Clinical Trials

Multiple Phase 1 and Phase 1/2 clinical trials have evaluated crenigacestat (LY3039478) in advanced solid tumors, T-cell acute lymphoblastic leukemia, T-cell lymphoblastic lymphoma, plasma cell myeloma, and healthy volunteer pharmacokinetic cohorts. Sponsored primarily by Eli Lilly and Company alongside academic partners like the Fred Hutchinson Cancer Center, these studies investigated drug safety and combination regimens. Recruitment across these documented protocols is predominantly completed, with several studies marked as terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT03502577 TERMINATED
Recurrent Plasma Cell Myeloma; Refractory Plasma Cell Myeloma
Fred Hutchinson Cancer Center
2018-05-23 PHASE1
NCT02836600 COMPLETED
Advanced Solid Tumor
Eli Lilly and Company
2016-09-09 PHASE1
NCT02784795 TERMINATED
Solid Tumor; Breast Cancer; Colon Cancer; Cholangiocarcinoma; Soft Tissue Sarcoma
Eli Lilly and Company
2016-11-04 PHASE1
NCT01695005 COMPLETED
Neoplasms; Neoplasm Metastasis; Lymphoma
Eli Lilly and Company
2012-10 PHASE1
NCT02518113 COMPLETED
T-cell Acute Lymphoblastic Leukemia; T-cell Lymphoblastic Lymphoma
Eli Lilly and Company
2015-10-01 PHASE1; PHASE2
NCT02906618 COMPLETED
Healthy
Eli Lilly and Company
2016-10-04 PHASE1
NCT02917733 COMPLETED
Healthy
Eli Lilly and Company
2016-09 PHASE1
NCT02906618 Completed
Healthy
Eli Lilly and Company
2016-10-04 Phase 1
NCT02917733 Completed
Healthy
Eli Lilly and Company
2016-09 Phase 1
NCT02836600 Completed
Advanced Solid Tumor
Eli Lilly and Company
2016-09-09 Phase 1
NCT02659865 COMPLETED
Healthy
Eli Lilly and Company
2016-01 PHASE1
NCT02518113 Completed
T-cell Acute Lymphoblastic Leukemia|T-cell Lymphoblastic Lymphoma
Eli Lilly and Company
2015-10-01 Phase 1|Phase 2

(data from https://clinicaltrials.gov, updated on 2024-01-08)

Check the Crenigacestat (LY3039478) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Crenigacestat (LY3039478) selectively binds to gamma-secretase with high potency, thereby blocking the proteolytic cleavage and subsequent nuclear translocation of Notch intracellular domain fragments. This inhibition downregulates downstream Notch target gene transcription, halting oncogenic signaling pathways and suppressing cell proliferation in Notch-dependent malignancies such as T-cell acute lymphoblastic leukemia and advanced solid tumors.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.