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| ID | Type | Description | Link |
|---|---|---|---|
| I3Y-MC-JPBH | Other Identifier | Eli Lilly and Company |
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This study evaluates the safety of abemaciclib in combination therapies (letrozole, anastrozole, tamoxifen, exemestane, exemestane plus everolimus, trastuzumab, LY3023414 plus fulvestrant, pertuzumab plus trastuzumab with loperamide, or ongoing endocrine therapy) for breast cancer that has spread to other parts of the body.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LY2835219 + Letrozole | Experimental | LY2835219 administered orally. Letrozole administered orally. This arm is closed to enrollment. |
|
| LY2835219 + Anastrozole | Experimental | LY2835219 administered orally. Anastrozole administered orally. This arm is closed to enrollment. |
|
| LY2835219 + Tamoxifen | Experimental | LY2835219 administered orally. Tamoxifen administered orally. This arm is closed to enrollment. |
|
| LY2835219 + Exemestane | Experimental | LY2835219 administered orally. Exemestane administered orally. This arm is closed to enrollment. |
|
| LY2835219 + Exemestane + Everolimus Dose Escalation | Experimental | LY2835219 administered orally. Exemestane administered orally. Everolimus administered orally. This arm is closed to enrollment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LY2835219 | Drug | Administered orally. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants with One or More Drug-Related Adverse Events | Number of participants with one or more drug-related adverse events | Baseline through study completion (estimated as 12 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics: Maximum Concentration (Cmax) of LY2835219, Letrozole, Anastrozole, Tamoxifen, Exemestane, Everolimus, Trastuzumab, LY3023414, Fulvestrant, and Pertuzumab | Cmax of LY2835219, letrozole, anastrozole, tamoxifen, exemestane, everolimus, trastuzumab, LY3023414, fulvestrant, and pertuzumab. | Cycle 1 up to Cycle 5 (21 or 28 Day Cycle): Predose and at multiple timepoints, depending on study part. |
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Inclusion Criteria:
Have a diagnosis of hormone receptor positive (HR+), human epidermal growth factor receptor 2 (HER2) negative metastatic breast cancer for Parts A to E, G, and I.
Have a diagnosis of human epidermal growth factor receptor 2 (HER2) positive metastatic breast cancer for Parts F and H.
For Part A (LY2835219 + letrozole): Except for ongoing therapy with letrozole, the participant must not have received prior systemic endocrine therapy for metastatic disease.
For Part B (LY2835219 + anastrozole): Except for ongoing therapy with anastrozole, the participant must not have received prior systemic endocrine therapy for metastatic disease.
For Part C (LY2835219 + tamoxifen): The participant may have received prior systemic endocrine therapy for metastatic disease and may be receiving ongoing therapy with tamoxifen.
For Part D (LY2835219 + exemestane): The participant must have received prior systemic endocrine therapy with at least one nonsteroidal aromatase inhibitor (anastrozole, letrozole) for metastatic disease and may be receiving ongoing therapy with exemestane.
For Part E (LY2835219 + exemestane + everolimus): The participant must have received prior systemic endocrine therapy with at least one nonsteroidal aromatase inhibitor (anastrozole, letrozole) for metastatic disease and may be receiving ongoing therapy with either exemestane or exemestane + everolimus.
For Part F (LY2835219 + trastuzumab):The participant must have received at least 1 chemotherapy regimen for metastatic disease and may be receiving ongoing therapy with trastuzumab. The participant must have an estimated left ventricular ejection fraction within the normal range by either echocardiogram or multigated acquisition (MUGA) scan
For Part G (abemaciclib + LY3023414 + fulvestrant): The participant may have received prior systemic endocrine therapy with at least one nonsteroidal aromatase inhibitor (anastrozole, letrozole) for metastatic disease.
For Part H: (abemaciclib + trastuzumab + pertuzumab): The participant must have received at least 1 chemotherapy regimen for metastatic disease. The participant may be receiving ongoing therapy with trastuzumab and/or pertuzumab at the time of study entry. The participant must have an estimated left ventricular ejection fraction (LVEF) within the normal range by either echocardiogram or multigated acquisition (MUGA) scan.
For Part I (abemaciclib + endocrine therapy): The participant must have demonstrated evidence of disease progression on a Cyclin Dependent Kinase 4 (CDK4) and Cyclin Dependent Kinase 6 (CDK6) inhibitor (either palbociclib or ribociclib) plus endocrine therapy for advanced or metastatic disease as the most recent therapy immediately preceding study entry. The participant should remain on the current endocrine therapy while receiving abemaciclib.
For Parts A, B, C, D, E, and F: Have either measureable disease or nonmeasureable but evaluable bone disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
For Part G, H, and I: Have measureable disease as defined by RECIST 1.1.
For all Parts except Part F and H: Participants must have either post-menopausal status or pre-menopausal status if continuing or beginning ovarian suppression with a luteinizing hormone-releasing hormone (LHRH) agonist such as goserelin.
Parts H, and I: Must be able and willing to undergo mandatory tumor biopsies prior to study treatment and at the time of discontinuation from study treatment.
Have adequate organ function, including:
Have a performance status of ≤1 on the Eastern Cooperative Oncology Group (ECOG) scale.
Have discontinued all previous therapies for breast cancer (including chemotherapy, radiotherapy, immunotherapy, and investigational therapy), except for ongoing corresponding combination therapy, for at least 21 days for myelosuppressive agents or 14 days for nonmyelosuppressive agents prior to receiving study drug(s), and recovered from the acute effects of therapy (until the toxicity resolves to either baseline or at least Grade 1) except for residual alopecia or peripheral neuropathy. For Part F and H: concurrent treatment with trastuzumab emtansine (T-DM1) is not allowed.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| 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 |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highlands Oncology Group - Duplicate 2 | Rogers | Arkansas | 72758 | United States | ||
| University of California - San Diego |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35223458 | Derived | Tolaney SM, Beeram M, Beck JT, Conlin A, Dees EC, Puhalla SL, Rexer BN, Burris HA, Jhaveri K, Helsten T, Becerra C, Kalinsky K, Moore KN, Manuel AM, Lithio A, Price GL, Chapman SC, Litchfield LM, Goetz MP. Abemaciclib in Combination With Endocrine Therapy for Patients With Hormone Receptor-Positive, HER2-Negative Metastatic Breast Cancer: A Phase 1b Study. Front Oncol. 2022 Feb 10;11:810023. doi: 10.3389/fonc.2021.810023. eCollection 2021. | |
| 24919854 |
| Label | URL |
|---|---|
| Click here for more information about this study: A Study of Abemaciclib (LY2835219) in Combination With Other Therapies in Participants With Breast Cancer That Has Spread | View source |
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| LY2835219 + Exemestane + Everolimus Dose Expansion | Experimental | LY2835219 administered orally. Exemestane administered orally. Everolimus administered orally. This arm is closed to enrollment. |
|
| LY2835219+ Trastuzumab Dose Escalation | Experimental | LY2835219 administered orally. Trastuzumab administered intravenously (IV) infusion. This arm is closed to enrollment. |
|
| LY2835219+ Trastuzumab Dose Expansion | Experimental | LY2835219 administered orally. Trastuzumab administered IV infusion. This arm is closed to enrollment. |
|
| LY3023414 + LY2835219 + Fulvestrant Dose Escalation | Experimental | LY3023414 administered orally. LY2835219 administered orally. Fulvestrant administered intramuscularly (IM). |
|
| LY3023414 + LY2835219 + Fulvestrant Dose Expansion | Experimental | LY3023414 administered orally. LY2835219 administered orally. Fulvestrant administered IM. |
|
| LY2835219 +Trastuzumab +Pertuzumab +Loperamide Dose Escalation | Experimental | LY2835219 administered orally. Loperamide administered orally. Trastuzumab administered IV infusion. Pertuzumab administered IV infusion. |
|
| LY2835219 +Trastuzumab + Pertuzumab +Loperamide Dose Expansion | Experimental | Hormone Receptor Negative (HR-): LY2835219 administered orally. Loperamide administered orally. Trastuzumab administered IV infusion. Pertuzumab administered IV infusion. Hormone Receptor Positive (HR+): LY2835219 administered orally. Loperamide administered orally. Trastuzumab administered IV infusion. Pertuzumab administered IV infusion. Endocrine therapy administered orally. |
