Trial Outcomes & Findings for Study of LY3023414 for the Treatment of Recurrent or Persistent Endometrial Cancer (NCT NCT02549989)

NCT ID: NCT02549989

Last Updated: 2023-02-22

Results Overview

defined as the percentage of patients with complete response (CR) + partial response (PR) + stable disease (SD) ≥12 weeks from the start of treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

28 participants

Primary outcome timeframe

12 weeks from baseline up to a year

Results posted on

2023-02-22

Participant Flow

Participant milestones

Participant milestones
Measure
LY3023414
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Overall Study
STARTED
28
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
27

Reasons for withdrawal

Reasons for withdrawal
Measure
LY3023414
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Overall Study
Adverse Event
4
Overall Study
Death
1
Overall Study
Lack of Efficacy
19
Overall Study
Withdrawal by Subject
3

Baseline Characteristics

Study of LY3023414 for the Treatment of Recurrent or Persistent Endometrial Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LY3023414
n=28 Participants
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Age, Continuous
65 years
n=5 Participants
Sex: Female, Male
Female
28 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
17 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
11 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 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
1 Participants
n=5 Participants
Race (NIH/OMB)
White
26 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
28 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks from baseline up to a year

defined as the percentage of patients with complete response (CR) + partial response (PR) + stable disease (SD) ≥12 weeks from the start of treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

Outcome measures

Outcome measures
Measure
LY3023414
n=25 Participants
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Clinical Benefit Rate (CBR)
Participants with Clinical Benefit Rate (CR+PR+SD)
7 Participants
Clinical Benefit Rate (CBR)
Participants without CBR
18 Participants

PRIMARY outcome

Timeframe: 1 year

determined by RECIST 1.1.

Outcome measures

Outcome measures
Measure
LY3023414
n=28 Participants
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Overall Response Rate
16 percentage of participants
Interval 7.0 to 100.0

SECONDARY outcome

Timeframe: 1 year

Defined as the duration of time from start of treatment to time of recurrence, progression, or death due to any cause, whichever occurs first. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
LY3023414
n=28 Participants
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Progression Free Survival (PFS)
2.5 months
Interval 1.2 to 3.0

SECONDARY outcome

Timeframe: 1 year

To determine the duration of response (DOR) of LY3023414 therapy, defined as the time from which measurement criteria are met for CR or PR (whichever status is recorded first) until the first date of documented disease progression.

Outcome measures

Outcome measures
Measure
LY3023414
n=28 Participants
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Duration of Response (DOR)
4.2 months
Interval 1.4 to 9.6

SECONDARY outcome

Timeframe: 1 year

To assess the safety profile and tolerability of LY3023414 therapy in patients with PI3K activated recurrent/persistent endometrial cancer using the e current version of the National Cancer Institute Common Terminology Criteria for Adverse Events, which was version 4.03.

Outcome measures

Outcome measures
Measure
LY3023414
n=28 Participants
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Number of Participants Assessed for AE's With PI3K Activated Recurrent/Persistent Endometrial Cancer
28 Participants

Adverse Events

LY3023414

Serious events: 7 serious events
Other events: 27 other events
Deaths: 16 deaths

Serious adverse events

Serious adverse events
Measure
LY3023414
n=28 participants at risk
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Investigations
Alanine aminotransferase increased
3.6%
1/28 • 1 year
Immune system disorders
Allergic reaction
3.6%
1/28 • 1 year
Investigations
Aspartate aminotransferase increased
3.6%
1/28 • 1 year
Investigations
Blood bilirubin increased
3.6%
1/28 • 1 year
Investigations
Cardiac troponin I increased
3.6%
1/28 • 1 year
General disorders
Chills
3.6%
1/28 • 1 year
Investigations
Creatinine increased
3.6%
1/28 • 1 year
General disorders
Death NOS
3.6%
1/28 • 1 year
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.6%
1/28 • 1 year
Injury, poisoning and procedural complications
Fall
3.6%
1/28 • 1 year
Blood and lymphatic system disorders
Febrile neutropenia
3.6%
1/28 • 1 year
General disorders
Fever
3.6%
1/28 • 1 year
Metabolism and nutrition disorders
Hypokalemia
3.6%
1/28 • 1 year
Metabolism and nutrition disorders
Hyponatremia
7.1%
2/28 • 1 year
Gastrointestinal disorders
Mucositis oral
3.6%
1/28 • 1 year
Skin and subcutaneous tissue disorders
Rash maculo-papular
7.1%
2/28 • 1 year
Infections and infestations
Sepsis
3.6%
1/28 • 1 year
Infections and infestations
Urinary tract infection
3.6%
1/28 • 1 year

Other adverse events

Other adverse events
Measure
LY3023414
n=28 participants at risk
This is an MSKCC investigator-initiated, single-center, non-randomized, open-label, phase II study to evaluate the activity of LY3023414 dosed at the RP2D of 200 mg orally twice daily in patients with recurrent or persistent endometrial cancer. LY3023414: Enrolled patients will take LY3023414 200 mg orally twice a day. Each cycle will be 21 days in duration. Patients will receive study treatment until disease progression, intolerable toxicity, elective withdrawal from the study, study completion, or study termination
Investigations
Alanine aminotransferase increased
60.7%
17/28 • 1 year
Investigations
Alkaline phosphatase increased
46.4%
13/28 • 1 year
Blood and lymphatic system disorders
Anemia
89.3%
25/28 • 1 year
Investigations
Aspartate aminotransferase increased
42.9%
12/28 • 1 year
Gastrointestinal disorders
Constipation
28.6%
8/28 • 1 year
Investigations
Creatinine increased
21.4%
6/28 • 1 year
General disorders
Fatigue
21.4%
6/28 • 1 year
Metabolism and nutrition disorders
Hyperglycemia
85.7%
24/28 • 1 year
Metabolism and nutrition disorders
Hypoalbuminemia
71.4%
20/28 • 1 year
Metabolism and nutrition disorders
Hypocalcemia
39.3%
11/28 • 1 year
Metabolism and nutrition disorders
Hypokalemia
50.0%
14/28 • 1 year
Metabolism and nutrition disorders
Hypomagnesemia
50.0%
14/28 • 1 year
Metabolism and nutrition disorders
Hyponatremia
42.9%
12/28 • 1 year
Investigations
Lymphocyte count decreased
75.0%
21/28 • 1 year
Gastrointestinal disorders
Nausea
46.4%
13/28 • 1 year
Investigations
Platelet count decreased
57.1%
16/28 • 1 year
Investigations
White blood cell decreased
60.7%
17/28 • 1 year

Additional Information

Dr. Vicky Makker, MD

Memorial Sloan Kettering Cancer Center

Phone: 646-888-4224

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place