Trial Outcomes & Findings for A Study for Participants With Small-Cell Lung Cancer (NCT NCT01025284)

NCT ID: NCT01025284

Last Updated: 2019-09-17

Results Overview

The overall response is complete response (CR) + partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. The overall response rate is calculated as a total number of participants with CR or PR, then divided by the total number of participants treated, then multiplied by 100.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

64 participants

Primary outcome timeframe

Date of enrollment to date of measured progressive disease up to 99.6 weeks

Results posted on

2019-09-17

Participant Flow

This is a nonrandomized, open-label, 2-part study.

Participant milestones

Participant milestones
Measure
Part A - 8 mg/m²/Day
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 5 mg/m²/Day
5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Overall Study
STARTED
38
18
8
Overall Study
Received at Least 1 Dose of Study Drug
38
18
8
Overall Study
COMPLETED
38
16
8
Overall Study
NOT COMPLETED
0
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Part A - 8 mg/m²/Day
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 5 mg/m²/Day
5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Overall Study
Investigator Decision
0
1
0
Overall Study
Withdrawal by Subject
0
1
0

Baseline Characteristics

A Study for Participants With Small-Cell Lung Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Part A - 8 mg/m²/Day
n=38 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 5 mg/m²/Day
n=18 Participants
5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B - 6 mg/m²/Day
n=8 Participants
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
64.88 years
STANDARD_DEVIATION 6.3 • n=5 Participants
63.33 years
STANDARD_DEVIATION 8.4 • n=7 Participants
63.40 years
STANDARD_DEVIATION 9.1 • n=5 Participants
64.26 years
STANDARD_DEVIATION 7.2 • n=4 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
16 Participants
n=4 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
15 Participants
n=7 Participants
6 Participants
n=5 Participants
48 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian
12 participants
n=5 Participants
5 participants
n=7 Participants
4 participants
n=5 Participants
21 participants
n=4 Participants
Race/Ethnicity, Customized
Black or African American
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
Race/Ethnicity, Customized
White
25 participants
n=5 Participants
13 participants
n=7 Participants
3 participants
n=5 Participants
41 participants
n=4 Participants
Region of Enrollment
United States
17 Participants
n=5 Participants
10 Participants
n=7 Participants
4 Participants
n=5 Participants
31 Participants
n=4 Participants
Region of Enrollment
Romania
9 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
12 Participants
n=4 Participants
Region of Enrollment
South Korea
12 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
21 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Date of enrollment to date of measured progressive disease up to 99.6 weeks

Population: All participants who received at least 1 dose of study drug in Part A.

The overall response is complete response (CR) + partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. The overall response rate is calculated as a total number of participants with CR or PR, then divided by the total number of participants treated, then multiplied by 100.

Outcome measures

Outcome measures
Measure
Part A
n=38 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part A: Percentage of Participants Achieving an Overall Response (Overall Response Rate)
2.6 percentage of participants
Interval 0.1 to 11.9

PRIMARY outcome

Timeframe: Date of enrollment to date of measured progressive disease up to 18.1 weeks

Population: All participants who received at least 1 dose of study drug in Part B.

Clinical benefit rate is complete response (CR) + partial response (PR) + stable disease (SD) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Clinical benefit rate is calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.

Outcome measures

Outcome measures
Measure
Part A
n=26 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B: Percentage of Participants Achieving a Best Response (Clinical Benefit Rate)
26.9 percentage of participants
Interval 13.4 to 44.7

SECONDARY outcome

Timeframe: Date of enrollment to date of measured progressive disease or date of death from any cause up to 99.6 weeks

Population: All participants who received at least 1 dose of study drug in Part A. The numbers of participants censored are 4.

Progression-free survival (PFS) is defined as the time from the date of enrollment (first treatment dose) to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is a ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. For participants who had no PD or death or starting new anti-cancer therapy, PFS was censored at their last radiological tumor assessment.

Outcome measures

Outcome measures
Measure
Part A
n=38 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part A: Progression-Free Survival
5.3 weeks
Interval 5.1 to 5.7

SECONDARY outcome

Timeframe: Date of enrollment to date of measured progressive disease or date of death from any cause up to 18.1 weeks

Population: All participants who received at least 1 dose of study drug in Part B. The numbers of participants censored are 4.

Progression-free survival (PFS) is defined as the time from the date of enrollment (first treatment dose) to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is a ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. For participants who had no PD or death or starting new anti-cancer therapy, PFS was censored at their last radiological tumor assessment.

Outcome measures

Outcome measures
Measure
Part A
n=26 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B: Progression-Free Survival
6.1 weeks
Interval 5.6 to 7.4

SECONDARY outcome

Timeframe: Date of enrollment to date of measured progressive disease 99.6 weeks

Population: All participants who received at least 1 dose of study drug in Part A.

Clinical benefit rate is complete response (CR) + partial response (PR) + stable disease (SD) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Clinical benefit rate is calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.

Outcome measures

Outcome measures
Measure
Part A
n=38 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part A: Percentage of Participants Achieving a Best Response (Clinical Benefit Rate)
23.7 percentage of participants
Interval 12.9 to 37.7

SECONDARY outcome

Timeframe: Date of enrollment to date of measured progressive disease up to 18.1 weeks

Population: All participants who received at least 1 dose of study drug in Part B.

The overall response is complete response (CR) + partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. The overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants treated, then multiplied by 100.

Outcome measures

Outcome measures
Measure
Part A
n=26 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B: Percentage of Participants Achieving an Overall Response (Overall Response Rate)
0 percentage of participants
No participants had CR or PR, therefore 90% Confidence Interval was not calculable.

SECONDARY outcome

Timeframe: Days 1,5 and 9 of Cycle 1 (21-day cycle)

Population: All participants who received 1 dose of study drug on Days 1, 5, and 9 of Cycle 1 and had Cmax samples collected on Days 1, 5, and 9 of Cycle 1 in Part A.

Outcome measures

Outcome measures
Measure
Part A
n=37 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307)
LY2523355 Day 5
157 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 91.4
Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307)
LY2523355 Day 9
100 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 420
Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307)
LY2523355 Day 1
146 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 69.5
Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307)
Metabolite Day 1
7.17 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 55.4
Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307)
Metabolite Day 5
6.29 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 50.8
Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307)
Metabolite Day 9
6.11 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 129

SECONDARY outcome

Timeframe: Day 3 of Cycle 1 (21-day cycle)

Population: All participants who received 1 dose of study drug on Days 1, 2, and 3 of Cycle 1 and had Cmax samples collected on Day 3 of Cycle 1 in Part B.

Outcome measures

Outcome measures
Measure
Part A
n=17 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
n=6 Participants
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355
128 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 82
258 nanograms/milliliter (ng/mL)
Geometric Coefficient of Variation 32

SECONDARY outcome

Timeframe: Days 1,5 and 9 of Cycle 1 (21-day cycle)

Population: No participants were analyzed due to the very limited pharmacokinetic sampling employed in Part A that did not allow accurate calculation of the AUC(0-∞) on Days 1, 5, and 9 of Cycle 1.

Due to the very limited pharmacokinetic sampling employed in Part A of the study, the AUC(0-∞) of LY2523355 could not be accurately calculated.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 3 of Cycle 1 (21-day cycle)

Population: All participants who received 1 dose of study drug on Days 1, 2, and 3 of Cycle 1 and had pharmacokinetic samples collected on Day 3 of Cycle 1 in Part B that enabled calculation of the AUC(0-∞).

Outcome measures

Outcome measures
Measure
Part A
n=17 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
n=6 Participants
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B: Pharmacokinetics - Area Under the Plasma Concentration Versus Time Curve of LY2523355 From Time Zero to Infinity [AUC(0-∞)]
639 nanograms*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 41
1220 nanograms*hour/milliliter (ng*h/mL)
Geometric Coefficient of Variation 38

SECONDARY outcome

Timeframe: Baseline and follow-up up to 104 weeks after the first dose of study drug

Population: All participants who received at least 1 dose of study drug and had total LCSS and ASBI scores at baseline and follow-up in Part B.

LCSS is a 9-item questionnaire. Six questions are symptom-specific measures for lung cancer (appetite, fatigue, cough, dyspnea, hemoptysis and pain), and 3 summation items describe total symptomatic distress, activity status, and overall quality of life. Participant responses were measured using visual analogue scales (VAS) with 100-milliliter (mm) lines. The LCSS total score was defined as the mean of the 9 items of the scale, with scores range from 0 (for best outcome) to 100 (for worst outcome). ASBI was calculated as the mean of six symptom-specific questions from the LCSS, with scores range from 0 (for best outcome) to 100 (for worst outcome).

Outcome measures

Outcome measures
Measure
Part A
n=24 Participants
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 6 mg/m²/Day
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Total Lung Cancer Symptom Scale (LCSS) and Average Symptom Burden Index (ASBI)
Total LCSS at Baseline
28.24 units on a scale
Standard Deviation 15.2
Total Lung Cancer Symptom Scale (LCSS) and Average Symptom Burden Index (ASBI)
Total LCSS at Follow-up
42.61 units on a scale
Standard Deviation 14.5
Total Lung Cancer Symptom Scale (LCSS) and Average Symptom Burden Index (ASBI)
ASBI at Baseline
26.76 units on a scale
Standard Deviation 14.1
Total Lung Cancer Symptom Scale (LCSS) and Average Symptom Burden Index (ASBI)
ASBI at Follow-up
36.41 units on a scale
Standard Deviation 11.1

Adverse Events

Part A - 8 mg/m²/Day

Serious events: 8 serious events
Other events: 35 other events
Deaths: 0 deaths

Part B - 5 mg/m²/Day

Serious events: 8 serious events
Other events: 18 other events
Deaths: 0 deaths

Part B - 6 mg/m²/Day

Serious events: 8 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Part A - 8 mg/m²/Day
n=38 participants at risk
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 5 mg/m²/Day
n=18 participants at risk
5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B - 6 mg/m²/Day
n=8 participants at risk
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Blood and lymphatic system disorders
Febrile neutropenia
2.6%
1/38 • Number of events 1
0.00%
0/18
0.00%
0/8
Blood and lymphatic system disorders
Neutropenia
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Cardiac disorders
Atrial fibrillation
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Cardiac disorders
Coronary artery disease
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Vomiting
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
Asthenia
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
General disorders
Chest pain
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
Mucosal inflammation
0.00%
0/38
0.00%
0/18
50.0%
4/8 • Number of events 4
Infections and infestations
Atypical pneumonia
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Infections and infestations
Pneumonia
7.9%
3/38 • Number of events 3
0.00%
0/18
25.0%
2/8 • Number of events 3
Infections and infestations
Sepsis
2.6%
1/38 • Number of events 1
0.00%
0/18
0.00%
0/8
Injury, poisoning and procedural complications
Ankle fracture
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Injury, poisoning and procedural complications
Subdural haematoma
2.6%
1/38 • Number of events 1
0.00%
0/18
0.00%
0/8
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Metabolism and nutrition disorders
Dehydration
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Flank pain
2.6%
1/38 • Number of events 1
0.00%
0/18
0.00%
0/8
Musculoskeletal and connective tissue disorders
Muscular weakness
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Nervous system disorders
Headache
2.6%
1/38 • Number of events 1
0.00%
0/18
0.00%
0/8
Nervous system disorders
Spinal cord compression
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Psychiatric disorders
Confusional state
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Psychiatric disorders
Mental status changes
2.6%
1/38 • Number of events 1
0.00%
0/18
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Aspiration
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.00%
0/38
11.1%
2/18 • Number of events 2
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Dyspnoea
5.3%
2/38 • Number of events 2
0.00%
0/18
37.5%
3/8 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Haemoptysis
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hypoxia
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Stevens-johnson syndrome
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1

Other adverse events

Other adverse events
Measure
Part A - 8 mg/m²/Day
n=38 participants at risk
8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Part B - 5 mg/m²/Day
n=18 participants at risk
5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Part B - 6 mg/m²/Day
n=8 participants at risk
6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Blood and lymphatic system disorders
Anaemia
23.7%
9/38 • Number of events 9
16.7%
3/18 • Number of events 3
25.0%
2/8 • Number of events 4
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Blood and lymphatic system disorders
Leukopenia
13.2%
5/38 • Number of events 6
0.00%
0/18
0.00%
0/8
Blood and lymphatic system disorders
Lymphopenia
5.3%
2/38 • Number of events 2
0.00%
0/18
0.00%
0/8
Blood and lymphatic system disorders
Neutropenia
76.3%
29/38 • Number of events 74
61.1%
11/18 • Number of events 17
37.5%
3/8 • Number of events 5
Blood and lymphatic system disorders
Thrombocytopenia
5.3%
2/38 • Number of events 3
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Cardiac disorders
Atrial fibrillation
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Cardiac disorders
Atrial tachycardia
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Cardiac disorders
Sinus tachycardia
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
0.00%
0/8
Cardiac disorders
Tachycardia
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Ear and labyrinth disorders
Tinnitus
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
0.00%
0/8
Eye disorders
Dry eye
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Eye disorders
Vision blurred
2.6%
1/38 • Number of events 1
0.00%
0/18
25.0%
2/8 • Number of events 2
Gastrointestinal disorders
Abdominal pain
10.5%
4/38 • Number of events 4
11.1%
2/18 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Constipation
15.8%
6/38 • Number of events 6
22.2%
4/18 • Number of events 6
37.5%
3/8 • Number of events 6
Gastrointestinal disorders
Diarrhoea
18.4%
7/38 • Number of events 9
5.6%
1/18 • Number of events 1
25.0%
2/8 • Number of events 2
Gastrointestinal disorders
Dry mouth
0.00%
0/38
11.1%
2/18 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Dysphagia
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Gastrooesophageal reflux disease
5.3%
2/38 • Number of events 2
5.6%
1/18 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Glossodynia
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Nausea
21.1%
8/38 • Number of events 8
11.1%
2/18 • Number of events 2
37.5%
3/8 • Number of events 4
Gastrointestinal disorders
Oral pain
0.00%
0/38
0.00%
0/18
25.0%
2/8 • Number of events 2
Gastrointestinal disorders
Stomatitis
2.6%
1/38 • Number of events 1
22.2%
4/18 • Number of events 4
0.00%
0/8
Gastrointestinal disorders
Vomiting
7.9%
3/38 • Number of events 5
16.7%
3/18 • Number of events 4
12.5%
1/8 • Number of events 3
General disorders
Asthenia
0.00%
0/38
0.00%
0/18
25.0%
2/8 • Number of events 2
General disorders
Chest discomfort
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
Chest pain
5.3%
2/38 • Number of events 2
5.6%
1/18 • Number of events 2
25.0%
2/8 • Number of events 2
General disorders
Fatigue
26.3%
10/38 • Number of events 12
38.9%
7/18 • Number of events 9
50.0%
4/8 • Number of events 4
General disorders
Gait disturbance
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
Mucosal inflammation
0.00%
0/38
11.1%
2/18 • Number of events 7
25.0%
2/8 • Number of events 3
General disorders
Non-cardiac chest pain
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
Oedema peripheral
2.6%
1/38 • Number of events 1
0.00%
0/18
12.5%
1/8 • Number of events 1
Immune system disorders
Drug hypersensitivity
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Infections and infestations
Fungal skin infection
0.00%
0/38
5.6%
1/18 • Number of events 2
0.00%
0/8
Infections and infestations
Skin infection
0.00%
0/38
11.1%
2/18 • Number of events 2
0.00%
0/8
Infections and infestations
Urinary tract infection
5.3%
2/38 • Number of events 2
0.00%
0/18
12.5%
1/8 • Number of events 1
Injury, poisoning and procedural complications
Fall
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Investigations
Alanine aminotransferase increased
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Investigations
Aspartate aminotransferase increased
0.00%
0/38
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Investigations
Blood alkaline phosphatase increased
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Investigations
Blood bilirubin increased
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Investigations
Blood creatine increased
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Investigations
Blood creatinine increased
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
0.00%
0/8
Investigations
Blood lactate dehydrogenase increased
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Investigations
Neutrophil count decreased
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Investigations
Platelet count decreased
2.6%
1/38 • Number of events 1
11.1%
2/18 • Number of events 2
0.00%
0/8
Investigations
Weight decreased
0.00%
0/38
11.1%
2/18 • Number of events 2
25.0%
2/8 • Number of events 2
Investigations
White blood cell count decreased
0.00%
0/38
16.7%
3/18 • Number of events 3
0.00%
0/8
Metabolism and nutrition disorders
Decreased appetite
21.1%
8/38 • Number of events 8
22.2%
4/18 • Number of events 4
37.5%
3/8 • Number of events 4
Metabolism and nutrition disorders
Dehydration
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 2
Metabolism and nutrition disorders
Hyperglycaemia
2.6%
1/38 • Number of events 1
11.1%
2/18 • Number of events 3
12.5%
1/8 • Number of events 3
Metabolism and nutrition disorders
Hyperkalaemia
2.6%
1/38 • Number of events 1
0.00%
0/18
25.0%
2/8 • Number of events 2
Metabolism and nutrition disorders
Hypoalbuminaemia
0.00%
0/38
11.1%
2/18 • Number of events 2
0.00%
0/8
Metabolism and nutrition disorders
Hypocalcaemia
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Metabolism and nutrition disorders
Hypokalaemia
0.00%
0/38
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Hypomagnesaemia
5.3%
2/38 • Number of events 2
5.6%
1/18 • Number of events 1
25.0%
2/8 • Number of events 2
Metabolism and nutrition disorders
Hyponatraemia
2.6%
1/38 • Number of events 1
0.00%
0/18
12.5%
1/8 • Number of events 1
Musculoskeletal and connective tissue disorders
Arthralgia
2.6%
1/38 • Number of events 1
11.1%
2/18 • Number of events 2
0.00%
0/8
Musculoskeletal and connective tissue disorders
Back pain
5.3%
2/38 • Number of events 2
11.1%
2/18 • Number of events 2
12.5%
1/8 • Number of events 1
Musculoskeletal and connective tissue disorders
Bone pain
7.9%
3/38 • Number of events 4
11.1%
2/18 • Number of events 2
12.5%
1/8 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Musculoskeletal and connective tissue disorders
Muscular weakness
5.3%
2/38 • Number of events 2
5.6%
1/18 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
0.00%
0/38
11.1%
2/18 • Number of events 2
0.00%
0/8
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
5.3%
2/38 • Number of events 2
5.6%
1/18 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Musculoskeletal and connective tissue disorders
Neck pain
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Nervous system disorders
Dizziness
10.5%
4/38 • Number of events 5
16.7%
3/18 • Number of events 4
12.5%
1/8 • Number of events 1
Nervous system disorders
Dysgeusia
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Nervous system disorders
Headache
2.6%
1/38 • Number of events 1
0.00%
0/18
12.5%
1/8 • Number of events 2
Nervous system disorders
Neuropathy peripheral
5.3%
2/38 • Number of events 2
11.1%
2/18 • Number of events 2
0.00%
0/8
Nervous system disorders
Presyncope
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Nervous system disorders
Syncope
5.3%
2/38 • Number of events 3
0.00%
0/18
12.5%
1/8 • Number of events 1
Psychiatric disorders
Agitation
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Psychiatric disorders
Anxiety
5.3%
2/38 • Number of events 3
0.00%
0/18
0.00%
0/8
Psychiatric disorders
Confusional state
13.2%
5/38 • Number of events 5
0.00%
0/18
0.00%
0/8
Psychiatric disorders
Depression
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Psychiatric disorders
Insomnia
10.5%
4/38 • Number of events 4
0.00%
0/18
25.0%
2/8 • Number of events 2
Psychiatric disorders
Sleep disorder
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Renal and urinary disorders
Dysuria
0.00%
0/38
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 2
Renal and urinary disorders
Micturition disorder
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Cough
21.1%
8/38 • Number of events 9
11.1%
2/18 • Number of events 2
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnoea
15.8%
6/38 • Number of events 6
11.1%
2/18 • Number of events 2
25.0%
2/8 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Haemoptysis
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Hypoxia
5.3%
2/38 • Number of events 2
0.00%
0/18
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
2.6%
1/38 • Number of events 1
5.6%
1/18 • Number of events 1
25.0%
2/8 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.3%
2/38 • Number of events 2
0.00%
0/18
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Productive cough
2.6%
1/38 • Number of events 1
0.00%
0/18
25.0%
2/8 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Wheezing
5.3%
2/38 • Number of events 2
5.6%
1/18 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Blister
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus
18.4%
7/38 • Number of events 8
0.00%
0/18
0.00%
0/8
Skin and subcutaneous tissue disorders
Rash
7.9%
3/38 • Number of events 3
11.1%
2/18 • Number of events 2
25.0%
2/8 • Number of events 2
Skin and subcutaneous tissue disorders
Skin discolouration
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Skin and subcutaneous tissue disorders
Sunburn
0.00%
0/38
5.6%
1/18 • Number of events 1
0.00%
0/8
Vascular disorders
Hypotension
5.3%
2/38 • Number of events 2
16.7%
3/18 • Number of events 3
25.0%
2/8 • Number of events 2
Vascular disorders
Orthostatic hypotension
0.00%
0/38
0.00%
0/18
12.5%
1/8 • Number of events 2
Vascular disorders
Superior vena cava syndrome
0.00%
0/38
0.00%
0/18
12.5%
1/8 • 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