Solid TumorsPhase 1NCT02597036
A Study of LY3127804 With Ramucirumab in Participants With Advanced Solid Tumors
A Phase 1 study testing LY3127804, Ramucirumab and Paclitaxel in people with Solid Tumors, run by Eli Lilly and Company at 5 sites in 4 countries.
Trial summary
The main purpose of this study is to evaluate the safety of the study drug known as LY3127804 given as monotherapy and in combination with Ramucirumab for participants with advanced or metastatic solid tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumors
- What is being tested?
- LY3127804, Ramucirumab and Paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 62 participants
- Where
- 5 sitesin 4 countries
- Study dates
- 6 Nov 2015to 24 May 2020
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 a diagnosis of cancer that is advanced and/or metastatic.
- Have disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST ) version 1.1.
- Have adequate organ function.
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Have discontinued previous treatments for cancer for at least 28 days or 5 half-lives prior to study enrolment.
Who cannot join
- Have serious preexisting medical conditions.
- Have received treatment with a drug predominantly targeting Ang2 activity.
- Have symptomatic central nervous system (CNS) malignancy or metastasis.
- Have current hematologic malignancies.
- Have an active fungal, bacterial, and/or known viral infection.
- Have a corrected QT interval using Fridericia's correction (QTcF) of >470 msec on screening electrocardiogram (ECG) at several consecutive days of assessment.
Show all 14Show fewer
- Have a known sensitivity to mAbs or other therapeutic proteins.
- Have a history of hypertensive crisis or hypertensive encephalopathy or current poorly controlled hypertension despite standard medical management.
- Have a significant bleeding disorder or vasculitis or had a Grade ≥3 bleeding episode within 3 months prior to receiving treatment.
- Receive anticoagulation therapy at therapeutic dose.
- Have experienced any arterial or venothrombotic or thromboembolic events within 6 months prior to study treatment.
- Have liver cirrhosis with a Child-Pugh class B or worse or cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis.
- The participant is pregnant prior to randomization or breastfeeding.
- The participant has sensory peripheral neuropathy ≥ Grade 2 (Part E only).
Trial locations and contacts
5 sites in 4 countries.
5 sites in 4 countries
United States2 sites
SMO Sarah Cannon Research Inst.
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37203
Belgium1 site
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Brussels, 1000
France1 site
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Villejuif, 94805
Spain1 site
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
Barcelona, 08035
About this study
Official title: A Phase 1 Study of LY3127804 as Monotherapy and in Combination With Ramucirumab in Patients With Advanced Solid Tumors
The main purpose of this study is to evaluate the safety of the study drug known as LY3127804 given as monotherapy and in combination with Ramucirumab for participants with advanced or metastatic solid tumors. The study will also include a safety exploration for the combination of LY3127804 plus ramucirumab and paclitaxel
- Conditions
- Solid Tumors
- Being tested
- LY3127804, Ramucirumab, Paclitaxel
- Keywords
- Advanced, Angiopoietin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LY3127804Drug
Administered IV
RamucirumabDrug
Also called LY3009806, Cyramza, 1121B
Administered IV
PaclitaxelDrug
Administered IV
| Study group | Role | What they receive |
|---|---|---|
| Part A LY3127804 | Experimental | Participants received escalating doses of 4 milligram per kilogram (mg/kg), 8 mg/kg, 12 mg/kg, 16 mg/kg, 20 mg/kg and 27 mg/kg LY3127804 administered as intravenous (IV) infusion on days 1 and 15 of a 28-day cycle. Receives: Drug: LY3127804 |
| Part B LY3127804 + 8 mg/kg Ramucirumab | Experimental | Participants received escalating doses of 8 mg/kg / 12 mg/kg / 16 mg/kg / 20 mg/kg / 27 mg/kg LY3127804 plus 8 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle. Receives: Drug: LY3127804; Drug: Ramucirumab |
| Part C LY3127804 + 12 mg/kg Ramucirumab | Experimental | Participants received 20 mg/kg LY3127804 plus 12 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle. Receives: Drug: LY3127804; Drug: Ramucirumab |
| Part D LY3127804 + Ramucirumab - Not Enrolled | Experimental | Participants were to receive LY3127804 and Ramucirumab IV Q2W until participant qualifies for study discontinuation.
Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C. Receives: Drug: LY3127804; Drug: Ramucirumab |
| Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled | Experimental | Participants were to receive LY3127804 and Ramucirumab IV Q2W and Paclitaxel IV on day 1, 8, and 15 until participant qualifies for study discontinuation.
Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C. Receives: Drug: LY3127804; Drug: Ramucirumab; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recommended Phase 2 Dose of LY3127804 Monotherapy and in Combination With Ramucirumab
Recommended Phase 2 dose was determined based on observed safety, pharmacokinetics (PK) and efficacy. However maximum tolerated dose (MTD) was not determined. For the purpose of this study, the MTD is defined as the highest tested dose in a single-agent setting that has less than (<) 33% probability of causing a DLT. MTD in the combination setting was determined based on the nature and timing of the DLTs in the combination setting. Dose-limiting toxicities were not reported in any treatment cohort. Therefore, the maximum tolerated LY3127804 dose could not be determined.
Measured: Baseline through Cycle 1 (28 Day Cycle)
Secondary outcomes (7)
Number of Participants With Dose Limiting Toxicities (DLTs)
A dose limiting toxicity (DLT) defined as an adverse event (AE) during the first 21 days that was possibly related to the study drug and fulfilled any of the following criteria using the National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 4.0: CTCAE Grade 3 nonhematologic toxicity, grade 4 neutropenia that lasted longer than 2 weeks, grade ≥3 thrombocytopenia complicated by hemorrhage, and any hematologic toxicity that caused a cycle delay of >14 days; a DLT can be declared if a participant experiences increasing toxicity during treatment.
Measured: Baseline through Cycle 1 (28 Day Cycle)
Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC) of LY3127804
Area under the plasma concentration-time curve of LY3127804 over the dosing interval (AUC[0-τ]) from time 0 to 336 hours (h) was evaluated.
Measured: predose, end of infusion (1h), 2h, 24h, 96h, 168h, 336 h following dose on day 1 and at predose, end of infusion (1h), 24h, 168h and 336 h following dose on day 15 and at predose, end of infusion (1h), 2h, 168h, 336h following dose on day 29
Pharmacokinetics: AUC of Ramucirumab in Combination With LY3127804
Area under the serum concentration-time curve of ramucirumab in combination with LY3127804 over the dosing interval (AUC[0-τ]) from time 0 to 336 hours (τ) was evaluated following the first dose.
Measured: predose, end of infusion (1h), 24h, 96h, 168h, 336 h following Ramucirumab dose on day 1
Number of Participants With Anti-LY3127804 Antibodies
The number of participants who had treatment-emergent or follow-up emergent anti-drug antibodies (ADA) is reported. Participants with treatment-emergent ADA were defined as participants who had any sample from cycle 1 pre-Dose through 30 days after last dose of study drug that was a 4-fold increase (2 dilution increase) in immunogenicity titer over the baseline titer, or participants who tested negative at baseline and positive post-baseline (at titer of ≥1:20).
Measured: Cycle 1 Pre-Dose through 30 Days After Last Dose of Study Drug (Up To 5 Months)
Number of Participants With Anti-Ramucirumab Antibodies
The number of participants who had treatment-emergent or follow-up emergent anti-drug antibodies (ADA) is reported. Participants with treatment-emergent ADA were defined as participants who had any sample from cycle 1 pre-Dose through 30 days after last dose of study drug that was a 4-fold increase (2 dilution increase) in immunogenicity titer over the baseline titer, or participants who tested negative at baseline and positive post-baseline (at titer of ≥1:20).
Measured: Cycle 1 Pre-Dose through 30 Days After Last Dose of Study Drug (Up to 5 Months)
Percentage of Participants Who Exhibit Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)]
ORR defined as the percentage of participants who achieve a CR or PR as assessed by RECIST v.1.1. The ORR is the number of participants with a complete response (CR) or partial response (PR) divided by the number of randomized participants recorded between the date of randomization and the date of objectively documented progression or the date of subsequent anti-cancer therapy, whichever comes first. Complete response (CR) is defined as disappearance of all target (and non-target) lesions, and normalization of tumor marker level. Partial response (PR) is defined as at least a 30% decrease in the sum of longest diameters of target lesions, taking as reference the baseline sum of longest diameters.
