A Study of Abemaciclib (LY2835219) Plus Tamoxifen or Abemaciclib Alone in Women With Metastatic Breast Cancer

2023-507175-22-00 Protocol I3Y-MC-JPCG Therapeutic exploratory (Phase II) Ongoing, recruitment ended

Start 19 Sep 2016 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol I3Y-MC-JPCG

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruitment ended
Participants planned 1
Countries 1
Sites 1

Metastatic Breast Cancer

To evaluate the safety and efficacy of abemaciclib plus tamoxifen or abemaciclib alone in women with previously treated hormone receptor-positive (HR+), human epidermal growth factor receptor 2 negative (HER2-), metastatic breast cancer.

Key facts

Sponsor
Eli Lilly & Co.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
19 Sep 2016 → ongoing
Decision date (initial)
2024-08-06
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-507175-22-00
EudraCT number
2016-000288-18
WHO UTN
U1111-1304-9479

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy, Safety, Pharmacokinetic

To evaluate the safety and efficacy of abemaciclib plus tamoxifen or abemaciclib alone in women with previously treated hormone receptor-positive (HR+), human epidermal growth factor receptor 2 negative (HER2-), metastatic breast cancer.

Conditions and MedDRA coding

Metastatic Breast Cancer

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 9

  1. Have a diagnosis of HR+, HER2- breast cancer.
  2. Relapsed or progressed following endocrine therapy.
  3. Have received prior treatment with at least 2 chemotherapy regimens, of which at least 1 but no more than 2 have been administered in the metastatic setting.
  4. Have the presence of measureable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
  5. Have a performance status ≤1 on the Eastern Cooperative Oncology Group (ECOG) scale.
  6. Have discontinued previous therapies for cancer (including specifically, aromatase inhibitors, anti-estrogens, chemotherapy, radiotherapy, and immunotherapy) for at least 21 days for myelosuppressive agents or 14 days for nonmyelosuppressive agents prior to receiving study drug, and recovered from the acute effects of therapy (until the toxicity resolves to either baseline or at least Grade 1) except for residual alopecia or peripheral neuropathy.
  7. Have adequate organ function.
  8. Have negative serum pregnancy test within 7 days prior to the first dose of study treatment and agree to use highly effective precautions to prevent pregnancy during the study and for 3 weeks following last dose of study treatment.
  9. Are able to swallow oral medication.

Exclusion criteria 6

  1. Have clinical evidence or history of central nervous system metastasis.
  2. Have a personal history of any of the following conditions: syncope of either unexplained or cardiovascular etiology, ventricular tachycardia, ventricular fibrillation, or sudden cardiac arrest.
  3. Have active bacterial or fungal infection (that is, requiring intravenous antibiotics at the time of initiating study treatment) and/or detectable viral infection.
  4. Have received treatment with a prior cyclin-dependent kinase (CDK4) and CDK 6 inhibitor.
  5. Have a preexisting chronic condition resulting in persistent diarrhea.
  6. Have a history of any other cancer (except nonmelanoma skin cancer or carcinoma in-situ of the cervix or breast), unless in complete remission with no therapy for a minimum of 3 years.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Progression Free Survival (PFS) [ Time Frame: Baseline to Objective Disease Progression or Death from Any Cause (Up to 21 Months) ]

Secondary endpoints 1

  1. Objective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR) [ Time Frame: Baseline to Objective Disease Progression (Up to 21 Months) ]

Investigational products

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

Test 1

Verzenios 50 mg film-coated tablets

PRD6701098 · Product

Active substance
Abemaciclib
Substance synonyms
LY2835219
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
255200 mg milligram(s)
Max treatment duration
21 Month(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 authorization and clinical trial specific packaging and labelling

Comparator 1

Tamoxifen Citrate

SCP126654 · ATC

Active substance
Tamoxifen Citrate
Substance synonyms
Tamoxifen dihydrogen citrate, 2-[4-[(Z)-1,2-DIPHENYLBUT-1-ENYL]PHENOXY]-N,N-DIMETHYL-ETHANAMINE, 2-HYDROXYPROPANE-1,2,3-TRICARBOXYLIC ACID
Route of administration
ORAL USE
Max daily dose
20 mg milligram(s)
Max total dose
12760 mg milligram(s)
Max treatment duration
21 Month(s)
Authorisation status
Authorised
ATC code
L02BA01 — TAMOXIFEN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
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 2

OrganisationCity, countryDuties
Iqvia Rds Inc.
ORG-100043858
Durham, United States On site monitoring, Code 5
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Laboratory analysis

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruitment ended 1 1
Rest of world 0

Investigational sites

Italy

1 site · Ongoing, recruitment ended
Azienda Ospedaliera Universitaria Federico II Di Napoli
Dipartimento di Medicina Clinica e Chirurgia, Via Sergio Pansini 5, 80131, Naples

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2016-09-19 2016-10-18 2017-04-12

Results and documents

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

Documents 12 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-507175-22-00_Redacted g
Protocol (for publication) JPCG_Patient Documents Copyright 1.1
Recruitment arrangements (for publication) K1_JPCG_Blank document for Recruitment Arrangement_Recruitment closed 1
Subject information and informed consent form (for publication) L1_SIS and ICF Addendum Opzionale_Redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF Main_Redacted 11
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of changes 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Summary of changes_TC 1.0
Subject information and informed consent form (for publication) L2_Other Subject Information_Country Patient Information Card 1
Subject information and informed consent form (for publication) L2_Other Subject Information_Lettera al Medico Curante_Redacted 8
Subject information and informed consent form (for publication) L2_Retention material_Patient Guidance for Diarrhea 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC_Tamoxifen 20 mg_AstraZeneca N/A
Synopsis of the protocol (for publication) D1_Protocol synopsis_ITA 2023-507175-22-00 g

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-09 Italy Acceptable
2024-07-31
2024-08-06
2 SUBSTANTIAL MODIFICATION SM-1 2024-09-13 Italy Acceptable
2024-10-08
2024-10-14
3 SUBSTANTIAL MODIFICATION SM-2 2025-03-10 Italy Acceptable
2025-05-26
2025-05-28
4 NON SUBSTANTIAL MODIFICATION NSM-1 2026-01-08 Italy Acceptable
2025-05-26
2026-01-08
5 NON SUBSTANTIAL MODIFICATION NSM-2 2026-04-02 Italy Acceptable
2025-05-26
2026-04-02