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NCT03703466

A Study of Abemaciclib (LY2835219) With and Without Food in Participants With Metastatic Breast Cancer

Completed Phase 2 Results posted Last updated 2 April 2024
What this trial tests

Phase 2 trial testing Abemaciclib in Metastatic Breast Cancer in 72 participants. Completed in 9 March 2023.

Timeline
28 November 2018
Primary endpoint
29 July 2019
9 March 2023

Quick facts

Lead sponsorEli Lilly and Company
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment72
Start date28 November 2018
Primary completion29 July 2019
Estimated completion9 March 2023
Sites15 locations across Russia, Belgium, Australia, Turkey (Türkiye), Spain

Drugs / interventions tested

Conditions studied

Sponsor

Eli Lilly and Company — full company profile →

Who can join

18 and older, any sex, with Metastatic Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants With Severe Diarrhea (≥ Grade 3) Primary · Cycle 3 (28 Days Cycle)

Percentage of participants with severe diarrhea (≥ grade 3) during the first 3 cycles. Events were as assessed by the investigator and graded according to Common Terminology Criteria for Adverse Events (CTCAE). Grade 3 was defined as an increase of ≥7 stools per day over baseline; incontinence; hospitalization indicated; severe increase in ostomy output compared to baseline; limiting self-care activities of daily living (ADL).

GroupValue95% CI
200 mg Abemaciclib With a Meal4.2
200 mg Abemaciclib Without a Meal0
200 mg Abemaciclib Without Regard to Food0
Percentage of Participants With Prolonged Grade 2 Diarrhea Primary · Cycle 3 (28 Days Cycle)

Percentage of participants with prolonged grade 2 diarrhea during first 3 cycles. Events were as assessed by the investigator and graded according to Common Terminology Criteria for Adverse Events (CTCAE). Prolonged Grade 2 diarrhea was any event lasting more than 7 days. Grade 2 was defined as Increase of 4-6 stools per day over baseline; moderate increase in ostomy output compared to baseline.

GroupValue95% CI
200 mg Abemaciclib With a Meal8.3
200 mg Abemaciclib Without a Meal17.4
200 mg Abemaciclib Without Regard to Food20.8
Percentage of Participants With Dose Reductions Due to Diarrhea Primary · Cycle 3 (28 Days Cycle)

Percentage of participants with dose reductions due to diarrhea during first 3 cycles.

GroupValue95% CI
200 mg Abemaciclib With a Meal16.7
200 mg Abemaciclib Without a Meal8.7
200 mg Abemaciclib Without Regard to Food12.5
Percentage of Participants With Dose Interruptions Due to Diarrhea Primary · Cycle 3 (28 Days Cycle)

Percentage of participants with dose interruptions due to diarrhea during first 3 cycles.

GroupValue95% CI
200 mg Abemaciclib With a Meal16.7
200 mg Abemaciclib Without a Meal4.3
200 mg Abemaciclib Without Regard to Food8.3
Percentage of Participants Who Discontinue Treatment Due to Diarrhea Primary · Cycle 3 (28 Days Cycle)

Percentage of participants who discontinue treatment due to diarrhea

GroupValue95% CI
200 mg Abemaciclib With a Meal0
200 mg Abemaciclib Without a Meal0
200 mg Abemaciclib Without Regard to Food0
Percentage of Participants Utilizing Antidiarrheals Primary · Cycle 3 (28 Days Cycle)

Percentage of participants who utilized anti diarrheals at least once during the first 3 cycles.

GroupValue95% CI
200 mg Abemaciclib With a Meal95.8
200 mg Abemaciclib Without a Meal91.3
200 mg Abemaciclib Without Regard to Food95.8
Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib Secondary · Cycle 1: Day 15; Cycle 2: Day 1, Day 15; Cycle 3: Day 1 (28 Days Cycle)

PK: Mean steady state exposure of abemaciclib

Cycle 1: Day 15
GroupValue95% CI
200 mg Abemaciclib With a Meal305± 198
200 mg Abemaciclib Without a Meal369± 64
200 mg Abemaciclib Without Regard to Food356± 75
Cycle 2: Day 1
GroupValue95% CI
200 mg Abemaciclib With a Meal320± 91
200 mg Abemaciclib Without a Meal280± 99
200 mg Abemaciclib Without Regard to Food190± 284
Cycle 2: Day 15
GroupValue95% CI
200 mg Abemaciclib With a Meal77.4± 731
200 mg Abemaciclib Without a Meal345± 51
200 mg Abemaciclib Without Regard to Food223± 250
Cycle 3: Day 1
GroupValue95% CI
200 mg Abemaciclib With a Meal135± 896
200 mg Abemaciclib Without a Meal330± 54
200 mg Abemaciclib Without Regard to Food85.4± 498
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567 Secondary · Cycle 1: Day 15; Cycle 2: Day1, Day 15; Cycle 3: Day 1 (28 Days Cycle)

PK: Mean steady state exposure of abemaciclib metabolite LSN2839567

Cycle 1 Day 15
GroupValue95% CI
200 mg Abemaciclib With a Meal139± 109
200 mg Abemaciclib Without a Meal129± 48
200 mg Abemaciclib Without Regard to Food159± 61
Cycle 2 Day 1
GroupValue95% CI
200 mg Abemaciclib With a Meal125± 62
200 mg Abemaciclib Without a Meal109± 84
200 mg Abemaciclib Without Regard to Food96.3± 127
Cycle 2 Day 15
GroupValue95% CI
200 mg Abemaciclib With a Meal50.4± 276
200 mg Abemaciclib Without a Meal121± 45
200 mg Abemaciclib Without Regard to Food112± 79
Cycle 3 Day 1
GroupValue95% CI
200 mg Abemaciclib With a Meal89.4± 110
200 mg Abemaciclib Without a Meal125± 48
200 mg Abemaciclib Without Regard to Food61.7± 122
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726 Secondary · Cycle 1: Day 15; Cycle 2: Day1, Day 15; Cycle 3: Day 1 (28 Days Cycle)

