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NCT04751929

Abemaciclib With or Without Atezolizumab for mCRPC

Active, enrolled Phase 2 Results posted Last updated 20 February 2026
What this trial tests

Phase 2 trial testing Abemaciclib in Prostate Cancer in 19 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
20 August 2021
Primary endpoint
17 June 2024
30 April 2026

Quick facts

Lead sponsorDana-Farber Cancer Institute
PhasePhase 2
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment19
Start date20 August 2021
Primary completion17 June 2024
Estimated completion30 April 2026
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Dana-Farber Cancer Institute

Who can join

18 and older, male only, with Prostate Cancer or Metastatic Castration-resistant Prostate 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.

6-month Progression Free Survival (PFS) Rate Primary · 6 months

The percentage of participants alive and progression-free at 6 months, as assessed by RECIST 1.1 and PCWG3.

GroupValue95% CI
Biomarker-Unselected Abemaciclib Monotherapy (Randomized)100100 – 100
Biomarker-Unselected Abemaciclib + Atezolizumab (Randomized)NANA – NA
CDK12 Mutation Atezolizumab Monotherapy (Non-Randomized)5010 – 81
Objective Response Rate (ORR) Primary · 6 months

The percentage of evaluable patients who had radiographic response (complete response or partial response) by RECIST 1.1 criteria OR 50% decline in PSA from pretreatment baseline per PCWG3 criteria.

GroupValue95% CI
Biomarker-Unselected Abemaciclib Monotherapy (Randomized)00 – 0
Biomarker-Unselected Abemaciclib + Atezolizumab (Randomized)12.50.6 – 47
CDK12 Mutation Atezolizumab Monotherapy (Non-Randomized)00 – 0
Number of Participants Experiencing Dose Limiting Toxicity (DLT) in Biomarker-Unselected Abemaciclib + Atezolizumab (Randomized) and CDK12 Mutation Abemaciclib + Atezolizumab (Non-Randomized) Arms Primary · DLTs were collected while participants on treatment. Treatment duration up to 18 months.

DLT was assessed by Bayesian Continuous Toxicity Monitoring in Biomarker-Unselected Abemaciclib + Atezolizumab (Randomized) and CDK12 Mutation Abemaciclib + Atezolizumab (Non-Randomized) arms.

GroupValue95% CI
Biomarker-Unselected Abemaciclib Monotherapy (Randomized)0
Biomarker-Unselected Abemaciclib + Atezolizumab (Randomized)4
CDK12 Mutation Atezolizumab Monotherapy (Non-Randomized)0
CDK12 Mutation Abemaciclib + Atezolizumab (Non-Randomized)0
12-month Overall Survival (OS) Secondary · 12 months

The percentage of participants who are alive 12 months after the start of treatment

GroupValue95% CI
Biomarker-Unselected Abemaciclib Monotherapy (Randomized)8339 – 97
Biomarker-Unselected Abemaciclib + Atezolizumab (Randomized)5020 – 74
CDK12 Mutation Atezolizumab Monotherapy (Non-Randomized)7522 – 95

Adverse events — posted to ClinicalTrials.gov

Time frame: From treatment initiation through 100 days after last dose for treatment-emergent adverse events, and up to 2 years after last dose. Maximum treatment duration was 18 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Biomarker-Unselected Abemaciclib Monotherapy (Randomized)
Serious: 3/7 (43%)
Deaths: 5/7
Biomarker-Unselected Abemaciclib + Atezolizumab (Randomized)
Serious: 4/8 (50%)
Deaths: 7/8
CDK12 Mutation Atezolizumab Monotherapy (Non-Randomized)
Serious: 0/4 (0%)
Deaths: 4/4
CDK12 Mutation Abemaciclib + Atezolizumab (Non-Randomized)
Serious: 0
Deaths: 0

Serious adverse events (15 terms)

ReactionSystemBiomarker-Unselected Abema…Biomarker-Unselected Abema…CDK12 Mutation Atezolizuma…CDK12 Mutation Abemaciclib…
SepsisInfections and infestations
AnemiaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Abdominal painGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
Hepatic failureHepatobiliary disorders
Joint infectionInfections and infestations
Skin infectionInfections and infestations
Urinary tract infectionInfections and infestations
Alkaline phosphatase increasedInvestigations
Blood bilirubin increasedInvestigations
Creatinine increasedInvestigations
Platelet count decreasedInvestigations
StrokeNervous system disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Other adverse events (98 terms — click to expand)

