Clinical trial • Phase II • Oncology

abemaciclib for Metastatic breast cancer

Phase II trial of abemaciclib for Metastatic breast cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Metastatic breast cancer
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
09-07-2024
First CTIS Authorization Date
06-08-2024

Trial design

Randomised, open-label, two arms: (1) abemaciclib plus tamoxifen (combination arm). abemaciclib product: verzenios 50 mg film-coated tablets (active substance abemaciclib); product information shows max daily dose amount 400 mg. tamoxifen comparator: tamoxifen (tamoxifen citrate), max daily dose amount 20 mg. (2) abemaciclib alone. schedule/dosing regimen not specified in the ctis record.-controlled Phase II trial across 1 site in Italy.

Randomised
Yes
Open Label
Yes
Comparator
Two arms: (1) Abemaciclib plus Tamoxifen (combination arm). Abemaciclib product: Verzenios 50 mg film-coated tablets (active substance abemaciclib); product information shows max daily dose amount 400 mg. Tamoxifen comparator: Tamoxifen (tamoxifen citrate), max daily dose amount 20 mg. (2) Abemaciclib alone. Schedule/dosing regimen not specified in the CTIS record.
Trial Duration For Participant
630

Eligibility

Recruits 1 No vulnerable populations selected (isVulnerablePopulationSelected: false). Trial population: adult female patients only. Informed consent materials are provided (Subject information and informed consent form documents are listed in the trial documents). No assent procedures or paediatric consent described..

Pregnancy Exclusion
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.
Vulnerable Population
No vulnerable populations selected (isVulnerablePopulationSelected: false). Trial population: adult female patients only. Informed consent materials are provided (Subject information and informed consent form documents are listed in the trial documents). No assent procedures or paediatric consent described.

Inclusion criteria

  • {"criterion_text":"- Have a diagnosis of HR+, HER2- breast cancer.\n- Relapsed or progressed following endocrine therapy.\n- 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.\n- Have the presence of measureable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).\n- Have a performance status ≤1 on the Eastern Cooperative Oncology Group (ECOG) scale.\n- 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.\n- Have adequate organ function.\n- 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.\n- Are able to swallow oral medication."}

Exclusion criteria

  • {"criterion_text":"- Have clinical evidence or history of central nervous system metastasis.\n- 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.\n- Have active bacterial or fungal infection (that is, requiring intravenous antibiotics at the time of initiating study treatment) and/or detectable viral infection.\n- Have received treatment with a prior cyclin-dependent kinase (CDK4) and CDK 6 inhibitor.\n- Have a preexisting chronic condition resulting in persistent diarrhea.\n- 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 endpoints

  • {"endpoint_text":"- Progression Free Survival (PFS) [ Time Frame: Baseline to Objective Disease Progression or Death from Any Cause (Up to 21 Months) ]","definition_or_measurement_approach":"Measured as time from baseline to objective disease progression or death from any cause, assessed up to 21 months."}

Secondary endpoints

  • {"endpoint_text":"- 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) ]","definition_or_measurement_approach":"Measured as the percentage of participants with a complete or partial response from baseline to objective disease progression, assessed up to 21 months."}

Recruitment

Recruitment Window Months
99
Consent Approach
Informed consent obtained from each participant. Subject information and informed consent form documents are listed (L1_SIS and ICF Main_Redacted, addendum, country patient information card). Participants are adult women; no assent procedures or child-specific consent described. No languages of consent explicitly listed in the CTIS metadata.

Geography

Total Number Of Sites
1
Total Number Of Participants
1

Italy

Earliest CTIS Part Ii Submission Date
17-06-2024
Latest Decision Or Authorization Date
02-04-2026
Processing Time Days
654
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
Azienda Ospedaliera Universitaria Federico II Di Napoli
Department Name
Dipartimento di Medicina Clinica e Chirurgia
Contact Person Name
Grazia Arpino
Contact Person Email
graziaarp@hotmail.com
Number Of Participants
1

Sponsor

Primary sponsor

Full Name
Eli Lilly & Co.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Iqvia Rds Inc.
Responsibilities
Sponsor third party listed with sponsorDuties codes 1 and 5; contact email els.vannylen@iqvia.com

Third parties

  • {"country":"United States","full_name":"Iqvia Rds Inc.","duties_or_roles":"codes: 1, 5 (as listed in sponsorDuties)","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"codes: 4 (as listed in sponsorDuties)","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Verzenios 50 mg film-coated tablets
Active Substance
abemaciclib
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised (marketing authorisation: EU/1/18/1307/001)
Maximum Dose
400 mg (maxDailyDoseAmount)
Investigational Product Name
TAMOXIFEN
Active Substance
tamoxifen citrate
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
oral
Authorisation Status
Authorised (scientific product / comparator listed SCP126654)
Maximum Dose
20 mg (maxDailyDoseAmount)
Combination Treatment
Yes

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