Clinical trial Recruiting at 58 sites Phase 2 Interventional Ages 18 and up

LY3537021 for preventing chemo-related nausea and vomiting in adults

Official title: A Phase 2, Double-blind, Placebo-Controlled Study to Evaluate LY3537021 for the Treatment of Chemotherapy-Induced Nausea and Vomiting in Adult Participants With Malignant Disease

Run by Eli Lilly and Company · NCT07169851 · Data updated 2026-11-12

This trial will test whether adding LY3537021 to standard anti-nausea care helps prevent nausea and vomiting in adults starting AC or high-dose cisplatin chemotherapy.

More Neoplasms trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment204 (estimated)
SponsorEli Lilly and Company
Industry-sponsored
Drugs / interventionsChemotherapy
Locations67 sites (Greenbrae, California and 66 other locations)
StatusRecruiting
StartedNovember 28, 2025
Main results expectedDecember 2026
Study endsFebruary 2027
Registry record updatedNovember 4, 2026
Trial IDNCT07169851 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with cancer who are chemotherapy-naive, have ECOG performance status 0–2, and are scheduled to receive AC or cisplatin ≥70 mg/m² as part of their treatment.

Probably not a fit

Patients with symptomatic CNS metastases, uncontrolled diabetes, significant cardiac or QT-related problems, recent GIP/GLP-1 agonist use, or another clear cause for nausea/vomiting are unlikely to benefit or be eligible.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a Phase 2 interventional trial in adults who are chemotherapy-naive and scheduled to receive anthracycline+cyclophosphamide (AC) or cisplatin ≥70 mg/m² on Day 1 of each cycle. Participants will receive background chemotherapy and standard antiemetic therapies, plus either LY3537021 or placebo, and will be followed through the acute and delayed CINV observation period (days 1–5) with safety monitoring for about two months. The study will compare rates and severity of nausea and vomiting and collect safety and tolerability data. Key exclusions include symptomatic or untreated CNS metastases, uncontrolled diabetes, certain cardiac/QT conditions, recent use of GIP/GLP-1 receptor agonists, and history of thyroid tumors.

Why it matters

Potential benefit: If effective, LY3537021 could provide better control of chemotherapy-induced nausea and vomiting and improve patients' comfort during and after chemotherapy.

How similar studies have gone: Standard antiemetic regimens (5-HT3 antagonists, NK1 antagonists, dexamethasone, olanzapine) have established benefit, but targeting GIP/incretin pathways for CINV is a novel approach with limited prior clinical testing.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Chemotherapy-naive participants, planned to receive AC or cisplatin-based chemotherapy greater than or equal to (≥)70 milligrams per square meter (mg/m²), on Day 1 of each cycle, with no multiple administrations during the CINV observation period, from Day 2 to Day 5 of each cycle.
* Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.

Exclusion Criteria:

* Have symptomatic or untreated central nervous system (CNS) metastases.
* Have an established diagnosis of uncontrolled diabetes mellitus.
* Have a history of, or current evidence of, a clinically significant cardiac condition or QT/QTcF-related conditions.
* Have another etiology for nausea and vomiting, or receives medications with know or potential antiemetic activity
* Signs, symptoms or history of thyroid tumors
* Receives treatment with a gastric inhibitory polypetide (GIP) or glucagon-like peptide-1 (GLP-1) receptor agonist within 4 weeks prior to chemotherapy.
* Have participated in a clinical study involving study intervention within 30 days of Cycle 1 Day 1 (C1D1). If the previous study intervention has a long half-life, within 3 months or 5 halflives, whichever is longer, of C1D1.
* Are pregnant, breastfeeding, or intend to become pregnant during the study or within 30 days of the last dose of study intervention.

