A Study of Abemaciclib (LY2835219) in Participants With Previously Treated KRAS Mutated Lung Cancer
NCT ID: NCT02152631
Last Updated: 2025-04-22
Study Results
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View full resultsBasic Information
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ACTIVE_NOT_RECRUITING
PHASE3
453 participants
INTERVENTIONAL
2014-10-03
2025-12-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Abemaciclib
200 milligrams (mg) abemaciclib administered, orally, every 12 hours plus best supportive care (BSC) on Days 1 to 28 (28 day cycles).
Abemaciclib
Administered orally
Erlotinib
150 mg erlotinib administered, orally, every 24 hours plus BSC on Days 1 to 28 (28 day cycles).
Erlotinib
Administered orally
Interventions
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Abemaciclib
Administered orally
Erlotinib
Administered orally
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Determined to have detectable mutations in codons 12 or 13 of the kirsten rat sarcoma (KRAS) oncogene by an investigational assay at the study central laboratory. A KRAS positive mutation result in codons 12 or 13 of the KRAS oncogene from tumor tissue per local laboratory will be permitted in no more than 10% of randomized participants.
* Have progressed after platinum-based chemotherapy (with or without maintenance therapy) AND have received one additional therapy which may include an immune checkpoint inhibitor or other anti-cancer therapy for advanced and/or metastatic disease OR is judged by the physician as ineligible for further standard second-line chemotherapy. Participants who have progressed after platinum-based chemotherapy and an immune checkpoint inhibitor (immunotherapy) e.g. pembrolizumab or nivolumab alone or in combination with other agents are eligible.
* Have measureable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
* Have a performance status (PS) of 0 to 1 on the Eastern Cooperative Oncology Group (ECOG) scale.
* Have discontinued all previous therapies for cancer (including chemotherapy, radiotherapy, immunotherapy, and investigational therapy) for at least 21 days for myelosuppressive agents or 14 days for nonmyelosuppressive agents prior to receiving study drug.
Exclusion Criteria
* Have a personal history of any of the following conditions: presyncope or syncope of either unexplained or cardiovascular etiology, ventricular arrhythmia (including but not limited to ventricular tachycardia and ventricular fibrillation), or sudden cardiac arrest.
* Have the presence of unstable central nervous system (CNS) metastasis. History of CNS metastasis or stable CNS metastases is allowed (no longer requiring active therapy such as steroid medications). Participants with a history of CNS metastases must have a brain scan (for example, magnetic resonance imaging \[MRI\]) within 28 days of randomization to document stability, even if there have been no changes in symptoms.
* Have previously completed or withdrawn from this study or any other study investigating a cyclin-dependent kinase 4 (CDK4) and cyclin-dependent kinase 6 (CDK6) inhibitors, or have received treatment with a prior CDK4 and CDK6 inhibitors.
18 Years
ALL
No
Sponsors
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Eli Lilly and Company
INDUSTRY
Responsible Party
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Principal Investigators
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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)
Role: STUDY_DIRECTOR
Eli Lilly and Company
Locations
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Highlands Oncology Group
Fayetteville, Arkansas, United States
St. Bernards Medical Center
Jonesboro, Arkansas, United States
City of Hope National Medical Center
Duarte, California, United States
University of California - San Diego
La Jolla, California, United States
Loma Linda University School of Medicine
Loma Linda, California, United States
CBCC Global Research, Inc.
Los Angeles, California, United States
Central Coast Medical Oncology Corporation
Los Angeles, California, United States
Fort Wayne Oncology & Hematology
Los Angeles, California, United States
SMO TRIO -Translational Research
Los Angeles, California, United States
St. Joseph Heritage Medical Group
Los Angeles, California, United States
UCLA Department of Medicine-Hematology/Oncology
Los Angeles, California, United States
Cancer Care Associates Medical Group
Los Angeles, California, United States
Dignity Health Care Institute
Sacramento, California, United States
Alegent Immanuel Cancer Center
Englewood, Colorado, United States
Jewish Hospital
Englewood, Colorado, United States
Oncology Hematology West
Englewood, Colorado, United States
SMO Catholic Health Initiatives
Englewood, Colorado, United States
St Joseph Cancer Center
Englewood, Colorado, United States
St. Francis Medical Center
Englewood, Colorado, United States
Medical Oncology Hematology Consultants
Newark, Delaware, United States
Boca Raton Regional Hospital
Boca Raton, Florida, United States
Halifax Medical Center
Daytona Beach, Florida, United States
Memorial Cancer Institute
Pembroke Pines, Florida, United States
H Lee Moffitt Cancer Center
Tampa, Florida, United States
University Cancer & Blood Center, LLC
Athens, Georgia, United States
Ingalls Memorial Hospital
Harvey, Illinois, United States
Indiana University School of Medicine
Indianapolis, Indiana, United States
University of Iowa
Iowa City, Iowa, United States
Cancer Center of Kansas, P.A.
