Dr. Adrian Sacher
Inclusion Criteria:
- Patients have measurable disease per Response Evaluation Criteria in Solid Tumors
version 1.1 (RECIST v1.1).
- Patients must have disease with evidence of KRAS G12C mutation in tumor tissue or
circulating tumor deoxyribonucleic acid (DNA).
- Participants must have a histological or a cytologically proven diagnosis of locally
advanced, unresectable, and/or metastatic cancer and meet cohort-specific criteria.
- Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
- Have adequate organ function.
- Have discontinued all previous treatments for cancer with resolution of any
significant ongoing adverse events (AEs), (except in certain scenarios).
- Must be able to swallow capsule/tablet.
- Agree and adhere to contraceptive use, if applicable.
- For some parts of the study, (i.e., one of the two arms with LY3537982 in
combination with pembrolizumab and the arm of LY3537982 in combination with
pembrolizumab, pemetrexed, and platinum therapy) histologically or cytologically
confirmed Stage IIIB-IIIC or Stage IV NSCLC that is previously untreated in the
advanced/metastatic setting and not suitable for curative intent radical surgery or
radiation therapy. Previously untreated patients who received adjuvant and
neoadjuvant therapy are eligible if the last dose of the systemic treatment was
completed at least 6 months prior to enrollment. For untreated patients in the arm
with LY3537982 in combination with pembrolizumab noted above, a single cycle of
pembrolizumab may be initiated within 21 days prior to enrollment. For untreated
patients in the arm of LY3537982 in combination with pembrolizumab, pemetrexed, and
platinum therapy, a single cycle of any or all of the drugs other than LY3537982 may
be initiated within 21 days prior to enrollment. Start of study treatment may be
delayed to allow sufficient time for recovery from treatment-related toxicity.
- For one part of the study, participants must have received at least one prior
oxaliplatin- or irinotecan-containing regimen for advanced or metastatic CRC.
Exclusion Criteria:
- Disease suitable for local therapy administered with curative intent.
- Have an active, ongoing, or untreated infection.
- Have a serious pre-existing medical condition(s) that, in the judgment of the
investigator, would preclude participation in this study.
- Have a serious cardiac condition.
- Have a second active primary malignancy or have been diagnosed and/or treated for an
additional malignancy within 3 years prior to enrollment.
- For some parts of the study only: have untreated active central nervous system (CNS)
metastases and/or leptomeningeal disease. Patients with treated CNS metastases are
eligible for this study if their disease is asymptomatic, radiographically stable
for at least 30 days, and they do not require treatment with steroids in the
two-week period prior to study treatment. Patients with active CNS metastases are
eligible for one part of the study.
- Have received prior treatment with any KRAS G12C small molecule inhibitor, except in
certain scenarios where such prior therapy is allowed as per protocol.
- The following patients will be excluded from some parts of the study:
- Experienced certain serious side effects with prior immunotherapy.
- Have an active autoimmune disease that has required systemic anti-autoimmune
treatment in the past 2 years.
- Have received a live vaccine within 30 days prior to the first dose of study
drug.
- Pregnant, breastfeeding, or expecting to conceive or father children within the
projected duration of the trial through 35 days after the last dose of study
medication.
- Known allergic reaction against any of the components of the study treatments.