A Study for Participants With Metastatic Renal Cell Carcinoma

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Completed
CT.gov ID
NCT00709995
Collaborator
(none)
17
4
2
122.2
4.3
0

Study Details

Study Description

Brief Summary

This study will compare the effects of Enzastaurin plus Sunitinib versus Sunitinib alone in metastatic Renal Cell Cancer.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

This is a multicenter, Phase 2 study of enzastaurin and sunitinib versus placebo and sunitinib as first-line therapy in participants with metastatic renal cell carcinoma, containing 2 parts. Part 1 is a safety lead-in study with 12 participants and possible dose escalation. Part 2 is a randomized, double-blind, Phase 2 study in 110 participants.

Study Design

Study Type:
Interventional
Actual Enrollment :
17 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
Dose Finding and Randomized, Multicenter, Placebo-Controlled, Phase 2 Study of Enzastaurin and Sunitinib Versus Placebo and Sunitinib in Patients With Metastatic Renal Cell Carcinoma
Actual Study Start Date :
Jun 30, 2008
Actual Primary Completion Date :
Feb 15, 2010
Actual Study Completion Date :
Sep 5, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part 1 Arm A: Enzastaurin + Sunitinib

(Cohort 1): On cycle 1, day 1 a loading dose 125 milligram (mg) of Enzastaurin was administered by mouth orally, (BID) twice a day, followed by Enzastaurin 125 mg administered, twice a day, Days 2 through 42 of a 6-week cycle. (Cohort 2): Cycle 1, Day 1 loading dose 375 mg of Enzastaurin administered po three times a day (TID), followed by 250 mg, po, BID continuously until disease progression, unacceptable toxicity, death, or discontinuation from the study for any other reason. Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) days 29-42. Phase 2 (Part 2): Randomized Double-Blind: Dosing was determined by Part 1. Part 2 was not activated per recommendation of safety review committee. Enzastaurin: Cycle 1, Day 1 loading dose 375 mg administered orally, (TID) three times a day, followed by Part 1 dose twice a day on Days 2-42 of 6 week cycle. Sunitinib: 50 mg administered orally, once daily, on Days 1-28, then rest Days 29-42.

Drug: Enzastaurin
Administered orally
Other Names:
  • LY317615
  • Drug: Sunitinib
    Administered orally

    Placebo Comparator: Part 2 Arm B: Sunitinib + Placebo

    Part 2 was not activated per recommendation of safety review committee. Sunitinib: 50 mg administered orally, once daily, Day 1-28, then rest Days 29-42. Placebo: Cycle 1 Day 1 loading dose 3 tablets on Day 1, then 2 tablets daily, days 2-42.

    Drug: Sunitinib
    Administered orally

    Drug: Placebo
    Administered orally

    Outcome Measures

    Primary Outcome Measures

    1. Progression Free Survival (PFS) in Part 2 [Randomization to Measured Progressive Disease (PD) (Up to 24 Months)]

      Progression-free survival (PFS) was defined as the number of months between the date of randomization and the date of first documented disease progression or the date of death due to any cause, whichever came first.

    Secondary Outcome Measures

    1. Overall Survival (OS) in Part 2 [Randomization to Death from Any Cause (Up to 24 Months)]

      OS time was defined as the number of months between the date of randomization and the date of death due to any cause.

    2. Time-To-Tumor Progression in Part 2 [Randomization to the Date of Objective Progressive Disease or Date of Death due to Study Disease, whichever came first (Up to 24 Months)]

      Time to tumor progression (TTP) at initial treatment was defined as the number of months between date of randomization and the date of first documented disease progression or the date of death due to disease under study, whichever came first.

    3. Number of Participants With Adverse Events (AEs) or Serious AEs (SAEs) in Part 1 [Randomization to Study Completion (Up to 6 Cycles)]

      Clinically significant events were defined as serious adverse events, regardless of causality. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Event module.

    4. Pharmacokinetics (PK): Area Under Concentration Time Curve During One Dosing Interval at Steady State (AUCτ,ss) of Enzastaurin + Metabolite (LSN326020) + Total Analytes in Part 1 [Cycle 1 Day 15: Predose, 2, 4, and 6 - 8 hours, Up to 12 Hours Post dose]

      Pharmacokinetics (PK) was assessed in participants to determine the area under the concentration time curve during one dosing interval at steady state (AUCτ,ss) of Enzastaurin, LSN326020 and total Analytes. τ equals 12 hours for Enzastaurin, LSN326020 and total Analytes.

    5. PK: Maximum Concentration at Steady State (Cmax,ss) of Enzastaurin + LSN326020 + Total Analytes in Part 1 [Cycle 1 Day 15: Predose, 2, 4, and 6 - 8 hours, Up to 12 Hours Post dose]

      PK was assessed in participants to determine the maximum concentration at steady state (Cmax, ss) of Enzastaurin + LSN326020 + total analytes.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Participants with metastatic Renal Cell Carcinoma (RCC) who have not received prior treatment with systemic (adjuvant or neoadjuvant) therapy for RCC (including targeted therapy such as tyrosine kinase inhibitors or bevacizumab, immunotherapy, chemotherapy, hormonal, or investigational therapy)

    • Histologically confirmed RCC with metastases with a component of clear (conventional) cell histology

    • Evidence of unidimensional measurable disease, measured by computed tomography (CT) scan or magnetic resonance imaging (MRI)

    • Primary tumor has been surgically removed by nephrectomy or nephron-sparing surgery

    • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1

    • Participants must sign an informed consent document

    Exclusion Criteria:
    • Have received prior treatment with sunitinib or enzastaurin

    • Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry

    • Have had any of the following within 12 months prior to study drug administration:

    • myocardial infarction,

    • severe/unstable angina,

    • coronary/peripheral artery bypass graft,

    • symptomatic congestive heart failure (CHF),

    • cerebrovascular accident,

    • transient ischemic attack, or

    • pulmonary embolism

    • Note: Ongoing treatment with therapeutic doses of Coumadin® (warfarin) or a derivative of Coumadin or phenprocoumon is not allowed, but prophylactic, low-dose Coumadin (≤ 2 mg daily) for deep vein thrombosis is allowed. In such cases, prothrombin time/international normalization ratio (PT/INR) should be very closely monitored as clinically indicated

    • Ongoing cardiac arrhythmias >New York Health Association Class II, atrial fibrillation of any grade, or prolongation of the QTc interval to >450 millisecond (msec) for males or >470 msec for females.

    • Have uncontrolled hypertension [>150/100 millimeter of mercury (mm/Hg) despite optimal medical therapy], or history of poor compliance with antihypertensive treatment

    • Require concomitant use of potent Cytochrome P450 3A4 (CYP3A4) inducer, for example, rifampicin or potent CYP3A inhibitors, such as ketoconazole.

    • Significant surgery or radiation therapy <4 weeks of starting study treatment. Prior palliative radiotherapy to metastatic lesion(s) is/are permitted, provided there is at least 1 measurable lesion that has not been irradiated

    • Participants who are pregnant or breast feeding

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Vienna Austria A1090
    2 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Villejuif France 94805
    3 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Rome Italy 00149
    4 For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Warsaw Poland 00909

    Sponsors and Collaborators

    • Eli Lilly and Company

    Investigators

    • Study Director: Call 1-877-CTLILLY (1-877-285-4559) Mon - Fri 9AM - 5 PM Eastern Time (UTC/GMT - 5 hours, EST), Eli Lilly and Company

