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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 204 (estimated) |
| Sponsor | Eli Lilly and Company Industry-sponsored |
| Drugs / interventions | Chemotherapy |
| Locations | 67 sites (Greenbrae, California and 66 other locations) |
| Status | Recruiting |
| Started | November 28, 2025 |
| Main results expected | December 2026 |
| Study ends | February 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07169851 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
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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
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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
- Study coordinator: Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
- Email: LillyTrials@Lilly.com
- Phone: 1-317-615-4559
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.