Overview
Sponsor-declared trial summary
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
- Have a diagnosis of HR+, HER2- breast cancer.
- Relapsed or progressed following endocrine therapy.
- 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.
- Have the presence of measureable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
- Have a performance status ≤1 on the Eastern Cooperative Oncology Group (ECOG) scale.
- 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.
- Have adequate organ function.
- 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.
- Are able to swallow oral medication.
Exclusion criteria 6
- Have clinical evidence or history of central nervous system metastasis.
- 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.
- Have active bacterial or fungal infection (that is, requiring intravenous antibiotics at the time of initiating study treatment) and/or detectable viral infection.
- Have received treatment with a prior cyclin-dependent kinase (CDK4) and CDK 6 inhibitor.
- Have a preexisting chronic condition resulting in persistent diarrhea.
- 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
- Progression Free Survival (PFS) [ Time Frame: Baseline to Objective Disease Progression or Death from Any Cause (Up to 21 Months) ]
Secondary endpoints 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
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
| Organisation | City, country | Duties |
|---|---|---|
| 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Italy | Ongoing, recruitment ended | 1 | 1 |
| Rest of world | — | 0 | — |
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 |
|---|---|---|---|---|---|
| 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |