A Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib (LY2835219) in Participants With Prostate Cancer

2023-506777-36-00 Protocol I3Y-MC-JPCM Phase II and Phase III (Integrated) Ongoing, recruitment ended

Start 4 Jan 2019 · Status Ongoing, recruitment ended · 6 EU/EEA countries · 22 sites · Protocol I3Y-MC-JPCM

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruitment ended
Participants planned 304
Countries 6
Sites 22

Prostate Cancer

Part 1: To determine the RP2D of abemaciclib that may be safely administered to patients with mCRPC in combination with abiaterone acetate and prednisone. Part 1, 2 & 3: To compare the rPFS of patients receiving abiraterone acetate plus prednisone with or without abemaciclib.

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
4 Jan 2019 → ongoing
Decision date (initial)
2024-02-19
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-506777-36-00
EudraCT number
2016-004276-21
WHO UTN
U1111-1300-2177

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Pharmacodynamic, Pharmacogenomic, Efficacy, Safety, Pharmacogenetic, Pharmacokinetic

Part 1: To determine the RP2D of abemaciclib that may be safely administered to patients with mCRPC in combination with abiaterone acetate and prednisone.
Part 1, 2 & 3: To compare the rPFS of patients receiving abiraterone acetate plus prednisone with or without abemaciclib.

Conditions and MedDRA coding

Prostate Cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Histologically confirmed adenocarcinoma of the prostate.
  2. Metastatic prostate cancer documented by positive bone scan and/or measurable soft tissue metastatic lesions by CT or magnetic resonance imaging (MRI).
  3. Progressive disease at study entry demonstrated during continuous androgen-deprivation therapy (ADT)/post orchiectomy defined as one or more of the following: PSA progression, Radiographic progression per Response Evaluation Criteria in Solid Tumors (RECIST)1.1 for soft tissue and/or per Prostate Cancer Working Group 3 (PCWG3) for bone, with or without PSA progression
  4. Have adequate organ function.
  5. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.

Exclusion criteria 6

  1. Prior therapy with cytochrome P450 (CYP)17 inhibitors.
  2. Prior treatment with abemaciclib or any cyclin-dependent kinase (CDK) 4 & 6 inhibitors.
  3. Prior cytotoxic chemotherapy for metastatic castration resistant prostate cancer (participants treated with docetaxel in the metastatic hormone-sensitive prostate cancer [mHSPC] are eligible). Prior radiopharmaceuticals for prostate cancer, or prior enzalutamide, apalutamide, darolutamide or sipuleucel-T. Participants who had prior radiation or surgery to all target lesions.
  4. Currently enrolled in a clinical study involving an investigational product.
  5. Gastrointestinal disorder affecting the absorption or ability to swallow large pills.
  6. Clinically significant heart disease, active or chronic liver disease, moderate/severe hepatic impairment (Child-Pugh Class B and C).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Radiographic Progression Free Survival (rPFS)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Abemaciclib

PRD1578434 · Product

Active substance
Abemaciclib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
1064 g gram(s)
Max treatment duration
380 Week(s)
Authorisation status
Not Authorised
MA holder
ELI LILLY AND COMPANY
Paediatric formulation
No
Orphan designation
No

Verzenios 50 mg film-coated tablets

PRD6701098 · Product

Active substance
Abemaciclib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
1064 g gram(s)
Max treatment duration
380 Week(s)
Authorisation status
Authorised
ATC code
L01EF03 — -
Marketing authorisation
EU/1/18/1307/001
MA holder
ELI LILLY NEDERLAND B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Different primary packaging (bottles) than in marketing authorisation and clinical trial specific packaging and labeling.

Comparator 3

Prednisolone

SCP131338 · ATC

Active substance
Prednisolone
Substance synonyms
(8S,9S,10S,11S,13S,14S,17R)-11,17-DIHYDROXY-17-(2-HYDROXYACETYL)-10,13-DIMETHYL-7,8,9,11,12,14,15,16-OCTAHYDRO-6H-CYCLOPENTA[A]PHENANTHREN-3-ONE, GLPG0303, DELTA-HYDROCORTISONE, 1,2-DEHYDROHYDROCORTISONE, METACORTANDRALONE
Route of administration
ORAL USE
Max daily dose
10 mg milligram(s)
Max total dose
26.6 g gram(s)
Max treatment duration
380 Week(s)
Authorisation status
Authorised
ATC code
H02AB07 — PREDNISONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Abiraterone