PK: Mean steady state exposure of abemaciclib metabolite LSN3106726

Cycle 1 Day 15
GroupValue95% CI
200 mg Abemaciclib With a Meal231± 120
200 mg Abemaciclib Without a Meal242± 38
200 mg Abemaciclib Without Regard to Food287± 63
Cycle 2 Day 1
GroupValue95% CI
200 mg Abemaciclib With a Meal230± 59
200 mg Abemaciclib Without a Meal210± 57
200 mg Abemaciclib Without Regard to Food152± 222
Cycle 2 Day 15
GroupValue95% CI
200 mg Abemaciclib With a Meal80.5± 377
200 mg Abemaciclib Without a Meal221± 31
200 mg Abemaciclib Without Regard to Food182± 112
Cycle 3 Day 1
GroupValue95% CI
200 mg Abemaciclib With a Meal146± 174
200 mg Abemaciclib Without a Meal223± 33
200 mg Abemaciclib Without Regard to Food107± 172

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline until end of the follow-up (Up To 44 months). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

200 mg Abemaciclib With a Meal
Serious: 3/24 (13%)
Deaths: 3/24
200 mg Abemaciclib Without a Meal
Serious: 5/23 (22%)
Deaths: 4/23
200 mg Abemaciclib Without Regard to Food
Serious: 8/24 (33%)
Deaths: 1/24

Serious adverse events (19 terms)

ReactionSystem200 mg Abemaciclib With a …200 mg Abemaciclib Without…200 mg Abemaciclib Without…
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
DiarrhoeaGastrointestinal disorders
PancreatitisGastrointestinal disorders
Non-cardiac chest painGeneral disorders
CholangitisHepatobiliary disorders
CholelithiasisHepatobiliary disorders
Hepatic function abnormalHepatobiliary disorders
Back painMusculoskeletal and connective tissue disorders
Cauda equina syndromeNervous system disorders
Guillain-barre syndromeNervous system disorders
Renal failureRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Superficial vein thrombosisVascular disorders
Other adverse events (185 terms — click to expand)

ReactionSystem200 mg Abemaciclib With a …200 mg Abemaciclib Without…200 mg Abemaciclib Without…
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
FatigueGeneral disorders
Platelet count decreasedInvestigations
Abdominal painGastrointestinal disorders
VomitingGastrointestinal disorders
Neutrophil count decreasedInvestigations
NeutropeniaBlood and lymphatic system disorders
White blood cell count decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
AstheniaGeneral disorders
Aspartate aminotransferase increasedInvestigations
Mucosal inflammationGeneral disorders
Alanine aminotransferase increasedInvestigations
Blood creatinine increasedInvestigations
Lymphocyte count decreasedInvestigations
Weight decreasedInvestigations
HypokalaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
DyspepsiaGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations
Urinary tract infectionInfections and infestations
Blood alkaline phosphatase increasedInvestigations
Gamma-glutamyltransferase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
ContusionInjury, poisoning and procedural complications
Blood bilirubin increasedInvestigations
HypoalbuminaemiaMetabolism and nutrition disorders
AlopeciaSkin and subcutaneous tissue disorders
LymphopeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders

Most-reported serious reactions: Nausea, Vomiting, Pleural effusion, Anaemia, Atrial fibrillation, Diarrhoea, Pancreatitis, Non-cardiac chest pain.

Data from ClinicalTrials.gov NCT03703466 adverse events section.

Sponsor's own description

The main purpose of this study is to examine the side effects that participants with metastatic breast cancer experience when taking abemaciclib with or without food.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Updates on the CDK4/6 Inhibitory Strategy and Combinations in Breast Cancer.
    Sobhani N, D'Angelo A, Pittacolo M, Roviello G, et al · · 2019 · cited 117× · PMID 30959874 · DOI 10.3390/cells8040321
  2. Stem cell therapy: A paradigm shift in breast cancer treatment.
    Khan S, Suryavanshi M, Kaur J, Nayak D, et al · · 2021 · cited 13× · PMID 34367480 · DOI 10.4252/wjsc.v13.i7.841
  3. An open label, randomized phase 2 trial assessing the impact of food on the tolerability of abemaciclib in patients with advanced breast cancer.
    Lim E, Boyle F, Okera M, Loi S, et al · · 2022 · cited 5× · PMID 35915198 · DOI 10.1007/s10549-022-06690-5
  4. The Role of PIM Kinases in Pediatric Solid Tumors.
    Julson JR, Marayati R, Beierle EA, Stafman LL. · · 2022 · cited 5× · PMID 35892829 · DOI 10.3390/cancers14153565
  5. An open label, randomized phase 2 trial assessing the impact of food on the tolerability of abemaciclib in patients with Advanced Breast Cancer
    Lim E, Boyle F, Okera M, Loi S, et al · · 2022 · DOI 10.21203/rs.3.rs-1440521/v1

Verify or expand the search:

Other trials of Abemaciclib

Trials testing the same drug.

Other recruiting trials for Metastatic Breast Cancer

Currently open trials in the same condition.

Other Eli Lilly and Company trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03703466.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing