Evidence map›Paper›PMID 37531083›Full record

ArticleThe oncologist2024

A Phase I Dose-Escalation Study of LY3405105, a Covalent Inhibitor of Cyclin-Dependent Kinase 7, Administered to Patients With Advanced Solid Tumors.

Elena Garralda, Alison M Schram, Philippe L Bedard, Gary K Schwartz, Eunice Yuen, Samuel C McNeely, Silvia Ribeiro, Jason Cunningham, Yi Wang, Arantxa Urunuela and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03770494 (A Phase 1a/1b Study of LY3405105 Administered to Patients With Advanced Solid Tumors), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03770494 phase1terminatednot on this map

A Phase 1a/1b Study of LY3405105 Administered to Patients With Advanced Solid Tumors

TypeinterventionalSponsorEli Lilly and CompanyRan2019 to 2021Enrolled54ConditionsSolid TumorArmsLY3405105
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  14. Super enhancer lncRNAs: a novel hallmark in cancer.Cell communication and signaling : CCS · 2024
    Review
  15. Seize the engine: Emerging cell cycle targets in breast cancer.Clinical and translational medicine · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 3 countries.

Elena GarraldaDepartment of Medical Oncology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Alison M SchramDepartment of Medicine, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY, USA.
Philippe L BedardDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Gary K SchwartzColumbia University Vagelos School of Medicine, Herbert Irving Comprehensive Cancer Center, New York, NY, USA.
Eunice YuenEli Lilly and Company, Indianapolis, IN, USA.
Samuel C McNeelyEli Lilly and Company, Indianapolis, IN, USA.
Silvia RibeiroEli Lilly and Company, Indianapolis, IN, USA.
Jason CunninghamEli Lilly and Company, Indianapolis, IN, USA.
Yi WangEli Lilly and Company, Indianapolis, IN, USA.
Arantxa UrunuelaEli Lilly and Company, Indianapolis, IN, USA.
Xiaojian XuEli Lilly and Company, Indianapolis, IN, USA.
Patricia LoRussoYale Cancer Center, New Haven, CT, USA.
Eli Lilly (United States) · USHerbert Irving Comprehensive Cancer CenterMemorial Sloan Kettering Cancer Center · USUniversity Health Network · CAVall d'Hebron Institute of OncologyYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the safety, pharmacokinetics (PKs), and preliminary activity of LY3405105, a covalent inhibitor of cyclin-dependent kinase 7 (CDK7), in patients with advanced solid tumors. MATERIALS AND

methodsLY3405105 monotherapy was given once daily (QD; part A1) or thrice weekly (TIW; part A2) starting at 1 and 2 mg orally, respectively, and escalated per a Bayesian design in adult patients. The primary endpoint was safety, and secondary endpoints included PKs and antitumor activity.

resultsFifty-four patients were enrolled: 43 in part A1 and 11 in part A2. Seven patients had dose-limiting toxicities, all in part A1 (45 mg: n = 3; 35 mg: n = 3; 25 mg: n = 1). Thirty-five patients (64.8%) reported at least one treatment-related adverse event (TRAE). TRAEs (≥10%) were diarrhea, nausea, fatigue, vomiting, abdominal pain, anemia, asthenia, and decreased platelet count. QD dosing showed sustained exposure with less peak-trough fluctuation compared to TIW dosing. Median time to maximum concentration was 1-2 hours and half-life was 15-19 hours. CDK7-target occupancy in skin and peripheral blood on day 15 was dose-dependent and reached near maximal occupancy of 75% at ≥15 mg QD. The maximum tolerated dose (MTD) was 20 mg QD. Twelve patients in part A1 (27.9%) and 5 patients in part A2 (45.5%) had a best overall response of stable disease. No complete response or partial response was observed.

conclusionThe MTD of LY3405105 monotherapy was 20 mg QD. The most common toxicities were gastrointestinal adverse events, myelosuppression, fatigue, and asthenia. Limited clinical activity was observed in this phase I trial, and there are no plans for further development. CLINICALTRIALS.GOV IDENTIFIER: NCT03770494.

Indexed as

Antineoplastic AgentsNeoplasmsAdultAstheniaBayes TheoremCyclin-Dependent KinasesDose-Response Relationship, DrugFatigueHumansMaximum Tolerated DoseProtein Kinase InhibitorsAntineoplastic AgentsCyclin-Dependent KinasesProtein Kinase Inhibitorscyclin-dependent kinase 7cyclin-dependent kinase inhibitorphase Isolid tumors

Identifiers

PMID37531083
PMCPMC10769797
OpenAlexW4385476617

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.