Clinical Trials /

A Study of Abemaciclib (LY2835219) in Participants With Non-Small Cell Lung Cancer or Breast Cancer

NCT02779751

Description:

The main purpose of this study is to evaluate the safety and efficacy of abemaciclib in combination with pembrolizumab in participants with advanced non-small cell lung cancer (NSCLC) or hormone receptor positive (HR+), human epidermal growth factor receptor negative (HER2-) breast cancer.

Related Conditions:
  • Breast Carcinoma
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study of Abemaciclib (LY2835219) in Participants With Non-Small Cell Lung Cancer or Breast Cancer
  • Official Title: A Phase 1b Study of Abemaciclib in Combination With Pembrolizumab for Patients With Stage IV Non-Small Cell Lung Cancer or Hormone Receptor Positive, HER2 Negative Breast Cancer

Clinical Trial IDs

  • ORG STUDY ID: 16177
  • SECONDARY ID: I3Y-MC-JPCE
  • SECONDARY ID: 2015-005156-94
  • SECONDARY ID: KEYNOTE 287
  • NCT ID: NCT02779751

Conditions

  • Non Small Cell Lung Cancer
  • Breast Cancer

Interventions

DrugSynonymsArms
AbemaciclibLY2835219HR+, HER2- Locally Advanced or Metastatic Breast Cancer
PembrolizumabHR+, HER2- Locally Advanced or Metastatic Breast Cancer
AnastrozoleHR+, HER2- Locally Advanced or Metastatic Breast Cancer

Purpose

The main purpose of this study is to evaluate the safety and efficacy of abemaciclib in combination with pembrolizumab in participants with advanced non-small cell lung cancer (NSCLC) or hormone receptor positive (HR+), human epidermal growth factor receptor negative (HER2-) breast cancer.

Trial Arms

NameTypeDescriptionInterventions
NSCLC KRAS mt, PD-L1+ExperimentalAbemaciclib given orally every 12 hours (Q12H) on days 1 to 21 of each 21 day cycle in combination with pembrolizumab given intravenously (IV) on day 1 of each 21 day cycle. Participants may continue to receive treatment until discontinuation criteria are met.
  • Abemaciclib
  • Pembrolizumab
NSCLC SquamousExperimentalAbemaciclib given orally Q12H on days 1 to 21 of each 21 day cycle in combination with pembrolizumab given IV on day 1 of each 21 day cycle. Participants may continue to receive treatment until discontinuation criteria are met.
  • Abemaciclib
  • Pembrolizumab
HR+, HER2- Metastatic Breast CancerExperimentalAbemaciclib given orally Q12H on days 1 to 21 of each 21 day cycle in combination with pembrolizumab given IV on day 1 of each 21 day cycle. Participants may continue to receive treatment until discontinuation criteria are met.
  • Abemaciclib
  • Pembrolizumab
HR+, HER2- Locally Advanced or Metastatic Breast CancerExperimentalAbemaciclib given orally Q12H on days 1 to 21 of each 21 day cycle in combination with pembrolizumab given IV on day 1 of each 21 day cycle and anastrozole given orally Q24H on days 1 to 21 of each 21 day cycle. Participants may continue to receive treatment until discontinuation criteria are met.
  • Abemaciclib
  • Pembrolizumab
  • Anastrozole

Eligibility Criteria

        Inclusion Criteria:

          -  Have a Stage IV diagnosis of 1 of the following: Part A: NSCLC (Kirsten rat sarcoma
             mutant [KRAS mt], PD-L1+); Part B: NSCLC (squamous histology); Part C: metastatic
             breast cancer (HR+, HER2-); or Part D: locally advanced or metastatic breast cancer
             (HR+, HER2-)

               -  Part A: must be chemotherapy naïve for metastatic NSCLC

               -  Part B: must have received at least 1 prior therapy containing platinum-based
                  chemotherapy for advanced/metastatic NSCLC

               -  Part C: must have previously received prior treatment with at least 1 but no more
                  than 2 chemotherapy regimens in the metastatic setting

               -  Part D: cannot have received endocrine therapy or chemotherapy as treatment in
                  the locoregionally recurrent or metastatic breast cancer disease setting. Note:
                  Participants may be enrolled if they received prior (neo)adjuvant chemotherapy or
                  endocrine therapy for localized disease.

