Trial Outcomes & Findings for A Study of Abemaciclib in Participants With Varying Degrees of Liver Impairment (NCT NCT02387814)

NCT ID: NCT02387814

Last Updated: 2019-03-05

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

35 participants

Primary outcome timeframe

Day 1: Predose, 1, 2, 3, 4, 6, 8, 10, 24, 48, 72, 96, 120, 144, 168, and 192 Hours Postdose

Results posted on

2019-03-05

Participant Flow

Participant milestones

Participant milestones
Measure
Abemaciclib: Normal Hepatic Function
200 milligrams (mg) abemaciclib administered once, orally, to participants with normal hepatic function.
Abemaciclib: Mild Hepatic Impairment
200 mg abemaciclib administered once, orally, to participants with mild hepatic impairment.
Abemaciclib: Moderate Hepatic Impairment
200 mg abemaciclib administered once, orally, to participants with moderate hepatic impairment.
Abemaciclib: Severe Hepatic Impairment
200 mg abemaciclib administered once, orally, to participants with severe hepatic impairment.
Overall Study
STARTED
10
9
10
6
Overall Study
Received Abemaciclib
10
9
10
6
Overall Study
COMPLETED
10
9
10
6
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Abemaciclib in Participants With Varying Degrees of Liver Impairment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Abemaciclib: Normal Hepatic Function
n=10 Participants
200 mg abemaciclib administered once, orally, to participants with normal hepatic function.
Abemaciclib: Mild Hepatic Impairment
n=9 Participants
200 mg abemaciclib administered once, orally, to participants with mild hepatic impairment.
Abemaciclib: Moderate Hepatic Impairment
n=10 Participants
200 mg abemaciclib administered once, orally, to participants with moderate hepatic impairment.
Abemaciclib: Severe Hepatic Impairment
n=6 Participants
200 mg abemaciclib administered once, orally, to participants with severe hepatic impairment.
Total
n=35 Participants
Total of all reporting groups
Age, Continuous
55.0 years
STANDARD_DEVIATION 4.8 • n=5 Participants
56.6 years
STANDARD_DEVIATION 4.4 • n=7 Participants
58.8 years
STANDARD_DEVIATION 5.5 • n=5 Participants
53.2 years
STANDARD_DEVIATION 6.2 • n=4 Participants
56.2 years
STANDARD_DEVIATION 5.3 • n=21 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
2 Participants
n=4 Participants
13 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
6 Participants
n=7 Participants
7 Participants
n=5 Participants
4 Participants
n=4 Participants
22 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
8 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
7 Participants
n=7 Participants
10 Participants
n=5 Participants
2 Participants
n=4 Participants
27 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
0 Participants
n=4 Participants
7 Participants
n=21 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
4 Participants
n=4 Participants
25 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
Region of Enrollment
United States
10 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
6 Participants
n=4 Participants
35 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1: Predose, 1, 2, 3, 4, 6, 8, 10, 24, 48, 72, 96, 120, 144, 168, and 192 Hours Postdose

Population: All participants who received abemaciclib and had evaluable plasma values.

Outcome measures

Outcome measures
Measure
Abemaciclib: Normal Hepatic Function
n=10 Participants
200 mg abemaciclib administered once, orally, to participants with normal hepatic function.
Abemaciclib: Mild Hepatic Impairment
n=9 Participants
200 mg abemaciclib administered once, orally, to participants with mild hepatic impairment.
Abemaciclib: Moderate Hepatic Impairment
n=10 Participants
200 mg abemaciclib administered once, orally, to participants with moderate hepatic impairment.
Abemaciclib: Severe Hepatic Impairment
n=6 Participants
200 mg abemaciclib administered once, orally, to participants with severe hepatic impairment.
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Abemaciclib and Active Metabolites
Abemaciclib
133 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 63
109 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 65
83.9 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 47
156 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 44
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Abemaciclib and Active Metabolites
LSN2839567
31.2 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 57
26.0 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 31
13.6 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 71
17.4 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 45
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Abemaciclib and Active Metabolites
LSN3106729
10.4 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 47
6.24 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 27
4.96 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 90
2.70 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 41
Pharmacokinetics (PK): Maximum Observed Concentration (Cmax) of Abemaciclib and Active Metabolites
LSN3106726
55.3 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 40
37.7 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 35
19.2 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 71
14.0 nanograms per milliliter (ng/mL)
Geometric Coefficient of Variation 27

PRIMARY outcome

Timeframe: Day 1: Predose, 1, 2, 3, 4, 6, 8, 10, 24, 48, 72, 96, 120, 144, 168, and 192 Hours Postdose

Population: All participants who received abemaciclib and had evaluable plasma values.

Outcome measures

Outcome measures
Measure
Abemaciclib: Normal Hepatic Function
n=10 Participants
200 mg abemaciclib administered once, orally, to participants with normal hepatic function.
Abemaciclib: Mild Hepatic Impairment
n=9 Participants
200 mg abemaciclib administered once, orally, to participants with mild hepatic impairment.
Abemaciclib: Moderate Hepatic Impairment
n=10 Participants
200 mg abemaciclib administered once, orally, to participants with moderate hepatic impairment.
Abemaciclib: Severe Hepatic Impairment
n=6 Participants
200 mg abemaciclib administered once, orally, to participants with severe hepatic impairment.
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Infinity(AUC[0-inf]) of Abemaciclib and Active Metabolites
Abemaciclib
4460 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 61
4280 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 58
4940 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 51
9310 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 49
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Infinity(AUC[0-inf]) of Abemaciclib and Active Metabolites
LSN2839567
1420 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 40
1090 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 34
921 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 46
846 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 33
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Infinity(AUC[0-inf]) of Abemaciclib and Active Metabolites
LSN3106729
480 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 55
257 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 42
211 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 251
35.3 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation NA
Due to lack of samples with quantifiable LSN3106729 concentrations, AUC(0-inf) could only be calculated for 1 participant. (Individual value: 35.3 ng\*h/mL).
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve From Time Zero to Infinity(AUC[0-inf]) of Abemaciclib and Active Metabolites
LSN3106726
3120 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 40
2200 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 39
1570 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 57
1170 nanograms*hours/milliliter (ng*h/mL)
Geometric Coefficient of Variation 30

Adverse Events

Abemaciclib: Normal Hepatic Function

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Abemaciclib: Mild Hepatic Impairment

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Abemaciclib: Moderate Hepatic Impairment

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Abemaciclib: Severe Hepatic Impairment

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Abemaciclib: Normal Hepatic Function
n=10 participants at risk
200 mg abemaciclib administered once, orally, to participants with normal hepatic function.
Abemaciclib: Mild Hepatic Impairment
n=9 participants at risk
200 mg abemaciclib administered once, orally, to participants with mild hepatic impairment.
Abemaciclib: Moderate Hepatic Impairment
n=10 participants at risk
200 mg abemaciclib administered once, orally, to participants with moderate hepatic impairment.
Abemaciclib: Severe Hepatic Impairment
n=6 participants at risk
200 mg abemaciclib administered once, orally, to participants with severe hepatic impairment.
Infections and infestations
Pneumonia
0.00%
0/10
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/6

Other adverse events

Other adverse events
Measure
Abemaciclib: Normal Hepatic Function
n=10 participants at risk
200 mg abemaciclib administered once, orally, to participants with normal hepatic function.
Abemaciclib: Mild Hepatic Impairment
n=9 participants at risk
200 mg abemaciclib administered once, orally, to participants with mild hepatic impairment.
Abemaciclib: Moderate Hepatic Impairment
n=10 participants at risk
200 mg abemaciclib administered once, orally, to participants with moderate hepatic impairment.
Abemaciclib: Severe Hepatic Impairment
n=6 participants at risk
200 mg abemaciclib administered once, orally, to participants with severe hepatic impairment.
Gastrointestinal disorders
Abdominal discomfort
10.0%
1/10 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/6
Gastrointestinal disorders
Abdominal distension
0.00%
0/10
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/6
Gastrointestinal disorders
Abdominal pain
0.00%
0/10
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
Constipation
0.00%
0/10
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/6
Gastrointestinal disorders
Diarrhoea
0.00%
0/10
11.1%
1/9 • Number of events 1
10.0%
1/10 • Number of events 1
0.00%
0/6
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.00%
0/10
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/6
Gastrointestinal disorders
Nausea
0.00%
0/10
0.00%
0/9
10.0%
1/10 • Number of events 1
16.7%
1/6 • Number of events 1
Gastrointestinal disorders
Salivary hypersecretion
0.00%
0/10
0.00%
0/9
0.00%
0/10
16.7%
1/6 • Number of events 1
General disorders
Catheter site erythema
0.00%
0/10
22.2%
2/9 • Number of events 2
0.00%
0/10
0.00%
0/6
General disorders
Catheter site pain
0.00%
0/10
11.1%
1/9 • Number of events 1
0.00%
0/10
16.7%
1/6 • Number of events 1
General disorders
Fatigue
0.00%
0/10
0.00%
0/9
20.0%
2/10 • Number of events 2
0.00%
0/6
General disorders
Malaise
0.00%
0/10
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/6
Infections and infestations
Bronchitis
0.00%
0/10
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/6
Injury, poisoning and procedural complications
Laceration
0.00%
0/10
0.00%
0/9
0.00%
0/10
16.7%
1/6 • Number of events 1
Injury, poisoning and procedural complications
Skin abrasion
0.00%
0/10
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/6
Investigations
White blood cell count decreased
0.00%
0/10
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/6
Nervous system disorders
Dysgeusia
0.00%
0/10
22.2%
2/9 • Number of events 2
0.00%
0/10
0.00%
0/6
Nervous system disorders
Headache
30.0%
3/10 • Number of events 3
22.2%
2/9 • Number of events 2
10.0%
1/10 • Number of events 2
0.00%
0/6
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/10
22.2%
2/9 • Number of events 2
0.00%
0/10
0.00%
0/6
Vascular disorders
Hypotension
0.00%
0/10
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/6

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