SCP132446 · ATC

Active substance
Abiraterone
Route of administration
ORAL USE
Max daily dose
1000 mg milligram(s)
Max total dose
2660 g gram(s)
Max treatment duration
380 Week(s)
Authorisation status
Authorised
ATC code
L02BX03 — ABIRATERONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Betamethasone Sodium Phosphate

SCP1158234 · ATC

Active substance
Betamethasone Sodium Phosphate
Substance synonyms
BETAMETHASONE DISODIUM PHOSPHATE
Route of administration
ORAL USE
Max daily dose
10 mg milligram(s)
Max total dose
26.6 g gram(s)
Max treatment duration
380 Week(s)
Authorisation status
Authorised
ATC code
H02AB06 — PREDNISOLONE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 2

Placebo to match LY2835219 (Abemaciclib) Tablets

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Placebo to match LY2835219 (Abemaciclib) Capsules

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Eli Lilly & Co.

Sponsor organisation
Eli Lilly & Co.
Address
1 Lilly Corporate Center
City
Indianapolis
Postcode
46285-0001
Country
United States

Scientific contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Public contact point

Organisation
Eli Lilly & Co.
Contact name
Lilly Clinical Trials information desk

Third parties 12

OrganisationCity, countryDuties
Azenta US Inc.
ORG-100012907
Indianapolis, United States Laboratory analysis
Almac Clinical Services Limited
ORG-100017464
Craigavon, United Kingdom (Northern Ireland) Laboratory analysis
Iqvia Rds Inc.
ORG-100043858
Durham, United States On site monitoring, Code 5
RWS Life Sciences Inc.
ORG-100042348
East Hartford, United States Data management
Publicis Healthcare Communications Group Limited
ORG-100044665
London, United Kingdom Other
Q2 Solutions LLC
ORG-100017000
Ithaca, United States Laboratory analysis
Perceptive Informatics Inc.
ORG-100013171
Billerica, United States Laboratory analysis
Precision for Medicine
ORL-000004705
Houston, United States Laboratory analysis
Labcorp Central Laboratory Services LP
ORG-100032236
Indianapolis, United States Laboratory analysis
Target Health
ORL-000004704
Carlstadt, United States Data management
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Ppd Inc.
ORG-100018960
Middleton, United States Laboratory analysis

Locations

6 EU/EEA countries · 22 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 5 2
France Ongoing, recruitment ended 5 5
Germany Ongoing, recruitment ended 23 2
Netherlands Ended 8 3
Romania Ended 9 3
Spain Ongoing, recruitment ended 33 7
Rest of world
Japan, United States, Australia, United Kingdom, China, Korea, Republic of
221

Investigational sites

Denmark

2 sites · Ended
Rigshospitalet
No Department, Blegdamsvej 9, 2100, Copenhagen Oe
Næstved Hospital
Oncology, Ringstedgade 61, 4700, Næstved

France

5 sites · Ongoing, recruitment ended
Centre De Cancerologue Du Grand Montpellier
Oncology, 25 Rue De Clementville, 34070, Montpellier
Centre Hospitalier Departemental Vendee
onco-hematologie, Boulevard Stephane Moreau, 85925, La Roche Sur Yon Cedex 9
Clinique Victor Hugo
Oncology-Radiotherapy, Centre De Cancerologie De La Sarthe, 64 Rue De Degre, Le Mans
Centre Leon Berard
Oncology, 28 Rue Laennec, 69008, Lyon
Assistance Publique Hopitaux De Paris
Medical oncology, 51 Avenue Du Mal De Lattre De Tassigny, 94010, Creteil Cedex

Germany

2 sites · Ongoing, recruitment ended
Studienpraxis Urologie Susan Feyerabend MD Tilman Todenhoefer MD PhD GbR
Urologie, Steinengrabenstrasse 17, 72622, Nuertingen
Gesundheitszentrum Holzminden
N/A, Nordstrasse 8, Niedersachsen, Holzminden

Netherlands

3 sites · Ended
Canisius Wilhelmina Hospital
Oncology, Weg Door Jonkerbos 100, 6532 SZ, Nijmegen
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Medical Oncology, Dr. Molewaterplein 40, 3015 GD, Rotterdam
St. Antonius Ziekenhuis
Internal Medicine, Soestwetering 1, 3543 AZ, Utrecht

Romania

3 sites · Ended
Centrul De Oncologie SF Nectarie S.R.L.
Oncology, Strada Caracal Nr 109, 200542, Craiova
Ovidius Clinical Hospital S.R.L.
Oncology, Dn 2a Km 202 880, 905900, Ovidiu
Gral Medical S.R.L.
Oncology, Strada Popovici Traian 79-91, 031422, Bucharest

