Trial Outcomes & Findings for An Open Label Study of Oral Enzastaurin in Participants With Cancer (NCT NCT00309140)

NCT ID: NCT00309140

Last Updated: 2020-06-26

Results Overview

Data presented are the number of participants who experienced 1 or more AEs or any serious AEs (SAEs) regardless of causality. A summary of SAEs and other non-serious AEs is located in the Reported Adverse Events section of this report.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

23 participants

Primary outcome timeframe

Baseline through study completion (up to 26 months and 30-day safety follow-up)

Results posted on

2020-06-26

Participant Flow

Eligible participants must have completed other enzastaurin clinical pharmacology studies to meet the enrollment criteria for the study.

Participant milestones

Participant milestones
Measure
Enzastaurin
Enzastaurin 500 milligrams (mg) per day, administered orally as five 100-mg tablets or four 125-mg tablets, once daily for 42 days (1 cycle = 42 days) and subsequent cycles. Treatment was continued until disease progression, unacceptable toxicity, or any other discontinuation criteria were met.
Overall Study
STARTED
23
Overall Study
Received at Least 1 Dose of Study Drug
23
Overall Study
COMPLETED
23
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

An Open Label Study of Oral Enzastaurin in Participants With Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 milligrams (mg) per day, administered orally as five 100-mg tablets or four 125-mg tablets, once daily for 42 days (1 cycle = 42 days) and subsequent cycles. Treatment was continued until disease progression, unacceptable toxicity, or any other discontinuation criteria were met.
Age, Continuous
60.0 years
STANDARD_DEVIATION 12.1 • n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants
n=5 Participants
Region of Enrollment
United States
13 Participants
n=5 Participants
Region of Enrollment
France
10 Participants
n=5 Participants
Disease Stage at Initial Pathological Diagnosis
Stage I
1 Participants
n=5 Participants
Disease Stage at Initial Pathological Diagnosis
Stage II
2 Participants
n=5 Participants
Disease Stage at Initial Pathological Diagnosis
Stage IIA
2 Participants
n=5 Participants
Disease Stage at Initial Pathological Diagnosis
Stage IIB
1 Participants
n=5 Participants
Disease Stage at Initial Pathological Diagnosis
Stage IIC
1 Participants
n=5 Participants
Disease Stage at Initial Pathological Diagnosis
Stage III
3 Participants
n=5 Participants
Disease Stage at Initial Pathological Diagnosis
Stage IV
13 Participants
n=5 Participants
Initial Pathological Diagnosis
Metastatic
16 Participants
n=5 Participants
Initial Pathological Diagnosis
Locally Advanced
5 Participants
n=5 Participants
Initial Pathological Diagnosis
Other (Unspecified Cancer Diagnosis)
2 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status Score
0
7 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status Score
1
13 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status Score
2
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline through study completion (up to 26 months and 30-day safety follow-up)

Population: All enrolled participants who received at least 1 dose of enzastaurin.

Data presented are the number of participants who experienced 1 or more AEs or any serious AEs (SAEs) regardless of causality. A summary of SAEs and other non-serious AEs is located in the Reported Adverse Events section of this report.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 milligrams (mg) per day, administered orally as five 100-mg tablets or four 125-mg tablets, once daily for 42 days (1 cycle = 42 days) and subsequent cycles. Treatment was continued until disease progression, unacceptable toxicity, or any other discontinuation criteria were met.
Number of Participants With 1 or More Adverse Events (AEs) or Any Serious AEs
AEs
19 Participants
Number of Participants With 1 or More Adverse Events (AEs) or Any Serious AEs
SAEs
9 Participants

SECONDARY outcome

Timeframe: Baseline through study completion (up to 26 months and 30-day safety follow-up)

Population: All enrolled participants who received at least 1 dose of enzastaurin. Two (2) participants were censored.

Time to disease progression was defined as the time in months from study enrollment to the first date of progressive disease. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Progressive Disease was defined as having at least a 20% increase in sum of the longest diameter of target lesions. Time to disease progression was censored at the date of the last follow-up for participants who did not experience progressive disease, death, or their disease status was unknown.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 milligrams (mg) per day, administered orally as five 100-mg tablets or four 125-mg tablets, once daily for 42 days (1 cycle = 42 days) and subsequent cycles. Treatment was continued until disease progression, unacceptable toxicity, or any other discontinuation criteria were met.
Time to Disease Progression (Time to Documented Tumor Activity)
1.4 months
Interval 1.1 to 3.1

SECONDARY outcome

Timeframe: Baseline through study completion (up to 26 months and 30-day safety follow-up)

Population: All enrolled participants who received at least 1 dose of enzastaurin.

Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST, version 1.0) criteria. Complete Response was defined as the disappearance of all target lesions. Partial Response was defined as having at least a 30% decrease in sum of longest diameter of target lesions. Progressive Disease was defined as having at least a 20% increase in sum of longest diameter of target lesions. Stable Disease was defined as small changes that did not meet the above criteria. Also, reported were unknown and missing responses. Percentage of participants was calculated as the total number of participants affected divided by the number of participants analyzed then multiplied by 100.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 milligrams (mg) per day, administered orally as five 100-mg tablets or four 125-mg tablets, once daily for 42 days (1 cycle = 42 days) and subsequent cycles. Treatment was continued until disease progression, unacceptable toxicity, or any other discontinuation criteria were met.
Percentage of Participants With Best Overall Response (Documented Antitumor Activity)
Complete Response
0 percentage of participants
Percentage of Participants With Best Overall Response (Documented Antitumor Activity)
Partial Response
0 percentage of participants
Percentage of Participants With Best Overall Response (Documented Antitumor Activity)
Stable Disease
34.8 percentage of participants
Percentage of Participants With Best Overall Response (Documented Antitumor Activity)
Progressive Disease
52.2 percentage of participants
Percentage of Participants With Best Overall Response (Documented Antitumor Activity)
Unknown Response
4.3 percentage of participants
Percentage of Participants With Best Overall Response (Documented Antitumor Activity)
Missing Response
8.7 percentage of participants

Adverse Events

Enzastaurin

Serious events: 9 serious events
Other events: 19 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Enzastaurin
n=23 participants at risk
Enzastaurin 500 milligrams (mg) per day, administered orally as five 100-mg tablets or four 125-mg tablets, once daily for 42 days (1 cycle = 42 days) and subsequent cycles. Treatment was continued until disease progression, unacceptable toxicity, or any other discontinuation criteria were met.
Gastrointestinal disorders
Abdominal pain
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Gastrointestinal disorders
Ascites
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Gastrointestinal disorders
Oesophageal haemorrhage
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Gastrointestinal disorders
Vomiting
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
General disorders
Asthenia
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
General disorders
Chest pain
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
General disorders
General physical health deterioration
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Injury, poisoning and procedural complications
Post procedural haemorrhage
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Investigations
Transaminases increased
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder neoplasm
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor associated fever
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Nervous system disorders
Aphasia
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Nervous system disorders
Hemiplegia
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
4.3%
1/23 • Number of events 1
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.

Other adverse events

Other adverse events
Measure
Enzastaurin
n=23 participants at risk
Enzastaurin 500 milligrams (mg) per day, administered orally as five 100-mg tablets or four 125-mg tablets, once daily for 42 days (1 cycle = 42 days) and subsequent cycles. Treatment was continued until disease progression, unacceptable toxicity, or any other discontinuation criteria were met.
Gastrointestinal disorders
Abdominal pain upper
8.7%
2/23 • Number of events 2
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Gastrointestinal disorders
Constipation
17.4%
4/23 • Number of events 4
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Gastrointestinal disorders
Nausea
8.7%
2/23 • Number of events 2
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
General disorders
Fatigue
8.7%
2/23 • Number of events 2
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Investigations
Blood alkaline phosphatase increased
8.7%
2/23 • Number of events 4
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Investigations
Blood uric acid increased
8.7%
2/23 • Number of events 2
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Investigations
Weight decreased
13.0%
3/23 • Number of events 3
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Metabolism and nutrition disorders
Anorexia
17.4%
4/23 • Number of events 4
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Nervous system disorders
Dizziness
8.7%
2/23 • Number of events 2
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Psychiatric disorders
Insomnia
8.7%
2/23 • Number of events 2
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.
Respiratory, thoracic and mediastinal disorders
Cough
8.7%
2/23 • Number of events 2
Study-specific clinical outcomes of death due to disease progression were not reported as serious adverse events (SAEs) unless the investigator deemed them related to the use of study drug.

Additional Information

Chief Medical Officer

Eli Lilly and Company

Phone: 800-545-5979

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60