Where it's running

  • Marin Cancer Care
    Greenbrae, California, United States
    Recruiting
  • City of Hope Orange County Lennar Foundation Cancer Center
    Irvine, California, United States
    Recruiting
  • Cancer and Blood Specialty Clinic
    Los Alamitos, California, United States
    Recruiting
  • BASS Cancer Center
    Walnut Creek, California, United States
    Recruiting
  • UCHealth Harmony
    Fort Collins, Colorado, United States
    Recruiting
  • BRCR Global - Tamarac
    Tamarac, Florida, United States
    Recruiting
Show 44 more locations
  • Summit Cancer Care, PC
    Savannah, Georgia, United States
    Recruiting
  • Hope and Healing Cancer Services
    Hinsdale, Illinois, United States
    Recruiting
  • Indiana University Melvin and Bren Simon Cancer Center
    Indianapolis, Indiana, United States
    Recruiting
  • North Mississippi Hematology and Oncology Associates
    Tupelo, Mississippi, United States
    Recruiting
  • Laura and Isaac Perlmutter Cancer Center
    New York, New York, United States
    Recruiting
  • Oncology Specialists of Charlotte
    Charlotte, North Carolina, United States
    Recruiting
  • Southern Oncology Specialists
    Huntersville, North Carolina, United States
    Recruiting
  • Asante Rogue Regional Medical Center
    Medford, Oregon, United States
    Recruiting
  • World Research Link
    Baytown, Texas, United States
    Recruiting
  • John Peter Smith Hospital
    Fort Worth, Texas, United States
    Recruiting
  • Kelsey-Seybold Clinic
    Houston, Texas, United States
    Recruiting
  • Community Cancer Trials of Utah
    Ogden, Utah, United States
    Recruiting
  • Cancer Care Northwest
    Spokane, Washington, United States
    Recruiting
  • Ballarat Health Services
    Ballarat Central, Australia
    Recruiting
  • Bendigo Health Care Group
    Bendigo, Australia
    Recruiting
  • WA Country Health Service Trial Centre
    Perth, Australia
    Recruiting
  • Goulburn Valley Health
    Shepparton, Australia
    Recruiting
  • Latrobe Regional Health
    Traralgon, Australia
    Recruiting
  • The First People's Hospital of Changde City
    Changde, China
    Recruiting
  • Zhujiang Hospital
    Guangzhou, China
    Recruiting
  • Zhejiang Provincial People's Hospital
    Hangzhou, China
    Recruiting
  • Jiangmen Center Hospital
    Jiangmen, China
    Recruiting
  • The First Affiliated Hospital of Henan University of Science &Technology
    Luoyang, China
    Recruiting
  • Centre Hospitalier d'Annecy
    Epagny Metz-Tessy, France
    Recruiting
  • Aou Ospedali Riuniti Umberto I
    Ancona, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria
    Modena, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria Pisana
    Pisa, Italy
    Recruiting
  • AULSS8 Berica-Ospedale S.Bortolo
    Vicenza, Italy
    Recruiting
  • Himeji Medical Center
    Himeji, Japan
    Recruiting
  • The Cancer Institute Hospital of JFCR
    Kōtoku, Japan
    Recruiting
  • Kyoto University Hospital
    Kyoto, Japan
    Recruiting
  • Shizuoka Cancer Center
    Nagaizumi-cho,Sunto-gun, Japan
    Recruiting
  • SC Memorial Healthcare International SRL
    Bucharest, Romania
    Recruiting
  • Spitalul Clinic Colentina
    Bucharest, Romania
    Recruiting
  • Spitalul Clinic Colțea
    Bucharest, Romania
    Recruiting
  • Centrul de Oncologie "Sfântul Nectarie"
    Craiova, Romania
    Recruiting
  • Ovidius Clinical Hospital OCH
    Ovidiu, Romania
    Recruiting
  • FutureMeds - Madrid
    Madrid, Spain
    Recruiting
  • Hospital General Universitario Gregorio Marañon
    Madrid, Spain
    Recruiting
  • E-Da Cancer Hospital
    Kaohsiung City, Taiwan
    Recruiting
  • National Cheng Kung University Hospital
    Tainan, Taiwan
    Recruiting
  • Chi Mei Hospital - Liouying Branch
    Tainan, Taiwan
    Recruiting
  • Taipei Veterans General Hospital
    Taipei, Taiwan
    Recruiting
  • Chang Gung Medical Foundation-Linkou Branch
    Taoyuan, Taiwan
    Recruiting

+17 more sites. See ClinicalTrials.gov for the full list.

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.