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OncoMatch/Clinical Trials/NCT07114601

A Study of LY4257496 in Participants With Cancer (OMNIRAY)

Is NCT07114601 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including LY4257496 and Standard of Care Anticancer Therapies for breast neoplasms.

Phase 1RecruitingEli Lilly and CompanyNCT07114601Data as of May 2026

Treatment: LY4257496 · Standard of Care Anticancer TherapiesThe main purpose of this study is to evaluate safety, tolerability, and efficacy of LY4257496 alone and as part of relevant standard of care (SOC) combination therapy in participants with Gastrin-releasing Peptide Receptor (GRPR)-positive advanced breast, colorectal, prostate, and endometrial cancer. The study will also evaluate the safety, tolerability, and efficacy of LY4257529 to identify cancer with high levels of a protein called GRPR. This is a 2-part study. Participation could last up to 36 weeks or until your tumor progresses.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Colorectal Cancer

Endometrial Cancer

Biomarker criteria

Required: GRPR positive disease by imaging

Must have GRPR-positive disease, defined by investigator assessment of GRPR imaging.

Required: ESR1 overexpression (as defined in ASCO/CAP guidelines)

To fulfill the requirement for ER+ disease by local testing, a tumor must express the ER immunohistochemistry, as defined in the relevant American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) guidelines.

Required: HER2 (ERBB2) overexpression (as defined in ASCO/CAP guidelines)

HER2 status should be determined by local testing, as defined in the relevant ASCO/CAP Guidelines.

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: radiopharmaceutical or radioligand therapy

Exception: For participants with metastatic castration-resistant prostate cancer (mCRPC), prior ¹⁷⁷Lu-PSMA-617 is permitted.

Phase 1a (Cohort A1 and A2) only: Previously received radiopharmaceutical or radioligand therapy. For participants with metastatic castration-resistant prostate cancer (mCRPC), prior ¹⁷⁷Lu-prostate-specific membrane antigen (PSMA)-617 is permitted.

Cannot have received: hemi-body or whole-body radiotherapy

Previously received any prior hemi-body or whole-body radiotherapy

Cannot have received: external beam radiation therapy

Exception: to greater than 25% of the bone marrow

prior external beam radiation therapy (EBRT) to greater than 25% of the bone marrow

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • City of Hope · Duarte, California
  • University of California, Los Angeles (UCLA) · Los Angeles, California
  • Stanford University Medical Center · Stanford, California
  • Biogenix Molecular, LLC · Miami, Florida
  • Moffitt · Tampa, Florida

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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