A Master Protocol (LY900023) That Includes Several Clinical Trials of Drugs for Children and Young Adults With Cancer

Purpose

The main purpose of the master is to help the research sites and sponsor carry out several clinical trials more efficiently by providing a common research protocol. Individual clinical trials under this master protocol define drug/disease-specific research goals and activities to test them. New studies will be added as new drugs emerge against different cancers. Participation in the trial will depend on how long the benefit lasts.

Conditions

  • Neoplasms
  • Child
  • Adolescent

Eligibility

Eligible Ages
Between 1 Year and 39 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

Participants must meet all of the inclusion criteria below. Additional criteria are specified in the protocol amendment (individual addenda) to which the participant will enroll. - Have either measurable or evaluable disease using standard techniques by the Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST 1.1). - The participant has a Lansky (<16 years of age) or Karnofsky (≥16 years of age) performance score of at least 50. - Participants must have discontinued all previous treatments for cancer or investigational agents greater than or equal to (≥)7 days after the last dose and must have recovered from clinically significant side effects. - The participant has adequate hematologic and organ function. - Female participants of childbearing potential must have a negative urine or serum pregnancy test within 7 days prior to first dose. - Both female and male participants of childbearing potential must agree to use highly effective contraceptive precautions during the trial and for at least 3 months following the last dose of study drug. Participants will be ineligible if they meet any of the

Exclusion Criteria

below. Additional criteria are specified in the protocol amendment to which the participant will enroll. - Participants with severe and/or uncontrolled concurrent medical disease or psychiatric illness/social situation that, in the opinion of the investigator, could cause unacceptable safety risks or compromise compliance with the protocol. - Participants who have active infections requiring therapy. - Participants who have had allogeneic bone marrow or solid organ transplant. - Participants who have had, or are planning to have, certain invasive procedures. - Female participants who are pregnant or breastfeeding.

Study Design

Phase
Phase 2
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Ramucirumab + Cyclophosphamide + Vinorelbine (DSRCT ISA)
Ramucirumab given intravenously (IV), cyclophosphamide given orally and vinorelbine given IV in 28-day cycles for desmoplastic small round cell tumor (DSRCT) intervention-specific appendix (ISA).
  • Drug: Ramucirumab
    Administered IV
    Other names:
    • LY3009806
  • Drug: Cyclophosphamide
    Administered orally
  • Drug: Vinorelbine
    Administered IV
Active Comparator
Cyclophosphamide + Vinorelbine (DSRCT ISA)
Cyclophosphamide given orally and vinorelbine given IV in 28-day cycles for DSRCT ISA.
  • Drug: Cyclophosphamide
    Administered orally
  • Drug: Vinorelbine
    Administered IV
Experimental
Ramucirumab + Gemcitabine + Docetaxel (SS ISA)
Ramucirumab and gemcitabine given IV in 21-day cycles for synovial sarcoma (SS) ISA.
  • Drug: Ramucirumab
    Administered IV
    Other names:
    • LY3009806
  • Drug: Gemcitabine
    Administered IV
    Other names:
    • LY188011
  • Drug: Docetaxel
    Administered IV
Active Comparator
Gemcitabine + Docetaxel (SS ISA)
Gemcitabine and docetaxel given IV in 21-day cycles for SS ISA.
  • Drug: Gemcitabine
    Administered IV
    Other names:
    • LY188011
  • Drug: Docetaxel
    Administered IV
Experimental
Abemaciclib + Irinotecan + Temozolomide (ES ISA)
Abemaciclib given orally, irinotecan given IV, and temozolomide given orally in 21-day cycles for Ewing's sarcoma (ES) ISA.
  • Drug: Abemaciclib
    Administered orally
    Other names:
    • LY2835219
  • Drug: Irinotecan
    Administered IV
  • Drug: Temozolomide
    Administered orally
Active Comparator
Irinotecan + Temozolomide (ES ISA)
Irinotecan given IV and temozolomide given orally in 21-day cycles for ES ISA.
  • Drug: Abemaciclib
    Administered orally
    Other names:
    • LY2835219
  • Drug: Irinotecan
    Administered IV
  • Drug: Temozolomide
    Administered orally

Recruiting Locations

Children's National and nearby locations

Children's National Medical Center
Washington, District of Columbia 20010
Contact:
202-476-4744

More Details

NCT ID
NCT05999994
Status
Recruiting
Sponsor
Eli Lilly and Company

Study Contact

There may be multiple sites in this clinical trial. 1-877-CTLILLY (1-877-285-4559) or
1-317-615-4559
Clinicaltrials.gov@lilly.com