A Study of LY4337713 in Participants With FAP-Positive Solid Tumors
FiREBOLT
A Dose Escalation and Dose Optimization Phase 1a/1b Study to Evaluate Safety, Tolerability and Dosimetry of Radioligand Therapy With LY4337713 in Adults With FAP-Positive Solid Tumors (FiREBOLT)
2 other identifiers
interventional
241
4 countries
28
Brief Summary
This is a study of LY4337713 in participants with certain types of cancer that is advanced or has spread. Participants must have cancer with high levels of a protein called fibroblast activation protein (FAP). The purpose of this study is to evaluate safety, side effects, and efficacy of LY4337713. In addition, this study will evaluate how much LY4337713 gets into the bloodstream, how it is broken down, and how long it takes the body to get rid of it. For each participant, the study will last about 5 years.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Oct 2025
Longer than P75 for phase_1
28 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 7, 2025
CompletedFirst Posted
Study publicly available on registry
October 9, 2025
CompletedStudy Start
First participant enrolled
October 22, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
March 1, 2033
April 17, 2026
April 1, 2026
2.7 years
October 7, 2025
April 16, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Phase 1a: Percentage of Participants with Dose Limited Toxicity (DLT) Toxicities
Cycle 1 (28 days)
Phase 1b: Objective Response Rate (ORR): Percentage of Participants with Best Response of Complete Response (CR) or Partial Response (PR)
Per investigator assessed Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
Baseline through imaging follow-up, up to 5 years
Secondary Outcomes (8)
Phase 1a: Absorbed Dose Estimates (Gy) in Normal Organs
Baseline through Cycle 4 Day 4 (Cycle = 4 or 6 weeks)
Phase 1a: Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY4337713
Cycle 1 Day 1 up to Cycle 2 Day 4 post dose (Cycle = 4 or 6 weeks)
Phase 1a: PK: Area Under the Concentration Time Curve (AUC) of LY4337713
Cycle 1 Day 1 up to Cycle 2 Day 4 post dose (Cycle = 4 or 6 weeks)
Phase 1a: Objective Response Rate (ORR): Percentage of Participants with Best Response of Complete Response (CR) or Partial Response (PR)
Baseline through imaging follow-up, up to 1 year
Phase 1a: Number of Participants with Best Overall Response (BOR)
Baseline through imaging follow-up, up to 1 year
- +3 more secondary outcomes
Study Arms (6)
LY4337713 (Cohort A1)
EXPERIMENTALEscalating doses of LY4337713 administered intravenously (IV).
LY4337713 (Cohort A2)
EXPERIMENTALTwo or more dose regimens of LY4337713 (evaluated during dose escalation) administered IV.
Experimental: LY4337713 (Cohort B)
EXPERIMENTALTumor specific cohort will receive LY4337713 administered IV.
Experimental LY4337713 (Cohort C)
EXPERIMENTALTumor specific cohort will receive LY4337713 administered IV.
Experimental: LY4337713 (Cohort D)
EXPERIMENTALTumor specific cohort will receive LY4337713 administered IV.
LY4337713 (Cohort E)
EXPERIMENTALTumor specific cohort will receive LY4337713 administered IV.
Interventions
Administered IV.
Eligibility Criteria
You may qualify if:
- Must have clinical or imaging evidence of fibroblast activation protein (FAP) expression per local assessment
- Must have histologically or cytologically confirmed diagnosis of one of the following:
- Adenocarcinoma of the pancreas
- Hormone receptor (HR)-positive human epidermal growth factor 2 (HER2)-negative breast cancer
- HER2-positive breast cancer
- Triple negative breast cancer (TNBC)
- Platinum-resistant or refractory ovarian cancer (including ovarian carcinosarcoma)
- Other solid tumors
- Gastric cancer (adenocarcinoma)
- Colorectal cancer (CRC)
- Esophageal cancer (squamous cell carcinoma or adenocarcinoma)
- Cholangiocarcinoma
- Must have received prior treatments as indicated below:
- Phase 1a
- Adenocarcinoma of the pancreas: Participants must have received at least 1, but no more than 2 prior regimens for locally advanced unresectable or metastatic disease.
- +9 more criteria
You may not qualify if:
- Have known active central nervous system (CNS) metastases or carcinomatous meningitis.
- Have significant cardiovascular disease
- Have prolongation of the corrected QTcF \>470 milliseconds (msec) during screening. QTcF is calculated using Fridericia's Formula: QTcF = QT/(RR0.33)
- Have evidence of ongoing and untreated urinary tract obstruction
- Had previous hemi- or total-body radiation.
- Had previous adoptive T-cell therapy (e.g., chimeric antigen receptor T-cell \[CAR-T therapy, T-cell receptor \[TCR\] therapy, etc.)
- Unable to lie flat during, or otherwise tolerate, single photon emission computed tomography (SPECT), positron emission tomography (PET), computed tomography (CT) or magnetic resonance imaging (MRI).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (28)
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 92663, United States
Stanford University Medical Center
Stanford, California, 94305, United States
Biogenix Molecular, LLC
Miami, Florida, 33165, United States
Moffitt
Tampa, Florida, 33612, United States
Indiana University (IU) School of Medicine
Indianapolis, Indiana, 46202, United States
United Theranostics
Glen Burnie, Maryland, 21061, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
BAMF Health Inc.
Grand Rapids, Michigan, 49503, United States
Mayo Clinic - Rochester
Rochester, Minnesota, 55905, United States
Washington University School of Medicine in St. Louis
St Louis, Missouri, 63110, United States
New York University (NYU) Clinical Cancer Center
New York, New York, 10016, United States
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
Duke University Medical Center
Durham, North Carolina, 27710, United States
University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111, United States
Texas Oncology - DFW (Sammons CC)
Dallas, Texas, 75246, United States
Baylor College of Medicine
Houston, Texas, 77030, United States
University of Wisconsin - Carbone Cancer Center
Madison, Wisconsin, 53792, United States
Universitaetsklinikum Essen
Essen, 45147, Germany
Kyoto University Hospital
Kyoto, 606-8507, Japan
Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis (NKI-AVL)
Amsterdam, 1066 CX, Netherlands
Amsterdam UMC - Locatie VUmc
Amsterdam, 1081 HV, Netherlands
Erasmus MC
GE Rotterdam, 3015, Netherlands
Maastricht University Medical Center
Maastricht, 6229 HX, Netherlands
Stichting Radboud Universitair Medisch Centrum
Nijmegen, 6525 GA, Netherlands
Universitair Medisch Centrum Utrecht
Utrecht, 3584CX, Netherlands
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Central Study Contacts
Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
CONTACT
Physicians interested in becoming principal investigators please contact
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 7, 2025
First Posted
October 9, 2025
Study Start
October 22, 2025
Primary Completion (Estimated)
July 1, 2028
Study Completion (Estimated)
March 1, 2033
Last Updated
April 17, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share