A Neoadjuvant Study of Abemaciclib (LY2835219) in Postmenopausal Women With Hormone Receptor Positive, HER2 Negative Breast Cancer

NCT ID: NCT02441946

Last Updated: 2020-06-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2018-02-12

Brief Summary

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The purpose of this study is to evaluate the biological effects of abemaciclib in combination with anastrozole and compare those to the effects of abemaciclib alone and anastrozole alone in the tumors of postmenopausal women with hormone receptor positive (HR+), human epidermal growth factor receptor 2 (HER2) negative breast cancer.

Detailed Description

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Conditions

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Breast Cancer Hormone Receptor Positive Tumor Early-Stage Breast Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Abemaciclib + Anastrozole

Abemaciclib (150 milligrams \[mg\]) was given orally every 12 hours (Q12H) plus anastrozole (1 mg) orally once daily (QD) for 2 weeks. Loperamide was given as a prophylaxis for 4 weeks and then at physician discretion.

All participants received abemaciclib (150 mg) orally Q12H plus anastrozole (1 mg) QD for an additional 14 weeks. Total treatment duration was 16 weeks.

Group Type EXPERIMENTAL

Abemaciclib

Intervention Type DRUG

Administered orally

Loperamide

Intervention Type DRUG

Administered orally

Anastrozole

Intervention Type DRUG

Administered orally

Abemaciclib

Abemaciclib (150 mg) was given orally Q12H for 2 weeks. Loperamide was given as a prophylaxis for 4 weeks and then at physician discretion.

All participants received abemaciclib (150 mg) orally Q12H plus anastrozole (1 mg) QD for an additional 14 weeks. Total treatment duration was 16 weeks.

Group Type EXPERIMENTAL

Abemaciclib

Intervention Type DRUG

Administered orally

Loperamide

Intervention Type DRUG

Administered orally

Anastrozole

Intervention Type DRUG

Administered orally

Anastrozole

Anastrozole (1 mg) is given orally QD for 2 weeks.

All participants received abemaciclib (150 mg) orally Q12H plus anastrozole (1 mg) QD for an additional 14 weeks. Loperamide was given as a prophylaxis for the first 2 weeks of the combination treatment and then at physician discretion. Total treatment duration was 16 weeks.

Group Type ACTIVE_COMPARATOR

Abemaciclib

Intervention Type DRUG

Administered orally

Loperamide

Intervention Type DRUG

Administered orally

Anastrozole

Intervention Type DRUG

Administered orally

Interventions

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Abemaciclib

Administered orally

Intervention Type DRUG

Loperamide

Administered orally

Intervention Type DRUG

Anastrozole

Administered orally

Intervention Type DRUG

Other Intervention Names

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LY2835219

Eligibility Criteria

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Inclusion Criteria

* Have postmenopausal status.
* Adenocarcinoma of the breast.
* Breast tumor ≥1 centimeter (cm) in diameter, HR+, HER2-.
* Neoadjuvant endocrine monotherapy is deemed to be a suitable therapy.
* Primary breast cancer that is suitable for baseline core biopsy.
* Have adequate organ function.

Exclusion Criteria

* Bilateral invasive breast cancer.
* Metastatic breast cancer (local spread to axillary lymph nodes is permitted).
* Inflammatory breast cancer.
* Prior systemic therapy or radiotherapy for invasive or non-invasive breast cancer in the same breast as currently being treated.
* Prior radiotherapy to the ipsilateral chest wall for any malignancy.
* Prior anti-estrogen therapy.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

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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Comprehensive Blood and Cancer Center

Bakersfield, California, United States

Site Status

University of California-San Diego

La Jolla, California, United States

Site Status

SMO TRIO -Translational Research

Los Angeles, California, United States

Site Status

UCLA Medical Center

Los Angeles, California, United States

Site Status

Cancer Care Associates Medical Group

Redondo Beach, California, United States

Site Status

Sansum Medical Research Foundation

Santa Barbara, California, United States

Site Status

Central Coast Medical Oncology Corporation

Santa Monica, California, United States

Site Status

Stanford University

Stanford, California, United States

Site Status

SMO Pharmatech Oncology Inc

Denver, Colorado, United States

Site Status

St Mary's Hospital Regional Cancer Center

Grand Junction, Colorado, United States

Site Status

Holy Cross Hospital Inc.