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT00709995
    Other Study ID Numbers:
    • 11531
    • H6Q-MC-S061
    First Posted:
    Jul 3, 2008
    Last Update Posted:
    Sep 30, 2019
    Last Verified:
    Jan 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail Part 1 completers finished 3 or more cycles and included those with progressive disease. Part 2 was not performed and was not activated due to sponsor broad decision to not pursue enzastaurin in solid tumors.
    Arm/Group Title Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Arm/Group Description On cycle 1, day 1 a loading dose 125 milligram (mg) of Enzastaurin was administered by mouth orally, (BID) twice a day, followed by Enzastaurin 125 mg administered, twice a day, Days 2 through 42 of a 6-week cycle. Sunitinib 50 mg was administered orally, (QD) once daily, Days 1-28, then rest (no drug given) Days 29-42. Enzastaurin was given on Day 1 of Cycle 1 as a loading dose of 1125 mg (3 tablets of 125 mg each, taken 3 times a day with at least 4 hours between doses), followed by daily total dose of 500 mg (2 tablets of 125 mg each, BID) continuously until disease progression, unacceptable toxicity, death, or discontinuation from the study for any other reason. Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42.
    Period Title: Overall Study
    STARTED 11 6
    Progressive Disease 6 1
    COMPLETED 6 1
    NOT COMPLETED 5 5

    Baseline Characteristics

    Arm/Group Title Modified Regimen A (Cohort 1) Regimen A (Cohort 2) Total
    Arm/Group Description On cycle 1, day 1 a loading dose 125 milligram (mg) of Enzastaurin was administered by mouth orally, (BID) twice a day, followed by Enzastaurin 125 mg administered, twice a day, Days 2 through 42 of a 6-week cycle Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42. Enzastaurin was given on Day 1 of Cycle 1 as a loading dose of 1125 mg (3 tablets of 125 mg each, taken 3 times a day with at least 4 hours between doses), followed by daily total dose of 500 mg (2 tablets of 125 mg each, BID) continuously until disease progression, unacceptable toxicity, death, or discontinuation from the study for any other reason. Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42. Total of all reporting groups
    Overall Participants 11 6 17
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    60.1
    (5.44)
    58.5
    (8.42)
    59.6
    (6.42)
    Sex: Female, Male (Count of Participants)
    Female
    5
    45.5%
    1
    16.7%
    6
    35.3%
    Male
    6
    54.5%
    5
    83.3%
    11
    64.7%
    Ethnicity (NIH/OMB) (Count of Participants)
    Hispanic or Latino
    0
    0%
    0
    0%
    0
    0%
    Not Hispanic or Latino
    11
    100%
    6
    100%
    17
    100%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Race (NIH/OMB) (Count of Participants)
    American Indian or Alaska Native
    0
    0%
    0
    0%
    0
    0%
    Asian
    0
    0%
    0
    0%
    0
    0%
    Native Hawaiian or Other Pacific Islander
    0
    0%
    0
    0%
    0
    0%
    Black or African American
    0
    0%
    0
    0%
    0
    0%
    White
    11
    100%
    6
    100%
    17
    100%
    More than one race
    0
    0%
    0
    0%
    0
    0%
    Unknown or Not Reported
    0
    0%
    0
    0%
    0
    0%
    Region of Enrollment (Count of Participants)
    Austria
    1
    9.1%
    1
    16.7%
    2
    11.8%
    Poland
    6
    54.5%
    4
    66.7%
    10
    58.8%
    Italy
    3
    27.3%
    0
    0%
    3
    17.6%
    France
    1
    9.1%
    1
    16.7%
    2
    11.8%

    Outcome Measures

    1. Primary Outcome
    Title Progression Free Survival (PFS) in Part 2
    Description Progression-free survival (PFS) was defined as the number of months between the date of randomization and the date of first documented disease progression or the date of death due to any cause, whichever came first.
    Time Frame Randomization to Measured Progressive Disease (PD) (Up to 24 Months)

