A Study of Abemaciclib (LY2835219) Plus Tamoxifen or Abemaciclib Alone in Women With Metastatic Breast Cancer
- Conditions
- Metastatic Breast Cancer
- Interventions
- Registration Number
- NCT02747004
- Lead Sponsor
- Eli Lilly and Company
- Brief Summary
The main purpose of this study is 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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- Female
- Target Recruitment
- 234
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Abemaciclib + Prophylactic Loperamide Prophylactic Loperamide Abemaciclib given orally Q12H in combination with prophylactic loperamide given orally. Participants may continue to receive treatment until discontinuation criteria are met. Abemaciclib + Tamoxifen Tamoxifen Abemaciclib given orally every 12 hours (Q12H) in combination with tamoxifen given orally every day. Participants may continue to receive treatment until discontinuation criteria are met. Abemaciclib + Tamoxifen Abemaciclib Abemaciclib given orally every 12 hours (Q12H) in combination with tamoxifen given orally every day. Participants may continue to receive treatment until discontinuation criteria are met. Abemaciclib Abemaciclib Abemaciclib given orally Q12H. Participants may continue to receive treatment until discontinuation criteria are met. Abemaciclib + Prophylactic Loperamide Abemaciclib Abemaciclib given orally Q12H in combination with prophylactic loperamide given orally. Participants may continue to receive treatment until discontinuation criteria are met.
- Primary Outcome Measures
Name Time Method Progression Free Survival (PFS) Baseline to Objective Disease Progression or Death from Any Cause (Up to 21 Months) Progression-free survival time was measured from the date of randomization to the date of investigator-determined objective progression as defined by RECIST v1.1, or death from any cause, whichever occurred first. Progressive disease (PD) is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. Participants who have neither progressed nor died were censored at the day of their last radiographic tumor assessment (if available) or date of randomization if no post baseline radiographic assessment is available.
- Secondary Outcome Measures
Name Time Method Duration of Response (DoR) Date of CR or PR to Date of Objective Disease Progression or Death Due to Any Cause (Up to 21 Months) DoR is defined as the time from the date of first evidence of a CR or PR to the date of objective progression or death from any cause, whichever is earlier as defined by Recist v1.1. CR was defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR was defined as at least a 30% decrease in the sum of the LD of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions.
Pharmacokinetics (PK): Steady State Concentration of Abemaciclib and Its Metabolites Cycle 1 Day 15, Cycle 2 Day 1, Cycle 2 Day 15, Cycle 3 Day 1 post dose Mean steady state concentrations of Abemaciclib and its metabolites (M2 \& M20) are reported.
C=Cycle D= DayPK: Multiple Dose Concentration of Tamoxifen and Endoxifen Cycle 1 Day 15, Cycle 2 Day 1, Cycle 2 Day 15, Cycle 3 Day 1 post dose Mean multiple dose concentrations of Tamoxifen and its metabolite (Endoxifen) were reported.
PK: Mean Single Dose Concentration of Tamoxifen and Endoxifen Cycle 1 Day 1 post dose Mean single dose concentrations of Tamoxifen and its metabolite (Endoxifen) were reported.
Objective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR) Baseline to Objective Disease Progression (Up to 21 Months) Objective response rate was defined as the percentage of participants with CR or PR according to RECIST v1.1. CR was defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR was defined as at least a 30% decrease in the sum of the LD (longest diameter) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions.
Overall Survival (OS) Baseline to Death from Any Cause (Approximately 36 Months) Pharmacokinetics (PK): Mean Single Dose Concentration of Abemaciclib and Its Metabolites Cycle (C) 1 Day (D) 1 post dose Mean single dose concentrations of Abemaciclib and its metabolites (M2 \& M20) are reported.
Change From Baseline in Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30) Baseline, 21 Months The EORTC QLQ-C30 self-reported general cancer instrument consists of 30 items covered by 1 of 3 dimensions:
1. Global health status/quality of life (2 items) with scores ranging from 1 (Very Poor) to 7 (Excellent).
2. Functional scales (15 total items addressing either physical, role, emotional, cognitive, or social functioning), each item scores ranging from 1 (not at all) to 4 (very much)
3. Symptom scales (13 total items addressing either fatigue, nausea/vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, or financial impact), each item scores ranging from 1 (not at all) to 4 (very much).
Raw scores are linearly converted to a 0-100 scale with higher scores reflecting higher levels of function/QOL or higher levels of symptom burden.Change From Baseline in Pain and Symptom Burden Assessment on the Modified Brief Pain Inventory-Short Form (mBPI-sf) Baseline, 21 Months mBPI-sf is an 11-item instrument used as a multiple-item measure of cancer pain intensity. In addition to pain intensity (4 items), the mBPI-sf is designed for participants to record the presence of pain in general, pain relief, and pain interference with function (general activity, mood, ability to walk, ability to perform normal work, relations with others, sleep, enjoyment of life). Responses for the mBPI-sf items are captured through the use of 11-point numeric rating scales anchored at 0 (no pain or does not interfere) and 10 (pain as bad as you can imagine or completely interferes). The mBPI-sf recall period is 24 hours and typical completion time for this instrument is less than 5 minutes.
Trial Locations
- Locations (59)
The University of Arizona Cancer Center
🇺🇸Tucson, Arizona, United States
Dartmouth Hitchcock Medical Center
🇺🇸Lebanon, New Hampshire, United States
Tennessee Oncology PLLC
🇺🇸Nashville, Tennessee, United States
The Center for Cancer and Blood Disorders
🇺🇸Fort Worth, Texas, United States
University of Wisconsin Clinical Research Center
🇺🇸Madison, Wisconsin, United States
CENIT Centro de Neurociencias, Investigación y Tratamiento
🇦🇷Caba, Buenos Aires, Argentina
Fundacion Ars Medica
🇦🇷San Salvador de Jujuy, Jujuy, Argentina
Clinica Viedma
🇦🇷Viedma, Río Negro, Argentina
Instituto de Oncología de Rosario
🇦🇷Rosario, Santa Fe, Argentina
Centro Para la Atención Integral del Paciente Oncologico (CAIPO)
🇦🇷San Miguel de Tucuman, Tucumán, Argentina
Scroll for more (49 remaining)The University of Arizona Cancer Center🇺🇸Tucson, Arizona, United States