NCT04031885

Brief Summary

The reason for this study is to compare the efficacy of abemaciclib, in combination with fulvestrant, to that of physician's choice of chemotherapy in women with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) metastatic breast cancer that has spread to internal organs. Your participation in this trial could last up to 31 months, depending on your cancer type and how you and your tumor respond.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
4

participants targeted

Target at below P25 for phase_4

Timeline
Completed

Started Aug 2019

Shorter than P25 for phase_4

Geographic Reach
2 countries

61 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 23, 2019

Completed
1 day until next milestone

First Posted

Study publicly available on registry

July 24, 2019

Completed
21 days until next milestone

Study Start

First participant enrolled

August 14, 2019

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 11, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 11, 2020

Completed
1 year until next milestone

Results Posted

Study results publicly available

August 24, 2021

Completed
Last Updated

August 24, 2021

Status Verified

July 1, 2021

Enrollment Period

12 months

First QC Date

July 23, 2019

Results QC Date

July 29, 2021

Last Update Submit

July 29, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Objective Response Rate (ORR): Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR)

    ORR is defined as the number of participants who achieve a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the total number of participants randomized to the corresponding treatment arm \[intent-to-treat (ITT) population\], based on investigator-assessed tumor responses.CR is defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR is defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions (taking in reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. Confirmations of CR and PR are not required.

    Randomization to Measured Progressive Disease (Up to 12 Months)

Secondary Outcomes (4)

  • Progression Free Survival (PFS)

    First Dose Date to Objective Progression or Death Due to Any Cause (Up to 12 Months)

  • Time to Response (TTR)

    First Dose to Date of CR or PR (Up to 12 Months)

  • Duration of Response (DoR)

    Date of CR or PR to Date of Objective Progression or Death Due to Any Cause (Up to 12 Months)

  • Progression Free Survival 2 (PFS 2)

    Randomization to Second Objective Progression or Death Due to Any Cause (Up to 12 Months)

Study Arms (2)

Abemaciclib + Fulvestrant

EXPERIMENTAL

150 milligram (mg) Abemaciclib given orally twice a day (BID) with 500 mg fulvestrant given by intramuscular (IM) injection on Cycle 1 Day 1 (C1D1) and Cycle 1 Day 15 (C1D15), then Day 1 of each subsequent cycle.

Drug: AbemaciclibDrug: Fulvestrant

Standard Chemotherapy

ACTIVE COMPARATOR

Standard chemotherapy of physician's choice (capecitabine, docetaxel, nab paclitaxel, or paclitaxel), administered according to product label.

Drug: Standard Chemotherapy

Interventions

Administered orally

Also known as: LY2835219
Abemaciclib + Fulvestrant

Administered IM

Abemaciclib + Fulvestrant

Standard chemotherapy of physician's choice administered according to product label.

Also known as: Capecitabine, Docetaxel, Nab paclitaxel, Paclitaxel
Standard Chemotherapy

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants must be females of post-menopausal status with HR+, HER2- breast cancer that has spread to internal organs
  • Participants must have had at least one endocrine therapy
  • Participants must be willing to use a device to answer daily questions about how they are doing for the duration of their participation in the study
  • If participant has diarrhea from a previous treatment, they should talk to their doctor to ensure they have recovered enough to participate in this study

You may not qualify if:

  • Participants must not have breast cancer that has spread to the brain if untreated and with symptoms
  • Participants must not have had any systemic treatment after their breast cancer has spread unless it is endocrine therapy
  • Participants must not have certain active infections including HIV or hepatitis
  • Participants must not be pregnant or breastfeeding
  • Participants must not have certain types of cancers or certain previous cancer treatments
  • Participants must not have certain serious medical conditions, including heart or lung disease, or have had certain types of tissue or organ transplants

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (61)

Scottsdale Healthcare Hospitals

Avondale, Arizona, 85392, United States

Location

University of Arizona Cancer Center

Phoenix, Arizona, 85004, United States

Location

Yuma Regional Cancer Center

Yuma, Arizona, 85364, United States

Location

CARTI Cancer Center

Little Rock, Arkansas, 72205, United States

Location

Comprehensive Blood and Cancer Center

Bakersfield, California, 93309, United States

Location

Compassionate Cancer Care Medical Group Inc

Corona, California, 92879, United States

Location

Chan Soon- Shiong Institute for Medicine

Costa Mesa, California, 92627, United States

Location

Chan Soon- Shiong Institute for Medicine

El Segundo, California, 90245, United States

Location

Compassionate Cancer Care Medical Group Inc

Fountain Valley, California, 92708, United States

Location

St. Joseph Heritage Healthcare

Fullerton, California, 92835, United States

Location

Scripps Clinic

La Jolla, California, 92037, United States

Location

UCLA Medical Center

Los Angeles, California, 90024, United States

Location

TRIO - Translational Research in Oncology-US, Inc.