          -  Are amenable to provide tumor tissue prior to treatment and provide tumor tissue after
             treatment initiation (both mandatory).

          -  Have presence of measurable disease as defined by Response Evaluation Criteria in
             Solid Tumors (RECIST 1.1).

          -  Have a performance status (PS) ≤1 on the Eastern Cooperative Oncology Group (ECOG)
             scale.

          -  Have discontinued all previous treatments for cancer and recovered from the acute
             effects of therapy.

          -  Have an estimated life expectancy of ≥12 weeks.

          -  For Part D: Have postmenopausal status due to surgical/natural menopause or chemical
             ovarian suppression (initiated 28 days prior to Day 1 of Cycle 1) with a
             gonadotropin-releasing hormone (GnRH) agonist such as goserelin or radiation-induced
             ovarian suppression.

        Exclusion Criteria:

          -  Have a personal history of any of the following conditions: syncope of either
             unexplained or cardiovascular etiology, ventricular arrhythmia (including but not
             limited to ventricular tachycardia and ventricular fibrillation), or sudden cardiac
             arrest. Exception: subjects with controlled atrial fibrillation for >30 days prior to
             study treatment are eligible.

          -  Have central nervous system (CNS) metastasis with development of associated
             neurological changes 14 days prior to receiving study drug.

          -  Have corrected QT interval of >470 milliseconds on screening electrocardiogram (ECG).

          -  Have history of interstitial lung disease or pneumonitis.

          -  Have history of or active autoimmune disease, or other syndrome that requires systemic
             steroids or autoimmune agents for the past 2 years.

          -  Have received a live vaccination within 30 days of study start.

          -  Have received prior treatment with an anti PD-1, anti-programmed death ligand 1
             (PD-L1), or anti cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) agent.

          -  For Part D Only:

               -  Have initiated bisphosphonates or approved RANK ligand (RANK-L) targeted agents
                  (for example, denosumab) <7 days prior to Cycle 1 Day 1.

               -  Are currently receiving or have previously received endocrine therapy for
                  locoregionally recurrent or metastatic breast cancer. Note: A participant may be
                  enrolled if she received prior (neo)adjuvant endocrine therapy (including, but
                  not limited to anti-estrogens or aromatase inhibitors) for localized disease.

               -  Are currently receiving or have previously received chemotherapy for
                  locoregionally recurrent or metastatic breast cancer. Note: Participants may be
                  enrolled if they received prior (neo)adjuvant chemotherapy for localized disease.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of Participants with One or More Serious Adverse Event(s) (SAEs)
Time Frame:Baseline through Study Treatment Completion (Approximately 6 Months)
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Objective Response Rate (ORR) per RECIST v1.1: Percentage of Participants With a Complete or Partial Response
Time Frame:Baseline to Measured Progressive Disease or Start of New Anti-Cancer Therapy (Approximately 6 Months)
Safety Issue:
Description:
Measure:Disease Control Rate (DCR) per RECIST v1.1: Percentage of Participants With a Best Overall Response of Complete Response, Partial Response, and Stable Disease
Time Frame:Baseline to Measured Progressive Disease or Start of New Anti-Cancer Therapy (Approximately 6 Months)
Safety Issue:
Description:
Measure:Duration of Response (DoR) per RECIST v1.1
Time Frame:Date of Complete Response or Partial Response to Date of Objective Disease Progression or Death Due to Any Cause (Approximately 12 Months)
Safety Issue:
Description:
Measure:Progression Free Survival (PFS) per RECIST v1.1
Time Frame:Baseline to Measured Progressive Disease or Death (Approximately 10 Months)
Safety Issue:
Description:
Measure:Overall Survival (OS)
Time Frame:Baseline to Date of Death Due to Any Cause (Approximately 18 Months)
Safety Issue:
Description:
Measure:Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib in Combination with Pembrolizumab with or without Anastrozole
Time Frame:Predose Cycle One Day One through Predose Cycle Eight Day One (21 Day Cycles)
Safety Issue:
Description:

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:Eli Lilly and Company

Last Updated

March 4, 2021