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A Study of Abemaciclib (LY2835219) With and Without Food in Participants With Metastatic Breast Cancer

Primary Purpose

Metastatic Breast Cancer

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Abemaciclib
Sponsored by
Eli Lilly and Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Breast Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Have a diagnosis of HR+, HER2- metastatic breast cancer (mBC).
  • Have all of the following:

    • Recurrent, locally advanced, unresectable or mBC with disease progression following anti-estrogen therapy.
    • Prior treatment with chemotherapy for locally advanced or metastatic disease.
    • No prior treatment with cyclin-dependent kinases (CDK) 4 and 6 inhibitor.
  • Have Eastern Cooperative Oncology Group performance status (ECOG PS) ≤1.
  • Have discontinued all previous treatments for cancer and recovered from the acute effects of therapy.
  • Have adequate organ function.
  • Women of child-bearing potential must have a negative pregnancy test.
  • Are able to swallow tablets/capsules.

Exclusion Criteria:

  • Are currently receiving treatment in a clinical study involving an investigational product.
  • Have a serious concomitant systemic disorder.
  • Have symptomatic central nervous system (CNS) malignancy or metastasis.
  • Have a symptomatic Human Immunodeficiency Virus (HIV) infection or symptomatic activated/reactivated hepatitis A, B, or C.
  • Have a personal history of syncope of either unexplained or cardiovascular etiology, ventricular tachycardia, ventricular fibrillation, or sudden cardiac arrest.
  • Have a history of any other cancer.
  • Had major surgery within 14 days prior to randomization.
  • Are breastfeeding.
  • Have received treatment with a drug that has not received regulatory approval for any indication within 14 or 21 days of the initial dose of study drug for a nonmyelosuppressive or myelosuppressive agent, respectively.

Sites / Locations

  • Mater Private Hospital
  • St Vincent's Hospital
  • Ashford Cancer Centre Research
  • Peter MacCallum Cancer Centre
  • Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
  • Russian Oncological Research Center
  • Volgograd regional clinical oncology dispensary
  • Hospital Quirón Salud Barcelona-Instituto Oncológico Baselga
  • Hospital Universitari Vall d'Hebron
  • Hospital Ruber Internacional
  • Hospital Clinico San Carlos
  • Akdeniz University Medical Faculty
  • Trakya University Faculty of Medicine
  • Medical Park Izmir Hospital
  • Inonu University Medical Faculty

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

200 mg Abemaciclib With a Meal

200 mg Abemaciclib Without a Meal

200 mg Abemaciclib Without Regard to Food

Arm Description

200 mg abemaciclib given twice a day (BID) orally with a meal.

200 mg abemaciclib given twice a day (BID) orally without a meal, taken in the modified fasted condition.

200 mg abemaciclib given twice a day (BID) orally without regard for food.

Outcomes

Primary Outcome Measures

Percentage of Participants With Severe Diarrhea (≥ Grade 3)
Percentage of participants with severe diarrhea (≥ grade 3) during the first 3 cycles. Events were as assessed by the investigator and graded according to Common Terminology Criteria for Adverse Events (CTCAE). Grade 3 was defined as an increase of ≥7 stools per day over baseline; incontinence; hospitalization indicated; severe increase in ostomy output compared to baseline; limiting self-care activities of daily living (ADL).
Percentage of Participants With Prolonged Grade 2 Diarrhea
Percentage of participants with prolonged grade 2 diarrhea during first 3 cycles. Events were as assessed by the investigator and graded according to Common Terminology Criteria for Adverse Events (CTCAE). Prolonged Grade 2 diarrhea was any event lasting more than 7 days. Grade 2 was defined as Increase of 4-6 stools per day over baseline; moderate increase in ostomy output compared to baseline.
Percentage of Participants With Dose Reductions Due to Diarrhea
Percentage of participants with dose reductions due to diarrhea during first 3 cycles.
Percentage of Participants With Dose Interruptions Due to Diarrhea
Percentage of participants with dose interruptions due to diarrhea during first 3 cycles.
Percentage of Participants Who Discontinue Treatment Due to Diarrhea
Percentage of participants who discontinue treatment due to diarrhea
Percentage of Participants Utilizing Antidiarrheals
Percentage of participants who utilized anti diarrheals at least once during the first 3 cycles.

Secondary Outcome Measures

Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib
PK: Mean steady state exposure of abemaciclib
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567
PK: Mean steady state exposure of abemaciclib metabolite LSN2839567
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726
PK: Mean steady state exposure of abemaciclib metabolite LSN3106726

Full Information

First Posted
October 5, 2018
Last Updated
May 8, 2023
Sponsor
Eli Lilly and Company
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1. Study Identification

Unique Protocol Identification Number
NCT03703466
Brief Title
A Study of Abemaciclib (LY2835219) With and Without Food in Participants With Metastatic Breast Cancer
Official Title
An Open-Label, Randomized Phase 2 Study of the Impact of Food on Tolerability When Receiving Abemaciclib for Patients With Previously Treated Hormone Receptor-Positive, HER2-Negative, Metastatic Breast Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 1, 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
November 28, 2018 (Actual)
Primary Completion Date
July 29, 2019 (Actual)
Study Completion Date
September 20, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eli Lilly and Company

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The main purpose of this study is to examine the side effects that participants with metastatic breast cancer experience when taking abemaciclib with or without food.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Breast Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
72 (Actual)

8. Arms, Groups, and Interventions

Arm Title
200 mg Abemaciclib With a Meal
Arm Type
Experimental
Arm Description
200 mg abemaciclib given twice a day (BID) orally with a meal.
Arm Title
200 mg Abemaciclib Without a Meal
Arm Type
Experimental
Arm Description
200 mg abemaciclib given twice a day (BID) orally without a meal, taken in the modified fasted condition.
Arm Title
200 mg Abemaciclib Without Regard to Food
Arm Type
Experimental
Arm Description
200 mg abemaciclib given twice a day (BID) orally without regard for food.
Intervention Type
Drug
Intervention Name(s)
Abemaciclib
Other Intervention Name(s)
LY2835219
Intervention Description
Administered orally.
Primary Outcome Measure Information:
Title
Percentage of Participants With Severe Diarrhea (≥ Grade 3)
Description
Percentage of participants with severe diarrhea (≥ grade 3) during the first 3 cycles. Events were as assessed by the investigator and graded according to Common Terminology Criteria for Adverse Events (CTCAE). Grade 3 was defined as an increase of ≥7 stools per day over baseline; incontinence; hospitalization indicated; severe increase in ostomy output compared to baseline; limiting self-care activities of daily living (ADL).
Time Frame
Cycle 3 (28 Days Cycle)
Title
Percentage of Participants With Prolonged Grade 2 Diarrhea
Description
Percentage of participants with prolonged grade 2 diarrhea during first 3 cycles. Events were as assessed by the investigator and graded according to Common Terminology Criteria for Adverse Events (CTCAE). Prolonged Grade 2 diarrhea was any event lasting more than 7 days. Grade 2 was defined as Increase of 4-6 stools per day over baseline; moderate increase in ostomy output compared to baseline.
Time Frame
Cycle 3 (28 Days Cycle)
Title
Percentage of Participants With Dose Reductions Due to Diarrhea
Description
Percentage of participants with dose reductions due to diarrhea during first 3 cycles.
Time Frame
Cycle 3 (28 Days Cycle)
Title
Percentage of Participants With Dose Interruptions Due to Diarrhea
Description
Percentage of participants with dose interruptions due to diarrhea during first 3 cycles.
Time Frame
Cycle 3 (28 Days Cycle)
Title
Percentage of Participants Who Discontinue Treatment Due to Diarrhea
Description
Percentage of participants who discontinue treatment due to diarrhea
Time Frame
Cycle 3 (28 Days Cycle)
Title
Percentage of Participants Utilizing Antidiarrheals
Description
Percentage of participants who utilized anti diarrheals at least once during the first 3 cycles.
Time Frame
Cycle 3 (28 Days Cycle)
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib
Description
PK: Mean steady state exposure of abemaciclib
Time Frame
Cycle 1: Day 15; Cycle 2: Day 1, Day 15; Cycle 3: Day 1 (28 Days Cycle)