Wichita, Kansas, United States
Central Baptist Hospital
Lexington, Kentucky, United States
University of Louisville
Louisville, Kentucky, United States
Walter Reed National Military Medical Center
Bethesda, Maryland, United States
Metro-West and Greater Boston CNS Research
Framingham, Massachusetts, United States
Karmanos Cancer Institute
Detroit, Michigan, United States
Mercy Medical Research Institute
Springfield, Missouri, United States
Billings Clinic Research Center
Billings, Montana, United States
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, United States
Broome Oncology
Johnson City, New York, United States
Weill Cornell Medical College
New York, New York, United States
Oncology Hematology Care Inc
Cincinnati, Ohio, United States
Oklahoma Cancer Specialists & Research Institute, LLC
Tulsa, Oklahoma, United States
Providence Cancer Center Oncology Hematology Care
Portland, Oregon, United States
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, United States
Roper St. Francis Healthcare
Charleston, South Carolina, United States
Chattanooga Oncology Hematology Associates
Chattanooga, Tennessee, United States
Chattanooga Oncology Hematology Associates
Nashville, Tennessee, United States
Tennessee Oncology PLLC
Nashville, Tennessee, United States
Mary Crowley Cancer Research Center
Dallas, Texas, United States
Utah Cancer Specialists
Salt Lake City, Utah, United States
University of Vermont Medical Center
Burlington, Vermont, United States
Virginia Commonwealth University
Richmond, Virginia, United States
Kadlec Clinical Hematology & Oncology
Kennewick, Washington, United States
Swedish Medical Center
Seattle, Washington, United States
Cancer Care Northwest
Valley, Washington, United States
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Berazategui, , Argentina
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Ciudad Autonoma Buenos Aires, , Argentina
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Ciudad Autonoma Buenos Aires, , Argentina
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Ciudad Autonoma Buenos Aires, , Argentina
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Rosario, , Argentina
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Rosario, , Argentina
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Viedma, , Argentina
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Graz, , Austria
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Linz, , Austria
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Linz, , Austria
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Salzburg, , Austria
Associação Hospital de Caridade Ijuí
Ijuí, , Brazil
Hospital Bruno Born
Lajeados, , Brazil
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Porto Alegre, , Brazil
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Rio de Janeiro, , Brazil
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Salvador, , Brazil
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Sao Jose Rio Preto, , Brazil
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São Paulo, , Brazil
Fundação Antonio Prudente - Hospital do Câncer A.C Camargo
São Paulo, , Brazil
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Calgary, , Canada
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Edmonton, , Canada
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Montreal, , Canada
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Toronto, , Canada
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Vancouver, , Canada
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Winnipeg, , Canada
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Beijing, , China
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Beijing, , China
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Beijing, , China
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Changchun, , China
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Changzhou, , China
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Chengdu, , China
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Haikou, , China
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Hangzhou, , China
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Hefei, , China
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Nanning, , China
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Shanghai, , China
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Shenyang, , China
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Bron, , France
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Dijon, , France
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Grenoble, , France
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Lille, , France
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Marseille, , France
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Poitiers, , France
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Rennes, , France
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Saint-Brieuc, , France
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Saint-Priest-en-Jarez, , France
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Toulouse, , France
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Vantoux, , France
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Berlin, , Germany
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Gera, , Germany
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Großhansdorf, , Germany
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Hamburg, , Germany
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Hanover, , Germany
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Heidelberg, , Germany
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Immenhausen, , Germany
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Nuremberg, , Germany
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Regensburg, , Germany
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Rosenheim, , Germany
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Tübingen, , Germany
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Ulm, , Germany
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Athens, , Greece
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Athens, , Greece
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Athens, , Greece
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Heraklion, , Greece
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Pátrai, , Greece
Soroka Medical Center
Beersheba, , Israel
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Holon, , Israel
Hadassah Medical Center - Ein Karem
Jerusalem, , Israel
Meir Medical Center
Kfar Saba, , Israel
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Petah Tikva, , Israel
Sheba Medical Center
Tel Litwinsky, , Israel
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Catania, , Italy
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Genova, , Italy
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Livorno, , Italy
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Parma, , Italy
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Rome, , Italy
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Amagasaki, , Japan
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Asahikawa, , Japan
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Bunkyō City, , Japan
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Bunkyō City, , Japan
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Fukuoka, , Japan
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Habikino, , Japan
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Hirakata, , Japan
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Hiroshima, , Japan
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Hyōgo, , Japan
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Kanazawa, , Japan
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Kashiwa, , Japan
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Kishiwada, , Japan
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Kitaadachi-Gun, , Japan
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Kobe, , Japan
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Kōtoku, , Japan
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Kurashiki, , Japan
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Matsuyama, , Japan
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Nagasaki, , Japan
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Nagoya, , Japan
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Nagoya, , Japan
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Natori, , Japan
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Okayama, , Japan
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Osaka, , Japan
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Osaka, , Japan
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Osaka, , Japan
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Sakai, , Japan
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Sayama, , Japan
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Sendai, , Japan
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Shinjuku-ku, , Japan
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Sunto-Gun, , Japan
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Ube, , Japan
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Utsunomiya, , Japan
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Wakayama, , Japan
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Yokohama, , Japan
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Yonago, , Japan
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Yufu-shi, , Japan
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Gdansk, , Poland
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Lodz, , Poland
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Olsztyn, , Poland
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Radom, , Poland
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Szczecin, , Poland
VA Caribbean Healthcare System
San Juan, , Puerto Rico
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Baia Mare, , Romania
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Bucharest, , Romania
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Cluj-Napoca, , Romania
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Cluj-Napoca, , Romania
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Craiova, , Romania
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, , Russia
Private clinic "Evimed"
Chelyabinsk, , Russia
Krasnodar regional clinical hospital # 1 n. a. S. V. Ochapovskogo
Krasnodar, , Russia
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Kursk, , Russia
Russian oncological scientific centre n.a. N.N. Blokhin of RAMS
Moscow, , Russia
St-Petersburg scientifical practical center of specialized kinds of medical care (oncological)
Saint Petersburg, , Russia
Saint-Petersburg city clinical oncology dispensary
Saint Petersburg, , Russia
Republic clinical oncology dispensary of MoH of Bashkortostan Republic
Ufa, , Russia
Volgograd regional clinical oncology dispensary
Volzhskiy, , Russia
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Goyang-si, , South Korea
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Incheon, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Seoul, , South Korea
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Seowon-Gu, , South Korea
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Suwon, , South Korea
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Ulsan, , South Korea
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A Coruña, , Spain
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Barcelona, , Spain
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L'Hospitalet de Llobregat, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Madrid, , Spain
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Málaga, , Spain
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Seville, , Spain
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Valencia, , Spain
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Chiayi City, , Taiwan
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Kaohsiung City, , Taiwan
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Kaohsiung City, , Taiwan
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Taichung, , Taiwan
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Taichung, , Taiwan
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Tainan City, , Taiwan
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Taipei, , Taiwan
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Taipei, , Taiwan
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Taipei, , Taiwan
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Zhonghe, , Taiwan
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Ankara, , Turkey (Türkiye)
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Ankara, , Turkey (Türkiye)
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Antalya, , Turkey (Türkiye)
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Edirne, , Turkey (Türkiye)
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Istanbul, , Turkey (Türkiye)
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Istanbul, , Turkey (Türkiye)
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Istanbul, , Turkey (Türkiye)
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Izmir, , Turkey (Türkiye)
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Dnipropetrovsk, , Ukraine
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Kharkiv, , Ukraine
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Kryvyi Rih, , Ukraine
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Kyiv, , Ukraine
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Lutsk, , Ukraine
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Poltava, , Ukraine
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Sumy, , Ukraine
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Uzhhorod, , Ukraine
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Vinnitsa, , Ukraine
Countries
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References
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Goldman JW, Mazieres J, Barlesi F, Dragnev KH, Koczywas M, Goskel T, Cortot AB, Girard N, Wesseler C, Bischoff H, Nadal E, Park K, Lu S, Taus A, Cobo M, Estrem ST, Wijayawardana SR, Turner K, Oakley GJ 3rd, Hurt KC, Chiang AY, Hossain AM, John WJ, Paz-Ares L. A Randomized Phase III Study of Abemaciclib Versus Erlotinib in Patients with Stage IV Non-small Cell Lung Cancer With a Detectable KRAS Mutation Who Failed Prior Platinum-Based Therapy: JUNIPER. Front Oncol. 2020 Oct 26;10:578756. doi: 10.3389/fonc.2020.578756. eCollection 2020.
Goldman JW, Shi P, Reck M, Paz-Ares L, Koustenis A, Hurt KC. Treatment Rationale and Study Design for the JUNIPER Study: A Randomized Phase III Study of Abemaciclib With Best Supportive Care Versus Erlotinib With Best Supportive Care in Patients With Stage IV Non-Small-Cell Lung Cancer With a Detectable KRAS Mutation Whose Disease Has Progressed After Platinum-Based Chemotherapy. Clin Lung Cancer. 2016 Jan;17(1):80-4. doi: 10.1016/j.cllc.2015.08.003. Epub 2015 Aug 18.
Provided Documents
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Document Type: Study Protocol: Protocol
Document Type: Study Protocol: Protocol (e)
Document Type: Statistical Analysis Plan
Related Links
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A Study of Abemaciclib (LY2835219) in Participants With Previously Treated KRAS Mutated Lung Cancer
Other Identifiers
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I3Y-MC-JPBK
Identifier Type: OTHER
Identifier Source: secondary_id
2013-004662-33
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
15296
Identifier Type: -
Identifier Source: org_study_id
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