    Outcome Measure Data

    Analysis Population Description
    Zero participants data were collected. Part 2 was not activated due to sponsor broad decision to not pursue Enzastaurin in solid tumors.
    Arm/Group Title Enzastaurin + Sunitinib Sunitinib + Placebo
    Arm/Group Description Enzastaurin: Cycle 1, Day 1 loading dose 375 mg administered orally, (TID) three times a day, followed by Part 1 dose twice a day on Days 2-42 of 6-week cycle. Sunitinib: 50 mg administered orally, once daily, on Days 1-28, then rest Days 29-42. Sunitinib: 50 mg administered orally, once daily, Day 1-28, then rest Days 29-42. Placebo: Cycle 1 Day 1 loading dose 3 tablets on Day 1, then 2 tablets daily, Days 2-42.
    Measure Participants 0 0
    2. Secondary Outcome
    Title Overall Survival (OS) in Part 2
    Description OS time was defined as the number of months between the date of randomization and the date of death due to any cause.
    Time Frame Randomization to Death from Any Cause (Up to 24 Months)

    Outcome Measure Data

    Analysis Population Description
    Zero participant data were collected. Part 2 was not activated due to sponsor broad decision to not pursue Enzastaurin in solid tumors.
    Arm/Group Title Enzastaurin + Sunitinib Sunitinib + Placebo
    Arm/Group Description Enzastaurin: Cycle 1, Day 1 loading dose 375 mg administered orally, three times a day, followed by Part 1 dose twice a day on Days 2-42 of 6-week cycle. Sunitinib: 50 mg administered orally, once daily, on Days 1-28, then rest Days 29-42. Sunitinib: 50 mg administered orally, once daily, Day 1-28, then rest Days 29-42. Placebo: Cycle 1 Day 1 loading dose 3 tablets on Day 1, then 2 tablets daily, Days 2-42.
    Measure Participants 0 0
    3. Secondary Outcome
    Title Time-To-Tumor Progression in Part 2
    Description Time to tumor progression (TTP) at initial treatment was defined as the number of months between date of randomization and the date of first documented disease progression or the date of death due to disease under study, whichever came first.
    Time Frame Randomization to the Date of Objective Progressive Disease or Date of Death due to Study Disease, whichever came first (Up to 24 Months)

    Outcome Measure Data

    Analysis Population Description
    Zero participant data were collected. Part 2 was not activated due to sponsor broad decision to not pursue Enzastaurin in solid tumors.
    Arm/Group Title Enzastaurin + Sunitinib Sunitinib + Placebo
    Arm/Group Description Enzastaurin: Cycle 1, Day 1 loading dose 375 mg administered orally, three times a day, followed by Part 1 dose twice a day on Days 2-42 of 6-week cycle. Sunitinib: 50 mg administered orally, once daily, on Days 1-28, then rest Days 29-42. Sunitinib: 50 mg administered orally, once daily, Day 1-28, then rest Days 29-42. Placebo: Cycle 1 Day 1 loading dose 3 tablets on Day 1, then 2 tablets daily, Days 2-42.
    Measure Participants 0 0
    4. Secondary Outcome
    Title Number of Participants With Adverse Events (AEs) or Serious AEs (SAEs) in Part 1
    Description Clinically significant events were defined as serious adverse events, regardless of causality. A summary of serious and other non-serious adverse events regardless of causality is located in the Reported Adverse Event module.
    Time Frame Randomization to Study Completion (Up to 6 Cycles)

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug.
    Arm/Group Title Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Arm/Group Description On cycle 1, day 1 a loading dose 125 milligram (mg) of Enzastaurin was administered by mouth orally, (BID) twice a day, followed by Enzastaurin 125 mg administered, twice a day, Days 2 through 42 of a 6-week cycle Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42. Enzastaurin was given on Day 1 of Cycle 1 as a loading dose of 1125 mg (3 tablets of 125 mg each, taken 3 times a day with at least 4 hours between doses), followed by daily total dose of 500 mg (2 tablets of 125 mg each, BID) continuously until disease progression, unacceptable toxicity, death, or discontinuation from the study for any other reason. Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42.
    Measure Participants 11 6
    AEs
    11
    100%
    6
    100%
    SAEs
    3
    27.3%
    1
    16.7%
    5. Secondary Outcome
    Title Pharmacokinetics (PK): Area Under Concentration Time Curve During One Dosing Interval at Steady State (AUCτ,ss) of Enzastaurin + Metabolite (LSN326020) + Total Analytes in Part 1
    Description Pharmacokinetics (PK) was assessed in participants to determine the area under the concentration time curve during one dosing interval at steady state (AUCτ,ss) of Enzastaurin, LSN326020 and total Analytes. τ equals 12 hours for Enzastaurin, LSN326020 and total Analytes.
    Time Frame Cycle 1 Day 15: Predose, 2, 4, and 6 - 8 hours, Up to 12 Hours Post dose

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had evaluable PK data.
    Arm/Group Title Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Arm/Group Description On cycle 1, day 1 a loading dose 125 milligram (mg) of Enzastaurin was administered by mouth orally, (BID) twice a day, followed by Enzastaurin 125 mg administered, twice a day, Days 2 through 42 of a 6-week cycle Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42. Enzastaurin was given on Day 1 of Cycle 1 as a loading dose of 1125 mg (3 tablets of 125 mg each, taken 3 times a day with at least 4 hours between doses), followed by daily total dose of 500 mg (2 tablets of 125 mg each, BID) continuously until disease progression, unacceptable toxicity, death, or discontinuation from the study for any other reason. Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42.
    Measure Participants 11 5
    Enzastaurin
    12000
    (144)
    22600
    (91)
    LSN326020
    8820
    (76)
    12200
    (73)
    Total Analytes
    21400
    (101)
    35200
    (82)
    6. Secondary Outcome
    Title PK: Maximum Concentration at Steady State (Cmax,ss) of Enzastaurin + LSN326020 + Total Analytes in Part 1
    Description PK was assessed in participants to determine the maximum concentration at steady state (Cmax, ss) of Enzastaurin + LSN326020 + total analytes.
    Time Frame Cycle 1 Day 15: Predose, 2, 4, and 6 - 8 hours, Up to 12 Hours Post dose

    Outcome Measure Data

    Analysis Population Description
    All randomized participants who received at least one dose of study drug and had evaluable PK data.
    Arm/Group Title Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Arm/Group Description On cycle 1, day 1 a loading dose 125 milligram (mg) of Enzastaurin was administered by mouth orally, (BID) twice a day, followed by Enzastaurin 125 mg administered, twice a day, Days 2 through 42 of a 6-week cycle Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42. Enzastaurin was given on Day 1 of Cycle 1 as a loading dose of 1125 mg (3 tablets of 125 mg each, taken 3 times a day with at least 4 hours between doses), followed by daily total dose of 500 mg (2 tablets of 125 mg each, BID) continuously until disease progression, unacceptable toxicity, death, or discontinuation from the study for any other reason. Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42.
    Measure Participants 11 5
    Enzastaurin
    1310
    (109)
    2650
    (71)
    LSN326020
    816
    (72)
    1140
    (64)
    Total Analytes
    2130
    (88)
    3740
    (65)

    Adverse Events

    Time Frame From Baseline to Study Completion (Up to 123 Months)
    Adverse Event Reporting Description All participants who received at least one dose of study drug in Part 1.
    Arm/Group Title Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Arm/Group Description On cycle 1, day 1 a loading dose 125 milligram (mg) of Enzastaurin was administered by mouth orally, (BID) twice a day, followed by Enzastaurin 125 mg administered, twice a day, Days 2 through 42 of a 6-week cycle. Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42. Enzastaurin was given on Day 1 of Cycle 1 as a loading dose of 1125 mg (3 tablets of 125 mg each, taken 3 times a day with at least 4 hours between doses), followed by daily total dose of 500 mg (2 tablets of 125 mg each, BID) continuously until disease progression, unacceptable toxicity, death, or discontinuation from the study for any other reason Sunitinib 50 mg was administered orally, once daily, Days 1-28, then rest (no drug given) Days 29-42.
    All Cause Mortality
    Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 3/11 (27.3%) 1/6 (16.7%)
    Gastrointestinal disorders
    Abdominal pain 1/11 (9.1%) 1 0/6 (0%) 0
    Gastrointestinal obstruction 1/11 (9.1%) 1 0/6 (0%) 0
    General disorders
    General physical health deterioration 0/11 (0%) 0 1/6 (16.7%) 1
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea 1/11 (9.1%) 1 0/6 (0%) 0
    Hydrothorax 1/11 (9.1%) 1 0/6 (0%) 0
    Pulmonary embolism 1/11 (9.1%) 1 0/6 (0%) 0
    Vascular disorders
    Thrombosis 1/11 (9.1%) 1 0/6 (0%) 0
    Other (Not Including Serious) Adverse Events
    Modified Regimen A (Cohort 1) Regimen A (Cohort 2)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 11/11 (100%) 6/6 (100%)
    Blood and lymphatic system disorders
    Anaemia 8/11 (72.7%) 33 4/6 (66.7%) 10
    Leukopenia 3/11 (27.3%) 4 0/6 (0%) 0
    Lymphopenia 1/11 (9.1%) 2 0/6 (0%) 0
    Neutropenia 5/11 (45.5%) 7 1/6 (16.7%) 87
    Thrombocytopenia 9/11 (81.8%) 20 2/6 (33.3%) 32
    Cardiac disorders
    Bradycardia 1/11 (9.1%) 1 0/6 (0%) 0
    Ear and labyrinth disorders
    Vertigo 0/11 (0%) 0 1/6 (16.7%) 1
    Endocrine disorders
    Hyperthyroidism 1/11 (9.1%) 1 0/6 (0%) 0
    Hypothyroidism 3/11 (27.3%) 3 1/6 (16.7%) 1
    Eye disorders
    Eyelid oedema 2/11 (18.2%) 2 0/6 (0%) 0
    Lacrimation increased 2/11 (18.2%) 5 0/6 (0%) 0
    Gastrointestinal disorders
    Abdominal discomfort 1/11 (9.1%) 1 0/6 (0%) 0
    Abdominal pain 2/11 (18.2%) 2 4/6 (66.7%) 5
    Abdominal pain upper 1/11 (9.1%) 1 0/6 (0%) 0
    Anal discomfort 0/11 (0%) 0 1/6 (16.7%) 1
    Anal inflammation 3/11 (27.3%) 3 1/6 (16.7%) 1
    Constipation 1/11 (9.1%) 2 0/6 (0%) 0
