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Clinical Trials List

Protocol NumberI3Y-MC-JPCG
Completed

2016-08-01 - 2020-12-31

Phase II

Terminated6

ICD-10C50

Malignant neoplasm of breast

ICD-10C79.81

Secondary malignant neoplasm of breast

ICD-9174.0

Malignant neoplasm of female breast, nipple and areola

A Randomized, Open-Label, Phase 2 Study of Abemaciclib plus Tamoxifen or Abemaciclib Alone, in Women with Previously Treated Hormone Receptor-Positive, HER2-Negative, Metastatic Breast Cancer

  • Trial Applicant

    ELI LILLY AND COMPANY(TAIWAN), INC.

  • Sponsor

  • Trial scale

    Multi-Regional Multi-Center

  • Update

    2026/02/01

Investigators and Locations

Principal Investigator 劉建良 Division of General Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Terminated

Principal Investigator Ling-Ming Tseng Division of General Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

1 Stop recruiting

Audit

None

Principal Investigator HWEI-CHUNG WANG 未分科

Co-Principal Investigator

Audit

None

Principal Investigator Shin-Cheh Chen Division of General Surgery
Linkou Chang Gung Medical Foundation

Taiwan National PI

陳訓徹

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

12 Stop recruiting

Audit

None

Principal Investigator TSU-YI CHAO Division of Hematology & Oncology

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

4 Terminated

Audit

None

Principal Investigator HWEI-CHUNG WANG Division of General Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Principal Investigator 劉建良 Division of General Surgery

Co-Principal Investigator

The Actual Total Number of Participants Enrolled

0 Stop recruiting

Condition/Disease

Previously Treated Hormone Receptor-Positive, HER2-Negative, Metastatic Breast Cancer.

Objectives

This Phase 2 study will evaluate and compare the efficacy and tolerability of abemaciclib monotherapy at 2 dose levels and abemaciclib in combination with endocrine therapy for patients with previously treated HR+, HER2- mBC.

Test Drug

Abemaciclib

Active Ingredient

CDK4 and CDK6 dual inhibitor

Dosage Form

Capsule

Dosage

150mg/200mg

Endpoints

To evaluate the efficacy, in terms of PFS, in patients with metastatic breast cancer for:
 Abemaciclib 150 mg Q12H plus tamoxifen
 Abemaciclib 150 mg Q12H
 Abemaciclib 200 mg Q12H plus primary prophylactic loperamide

To evaluate the efficacy of abemaciclib, monotherapy and in combination with tamoxifen, in terms of ORR, DoR, and OS
To assess the safety profile of abemaciclib monotherapy and in combination with tamoxifen
To characterize the PK of abemaciclib and its metabolites; in addition to tamoxifen and its active metabolite endoxifen
To compare self-reported pain, pain interference, symptom burden, health status, and overall quality of life

Inclution Criteria

Patients are eligible to be included in the study only if they meet all of the following criteria:
[1] Have confirmed HR+, HER2-negative (HER2-) recurrent, locally advanced, unresectable or metastatic breast cancer with evidence of relapse or disease progression following endocrine therapy.
• To fulfill the requirement for HR+ disease by local testing, a breast cancer must express, at least 1 of the hormone receptors (ER or progesterone receptor [PgR]). For ER and PgR assays to be considered positive, ≥1% of tumor cell nuclei must be immunoreactive by immunohistochemistry (IHC) (Hammond et al. 2010).
• To fulfill the requirement of HER2- disease by local testing on most recent biopsy, HER2- negative tumor is determined as immunohistochemistry score 0/1+ or negative by in situ hybridization (FISH/CISH/SISH), as defined in the relevant American Society of Clinical Oncology (ASCO)/College of American Pathologists (CAP) guidelines (Wolff et al. 2013).
[2] Must have received prior treatment with at least 2 chemotherapy regimens:
- At least 1 of these regimens must have been administered in the metastatic setting.
- The additional chemotherapy regimens could have included, but are not limited to any of the following: capecitabine, eribulin, gemcitabine, an anthracycline, vinorelbine, or taxane.
No more than 2 prior chemotherapy regimens in the metastatic setting.
[3] Have the presence of measureable disease as defined by the Response Evaluation Criteria in Solid Tumors (for RECIST 1.1 refer to Appendix 8).

[4] Have adequate organ function for all of the following criteria, as defined below:
Please refer Table listed in Protocol Page 28

[5] Have a performance status ≤1 on the Eastern Cooperative Oncology Group (ECOG; Appendix 9) scale (Oken et al. 1982).
[6] Have discontinued all previous treatments for cancer and recovered from the acute effects of therapy. Patients must have discontinued from previous treatments, as shown below:
Please refer Table listed in Protocol Page 28

[7] Are female and ≥18 years of age.
[8] Women of child-bearing potential must have a negative serum pregnancy test at baseline (within 7 days prior to randomization), and agree to use a medically approved non-hormonal contraceptive method during the treatment period and for 3 months following the last dose of the study drug. Effective methods of contraception include intrauterine device [IUD] or barrier methods. If condoms are used as a barrier method, a spermicidal agent should be added as a double barrier protection.
Refer to Appendix 1 for definitions of effective method of contraception.
[9] Have an estimated life expectancy of ≥12 weeks.
[10] Are willing to make themselves available for the duration of the study and are willing to follow study procedures.
[11] Have given written informed consent prior to any study-specific procedures.
Refer to Appendix 2 for study governance, regulatory, and ethical considerations.
[12] Are able to swallow oral medications.

Exclusion Criteria

Patients will be excluded from the study if they meet any of the following criteria:
[13] Have a personal history of any of the following conditions: syncope of either unexplained or cardiovascular etiology, ventricular arrhythmia (including but not limited to ventricular tachycardia and ventricular fibrillation), or sudden cardiac arrest. Subjects with controlled atrial fibrillation for >30 days prior to study treatment are eligible.
[14] Have history or evidence of central nervous system (CNS) metastasis on the MRI of brain obtained at baseline.
[15] Have a history of any other cancer (except nonmelanoma skin cancer or carcinoma in-situ of the cervix or breast), unless in complete remission with no therapy for a minimum of 3 years.
[16] Are pregnant or lactating.
[17] Have active bacterial, fungal, and/or known viral infection (for example, human immunodeficiency virus [HIV] antibodies, hepatitis B surface antigen [HBSAg], or hepatitis C antibodies [HCAb]). Screening is not required for enrollment.
[18] Have received prior treatment with any CDK4 and CDK6 inhibitor.
[19] Known hypersensitivity to loperamide hydrochloride or to any of the excipients.
[20] Have a preexisting chronic condition resulting in baseline Grade 2 or higher diarrhea.
[21] Have visceral crisis. Visceral crisis is not the mere presence of visceral metastases but implies severe organ dysfunction as assessed by symptoms and signs, laboratory studies, and rapid progression of the disease.
[22] Are currently enrolled in a clinical trial involving an investigational product or any other type of medical research judged not to be scientifically or medically compatible with this study.
[23] History or evidence of thromboembolic disease including any of the following, history of stroke, deep vein thrombosis (DVT), or pulmonary embolism (PE). Patients with documented hypercoagulable state are not eligible.
[24] Are receiving treatment with Warfarin or coumarins.

The Estimated Number of Participants

  • Taiwan

    15 participants

  • Global

    225 participants