LOXO-338 for Blood Cancers

Not currently recruiting at 25 trial locations
PA
Overseen ByPatient Advocacy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, LOXO-338, to determine its safety and effectiveness for individuals with advanced blood cancers. The study consists of two parts: one where participants take LOXO-338 alone, and another where they take it with pirtobrutinib (also known as Jaypirca). It targets individuals who have already tried standard cancer treatments but require additional help. Eligible participants should have a B-cell blood cancer, have undergone previous treatments, and need ongoing therapy. As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive this new drug.

Do I have to stop taking my current medications for the LOXO-338 trial?

The trial requires that you stop any current anticancer therapy and certain medications like strong CYP3A4 inhibitors or inducers. If you're taking prednisone, you must not exceed 20 mg per day within 7 days of starting the study treatment.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that LOXO-338, when used alone, is generally safe for patients with advanced blood cancers, with few serious side effects. However, detailed safety information on the combination of LOXO-338 with pirtobrutinib is not yet available, as the current trial remains in an early stage. Researchers continue to monitor this combination closely for any safety issues. In summary, early research indicates that LOXO-338 alone is usually safe, while the safety of its combination with pirtobrutinib is still under careful study.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about LOXO-338 because it offers a new approach for treating blood cancers. Unlike standard treatments that rely on chemotherapy, LOXO-338 is a targeted therapy, designed to specifically attack cancer cells with potentially fewer side effects. LOXO-338 uses a novel mechanism of action, targeting specific proteins within cancer cells, disrupting their growth and survival. Additionally, the combination of LOXO-338 with pirtobrutinib is particularly promising, as it could enhance effectiveness by attacking cancer cells from multiple angles, possibly improving outcomes for patients who haven't responded well to traditional therapies.

What evidence suggests that this trial's treatments could be effective for advanced blood cancer?

Research has shown that LOXO-338, which participants in this trial may receive as monotherapy, may help treat advanced blood cancers. In studies where LOXO-338 was used alone, 19% of patients experienced tumor shrinkage, and 67% maintained stable disease. This indicates that some patients' cancer reduced in size, while many others did not experience progression. Lab studies demonstrated that LOXO-338 can block BCL2, a protein that aids cancer cell survival. Another treatment arm in this trial involves using LOXO-338 with pirtobrutinib. Early research suggests that this combination could effectively manage advanced blood cancers, as the two drugs target cancer cells in different ways.13678

Who Is on the Research Team?

C1

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Principal Investigator

Eli Lilly and Company

Are You a Good Fit for This Trial?

This trial is for US residents with advanced B-cell blood cancers who've had prior therapy, are in good physical condition (ECOG PS 0-1), and have a life expectancy of at least 12 weeks. They must be able to swallow pills, follow the study's outpatient requirements, and use effective birth control if necessary. Exclusions include certain lymphomas, CNS involvement, HIV positivity, recent major surgery or live vaccines, high-dose steroid use within a week of starting treatment, pregnancy or lactation.

Inclusion Criteria

You must have a type of cancer that starts in your B-cells.
You have received treatment before.
You are able to perform daily activities without any major issues.
See 12 more

Exclusion Criteria

You have had AL amyloidosis in the past.
Living outside the US
You have had diffuse large B-cell lymphoma in the past.
See 37 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Part 1: Treatment with LOXO-338 Monotherapy

Evaluation of LOXO-338 as monotherapy to determine maximum tolerated dose and preliminary antitumor activity

Estimated up to 2 years

Part 2: Combination Treatment with LOXO-338 and Pirtobrutinib

Evaluation of LOXO-338 in combination with pirtobrutinib for safety, tolerability, and antitumor activity

Estimated up to 2 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • LOXO-338
  • Pirtobrutinib
Trial Overview The trial is testing LOXO-338's safety and effectiveness in treating various types of advanced blood cancers over approximately three years. Some patients may also receive Pirtobrutinib as part of their treatment regimen. The goal is to determine how well these drugs work after standard treatments have been tried.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: LOXO-338 + Pirtobrutinib (Combination)Experimental Treatment2 Interventions
Group II: LOXO-338 (Monotherapy)Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Eli Lilly and Company

Lead Sponsor

Trials
2,708
Recruited
3,720,000+
Dr. Daniel Skovronsky profile image

Dr. Daniel Skovronsky

Eli Lilly and Company

Chief Medical Officer since 2018

MD from Harvard Medical School

David A. Ricks profile image

David A. Ricks

Eli Lilly and Company

Chief Executive Officer since 2017

BSc from Purdue University, MBA from Indiana University

Loxo Oncology, Inc.

Industry Sponsor

Trials
72
Recruited
11,600+

Jacob Van Naarden

Loxo Oncology, Inc.

Chief Executive Officer since 2019

A.B. in Molecular Biology from Princeton University

Dr. Jennifer Low

Loxo Oncology, Inc.

Chief Medical Officer since 2014

MD and PhD from Georgetown University; Undergraduate degree from California Institute of Technology

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40000354/
A First-in-Human Phase I Study of LOXO-338, an Oral ...Tumor lysis syndrome was not observed. The overall response rate was 19% (95% CI: 6.3, 38.1) and disease control rate was 67% (95% CI: 46, 83.5). LOXO-338 was ...
NCT05024045 | Study of Oral LOXO-338 in Patients With ...The purpose of this study is to find out whether the study drug, LOXO-338, is safe and effective in patients with advanced blood cancer.
Oral LOXO-338 in Patients With Advanced Blood CancersThe purpose of this study is to find out whether the study drug, LOXO-338, is safe and effective in patients with advanced blood cancer.
Study of Oral LOXO-338 in Patients With Advanced Blood ...The purpose of this study is to find out whether the study drug, LOXO-338, is safe and effective in patients with advanced blood cancer.
A FIRST-IN-HUMAN PHASE 1 STUDY OF ORAL LOXO ...In preclinical studies, LOXO-338 showed a favorable pharmacological profile, selectively inhibited BCL2, and was well-tolerated in vivo. LOXO-338 also ...
A First-in-Human Phase I Study of LOXO-338, an Oral ...LOXO-338 was well tolerated with a favorable safety profile in previously treated patients with advanced hematologic malignancies. Preliminary efficacy was ...
Study of Oral LOXO-338 in Patients With Advanced Blood ...The purpose of this study is to find out whether the study drug, LOXO-338, is safe and effective in patients with advanced blood cancer.
Study of Oral LOXO-338 in Patients With Advanced Blood ...The purpose of this study is to find out whether the study drug, LOXO-338, is safe and effective in patients with advanced blood cancer.
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