Overview
Sponsor-declared trial summary
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
- Histologically confirmed adenocarcinoma of the prostate.
- Metastatic prostate cancer documented by positive bone scan and/or measurable soft tissue metastatic lesions by CT or magnetic resonance imaging (MRI).
- 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
- Have adequate organ function.
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
Exclusion criteria 6
- Prior therapy with cytochrome P450 (CYP)17 inhibitors.
- Prior treatment with abemaciclib or any cyclin-dependent kinase (CDK) 4 & 6 inhibitors.
- 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.
- Currently enrolled in a clinical study involving an investigational product.
- Gastrointestinal disorder affecting the absorption or ability to swallow large pills.
- 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
- Radiographic Progression Free Survival (rPFS)
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
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
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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| 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
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |