Trial Outcomes & Findings for A Trial of Placebo Versus Enzastaurin for Lung Cancer Prevention in Former Smokers (NCT NCT00414960)

NCT ID: NCT00414960

Last Updated: 2020-09-21

Results Overview

The number of cells positively stained for Ki-67 (a marker of cellular proliferation) was enumerated and divided by the total number of cells in each specimen. The average Ki-67 labeling index (LI) (percentage of cells positively labeled with Ki-67) for all histological specimens was then calculated for each participant.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

Baseline, endpoint (up to 8 months)

Results posted on

2020-09-21

Participant Flow

Participant milestones

Participant milestones
Measure
Enzastaurin
Treatment with enzastaurin 500 milligrams (mg) orally (po), once daily (QD) given as 4 tablets (125 mg each).
Placebo
Treatment with placebo po QD appearing identical to enzastaurin.
Overall Study
STARTED
25
15
Overall Study
Received at Least One Dose of Study Drug
24
15
Overall Study
COMPLETED
18
14
Overall Study
NOT COMPLETED
7
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Enzastaurin
Treatment with enzastaurin 500 milligrams (mg) orally (po), once daily (QD) given as 4 tablets (125 mg each).
Placebo
Treatment with placebo po QD appearing identical to enzastaurin.
Overall Study
Adverse Event
4
0
Overall Study
Withdrawal by Subject
3
0
Overall Study
Physician Decision
0
1

Baseline Characteristics

A Trial of Placebo Versus Enzastaurin for Lung Cancer Prevention in Former Smokers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enzastaurin
n=25 Participants
Treatment with enzastaurin 500 milligrams (mg) orally (po), once daily (QD) given as 4 tablets (125 mg each).
Placebo
n=15 Participants
Treatment with placebo po QD appearing identical to enzastaurin.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
66.84 years
STANDARD_DEVIATION 6.06 • n=5 Participants
66.97 years
STANDARD_DEVIATION 4.67 • n=7 Participants
66.89 years
STANDARD_DEVIATION 5.51 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
7 Participants
n=7 Participants
26 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
24 Participants
n=5 Participants
15 Participants
n=7 Participants
39 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
25 Participants
n=5 Participants
15 Participants
n=7 Participants
40 Participants
n=5 Participants
Evidence of Airway Obstruction
Absence
13 Participants
n=5 Participants
11 Participants
n=7 Participants
24 Participants
n=5 Participants
Evidence of Airway Obstruction
Presence
12 Participants
n=5 Participants
4 Participants
n=7 Participants
16 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG)
Grade 0
19 Participants
n=5 Participants
12 Participants
n=7 Participants
31 Participants
n=5 Participants
Eastern Cooperative Oncology Group (ECOG)
Grade 1
6 Participants
n=5 Participants
3 Participants
n=7 Participants
9 Participants
n=5 Participants
History of Stage I Non-small Cell Lung Cancer
Yes
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
History of Stage I Non-small Cell Lung Cancer
No
24 Participants
n=5 Participants
14 Participants
n=7 Participants
38 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, endpoint (up to 8 months)

Population: The number of participants analyzed was based on the efficacy population (EP). The EP included participants who met study criteria, were randomized to the study, and who had Ki-67 measurements from biopsy specimens.

The number of cells positively stained for Ki-67 (a marker of cellular proliferation) was enumerated and divided by the total number of cells in each specimen. The average Ki-67 labeling index (LI) (percentage of cells positively labeled with Ki-67) for all histological specimens was then calculated for each participant.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=21 Participants
Treatment with enzastaurin 500 milligrams (mg) orally (po), once daily (QD) given as 4 tablets (125 mg each).
Placebo
n=13 Participants
Treatment with placebo po QD appearing identical to enzastaurin.
Change From Baseline in Percentage of Cells Staining Positive for Ki-67 in All Biopsy Specimens at Endpoint
3.74 percentage of cells with Ki-67
Standard Deviation 11.68
6.15 percentage of cells with Ki-67
Standard Deviation 11.08

SECONDARY outcome

Timeframe: Baseline through end of study (up to 32 months)

Population: The number of participants analyzed was based on the safety population (SP). The SP included participants who received at least 1 dose of enzastaurin or placebo during the study.

Summary tables of serious AEs (SAEs) and all other non-serious AEs are located in the Reported Adverse Event Module.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=24 Participants
Treatment with enzastaurin 500 milligrams (mg) orally (po), once daily (QD) given as 4 tablets (125 mg each).
Placebo
n=15 Participants
Treatment with placebo po QD appearing identical to enzastaurin.
Number of Participants With Adverse Events (AEs)
SAEs
2 Participants
0 Participants
Number of Participants With Adverse Events (AEs)
Other Non-Serious AEs
24 Participants
10 Participants

Adverse Events

Enzastaurin

Serious events: 2 serious events
Other events: 24 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Enzastaurin
n=24 participants at risk
Treatment with enzastaurin 500 milligrams (mg) orally (po), once daily (QD) given as 4 tablets (125 mg each).
Placebo
n=15 participants at risk
Treatment with placebo po QD appearing identical to enzastaurin.
Cardiac disorders
Bradycardia
4.2%
1/24 • Number of events 1
0.00%
0/15
Vascular disorders
Deep vein thrombosis
4.2%
1/24 • Number of events 1
0.00%
0/15
Vascular disorders
Hypotension
4.2%
1/24 • Number of events 1
0.00%
0/15

Other adverse events

Other adverse events
Measure
Enzastaurin
n=24 participants at risk
Treatment with enzastaurin 500 milligrams (mg) orally (po), once daily (QD) given as 4 tablets (125 mg each).
Placebo
n=15 participants at risk
Treatment with placebo po QD appearing identical to enzastaurin.
Blood and lymphatic system disorders
Lymphadenopathy
0.00%
0/24
6.7%
1/15 • Number of events 1
Cardiac disorders
Conduction disorder
0.00%
0/24
6.7%
1/15 • Number of events 1
Cardiac disorders
Extrasystoles
0.00%
0/24
6.7%
1/15 • Number of events 1
Cardiac disorders
Sinus bradycardia
8.3%
2/24 • Number of events 2
0.00%
0/15
Cardiac disorders
Supraventricular extrasystoles
8.3%
2/24 • Number of events 3
0.00%
0/15
Ear and labyrinth disorders
Hearing impaired
0.00%
0/24
6.7%
1/15 • Number of events 1
Eye disorders
Eye pain
0.00%
0/24
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Abdominal distension
8.3%
2/24 • Number of events 2
0.00%
0/15
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/24
6.7%
1/15 • Number of events 1
Gastrointestinal disorders
Diarrhoea
16.7%
4/24 • Number of events 4
13.3%
2/15 • Number of events 2
Gastrointestinal disorders
Dry mouth
8.3%
2/24 • Number of events 2
0.00%
0/15
Gastrointestinal disorders
Dyspepsia
4.2%
1/24 • Number of events 1
6.7%
1/15 • Number of events 1
General disorders
Fatigue
4.2%
1/24 • Number of events 1
13.3%
2/15 • Number of events 2
General disorders
Local swelling
0.00%
0/24
6.7%
1/15 • Number of events 1
General disorders
Oedema peripheral
8.3%
2/24 • Number of events 2
0.00%
0/15
Infections and infestations
Urinary tract infection
0.00%
0/24
6.7%
1/15 • Number of events 1
Infections and infestations
Viral infection
0.00%
0/24
6.7%
1/15 • Number of events 1
Injury, poisoning and procedural complications
Stress fracture
0.00%
0/24
6.7%
1/15 • Number of events 1
Investigations
Alanine aminotransferase increased
8.3%
2/24 • Number of events 3
6.7%
1/15 • Number of events 1
Investigations
Aspartate aminotransferase increased
4.2%
1/24 • Number of events 1
6.7%
1/15 • Number of events 1
Investigations
Blood alkaline phosphatase increased
0.00%
0/24
6.7%
1/15 • Number of events 3
Investigations
Blood creatinine increased
8.3%
2/24 • Number of events 2
0.00%
0/15
Investigations
Electrocardiogram QT prolonged
12.5%
3/24 • Number of events 5
6.7%
1/15 • Number of events 1
Investigations
Haemoglobin decreased
25.0%
6/24 • Number of events 7
0.00%
0/15
Investigations
Haemoglobin increased
0.00%
0/24
6.7%
1/15 • Number of events 1
Investigations
Urine colour abnormal
16.7%
4/24 • Number of events 4
0.00%
0/15
Metabolism and nutrition disorders
Hypercalcaemia
8.3%
2/24 • Number of events 2
6.7%
1/15 • Number of events 1
Metabolism and nutrition disorders
Hyperglycaemia
20.8%
5/24 • Number of events 5
6.7%
1/15 • Number of events 1
Metabolism and nutrition disorders
Hyperkalaemia
33.3%
8/24 • Number of events 13
6.7%
1/15 • Number of events 1
Metabolism and nutrition disorders
Hypoglycaemia
8.3%
2/24 • Number of events 2
0.00%
0/15
Metabolism and nutrition disorders
Hyponatraemia
25.0%
6/24 • Number of events 9
6.7%
1/15 • Number of events 1
Nervous system disorders
Dizziness
8.3%
2/24 • Number of events 2
0.00%
0/15
Psychiatric disorders
Insomnia
0.00%
0/24
6.7%
1/15 • Number of events 1
Psychiatric disorders
Sleep disorder
0.00%
0/24
6.7%
1/15 • Number of events 1
Renal and urinary disorders
Chromaturia
8.3%
2/24 • Number of events 2
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Cough
8.3%
2/24 • Number of events 2
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Dyspnoea
8.3%
2/24 • Number of events 2
0.00%
0/15
Respiratory, thoracic and mediastinal disorders
Rhinitis allergic
0.00%
0/24
6.7%
1/15 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
8.3%
2/24 • Number of events 3
0.00%
0/15
Vascular disorders
Hypertension
4.2%
1/24 • Number of events 1
6.7%
1/15 • Number of events 1

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