants
- Where
- 50 sitesin 12 countries
- Study dates
- 11 May 2022to Dec 2026
- Phase
- Phase 1
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have advanced breast cancer or another solid tumor with the presence of a phosphatidylinositol 3-kinase catalytic subunit alpha (PIK3CA) H1047R mutation (or other Sponsor and safety review committee (SRC)-approved, activating PIK3CA mutations other than H1047R mutation)
- Have adequate archival tumor tissue sample available or be approved by the Sponsor for enrollment if no tumor sample is available.
- Have stopped all cancer treatment and have recovered from the major side effects
- Have adequate organ function, as measured by blood tests
- Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) scale
- Patients must have
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- Measurable disease
- --- Patients with non-breast tumor types must have at least 1 measurable lesion
- Non-measurable bone disease (at least 1 bone lesion in breast cancer patients only)
- For patients with an estrogen receptor (ER)+ breast cancer diagnosis:
- If female, must be postmenopausal
- If male, must agree to use hormone suppression
- Phase 1a:
- -- Dose escalation and backfill patients:
- Advanced solid tumor
- Patients may have had up to 5 prior regimens for advanced disease
- Phase 1b:
- Part A:
- ER+/human epidermal growth factor receptor 2 (HER2)- advanced breast cancer
- Patients may have had up to 5 prior regimens for advanced disease ---- Prior cyclin dependent kinase (CDK)4/6 inhibitor therapy required
- Part B:
- ER+/HER2- advanced breast cancer
- Patients may have had up to 2 prior regimens for advanced disease.
- Part C:
- ER+/HER2- advanced breast cancer
- Patients may have had up to 5 prior regimens for advanced disease.
- ---- Prior CDK4/6 inhibitor therapy required.
- Have a diagnosis of diabetes mellitus Type 2
- Part D:
- Advanced breast cancer
- Patients may have had up to 5 prior regimens for advanced disease.
- Part E:
- Advanced solid tumor
- Patients may have had up to 3 prior regimens for advanced disease advanced disease
- Part F:
- ER+/HER2- advanced breast cancer
- Patients may have had up to 5 prior regimens for advanced disease
- Prior cyclin dependent kinase (CDK)4/6 inhibitor therapy required
Who cannot join
- Medical Conditions
- Colorectal cancer
- Endometrial cancers with specific concurrent oncogenic alterations
- A history of known active or suspected
- Diabetes mellitus Type 1 or
- Diabetes mellitus Type 2 requiring antidiabetic medication (Phase 1a and all parts of Phase 1b except Part C).
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- Serious concomitant systemic disorder
- Known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement.
- Active uncontrolled systemic bacterial, viral, fungal, or parasitic infection, or other clinically significant active disease process
- Prior exposure to phosphatidylinositol 3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/AKT/mTOR) inhibitor(s), except in certain circumstances
Trial locations and contacts
50 sites in 12 countries.
50 sites in 12 countries
United States17 sites
Winship Cancer Center Emory University
Atlanta, Georgia, 30322
Massachusetts General Hospital
Boston, Massachusetts, 02114
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
UT Southwestern Medical Center
Dallas, Texas, 75390-8884
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Mayo Clinic
Jacksonville, Florida, 32224
UCLA Medical Center
Los Angeles, California, 90095
Tennessee Oncology PLLC
Nashville, Tennessee, 37203
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Mayo Clinic
Rochester, Minnesota, 55905-0002
Wilmot Cancer Institute
Rochester, New York, 14642
South Texas Accelerated Research Therapeutics (START)
San Antonio, Texas, 78229
UCSF Medical Center at Mission Bay
San Francisco, California, 94158
Mayo Clinic of Scottsdale
Scottsdale, Arizona, 85259
Washington University Medical School
St Louis, Missouri, 63110
Stanford University Hospital
Stanford, California, 94305
Spain8 sites
Hospital Universitario Quiron Dexeus
Barcelona, 08028
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Quironsalud Madrid
Pozuelo de Alarcón, 28223
Hospital Clinico Universitario de Valencia
Valencia, 46010
Hospital Arnau de Vilanova Valencia
Valencia, 46015
France5 sites
Centre Leon Berard
Lyon, 69373
Institut Curie
Paris, 75248
Institut de Cancérologie de l'Ouest
Saint-Herblain, 44805
ICANS_Institut de Cancerologie Strasbourg Europe
Strasbourg, 67033
Gustave Roussy
Villejuif, 94805
Japan4 sites
National Cancer Center Hospital
Chūōku, 104-0045
The Cancer Institute Hospital of JFCR
Kōtō City, 135-8550
Kyoto University Hospital
Kyoto, 606-8507
Aichi Cancer Center Hospital
Nagoya, 464-8681
Australia3 sites
Cancer Research SA
Adelaide, 5000
Peter Maccallum Cancer Institute Erb
East Melbourne, 3002
St Vincent's Hospital
Sydney, 2010
China3 sites
Beijing Cancer hospital
Beijing, 100036
The Third Hospital of Nanchang
Nanchang, 330009
Fudan University Shanghai Cancer Center
Shanghai, 200032
Belgium2 sites
Institut Jules Bordet
Anderlecht, 1070
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
Leuven, 3000
Canada2 sites
Princess Margaret Hospital (Hong Kong)
Toronto, M5G 2M9
BC Cancer Vancouver
Vancouver, V5Z4E6
South Korea2 sites
Samsung Medical Center
Seoul, 06351
Asan Medical Center
Seoul, 5505
United Kingdom2 sites
Royal Marsden NHS Trust
London, SW3 6JJ
Royal Marsden Hospital (Sutton)
Sutton, SM2 5PT
About this study
Official title: A Study of LOXO-783 Administered as Monotherapy and in Combination With Anticancer Therapies for Patients With Advanced Breast Cancer and Other Solid Tumors With a PIK3CA H1047R Mutation
The main purpose of this study is to learn more about the safety, side effects, and effectiveness of LOXO-783. LOXO-783 may be used to treat breast cancer and other solid tumors that have a change in a particular gene (known as the PIK3CA gene). Participation could last up to 36 months (3 years) and possibly longer if the disease does not get worse.
