Trial Outcomes & Findings for A Study of Enzastaurin in Chinese Patients With Advanced and/or Metastatic Solid Tumors or Lymphoma (NCT NCT01432951)

NCT ID: NCT01432951

Last Updated: 2020-10-12

Results Overview

PK (AUCt,ss) of Enzastaurin, its metabolites (LSN326020, LSN485912, and LSN2406799), and total analyte in plasma (enzastaurin + LSN326020 + LSN485912 + LSN2406799) were reported.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

26 participants

Primary outcome timeframe

Day 14: Predose and 1, 2, 4, 6, 8, 10, 24, 48, 72, and 96 hours post dose

Results posted on

2020-10-12

Participant Flow

Participants who were considered to have completed the study who received at least 1 dose of study drug and from whom a valid assay result was obtained.

Participant milestones

Participant milestones
Measure
Enzastaurin
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days. Safety Extension: Participants had the option to continue receiving enzastaurin treatment until disease progression or discontinuation criteria are met, as per the investigator's assessment.
Treatment Phase (Day 1 to 30)
STARTED
26
Treatment Phase (Day 1 to 30)
Received at Least One Dose of Study Drug
25
Treatment Phase (Day 1 to 30)
PK Sampling (no Dosing) Days 15-17
23
Treatment Phase (Day 1 to 30)
Progressive Disease
10
Treatment Phase (Day 1 to 30)
COMPLETED
25
Treatment Phase (Day 1 to 30)
NOT COMPLETED
1
Safety Extension Day 30 to End of Study
STARTED
15
Safety Extension Day 30 to End of Study
COMPLETED
15
Safety Extension Day 30 to End of Study
NOT COMPLETED
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Enzastaurin
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days. Safety Extension: Participants had the option to continue receiving enzastaurin treatment until disease progression or discontinuation criteria are met, as per the investigator's assessment.
Treatment Phase (Day 1 to 30)
Never Treated
1

Baseline Characteristics

A Study of Enzastaurin in Chinese Patients With Advanced and/or Metastatic Solid Tumors or Lymphoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Enzastaurin
n=26 Participants
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days.
Age, Continuous
52 years
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
26 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
26 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
China
26 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 14: Predose and 1, 2, 4, 6, 8, 10, 24, 48, 72, and 96 hours post dose

Population: All participants who received at least one dose of study drug had evaluable PK data.

PK (AUCt,ss) of Enzastaurin, its metabolites (LSN326020, LSN485912, and LSN2406799), and total analyte in plasma (enzastaurin + LSN326020 + LSN485912 + LSN2406799) were reported.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days.
Pharmacokinetics (PK): Area Under the Concentration -Time Curve Over a Dosing Interval at Steady State (AUCt,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Enzastaurin
29100 nanomole*hour/Liter (nmol*h/L)
Geometric Coefficient of Variation 128
Pharmacokinetics (PK): Area Under the Concentration -Time Curve Over a Dosing Interval at Steady State (AUCt,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN326020
21800 nanomole*hour/Liter (nmol*h/L)
Geometric Coefficient of Variation 45.5
Pharmacokinetics (PK): Area Under the Concentration -Time Curve Over a Dosing Interval at Steady State (AUCt,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN485912
6520 nanomole*hour/Liter (nmol*h/L)
Geometric Coefficient of Variation 145
Pharmacokinetics (PK): Area Under the Concentration -Time Curve Over a Dosing Interval at Steady State (AUCt,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN2406799
2910 nanomole*hour/Liter (nmol*h/L)
Geometric Coefficient of Variation 103
Pharmacokinetics (PK): Area Under the Concentration -Time Curve Over a Dosing Interval at Steady State (AUCt,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Total Analytes
63700 nanomole*hour/Liter (nmol*h/L)
Geometric Coefficient of Variation 86.1

PRIMARY outcome

Timeframe: Day 14: Predose and and 1, 2, 4, 6, 8, 10, 24, 48, 72, and 96 hours post dose

Population: All participants who received at least one dose of study drug had evaluable PK data.

PK (Cmax,ss) of Enzastaurin, its metabolites (LSN326020, LSN485912, and LSN2406799), and total analyte in plasma (enzastaurin + LSN326020 + LSN485912 + LSN2406799) were reported.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days.
PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Enzastaurin
2370 nanomole/liter (nmol/L)
Geometric Coefficient of Variation 112
PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN326020
1070 nanomole/liter (nmol/L)
Geometric Coefficient of Variation 38.4
PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN485912
385 nanomole/liter (nmol/L)
Geometric Coefficient of Variation 116
PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN2406799
265 nanomole/liter (nmol/L)
Geometric Coefficient of Variation 89.8
PK: Maximum Observed Drug Concentration at Steady State (Cmax,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Total Analytes
4140 nanomole/liter (nmol/L)
Geometric Coefficient of Variation 81.5

PRIMARY outcome

Timeframe: Day 14: Predose and 1, 2, 4, 6, 8, 10, 24, 48, 72, and 96 hours post dose

Population: All participants who received at least one dose of study drug had evaluable PK data.

PK (tmax,ss) of Enzastaurin, its metabolites (LSN326020, LSN485912, and LSN2406799), and total analyte in plasma (enzastaurin + LSN326020 + LSN485912 + LSN2406799) were reported.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days.
PK: Time of Maximal Plasma Concentration at Steady State (Tmax, ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Enzastaurin
4.00 Hour (h)
Interval 2.0 to 8.17
PK: Time of Maximal Plasma Concentration at Steady State (Tmax, ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN326020
5.97 Hour (h)
Interval 0.0 to 24.0
PK: Time of Maximal Plasma Concentration at Steady State (Tmax, ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN485912
6.00 Hour (h)
Interval 0.0 to 24.0
PK: Time of Maximal Plasma Concentration at Steady State (Tmax, ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN2406799
4.00 Hour (h)
Interval 2.0 to 8.17
PK: Time of Maximal Plasma Concentration at Steady State (Tmax, ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Total Analytes
4.00 Hour (h)
Interval 2.0 to 8.17

PRIMARY outcome

Timeframe: Day 14: Predose and and 1, 2, 4, 6, 8, 10, 24, 48, 72, and 96 hours post dose

Population: All participants who received at least one dose of study drug had evaluable PK data.

PK (Cav,ss) of Enzastaurin, its metabolites (LSN326020, LSN485912, and LSN2406799), and total analyte in plasma (enzastaurin + LSN326020 + LSN485912 + LSN2406799) were reported.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days.
PK: Average Concentration During a Dosing Interval at Steady State (Cav,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Enzastaurin
1210 nmol/L
Geometric Coefficient of Variation 128
PK: Average Concentration During a Dosing Interval at Steady State (Cav,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN326020
907 nmol/L
Geometric Coefficient of Variation 45.5
PK: Average Concentration During a Dosing Interval at Steady State (Cav,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN485912
272 nmol/L
Geometric Coefficient of Variation 145
PK: Average Concentration During a Dosing Interval at Steady State (Cav,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN2406799
121 nmol/L
Geometric Coefficient of Variation 103
PK: Average Concentration During a Dosing Interval at Steady State (Cav,ss) of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Total Analytes
2650 nmol/L
Geometric Coefficient of Variation 86.1

PRIMARY outcome

Timeframe: Day 14: Predose and 1, 2, 4, 6, 8, 10, 24, 48, 72, and 96 hours post dose

Population: All participants who received at least one dose of study drug had evaluable PK data.

PK terminal elimination half-life of Enzastaurin, its metabolites (LSN326020, LSN485912, and LSN2406799), and total analyte in plasma (enzastaurin + LSN326020 + LSN485912 + LSN2406799) were reported.

