A Phase 2 Study With Enzastaurin Plus Chemotherapy or Placebo Plus Chemotherapy for Prostate Cancer Patients
A Randomized, Double-Blinded, Placebo-Controlled, Phase 2 Study With and Without Enzastaurin in Combination With Docetaxel and Prednisone, Followed By Enzastaurin Maintenance as First-Line Treatment in Hormone Refractory Metastatic Prostate Cancer Patients
2 other identifiers
interventional
108
3 countries
28
Brief Summary
The purpose of the study is to compare the response rates for prostate cancer patients taking chemotherapy plus enzastaurin versus chemotherapy plus placebo.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 prostate-cancer
Started Jun 2007
28 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 25, 2007
CompletedFirst Posted
Study publicly available on registry
April 27, 2007
CompletedStudy Start
First participant enrolled
June 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2010
CompletedResults Posted
Study results publicly available
November 6, 2020
CompletedNovember 6, 2020
October 1, 2020
2.2 years
April 25, 2007
October 9, 2020
October 9, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Part 2: Percentage of Participants With Objective Tumor Response (Response Rate)
Response using Response Evaluation Criteria In Solid Tumors (RECIST). Complete Response (CR)=disappearance of all target lesions; Partial Response (PR)=30% decrease in sum of longest diameter of target lesions; Progressive Disease (PD)=20% increase in sum of longest diameter of target lesions; Stable Disease (SD)=small changes that do not meet above criteria. Objective response rate (%)=number of objective responders divided by the number of participants qualified for efficacy analysis \*100, where objective responders are those participants who have met criteria either for CR or PR.
Baseline up to 3 years
Secondary Outcomes (12)
Percentage of Participants Exhibiting a Decline in Prostate-Specific Androgen (PSA) From Baseline ≥30% Within First 3 Months of Treatment
Baseline up to 3 months
Prostate-Specific Androgen (PSA) Velocity at 2 Months
Baseline up to 2 months
Prostate-Specific Androgen (PSA) Velocity at 3 Months
Baseline up to 3 months
Part 2: Progression Free Survival (PFS)
Baseline to measured PD (up to 487 days)
Part 2: Overall Survival (OS)
Baseline to death (up to 642 days)
- +7 more secondary outcomes
Study Arms (3)
docetaxel + prednisone + enzastaurin
EXPERIMENTALRegimen A: docetaxel 75 milligrams per square meter (mg/m\^2), intravenous (IV) is administered on Day 1 every 3 weeks for 6 cycles (maximum up to 10 cycles) and prednisone 5 milligrams (mg) oral (po), twice daily (BID) every day. In Cycle 1, enzastaurin is given as a loading dose of 1125 mg on the day prior to docetaxel and prednisone therapy, followed by enzastaurin 500 mg po, daily (QD) for the remaining Period 2 (chemotherapy) and Period 3 (maintenance).
docetaxel + prednisone + placebo
PLACEBO COMPARATORRegimen B: docetaxel 75 mg/m\^2, IV is administered on Day 1 every 3 weeks for 6 cycles (maximum up to 10 cycles) and prednisone 5 mg po, BID every day. In Cycle 1, placebo is given as a loading dose on the day prior to docetaxel and prednisone therapy, followed by po, QD placebo for the remaining Period 2 (chemotherapy) and Period 3 (maintenance), until unblinding.
docetaxel + prednisone + enzastaurin (modified Regimen A)
EXPERIMENTALModified Regimen A, including pharmacokinetic (PK) characterization: Participants were treated with a modified investigational regimen with no dose escalation: docetaxel 75 mg/m2, IV was administered on Day 1 every 3 weeks for 6 cycles (maximum up to 10 cycles) and prednisone 5 mg po, BID every day. In Cycle 1, enzastaurin was given as a loading dose of 1125 mg starting on Day 4, followed by enzastaurin 500 mg po, QD for the remaining Period 2 (chemotherapy) and Period 3 (maintenance).
Interventions
1125 mg loading dose, then 500 mg po QD until disease progression, toxicity, or maximum 3 years
75 mg/m\^2 IV, every 21 days, six 21-day cycles, maximum 10 cycles
5 mg po BID, six 21-day cycles
Eligibility Criteria
You may qualify if:
- You are at least 18 years old.
- You live close enough to the doctor's office to attend all of your required visits.
- You have not been treated with chemotherapy for your prostate cancer.
- Your organs must be functioning properly.
You may not qualify if:
- You are unable to swallow pills.
- You have another serious illness besides your prostate cancer.
- You have taken another experimental drug within the last 30 days.
- You have a serious heart condition.
- You are receiving another anti-cancer therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (28)
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.
Fullerton, California, 92835, United States
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Los Angeles, California, 90093, United States
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Northridge, California, 91328, United States
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Redondo Beach, California, 90277, United States
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Santa Barbara, California, 93105, United States
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Santa Maria, California, 93454, United States
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Miami, Florida, 33179, United States
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Chicago, Illinois, 60637, United States
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Harvey, Illinois, 60426, United States
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Minneapolis, Minnesota, 55404, United States
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Columbia, Missouri, 65201, United States
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Kansas City, Missouri, 64128, United States
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Billings, Montana, 59101, United States
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Henderson, Nevada, 89169, United States
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Las Cruces, New Mexico, 88011, United States
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Raleigh, North Carolina, 27607, United States
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Cleveland, Ohio, 44195, United States
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Memphis, Tennessee, 38138, United States
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Dallas, Texas, 75246, United States
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The Woodlands, Texas, 77380, United States
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Newport News, Virginia, 23606, United States
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Vancouver, Washington, 98684, United States
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Erlangen, 91054, Germany
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Hamburg, 22399, Germany
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Mannheim, 68163, Germany
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Como, 22100, Italy
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Orbassano, 10043, Italy
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San Sisto, 06156, Italy
Related Publications (1)
Dreicer R, Garcia J, Rini B, Vogelzang N, Srinivas S, Somer B, Shi P, Kania M, Raghavan D. A randomized, double-blind, placebo-controlled, Phase II study with and without enzastaurin in combination with docetaxel-based chemotherapy in patients with castration-resistant metastatic prostate cancer. Invest New Drugs. 2013 Aug;31(4):1044-50. doi: 10.1007/s10637-013-9940-0. Epub 2013 Feb 24.
PMID: 23435622DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 25, 2007
First Posted
April 27, 2007
Study Start
June 1, 2007
Primary Completion
August 1, 2009
Study Completion
June 1, 2010
Last Updated
November 6, 2020
Results First Posted
November 6, 2020
Record last verified: 2020-10