    Dental discomfort 1/11 (9.1%) 1 0/6 (0%) 0
    Diarrhoea 7/11 (63.6%) 14 5/6 (83.3%) 5
    Dry mouth 0/11 (0%) 0 1/6 (16.7%) 1
    Dyspepsia 3/11 (27.3%) 3 0/6 (0%) 0
    Dysphagia 1/11 (9.1%) 1 0/6 (0%) 0
    Flatulence 0/11 (0%) 0 1/6 (16.7%) 2
    Gastrointestinal pain 1/11 (9.1%) 1 0/6 (0%) 0
    Gingivitis 0/11 (0%) 0 1/6 (16.7%) 1
    Haematochezia 1/11 (9.1%) 1 1/6 (16.7%) 1
    Haemorrhoids 0/11 (0%) 0 2/6 (33.3%) 2
    Mouth haemorrhage 1/11 (9.1%) 1 0/6 (0%) 0
    Nausea 4/11 (36.4%) 7 2/6 (33.3%) 3
    Oesophagitis 0/11 (0%) 0 1/6 (16.7%) 1
    Proctalgia 1/11 (9.1%) 1 0/6 (0%) 0
    Stomatitis 6/11 (54.5%) 9 1/6 (16.7%) 4
    Vomiting 3/11 (27.3%) 3 4/6 (66.7%) 8
    General disorders
    Asthenia 3/11 (27.3%) 5 1/6 (16.7%) 1
    Chest pain 1/11 (9.1%) 1 0/6 (0%) 0
    Chills 2/11 (18.2%) 2 0/6 (0%) 0
    Face oedema 1/11 (9.1%) 1 1/6 (16.7%) 5
    Fatigue 5/11 (45.5%) 5 3/6 (50%) 9
    General physical health deterioration 2/11 (18.2%) 2 1/6 (16.7%) 2
    Influenza like illness 2/11 (18.2%) 2 0/6 (0%) 0
    Malaise 0/11 (0%) 0 1/6 (16.7%) 1
    Mucosal inflammation 1/11 (9.1%) 1 0/6 (0%) 0
    Oedema 2/11 (18.2%) 2 0/6 (0%) 0
    Oedema peripheral 4/11 (36.4%) 7 1/6 (16.7%) 1
    Pyrexia 1/11 (9.1%) 1 0/6 (0%) 0
    Infections and infestations
    Bronchitis 1/11 (9.1%) 1 0/6 (0%) 0
    Cystitis 1/11 (9.1%) 1 0/6 (0%) 0
    Herpes zoster 0/11 (0%) 0 1/6 (16.7%) 1
    Laryngitis 1/11 (9.1%) 1 0/6 (0%) 0
    Pharyngitis 1/11 (9.1%) 1 0/6 (0%) 0
    Tooth infection 1/11 (9.1%) 1 0/6 (0%) 0
    Upper respiratory tract infection 2/11 (18.2%) 3 1/6 (16.7%) 1
    Injury, poisoning and procedural complications
    Skin laceration 2/11 (18.2%) 2 1/6 (16.7%) 1
    Wound 1/11 (9.1%) 1 0/6 (0%) 0
    Investigations
    Alanine aminotransferase increased 1/11 (9.1%) 1 1/6 (16.7%) 13
    Aspartate aminotransferase increased 0/11 (0%) 0 1/6 (16.7%) 60
    Blood amylase increased 0/11 (0%) 0 1/6 (16.7%) 1
    Blood bilirubin decreased 1/11 (9.1%) 1 0/6 (0%) 0
    Blood cholesterol increased 0/11 (0%) 0 1/6 (16.7%) 1
    Blood creatinine increased 0/11 (0%) 0 3/6 (50%) 22
    Blood lactate dehydrogenase increased 1/11 (9.1%) 2 0/6 (0%) 0
    Blood sodium increased 1/11 (9.1%) 1 0/6 (0%) 0
    Blood triglycerides increased 0/11 (0%) 0 1/6 (16.7%) 31
    Blood urea increased 1/11 (9.1%) 1 0/6 (0%) 0
    C-reactive protein increased 1/11 (9.1%) 2 0/6 (0%) 0
    Vitamin b12 decreased 1/11 (9.1%) 1 0/6 (0%) 0
    Weight decreased 4/11 (36.4%) 4 0/6 (0%) 0
    Weight increased 1/11 (9.1%) 1 0/6 (0%) 0
    Metabolism and nutrition disorders
    Anorexia 4/11 (36.4%) 5 0/6 (0%) 0
    Hypercalcaemia 1/11 (9.1%) 1 0/6 (0%) 0
    Hypercholesterolaemia 1/11 (9.1%) 1 1/6 (16.7%) 8
