Trial Outcomes & Findings for Abemaciclib and Nivolumab for Subjects With Hepatocellular Carcinoma (NCT NCT03781960)

NCT ID: NCT03781960

Last Updated: 2022-12-14

Results Overview

The objective response rate is determined by the percentage of participants on study attaining a partial or complete response as noted 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

TERMINATED

Study phase

PHASE2

Target enrollment

7 participants

Primary outcome timeframe

up to 2 years

Results posted on

2022-12-14

Participant Flow

7 met inclusion criteria and began treatment.

Participant milestones

Participant milestones
Measure
Abemaciclib & Nivolumab
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Overall Study
STARTED
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Abemaciclib and Nivolumab for Subjects With Hepatocellular Carcinoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Abemaciclib & Nivolumab
n=7 Participants
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 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
2 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
3 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
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: up to 2 years

The objective response rate is determined by the percentage of participants on study attaining a partial or complete response as noted 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
Abemaciclib & Nivolumab
n=7 Participants
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Objective Response Rate
1 Participants

SECONDARY outcome

Timeframe: From the start of study treatment until disease progression, death, whichever came first up to 2 years

Population: All subjects who received study therapy

Progression-Free survival is determined from the start of study treatment until the time of documented disease progression or death per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) and iRECIST criteria (guidelines for response criteria for use in trials testing immunotherapies)

Outcome measures

Outcome measures
Measure
Abemaciclib & Nivolumab
n=7 Participants
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Progression-Free Survival
2.1 months
Interval 1.6 to 5.6

SECONDARY outcome

Timeframe: up to 2 years

Population: Subjects with objective response

Time from the first recorded partial response or complete response (whichever comes first) defined Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) 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; until disease progression or death

Outcome measures

Outcome measures
Measure
Abemaciclib & Nivolumab
n=1 Participants
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Duration of Response
10.2 months

SECONDARY outcome

Timeframe: From the start of treatment to death, due to any cause or last patient contact alive, assessed up to 2 years

Population: All subjects who received study therapy

Outcome measures

Outcome measures
Measure
Abemaciclib & Nivolumab
n=7 Participants
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Overall Survival
7.9 months
Interval 2.6 to 22.7

Adverse Events

Abemaciclib & Nivolumab

Serious events: 3 serious events
Other events: 7 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Abemaciclib & Nivolumab
n=7 participants at risk
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Gastrointestinal disorders
Abdominal Pain
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Infections and infestations
Sepsis
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Respiratory, thoracic and mediastinal disorders
Dyspnea
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.

Other adverse events

Other adverse events
Measure
Abemaciclib & Nivolumab
n=7 participants at risk
Subjects will receive abemaciclib monotherapy 150mg twice daily for seven days then will initiate nivolumab 480mg IV every 28 days while continuing twice daily abemaciclib. Abemaciclib: Abemaciclib will be given at a dose of 150mg by mouth twice daily continuously for the duration of trial therapy. Nivolumab: Nivolumab will be administered at a dose of 480mg IV every 28 days. Treatment with nivolumab will begin after an initial 7-day treatment period with abemaciclib monotherapy.
Gastrointestinal disorders
Diarrhea
85.7%
6/7 • Number of events 6 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
Nausea
42.9%
3/7 • Number of events 3 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
constipation
42.9%
3/7 • Number of events 3 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
Abdominal Pain
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
Ascites
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
gastritis
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
Abdominal Distension
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
Vomiting
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
bloating
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Psychiatric disorders
Depression
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Metabolism and nutrition disorders
Anorexia
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Metabolism and nutrition disorders
Hypokalemia
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Metabolism and nutrition disorders
Hyponatremia
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Gastrointestinal disorders
Edema Limbs
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
General disorders
Fatigue
71.4%
5/7 • Number of events 5 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
General disorders
Fever
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
General disorders
Chills
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
General disorders
Non-cardiac chest pain
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Musculoskeletal and connective tissue disorders
Chest Wall Pain
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Musculoskeletal and connective tissue disorders
Flank Pain
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Musculoskeletal and connective tissue disorders
Back Pain
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Musculoskeletal and connective tissue disorders
Bone Pain
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Musculoskeletal and connective tissue disorders
Arthralgia
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Blood and lymphatic system disorders
Anemia
57.1%
4/7 • Number of events 4 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Skin and subcutaneous tissue disorders
Dry Skin
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Skin and subcutaneous tissue disorders
Nail Changes
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Skin and subcutaneous tissue disorders
Palmer-plantar erthrodysesthesia syndrome
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Skin and subcutaneous tissue disorders
Rash Maculopapular
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Respiratory, thoracic and mediastinal disorders
Cough
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Respiratory, thoracic and mediastinal disorders
nasal congestion
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Respiratory, thoracic and mediastinal disorders
rhinorrhea
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Respiratory, thoracic and mediastinal disorders
Dyspnea
28.6%
2/7 • Number of events 2 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Nervous system disorders
Dysgeusia
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Nervous system disorders
Paresthesia
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Renal and urinary disorders
Acute Kidney Injury
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Infections and infestations
Sepsis
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Hepatobiliary disorders
Hepatic Failure
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Eye disorders
Blurred Vision
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
AST Increased
100.0%
7/7 • Number of events 7 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
ALT Increased
71.4%
5/7 • Number of events 5 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
Blood bilirubin increased
100.0%
7/7 • Number of events 7 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
Alkaline Phosphate Increased
85.7%
6/7 • Number of events 6 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
Platelet Count Decreased
85.7%
6/7 • Number of events 6 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
Creatinine increased
42.9%
3/7 • Number of events 3 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
Neutrophil count decreased
100.0%
7/7 • Number of events 7 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
Weight loss
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
CPK increased
14.3%
1/7 • Number of events 1 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.
Investigations
WBC Decreased
100.0%
7/7 • Number of events 7 • From the initiation of any study procedures until 30 days following the last administration of study treatment, up to 2 years.

Additional Information

Thomas Karasic, MD

University of Pennsylvania Hospital

Phone: 215-614-1858

Results disclosure agreements

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

Restriction type: LTE60