Spain

7 sites · Ongoing, recruitment ended
Hospital Clinic De Barcelona
Oncology, Calle Villarroel 170, 08036, Barcelona
Hospital Universitario 12 De Octubre
Medical Oncology, Bloque D, Avenida De Cordoba Sn, Madrid
Hospital General Universitario Gregorio Maranon
Oncology, Calle Del Doctor Esquerdo 46, 28007, Madrid
Hospital Universitario Ramon Y Cajal
Medical Oncology, Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Institut Catala D'oncologia
Medical Oncology, Avinguda De La Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitario Virgen De La Victoria
Oncology, Calle Del Arroyo Teatinos Sn, 29010, Malaga
Hospital Universitari Vall D Hebron
Oncology, Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2019-03-04 2025-12-08 2019-10-07 2022-03-02
France 2021-10-12 2021-10-25 2022-03-04
Germany 2019-01-16 2019-02-04 2022-03-23
Netherlands 2019-03-14 2026-05-12 2019-03-26 2022-02-02
Romania 2019-01-04 2024-05-14 2019-02-26 2022-03-03
Spain 2019-02-08 2019-02-11 2022-03-17

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 39 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-506777-36-00_Redacted f
Protocol (for publication) D4_JPCM_Patient Documents Copyright 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) Blank document for Recruitment Arrangement_Recruitment closed 1
Recruitment arrangements (for publication) K1_Recruitment Arrangements_List of participating sites and investigators_FR_Redacted 3
Subject information and informed consent form (for publication) L1_ICF Addendum Summary_FR_Redacted 1
Subject information and informed consent form (for publication) L1_ICF Adult_FR_Redacted 3
Subject information and informed consent form (for publication) L1_ICF Amendment Summary_Redacted 9.0
Subject information and informed consent form (for publication) L1_SIS and ICF Adultos Parte 1_Redacted 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF Adultos Parte 2y3 Summary_Redacted 9.0
Subject information and informed consent form (for publication) L1_SIS and ICF Adultos Parte 2y3_Redacted 8.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted 10
Subject information and informed consent form (for publication) L1_SIS and ICF Summary of Changes 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Addendum 2
Subject information and informed consent form (for publication) L1_SIS and ICF_ICF Amendment Summary_Redacted 1.1
Subject information and informed consent form (for publication) L1_SIS and ICF_Informed consent form Summary of Changes 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Patient Reimbursement Program_Greenphire_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_SoC 1
Subject information and informed consent form (for publication) L1_SIS and Main ICF_Redacted 8.0
Subject information and informed consent form (for publication) L1_SIS_ICF Summary _Redacted 11
Subject information and informed consent form (for publication) L1_Travel Reimbursement ICF_Redacted 1
Subject information and informed consent form (for publication) L2_ Other subject information material_Diarrhoea Factcard_FR 1
Subject information and informed consent form (for publication) L2_ Other subject information material_Medication Guidance_FR 5a
Subject information and informed consent form (for publication) L2_ Other subject information material_Patient Card_FR 1
Subject information and informed consent form (for publication) L2_ Other subject information material_Patient Info Leaflet_FR 1b
Subject information and informed consent form (for publication) L2_Other subject information material Patient Card 2
Subject information and informed consent form (for publication) L2_Other subject information material_Patient Emergency Card 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Abiraterone n/a
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Prednisolone NA
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Prednisone NA
Synopsis of the protocol (for publication) D1_protocol synopsis 2023-506777-36-00_Redacted f
Synopsis of the protocol (for publication) D1_Protocol synopsis DK 2023-506777-36-00_Redacted f
Synopsis of the protocol (for publication) D1_Protocol Synopsis_2023-506777-36-00_ES_Redacted f
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR 2023-506777-36-00_Redacted f
Synopsis of the protocol (for publication) D1_Protocol synopsis_NL_2023-506777-36-00_Redacted f

Application history

6 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-01-10 Denmark Acceptable
2024-02-19
2024-02-19
2 SUBSTANTIAL MODIFICATION SM-3 2024-08-02 Denmark Acceptable
2024-09-30
2024-10-01
3 SUBSTANTIAL MODIFICATION SM-4 2024-11-04 Acceptable 2024-12-17
4 SUBSTANTIAL MODIFICATION SM-5 2025-03-12 Denmark Acceptable
2025-06-04
2025-06-04
5 NON SUBSTANTIAL MODIFICATION NSM-1 2025-12-19 Denmark Acceptable
2025-06-04
2025-12-19
6 NON SUBSTANTIAL MODIFICATION NSM-2 2026-01-26 Acceptable
2025-06-04
2026-01-26