Fort Lauderdale, Florida, United States

Site Status

Memorial Regional Hospital/Joe Dimaggio Childrens Hospital

Hollywood, Florida, United States

Site Status

Oncology and Radiation Associates

Miami, Florida, United States

Site Status

Orlando Health, Inc

Orlando, Florida, United States

Site Status

Florida Cancer Research Institute

Plantation, Florida, United States

Site Status

Northeast Georgia Cancer Care, LLC

Athens, Georgia, United States

Site Status

Georgia Regents University

Augusta, Georgia, United States

Site Status

Kaiser Foundation Hospitals

Honolulu, Hawaii, United States

Site Status

Walter Reed National Military Medical Center

Bethesda, Maryland, United States

Site Status

University of Massachusetts Medical Center

Worcester, Massachusetts, United States

Site Status

Nebraska Hematology-Oncology

Lincoln, Nebraska, United States

Site Status

Weill Cornell Medical College

New York, New York, United States

Site Status

St. Charles Health System

Bend, Oregon, United States

Site Status

The West Clinic

Germantown, Tennessee, United States

Site Status

Millennium Oncology

Houston, Texas, United States

Site Status

Utah Cancer Specialists

Salt Lake City, Utah, United States

Site Status

Columbia Basin Hematology & Oncology

Kennewick, Washington, United States

Site Status

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Graz, , Austria

Site Status

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Innsbruck, , Austria

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Vienna, , Austria

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Edegem, , Belgium

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Hasselt, , Belgium

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Namur, , Belgium

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Yvoir, , Belgium

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Montreal, , Canada

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Ottawa, , Canada

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Berlin, , Germany

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Erlangen, , Germany

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Essen, , Germany

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Esslingen am Neckar, , Germany

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Freiburg im Breisgau, , Germany

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Fürth, , Germany

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Heidelberg, , Germany

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Ludwigsburg, , Germany

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Tübingen, , Germany

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Ulm, , Germany

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Milan, , Italy

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Napoli, , Italy

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Padua, , Italy

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Piacenza, , Italy

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Maastricht, , Netherlands

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Rotterdam, , Netherlands

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Daegu, , South Korea

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Gangnam-gu, , South Korea

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Seodaemun-gu, , South Korea

Site Status

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Seongbuk-gu, , South Korea

Site Status

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Seongnam, , South Korea

Site Status

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Songpa-gu, , South Korea

Site Status

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Ulsan, , South Korea

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Badajoz, , Spain

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Lleida, , Spain

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Madrid, , Spain

Site Status

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Málaga, , Spain

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Changhua, , Taiwan

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Taichung, , Taiwan

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Taipei, , Taiwan

Site Status

Countries

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United States Austria Belgium Canada Germany Italy Netherlands South Korea Spain Taiwan

References

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Franzoi MA, Lambertini M, Ceppi M, Bruzzone M, de Azambuja E. Implication of body mass index (BMI) on the biological and clinical effects of endocrine therapy plus abemaciclib as neoadjuvant therapy for early breast cancer patients. Breast Cancer Res Treat. 2022 Apr;192(2):457-462. doi: 10.1007/s10549-022-06525-3. Epub 2022 Jan 25.

Reference Type DERIVED
PMID: 35076812 (View on PubMed)

Hurvitz SA, Martin M, Press MF, Chan D, Fernandez-Abad M, Petru E, Rostorfer R, Guarneri V, Huang CS, Barriga S, Wijayawardana S, Brahmachary M, Ebert PJ, Hossain A, Liu J, Abel A, Aggarwal A, Jansen VM, Slamon DJ. Potent Cell-Cycle Inhibition and Upregulation of Immune Response with Abemaciclib and Anastrozole in neoMONARCH, Phase II Neoadjuvant Study in HR+/HER2- Breast Cancer. Clin Cancer Res. 2020 Feb 1;26(3):566-580. doi: 10.1158/1078-0432.CCR-19-1425. Epub 2019 Oct 15.

Reference Type DERIVED
PMID: 31615937 (View on PubMed)

Related Links

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http://www.lillytrialguide.com/EN-us/studies/cancer/jpby

Click here for more information about this study: A Neoadjuvant Study of Abemaciclib (LY2835219) in Postmenopausal Women With Hormone Receptor Positive, HER2 Negative Breast Cancer

Other Identifiers

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I3Y-MC-JPBY

Identifier Type: OTHER

Identifier Source: secondary_id

2014-005486-75

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

15805

Identifier Type: -

Identifier Source: org_study_id

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