|
| LY2835219 + Endocrine Therapy | Experimental | LY2835219 administered orally. Ongoing endocrine therapy administered orally. |
|
|
| Letrozole | Drug | Administered orally. |
|
| Anastrozole | Drug | Administered orally. |
|
| Tamoxifen | Drug | Administered orally. |
|
| Exemestane | Drug | Administered orally. |
|
| Everolimus | Drug | Administered orally. |
|
| Trastuzumab | Drug | Administered IV infusion. |
|
| LY3023414 | Drug | Administered orally. |
|
| Fulvestrant | Drug | Administered IM. |
|
| Pertuzumab | Drug | Administered IV infusion. |
|
| Loperamide | Drug | Administered orally. |
|
| Endocrine therapy | Drug | Endocrine therapy administered orally. |
|
| Number of Participants with a Complete or Partial Tumor Response (Overall Response Rate) | Number of participants with a complete or partial tumor response (overall response rate). | Baseline to study completion (estimated as 12 months) |
| Progression Free Survival (PFS) | Progression free survival | First dose to progressive disease or death of any cause (estimated as 12 months) |
| Change in MD Anderson Symptom Inventory (MDASI) Score from Baseline | Change in MD Anderson (MDASI) score from baseline. | Baseline, through study completion (estimated as 12 months) |
| Pharmacokinetics: Area under the Curve (AUC) of LY2835219, Letrozole, Anastrozole, Tamoxifen, Exemestane, Everolimus, Trastuzumab, LY3023414, Fulvestrant, and Pertuzumab | Pharmacokinetics: AUC of LY2835219, letrozole, anastrozole, tamoxifen, exemestane, everolimus, trastuzumab, LY3023414, fulvestrant, and pertuzumab. | Cycle 1 up to Cycle 5 (21 or 28 Day Cycle): Predose and at multiple timepoints, depending on study part. |
| La Jolla |
| California |
| 92037-0845 |
| United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905-0002 | United States |
| Columbia University College of Phys & Surgeons | New York | New York | 10032 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| University of North Carolina at Chapel Hill | Chapel Hill | North Carolina | 27514 | United States |
| Providence Cancer Center Oncology Hematology Care | Portland | Oregon | 97213 | United States |
| Univ of Pittsburgh Cancer Inst. (UPCI) | Pittsburgh | Pennsylvania | 15213 | United States |
| Peggy and Charles Stephenson Oklahoma Cancer Center | Nashville | Tennessee | 37203 | United States |
| Tennessee Oncology PLLC | Nashville | Tennessee | 37203 | United States |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232-6307 | United States |
| South Texas Accelerated Research Therapeutics (START) | San Antonio | Texas | 78229-3307 | United States |
| Derived |
| Gelbert LM, Cai S, Lin X, Sanchez-Martinez C, Del Prado M, Lallena MJ, Torres R, Ajamie RT, Wishart GN, Flack RS, Neubauer BL, Young J, Chan EM, Iversen P, Cronier D, Kreklau E, de Dios A. Preclinical characterization of the CDK4/6 inhibitor LY2835219: in-vivo cell cycle-dependent/independent anti-tumor activities alone/in combination with gemcitabine. Invest New Drugs. 2014 Oct;32(5):825-37. doi: 10.1007/s10637-014-0120-7. Epub 2014 Jun 13. |
| ID | Term |
|---|---|
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C000590451 | abemaciclib |
| D000077289 | Letrozole |
| D000077384 | Anastrozole |
| D013629 | Tamoxifen |
| C056516 | exemestane |
| D000068338 | Everolimus |
| D000068878 | Trastuzumab |
| C000621566 | LY3023414 |
| D000077267 | Fulvestrant |
| C485206 | pertuzumab |
| D008139 | Loperamide |
| ID | Term |
|---|---|
| D009570 | Nitriles |
| D009930 | Organic Chemicals |
| D014230 | Triazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D013267 | Stilbenes |
| D001597 | Benzylidene Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D020123 | Sirolimus |
| D018942 | Macrolides |
| D007783 | Lactones |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D004958 | Estradiol |
| D004963 | Estrenes |
| D004962 | Estranes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010880 | Piperidines |
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