- Conditions
- Breast Cancer
- Being tested
- LOXO-783, Fulvestrant, Imlunestrant, Abemaciclib, Anastrozole, Exemestane, or Letrozole
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LOXO-783Drug
Also called LY3849524
Oral
FulvestrantDrug
Intramuscular
ImlunestrantDrug
Also called LY3484356
Oral
AbemaciclibDrug
Also called LY2835219
Oral
Anastrozole, Exemestane, or LetrozoleDrug
Oral
PaclitaxelDrug
Intravenous
| Study group | Role | What they receive |
|---|---|---|
| Phase 1A: LOXO-783 Monotherapy Dose Escalation | Experimental | LOXO-783 administered orally Receives: Drug: LOXO-783 |
| Phase 1B: Part A | Experimental | LOXO-783 administered orally in combination with fulvestrant intramuscularly, imlunestrant orally, or an aromatase inhibitor orally Receives: Drug: LOXO-783; Drug: Fulvestrant; Drug: Imlunestrant; Drug: Anastrozole, Exemestane, or Letrozole |
| Phase 1B: Part B | Experimental | LOXO-783 orally in combination with abemaciclib and either physician's choice aromatase inhibitor orally, fulvestrant intramuscularly, or imlunestrant orally Receives: Drug: LOXO-783; Drug: Fulvestrant; Drug: Imlunestrant; Drug: Abemaciclib; Drug: Anastrozole, Exemestane, or Letrozole |
| Phase 1B: Part C | Experimental | LOXO-783 orally in combination with fulvestrant intramuscularly Receives: Drug: LOXO-783; Drug: Fulvestrant |
| Phase 1B: Part D | Experimental | LOXO-783 orally in combination with paclitaxel intravenously Receives: Drug: LOXO-783; Drug: Paclitaxel |
| Phase 1B: Part E | Experimental | LOXO-783 orally Receives: Drug: LOXO-783 |
| Phase 1B: Part F | Experimental | Multiple randomized dose levels of LOXO-783 orally with fulvestrant intramuscularly Receives: Drug: LOXO-783; Drug: Fulvestrant |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase 1 a: To determine the maximum tolerated dose/recommended phase 2 dose (MTD/RP2D) of LOXO-783: Number of patients with dose-limiting toxicities (DLTs)
Number of patients with DLTs
Measured: During the first 28-day cycle of LOXO-783 treatment
Phase 1 a: To determine the MTD/RP2D of LOXO-783: Number of patients with DLT-equivalent toxicities
Number of patients with DLT-equivalent toxicities
Measured: During the first 28-day cycle of LOXO-783 treatment
Secondary outcomes (10)
To assess the pharmacokinetics (PK) of LOXO-783: Area under the concentration versus time curve (AUC)
PK of LOXO-783: AUC
Measured: Up to 2 months
To assess the PK of LOXO-783: Maximum drug concentration (Cmax)
PK of LOXO-783: Cmax
Measured: Up to 2 months
To evaluate the preliminary antitumor activity of LOXO-783: Overall response rate (ORR)
ORR per investigator assessed Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1)
Measured: Up to approximately 36 months or 3 years
To evaluate the preliminary antitumor activity of LOXO-783: Best overall response (BOR)
BOR per investigator assessed RECIST 1.1
Measured: Up to approximately 36 months or 3 years
To evaluate the preliminary antitumor activity of LOXO-783: Duration of response (DOR)
DOR per investigator assessed RECIST 1.1
Measured: Up to approximately 36 months or 3 years
To evaluate the preliminary antitumor activity of LOXO-783: Disease control rate (DCR)
DCR per investigator assessed RECIST 1.1
Measured: Up to approximately 36 months or 3 years
To evaluate the preliminary antitumor activity of LOXO-783: Clinical benefit rate (CBR)
CBR per investigator assessed RECIST 1.1
Measured: Up to approximately 36 months or 3 years
To evaluate the preliminary antitumor activity of LOXO-783: Time to response (TTR)
TTR per investigator assessed RECIST 1.1
Measured: Up to approximately 36 months or 3 years
To evaluate the preliminary antitumor activity of LOXO-783: Progression free survival (PFS)
PFS per investigator assessed RECIST 1.1
Measured: Up to approximately 36 months or 3 years
To evaluate the preliminary antitumor activity of LOXO-783: Overall survival (OS)
OS per investigator assessed RECIST 1.1
Measured: Up to approximately 36 months or 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Apr 2022
- Study start11 May 2022
- Primary completion2 Apr 2025
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 260 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05307705
- Sponsor's protocol ID
- 18394
- Other IDs
- 2022-000175-40, J4C-OX-JZUA, LOXO-PIK-21001
- Acronym
- PIKASSO-01
- Status last verified
- Oct 2026
- First submitted
- 25 Mar 2022
- Last updated
- 14 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No