    Hyperkalaemia 3/11 (27.3%) 7 2/6 (33.3%) 2
    Hyperuricaemia 2/11 (18.2%) 2 1/6 (16.7%) 1
    Hypoalbuminaemia 1/11 (9.1%) 1 0/6 (0%) 0
    Hypocalcaemia 1/11 (9.1%) 2 1/6 (16.7%) 1
    Hypokalaemia 2/11 (18.2%) 3 0/6 (0%) 0
    Hypomagnesaemia 1/11 (9.1%) 1 0/6 (0%) 0
    Hyponatraemia 0/11 (0%) 0 2/6 (33.3%) 2
    Musculoskeletal and connective tissue disorders
    Arthralgia 1/11 (9.1%) 1 0/6 (0%) 0
    Bone pain 1/11 (9.1%) 1 0/6 (0%) 0
    Musculoskeletal chest pain 0/11 (0%) 0 1/6 (16.7%) 1
    Musculoskeletal pain 1/11 (9.1%) 1 0/6 (0%) 0
    Pain in extremity 2/11 (18.2%) 3 1/6 (16.7%) 1
    Nervous system disorders
    Dysgeusia 4/11 (36.4%) 4 0/6 (0%) 0
    Headache 1/11 (9.1%) 1 0/6 (0%) 0
    Hypoaesthesia 0/11 (0%) 0 1/6 (16.7%) 1
    Paraesthesia 1/11 (9.1%) 1 0/6 (0%) 0
    Psychiatric disorders
    Depression 1/11 (9.1%) 1 1/6 (16.7%) 1
    Insomnia 3/11 (27.3%) 3 0/6 (0%) 0
    Renal and urinary disorders
    Haematuria 2/11 (18.2%) 3 0/6 (0%) 0
    Respiratory, thoracic and mediastinal disorders
    Cough 0/11 (0%) 0 1/6 (16.7%) 1
    Dyspnoea 1/11 (9.1%) 1 0/6 (0%) 0
    Epistaxis 1/11 (9.1%) 1 0/6 (0%) 0
    Haemoptysis 1/11 (9.1%) 1 0/6 (0%) 0
    Hydrothorax 1/11 (9.1%) 1 0/6 (0%) 0
    Nasal congestion 1/11 (9.1%) 1 0/6 (0%) 0
    Pharyngolaryngeal pain 1/11 (9.1%) 1 0/6 (0%) 0
    Rhinorrhoea 0/11 (0%) 0 1/6 (16.7%) 1
    Skin and subcutaneous tissue disorders
    Alopecia 1/11 (9.1%) 1 0/6 (0%) 0
    Dry skin 1/11 (9.1%) 1 0/6 (0%) 0
    Hair colour changes 1/11 (9.1%) 1 0/6 (0%) 0
    Nail disorder 1/11 (9.1%) 1 1/6 (16.7%) 1
    Palmar-plantar erythrodysaesthesia syndrome 2/11 (18.2%) 5 0/6 (0%) 0
    Petechiae 1/11 (9.1%) 1 0/6 (0%) 0
    Rash papular 1/11 (9.1%) 1 0/6 (0%) 0
    Skin exfoliation 5/11 (45.5%) 7 2/6 (33.3%) 3
    Skin ulcer 1/11 (9.1%) 1 0/6 (0%) 0
    Urticaria localised 1/11 (9.1%) 1 0/6 (0%) 0
    Yellow skin 2/11 (18.2%) 4 1/6 (16.7%) 1
    Vascular disorders
    Hypertension 4/11 (36.4%) 4 0/6 (0%) 0
    Hypotension 1/11 (9.1%) 1 0/6 (0%) 0

    Limitations/Caveats

    Part 1 completers finished 3 or more cycles and included those with progressive disease. Part 2 was not performed and was not activated due to sponsor broad decision to not pursue enzastaurin in solid tumors

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Chief Medical Officer
    Organization Eli Lilly and Company
    Phone 800-545-5979
    Email ClinicalTrials.gov@lilly.com
    Responsible Party:
    Eli Lilly and Company
    ClinicalTrials.gov Identifier:
    NCT00709995
    Other Study ID Numbers:
    • 11531
    • H6Q-MC-S061
    First Posted:
    Jul 3, 2008
    Last Update Posted:
    Sep 30, 2019
    Last Verified:
    Jan 1, 2019