Los Angeles, California, 90095, United States

Location

Univ of California Irvine College of Medicine

Orange, California, 92868, United States

Location

Comprehensive Cancer Centers of the Desert

Palm Springs, California, 92262, United States

Location

Desert Hematology Oncology Medical Group

Rancho Mirage, California, 92270, United States

Location

Emad Ibrahim, MD, INC

Redlands, California, 92373, United States

Location

Compassionate Cancer Care Medical Group Inc

Riverside, California, 92501, United States

Location

University of California, Davis - Health Systems

Sacramento, California, 95864, United States

Location

Torrance Memorial Medical Center

Torrance, California, 90505, United States

Location

Banner MD Anderson Cancer Center

Greeley, Colorado, 80631, United States

Location

Hartford Hospital

Hartford, Connecticut, 06102-5037, United States

Location

Millennium Oncology

Hollywood, Florida, 33024, United States

Location

Ocala Oncology, P.A.

Ocala, Florida, 34474, United States

Location

Tallahassee Memorial Cancer Center

Tallahassee, Florida, 32308, United States

Location

Cleveland Clinic of Florida

Weston, Florida, 33331, United States

Location

Candler Medical Oncology Practice

Savannah, Georgia, 31405, United States

Location

Tift Regional Health System Anita Stewart Oncology Center

Tifton, Georgia, 31794, United States

Location

Kaiser Permanente Center for Health Research

Honolulu, Hawaii, 96819, United States

Location

Saint Alphonsus Regional Medical Center

Boise, Idaho, 83706, United States

Location

Cancer Center of Kansas

Wichita, Kansas, 67214, United States

Location

Touro Infirmary

New Orleans, Louisiana, 70115, United States

Location

Willis-Knighton Cancer Center

Shreveport, Louisiana, 71103, United States

Location

York Hospital

York Village, Maine, 03909, United States

Location

Reliant Medical Group, Inc.

Worcester, Massachusetts, 01608, United States

Location

Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Baptist Cancer Center

Oxford, Mississippi, 38655, United States

Location

St. Francis Medical Center

Grand Island, Nebraska, 68803, United States

Location

Oncology Hematology West

Omaha, Nebraska, 68130, United States

Location

OptumCare Cancer Care

Las Vegas, Nevada, 89102, United States

Location

Carol Simon Cancer Center at Overlook Medical Center

Summit, New Jersey, 07901, United States

Location

Brooklyn Methodist Hospital

Brooklyn, New York, 11215, United States

Location

Weill Cornell Medical College

New York, New York, 10065, United States

Location

SUNY At Stony Brook

Stony Brook, New York, 11794, United States

Location

White Plains Hospital

White Plains, New York, 10601, United States

Location

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44106, United States

Location

Cancer Care Associates of York

York, Pennsylvania, 17403, United States

Location

Womens and Infants

Providence, Rhode Island, 02905, United States

Location

Baptist Cancer Center

Memphis, Tennessee, 38120, United States

Location

The Center for Cancer and Blood Disorders

Fort Worth, Texas, 76104, United States

Location

Oncology Consultants, P.A.

Houston, Texas, 77030, United States

Location

Renovatio Clinical

The Woodlands, Texas, 77380, United States

Location

University of Vermont Medical Center

Burlington, Vermont, 05401, United States

Location

Providence Regional Cancer Partnership

Everett, Washington, 98201, United States

Location

Cancer Care Northwest

Spokane, Washington, 99202, United States

Location

Centro Integrado de Cancer del Sur, PSC

Coto Laurel, PR, 00780, Puerto Rico

Location

Bella Vista Oncology Group

Mayagüez, PR, 00680, Puerto Rico

Location

Ponce Medical School

Ponce, PR, 00716, Puerto Rico

Location

Centro de Cancer de la Mujer

Ponce, PR, 00717, Puerto Rico

Location

Fundacion de Investigacion de Diego

San Juan, PR, 00927, Puerto Rico

Location

Clinical Research Puerto Rico, Inc.

San Juan, 00909, Puerto Rico

Location

Related Links

MeSH Terms

Conditions

Breast Neoplasms

Interventions

abemaciclibFulvestrantCapecitabineDocetaxelTaxesPaclitaxel

Condition Hierarchy (Ancestors)

Neoplasms by SiteNeoplasmsBreast DiseasesSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

EstradiolEstrenesEstranesSteroidsFused-Ring CompoundsPolycyclic CompoundsEstradiol CongenersGonadal Steroid HormonesGonadal HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsDeoxycytidineCytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsFluorouracilUracilPyrimidinonesDeoxyribonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesEconomicsHealth Care Economics and Organizations

Limitations and Caveats

This study was terminated early as a business decision based on the inability to enroll subjects into the trial.

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • 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

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR
Expanded Access
Yes

Study Record Dates

First Submitted

July 23, 2019

First Posted

July 24, 2019

Study Start

August 14, 2019

Primary Completion

August 11, 2020

Study Completion

August 11, 2020

Last Updated

August 24, 2021

Results First Posted

August 24, 2021

Record last verified: 2021-07

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations