A Study of LOXO-783 in Patients With Breast Cancer/Other Solid Tumors

Prior treatment

• Medical Conditions
  • Colorectal cancer
  • Endometrial cancers with specific concurrent oncogenic alterations
  • A history of known active or suspected
  • Diabetes mellitus Type 1 or
  • Diabetes mellitus Type 2 requiring antidiabetic medication (Phase 1a and all parts of Phase 1b except Part C).
  • Serious concomitant systemic disorder
• Prior exposure to phosphatidylinositol 3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/AKT/mTOR) inhibitor(s), except in certain circumstances

Other illness

• Known or suspected history of untreated or uncontrolled central nervous system (CNS) involvement.
• Active uncontrolled systemic bacterial, viral, fungal, or parasitic infection, or other clinically significant active disease process

• Have advanced breast cancer or another solid tumor with the presence of a phosphatidylinositol 3-kinase catalytic subunit alpha (PIK3CA) H1047R mutation (or other Sponsor and safety review committee (SRC)-approved, activating PIK3CA mutations other than H1047R mutation)
• Have adequate archival tumor tissue sample available or be approved by the Sponsor for enrollment if no tumor sample is available.
• Have stopped all cancer treatment and have recovered from the major side effects
• Have adequate organ function, as measured by blood tests
• Have a performance status of 0 or 1 on the Eastern Cooperative Oncology Group (ECOG) scale
• Patients must have
  • Measurable disease
  • \--- Patients with non-breast tumor types must have at least 1 measurable lesion
  • Non-measurable bone disease (at least 1 bone lesion in breast cancer patients only)
• For patients with an estrogen receptor (ER)+ breast cancer diagnosis:
  • If female, must be postmenopausal
  • If male, must agree to use hormone suppression
• Phase 1a:
  • \-- Dose escalation and backfill patients:
  • Advanced solid tumor
  • Patients may have had up to 5 prior regimens for advanced disease
• Phase 1b:
  • Part A:
  • ER+/human epidermal growth factor receptor 2 (HER2)- advanced breast cancer
  • Patients may have had up to 5 prior regimens for advanced disease ---- Prior cyclin dependent kinase (CDK)4/6 inhibitor therapy required
  • Part B:
  • ER+/HER2- advanced breast cancer
  • Patients may have had up to 2 prior regimens for advanced disease.
  • Part C:
  • ER+/HER2- advanced breast cancer
  • Patients may have had up to 5 prior regimens for advanced disease.
  • \---- Prior CDK4/6 inhibitor therapy required.
  • Have a diagnosis of diabetes mellitus Type 2
  • Part D:
  • Advanced breast cancer
  • Patients may have had up to 5 prior regimens for advanced disease.
  • Part E:
  • Advanced solid tumor
  • Patients may have had up to 3 prior regimens for advanced disease advanced disease
  • Part F:
  • ER+/HER2- advanced breast cancer
  • Patients may have had up to 5 prior regimens for advanced disease
  • Prior cyclin dependent kinase (CDK)4/6 inhibitor therapy required