ReactionSystemBiomarker-Unselected Abema…Biomarker-Unselected Abema…CDK12 Mutation Atezolizuma…CDK12 Mutation Abemaciclib…
AnemiaBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
FatigueGeneral disorders and administration site conditions
Creatinine increasedInvestigations
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
FeverGeneral disorders and administration site conditions
Alkaline phosphatase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
White blood cell decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
VomitingGastrointestinal disorders
Edema limbsGeneral disorders and administration site conditions
Alanine aminotransferase increasedInvestigations
Weight lossInvestigations
AnorexiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
ObesityMetabolism and nutrition disorders
DizzinessNervous system disorders
DepressionPsychiatric disorders
InsomniaPsychiatric disorders
Urinary frequencyRenal and urinary disorders
Respiratory, thoracic and mediastinal disorders - Other, specifyRespiratory, thoracic and mediastinal disorders
Hot flashesVascular disorders
HypertensionVascular disorders
Atrial fibrillationCardiac disorders
Cardiac disorders - Other, specifyCardiac disorders
PalpitationsCardiac disorders
Sinus tachycardiaCardiac disorders
VertigoEar and labyrinth disorders
HyperthyroidismEndocrine disorders
HypothyroidismEndocrine disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders
DysphagiaGastrointestinal disorders

Most-reported serious reactions: Sepsis, Anemia, Atrial fibrillation, Abdominal pain, Small intestinal obstruction, Hepatic failure, Joint infection, Skin infection.

Data from ClinicalTrials.gov NCT04751929 adverse events section.

Sponsor's own description

This trial is testing whether a molecularly targeted chemotherapy drug called abemaciclib and an immunotherapy drug called atezolizumab, alone or in combination, are effective in shrinking or preventing the growth of metastatic prostate cancer. The trial is also testing the safety of the combination of abemaciclib with atezolizumab.

Publications & conference data

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

  1. Programmed death receptor (PD-)1/PD-ligand (L)1 in urological cancers : the "all-around warrior" in immunotherapy.
    Liu Q, Guan Y, Li S. · · 2024 · cited 50× · PMID 39223527 · DOI 10.1186/s12943-024-02095-8
  2. Evaluating Immune Checkpoint Blockade in Metastatic Castration-Resistant Prostate Cancers with Deleterious CDK12 Alterations in the Phase 2 IMPACT Trial.
    Nguyen CB, Reimers MA, Perera C, Abida W, et al · · 2024 · cited 24× · PMID 38787530 · DOI 10.1158/1078-0432.ccr-24-0400
  3. Immunological facets of prostate cancer and the potential of immune checkpoint inhibition in disease management.
    Hansen SB, Unal B, Kuzu OF, Saatcioglu F. · · 2024 · cited 21× · PMID 39629128 · DOI 10.7150/thno.100555
  4. Intensification Approaches and Treatment Sequencing in Metastatic Castration-resistant Prostate Cancer: A Systematic Review.
    Francini E, Agarwal N, Castro E, Cheng HH, et al · · 2025 · cited 21× · PMID 39306478 · DOI 10.1016/j.eururo.2024.09.008
  5. Immunotherapy for Prostate Cancer: A Current Systematic Review and Patient Centric Perspectives.
    Rehman LU, Nisar MH, Fatima W, Sarfraz A, et al · · 2023 · cited 21× · PMID 36835981 · DOI 10.3390/jcm12041446
  6. Clinical application of immunogenic cell death inducers in cancer immunotherapy: turning cold tumors hot.
    Han Y, Tian X, Zhai J, Zhang Z. · · 2024 · cited 20× · PMID 38774648 · DOI 10.3389/fcell.2024.1363121
  7. Androgen Receptor Signaling Inhibition in Advanced Castration Resistance Prostate Cancer: What Is Expected for the Near Future?
    Pozas J, Álvarez Rodríguez S, Fernández VA, Burgos J, et al · · 2022 · cited 16× · PMID 36551557 · DOI 10.3390/cancers14246071
  8. Targeting the spectrum of immune checkpoints in prostate cancer.
    Sena LA, Denmeade SR, Antonarakis ES, Antonarakis ES. · · 2021 · cited 15× · PMID 34263692 · DOI 10.1080/17512433.2021.1949287

Verify or expand the search:

Other trials of Abemaciclib

Trials testing the same drug.

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Currently open trials in the same condition.

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Trials by the same sponsor.

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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/NCT04751929.

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