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A Phase 2 Study of LY2495655 in Participants With Pancreatic Cancer

Phase 2
Completed
Conditions
Pancreatic Cancer
Interventions
Drug: Placebo
Drug: Standard of Care Chemotherapy
Registration Number
NCT01505530
Lead Sponsor
Eli Lilly and Company
Brief Summary

This phase 2 study is a multicenter, randomized, double-blind, placebo-controlled trial in participants with locally advanced/inoperable or metastatic pancreatic cancer, and will investigate 2 different doses of LY2495655 in combination with standard of care chemotherapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
125
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
100 mg LY2495655 + chemotherapyStandard of Care Chemotherapy100 mg LY2495655 intravenous (IV) in combination with standard of care chemotherapy (investigator's choice)
Placebo + chemotherapyPlaceboPlacebo in combination with standard of care chemotherapy (investigator's choice)
300 mg LY2495655 + chemotherapyStandard of Care Chemotherapy300 mg LY2495655 intravenous (IV) in combination with standard of care chemotherapy (investigator's choice)
Placebo + chemotherapyStandard of Care ChemotherapyPlacebo in combination with standard of care chemotherapy (investigator's choice)
300 mg LY2495655 + chemotherapyLY2495655300 mg LY2495655 intravenous (IV) in combination with standard of care chemotherapy (investigator's choice)
100 mg LY2495655 + chemotherapyLY2495655100 mg LY2495655 intravenous (IV) in combination with standard of care chemotherapy (investigator's choice)
Primary Outcome Measures
NameTimeMethod
Overall Survival (OS)Baseline to Death from Any Cause (Up to 23 months)

Overall survival (OS) duration was measured from the date of randomization to the date of death from any cause.

Secondary Outcome Measures
NameTimeMethod
Duration of ResponseFirst CR or PR to Disease Progression (Up to 11 months)

The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death as a result of any cause. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.1) criteria. Complete Response (CR) was defined as the disappearance of all non-nodal target lesions, with the short axes of any target lymph nodes reduced to \<10 millimeters (mm). Partial Response (PR) was defined as having at least a 30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph nodes), taking as reference the baseline sum diameter.

Change in Physical Performance Measures Using Hand Grip StrengthBaseline, Cycles 2, 4, 6, 8 and 10; Day 1

Hand grip strength (HGS) of the non-dominant hand measured using a hand dynamometer.

Change in Lean Body MassBaseline, Cycles 3, 5, 7, 9 and 11; Day 1

Change in lean body mass was assessed using dual-energy x-ray absorptiometry (DXA).

Progression Free Survival (PFS)Baseline to Disease Progression or Death from Any Cause (Up to 16 months)

PFS was defined as the time from date of first dose to the first observation of disease progression or death from any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST version 1.1) criteria. PD is ≥20% increase in sum of longest diameter of target lesions and/or a new lesion.

Percentage of Participants With Tumor Response Rate (RR)Baseline to Disease Progression (Up to 11 months)

Response rate (RR) was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.1) criteria. Complete Response (CR) was defined as the disappearance of all target and non-target lesions and any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 millimeter (mm) and normalization of tumor marker level of non-target lesions; Partial Response (PR) was defined as having at least a 30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD) was defined as having at least 20% increase in sum of longest diameter of target lesions and minimum 5 mm increase above nadir; Stable Disease (SD) was defined as small changes that did not meet above criteria.

Change in Physical Performance Measures Using the 6 Minute Walk TestBaseline, Cycles 2, 4, 6, 8 and 10; Day 1

The 6 minute walk test measured the distance walked in 6 minutes, as quickly as possible, without running.

Change in Physical Performance Measures Using the Time Up and Go (TUG) TestBaseline, Cycles 2, 4, 6, 8 and 10; Day 1

Time Up and Go (TUG) is a timed walking test designed to measure gait performance and balance. It measures in seconds the time taken by an individual to stand up from a standard arm chair (approximate seat height of 46 cm \[18in\], arm height 65 cm \[25.6 in\]), walk a distance of 3 meters (118 inches, approximately 10 feet), turn, walk back to the chair, and sit down.

Change in Physical Performance Measures Using Stair Climbing Time (StC)Baseline, Cycles 3, 5, 7, 9 and 11; Day 1

Stair climbing time (StC) measured the ascend and descend of a flight of 12 steps (each step 18 cm high and 28 cm deep).

Change in Patient Reported Outcomes (PRO)Baseline, Cycles 2, 4, 6, 8 and 10; Day 1

Data from PRO scales are not be presented. An error in coding the scales (coded differently early and late in the study) occurred. Unable to determine which results were affected therefore analysis not completed.

Change in Pain Scale Physical FunctioningBaseline, Cycles 2, 4, 6, 8 and 10; Day 1

The 36-item Short-Form Health Survey (SF-36) pain scale is a generic, health-related scale assessing participant's quality of life on 8 domains: physical functioning, social functioning, bodily pain, vitality, mental health, role-physical, role-emotional and general health and 2 summary scores (mental component summary \[MCS\] and physical component summary \[PCS\]). The PCS physical functioning domain score ranges from 0 to 100 (higher scores indicate better health status).

Number of Participants With Anti-LY2495655 AntibodiesCycle 1, Day 1 and Day 29 (Pre-Dose); Cycle 6 Day 1

Trial Locations

Locations (1)

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

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Cardiff, South Glamorgan, United Kingdom

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