Outcome measures

Outcome measures
Measure
Enzastaurin
n=23 Participants
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days.
PK: Terminal Elimination Half-Life of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Enzastaurin
14.0 Hour (h)
Geometric Coefficient of Variation 54.0
PK: Terminal Elimination Half-Life of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN326020
42.0 Hour (h)
Geometric Coefficient of Variation 42.2
PK: Terminal Elimination Half-Life of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN485912
14.5 Hour (h)
Geometric Coefficient of Variation 51.7
PK: Terminal Elimination Half-Life of Enzastaurin, It's Metabolites and Total Analytes in Plasma
LSN2406799
15.4 Hour (h)
Geometric Coefficient of Variation 51.1
PK: Terminal Elimination Half-Life of Enzastaurin, It's Metabolites and Total Analytes in Plasma
Total Analytes
NA Hour (h)
Geometric Coefficient of Variation NA
Total analytes are not directly measured or reported.

Adverse Events

Enzastaurin

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

Enzastaurin Safety Extension

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Enzastaurin
n=25 participants at risk
Enzastaurin 500 mg, four 125-mg tablets was administered orally once daily for 14 days. Dosing is held for 3 days, and resumes on Day 18. Participants may continue receiving optional enzastaurin treatment for up to 30 days.
Enzastaurin Safety Extension
n=15 participants at risk
Participants had the option to continue receiving enzastaurin 500 mg, orally once daily until disease progression or discontinuation criteria are met, as per the investigator's assessment.
Blood and lymphatic system disorders
Leukopenia
8.0%
2/25 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
0.00%
0/15 • From Baseline to Study Completion (Up to 6 years and 1 month)
Blood and lymphatic system disorders
Neutropenia
16.0%
4/25 • Number of events 4 • From Baseline to Study Completion (Up to 6 years and 1 month)
0.00%
0/15 • From Baseline to Study Completion (Up to 6 years and 1 month)
Cardiac disorders
Sinus tachycardia
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Gastrointestinal disorders
Abdominal distension
4.0%
1/25 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Gastrointestinal disorders
Abdominal pain
8.0%
2/25 • Number of events 3 • From Baseline to Study Completion (Up to 6 years and 1 month)
13.3%
2/15 • Number of events 4 • From Baseline to Study Completion (Up to 6 years and 1 month)
Gastrointestinal disorders
Diarrhoea
8.0%
2/25 • Number of events 3 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
Gastrointestinal disorders
Faeces hard
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Gastrointestinal disorders
Gastritis
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Gastrointestinal disorders
Gingival swelling
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Gastrointestinal disorders
Reflux oesophagitis
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
General disorders
Fatigue
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
General disorders
Oedema
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
13.3%
2/15 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
General disorders
Pain
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Infections and infestations
Furuncle
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Infections and infestations
Lung infection
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Infections and infestations
Nasopharyngitis
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Infections and infestations
Upper respiratory tract infection
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
20.0%
3/15 • Number of events 5 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Alanine aminotransferase increased
12.0%
3/25 • Number of events 3 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Aspartate aminotransferase increased
8.0%
2/25 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Blood albumin decreased
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
13.3%
2/15 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Blood bilirubin
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Blood follicle stimulating hormone
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Blood luteinising hormone increased
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Blood potassium decreased
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Electrocardiogram qt prolonged
36.0%
9/25 • Number of events 11 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Haemoglobin decreased
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
26.7%
4/15 • Number of events 4 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Lymphocyte count decreased
8.0%
2/25 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Lymphocyte count increased
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Neutrophil count decreased
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
13.3%
2/15 • Number of events 2 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Platelet count decreased
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
Protein total decreased
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
White blood cell count decreased
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Investigations
White blood cell count increased
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Musculoskeletal and connective tissue disorders
Pain in extremity
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
13.3%
2/15 • Number of events 4 • From Baseline to Study Completion (Up to 6 years and 1 month)
Psychiatric disorders
Insomnia
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Renal and urinary disorders
Chromaturia
12.0%
3/25 • Number of events 3 • From Baseline to Study Completion (Up to 6 years and 1 month)
0.00%
0/15 • From Baseline to Study Completion (Up to 6 years and 1 month)
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Respiratory, thoracic and mediastinal disorders
Epistaxis
4.0%
1/25 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/25 • From Baseline to Study Completion (Up to 6 years and 1 month)
6.7%
1/15 • Number of events 1 • From Baseline to Study Completion (Up to 6 years and 1 month)

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