Measured: Baseline through Measured Progressive Disease or Death (Up to 4 Months)
Progression Free Survival (PFS)
Progression-free survival (PFS) time is defined as the time from the date of randomization to the first date of documented objective progressive disease (PD) or death from any cause. For participants who were not known to have had objective PD as of the data inclusion cut-off date for a particular analysis, PFS was censored at the date of the last objective progression-free disease assessments. For participants who took any subsequent systemic anticancer therapy prior to progression, PFS was censored at the date of the last objective progression-free disease assessment prior to the start date of any subsequent systemic anticancer therapy.
Measured: Baseline to Measured Progressive Disease or Death (Up to 4 Months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Nov 2015 (estimated)
- Study start6 Nov 2015
- Primary completion23 Nov 2017
- Study completion24 May 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Solid TumorsStudies 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
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 62 participants (actual)
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
- NCT02597036
- Sponsor's protocol ID
- 15580
- Other IDs
- I7W-MC-JQBA, 2015-001204-64, 2015
- Status last verified
- Oct 2025
- First submitted
- 3 Nov 2015
- Last updated
- 23 Oct 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Martin-Liberal J, Hollebecque A, Aftimos P, Jungels C, Martin-Romano P, Rodon J, Kremer JD, Zhang W, Bendell J. First-in-human, dose-escalation, phase 1 study of anti-angiopoietin-2 LY3127804 as monotherapy and in combination with ramucirumab in patients with advanced solid tumours. Br J Cancer. 2020 Oct;123(8):1235-1243. doi: 10.1038/s41416-020-1011-7. Epub 2020 Aug 3.
PubMed 32741971
Study at a glance
From the registry record, last updated by the sponsor on 23 Oct 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study of LY3127804 as Monotherapy and in Combination With Ramucirumab in Patients With Advanced Solid Tumors
- ClinicalTrials.gov ID
- NCT02597036
- Acronym / sponsor ID
- 15580
- Conditions
- Solid Tumors
- Keywords
- Advanced, Angiopoietin
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 62 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 6 Nov 2015 (actual)
- Primary completion
- 23 Nov 2017 (actual)
- Study completion
- 24 May 2020 (actual)
- First posted
- 4 Nov 2015 (estimated)
- Results
- Posted 23 Oct 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to evaluate the safety of the study drug known as LY3127804 given as monotherapy and in combination with Ramucirumab for participants with advanced or metastatic solid tumors. The study will also include a safety exploration for the combination of LY3127804 plus ramucirumab and paclitaxel
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Part A LY3127804 | Experimental | Drug: LY3127804Participants received escalating doses of 4 milligram per kilogram (mg/kg), 8 mg/kg, 12 mg/kg, 16 mg/kg, 20 mg/kg and 27 mg/kg LY3127804 administered as intravenous (IV) infusion on days 1 and 15 of a 28-day cycle. |
| Part B LY3127804 + 8 mg/kg Ramucirumab | Experimental | Drug: LY3127804, Drug: RamucirumabParticipants received escalating doses of 8 mg/kg / 12 mg/kg / 16 mg/kg / 20 mg/kg / 27 mg/kg LY3127804 plus 8 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle. |
| Part C LY3127804 + 12 mg/kg Ramucirumab | Experimental | Drug: LY3127804, Drug: RamucirumabParticipants received 20 mg/kg LY3127804 plus 12 mg/kg ramucirumab administered as IV infusion on days 1 and 15 of a 28-day cycle. |
| Part D LY3127804 + Ramucirumab - Not Enrolled | Experimental | Drug: LY3127804, Drug: RamucirumabParticipants were to receive LY3127804 and Ramucirumab IV Q2W until participant qualifies for study discontinuation. Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C. |
| Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled | Experimental | Drug: LY3127804, Drug: Ramucirumab, Drug: PaclitaxelParticipants were to receive LY3127804 and Ramucirumab IV Q2W and Paclitaxel IV on day 1, 8, and 15 until participant qualifies for study discontinuation. Part D and E were not enrolled based on the primary and secondary outcomes/ results of Part A-C. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Have a diagnosis of cancer that is advanced and/or metastatic.