Title
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567
Description
PK: Mean steady state exposure of abemaciclib metabolite LSN2839567
Time Frame
Cycle 1: Day 15; Cycle 2: Day1, Day 15; Cycle 3: Day 1 (28 Days Cycle)
Title
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726
Description
PK: Mean steady state exposure of abemaciclib metabolite LSN3106726
Time Frame
Cycle 1: Day 15; Cycle 2: Day1, Day 15; Cycle 3: Day 1 (28 Days Cycle)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Have a diagnosis of HR+, HER2- metastatic breast cancer (mBC). Have all of the following: Recurrent, locally advanced, unresectable or mBC with disease progression following anti-estrogen therapy. Prior treatment with chemotherapy for locally advanced or metastatic disease. No prior treatment with cyclin-dependent kinases (CDK) 4 and 6 inhibitor. Have Eastern Cooperative Oncology Group performance status (ECOG PS) ≤1. Have discontinued all previous treatments for cancer and recovered from the acute effects of therapy. Have adequate organ function. Women of child-bearing potential must have a negative pregnancy test. Are able to swallow tablets/capsules. Exclusion Criteria: Are currently receiving treatment in a clinical study involving an investigational product. Have a serious concomitant systemic disorder. Have symptomatic central nervous system (CNS) malignancy or metastasis. Have a symptomatic Human Immunodeficiency Virus (HIV) infection or symptomatic activated/reactivated hepatitis A, B, or C. Have a personal history of syncope of either unexplained or cardiovascular etiology, ventricular tachycardia, ventricular fibrillation, or sudden cardiac arrest. Have a history of any other cancer. Had major surgery within 14 days prior to randomization. Are breastfeeding. Have received treatment with a drug that has not received regulatory approval for any indication within 14 or 21 days of the initial dose of study drug for a nonmyelosuppressive or myelosuppressive agent, respectively.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Organizational Affiliation
Eli Lilly and Company
Official's Role
Study Director
Facility Information:
Facility Name
Mater Private Hospital
City
North Sydney
State/Province
New South Wales
ZIP/Postal Code
2291
Country
Australia
Facility Name
St Vincent's Hospital
City
Sydney
State/Province
New South Wales
ZIP/Postal Code
2010
Country
Australia
Facility Name
Ashford Cancer Centre Research
City
Kurralta Park
State/Province
South Australia
ZIP/Postal Code
5037
Country
Australia
Facility Name
Peter MacCallum Cancer Centre
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3000
Country
Australia
Facility Name
Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Russian Oncological Research Center
City
Moscow
ZIP/Postal Code
115478
Country
Russian Federation
Facility Name
Volgograd regional clinical oncology dispensary
City
Volgograd
ZIP/Postal Code
400138
Country
Russian Federation
Facility Name
Hospital Quirón Salud Barcelona-Instituto Oncológico Baselga
City
Barcelona
ZIP/Postal Code
08023
Country
Spain
Facility Name
Hospital Universitari Vall d'Hebron
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Hospital Ruber Internacional
City
Madrid
ZIP/Postal Code
28034
Country
Spain
Facility Name
Hospital Clinico San Carlos
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Akdeniz University Medical Faculty
City
Antalya
ZIP/Postal Code
07058
Country
Turkey
Facility Name
Trakya University Faculty of Medicine
City
Edirne
ZIP/Postal Code
22030
Country
Turkey
Facility Name
Medical Park Izmir Hospital
City
Izmir
ZIP/Postal Code
35575
Country
Turkey
Facility Name
Inonu University Medical Faculty
City
Malatya
ZIP/Postal Code
44280
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
IPD Sharing Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
IPD Sharing Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
IPD Sharing URL
https://vivli.org/
Links:
URL
https://trials.lilly.com/en-US/trial/184954
Description
A Study of Abemaciclib (LY2835219) With and Without Food in Participants With Metastatic Breast Cancer

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A Study of Abemaciclib (LY2835219) With and Without Food in Participants With Metastatic Breast Cancer

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