- Have disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST ) version 1.1.
- Have adequate organ function.
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Have discontinued previous treatments for cancer for at least 28 days or 5 half-lives prior to study enrolment.
Key exclusion criteria (14 listed)
- Have serious preexisting medical conditions.
- Have received treatment with a drug predominantly targeting Ang2 activity.
- Have symptomatic central nervous system (CNS) malignancy or metastasis.
- Have current hematologic malignancies.
- Have an active fungal, bacterial, and/or known viral infection.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LY3127804Administered IV | Drug | Part A LY3127804, Part B LY3127804 + 8 mg/kg Ramucirumab, Part C LY3127804 + 12 mg/kg Ramucirumab, Part D LY3127804 + Ramucirumab - Not Enrolled, Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled |
| RamucirumabAlso: LY3009806, Cyramza, 1121BAdministered IV | Drug | Part B LY3127804 + 8 mg/kg Ramucirumab, Part C LY3127804 + 12 mg/kg Ramucirumab, Part D LY3127804 + Ramucirumab - Not Enrolled, Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled |
| PaclitaxelAdministered IV | Drug | Part E LY3127804 + Ramucirumab + Paclitaxel - Not Enrolled |
Primary outcome
Recommended Phase 2 Dose of LY3127804 Monotherapy and in Combination With Ramucirumab
Time frame: Baseline through Cycle 1 (28 Day Cycle)
Recommended Phase 2 dose was determined based on observed safety, pharmacokinetics (PK) and efficacy. However maximum tolerated dose (MTD) was not determined. For the purpose of this study, the MTD is defined as the highest tested dose in a single-agent setting that has less than (<) 33% probability of causing a DLT. MTD in the combination setting was determined based on the nature and timing of the DLTs in the combination setting. Dose-limiting toxicities were not reported in any treatment cohort. Therefore, the maximum tolerated LY3127804 dose could not be determined.
7 secondary outcomes
Number of Participants With Dose Limiting Toxicities (DLTs)
Time frame: Baseline through Cycle 1 (28 Day Cycle)
Pharmacokinetics (PK): Area Under the Concentration-Time Curve (AUC) of LY3127804
Time frame: predose, end of infusion (1h), 2h, 24h, 96h, 168h, 336 h following dose on day 1 and at predose, end of infusion (1h), 24h, 168h and 336 h following dose on day 15 and at predose, end of infusion (1h), 2h, 168h, 336h following dose on day 29
Pharmacokinetics: AUC of Ramucirumab in Combination With LY3127804
Time frame: predose, end of infusion (1h), 24h, 96h, 168h, 336 h following Ramucirumab dose on day 1
Number of Participants With Anti-LY3127804 Antibodies
Time frame: Cycle 1 Pre-Dose through 30 Days After Last Dose of Study Drug (Up To 5 Months)
Number of Participants With Anti-Ramucirumab Antibodies
Time frame: Cycle 1 Pre-Dose through 30 Days After Last Dose of Study Drug (Up to 5 Months)
Percentage of Participants Who Exhibit Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)]
Time frame: Baseline through Measured Progressive Disease or Death (Up to 4 Months)
Progression Free Survival (PFS)
Time frame: Baseline to Measured Progressive Disease or Death (Up to 4 Months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Oct 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 32741971Martin-Liberal J, Hollebecque A, Aftimos P, Jungels C, Martin-Romano P, Rodon J, Kremer JD, Zhang W, Bendell J. First-in-human, dose-escalation, phase 1 study of anti-angiopoietin-2 LY3127804 as monotherapy and in combination with ramucirumab in patients with advanced solid tumours. Br J Cancer. 2020 Oct;123(8):1235-1243. doi: 10.1038/s41416-020-1011-7. Epub 2020 Aug 3.
- A Study of LY3127804 with Ramucirumab in Participants with Advanced Solid TumorsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
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
5 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing LY3127804, Ramucirumab and Paclitaxel in people with Solid Tumors, run by Eli Lilly and Company at 5 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 23 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in United States, Belgium, France, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 23 Oct 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recommended Phase 2 Dose of LY3127804 Monotherapy and in Combination With Ramucirumab (time frame: Baseline through Cycle 1 (28 Day Cycle)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02597036, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Oct 2025.