A Study for Participants With Small-Cell Lung Cancer

Sponsor
Eli Lilly and Company (Industry)
Overall Status
Completed
CT.gov ID
NCT01025284
Collaborator
(none)
64
11
2
31
5.8
0.2

Study Details

Study Description

Brief Summary

Part A: This study evaluates an experimental treatment in participants with extensive-disease in small-cell lung cancer.

Part B: This study evaluates an experimental treatment in participants with extensive-disease in small-cell lung cancer.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
64 participants
Allocation:
Non-Randomized
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 2 Study of LY2523355 in Patients With Extensive-Stage Small-Cell Lung Cancer
Study Start Date :
Dec 1, 2009
Actual Primary Completion Date :
Jul 1, 2012
Actual Study Completion Date :
Jul 1, 2012

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part A LY2523355

8 milligrams per square meter (mg/m²) per dose based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, 9 of each 21-day cycle, until disease progression or unacceptable toxicity.

Drug: LY2523355
Administered intravenously as a 1-hour infusion

Experimental: Part B LY2523355

5 or 6 mg/m² per dose based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, 3 plus granulocyte colony-stimulating factor (G-CSF) support administered subcutaneously beginning on Day 4 of each 21-day cycle, until disease progression or unacceptable toxicity.

Drug: LY2523355
Administered intravenously as a 1-hour infusion

Drug: Granulocyte colony-stimulating factor (G-CSF)
Administered subcutaneously

Outcome Measures

Primary Outcome Measures

  1. Part A: Percentage of Participants Achieving an Overall Response (Overall Response Rate) [Date of enrollment to date of measured progressive disease up to 99.6 weeks]

    The overall response is complete response (CR) + partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. The overall response rate is calculated as a total number of participants with CR or PR, then divided by the total number of participants treated, then multiplied by 100.

  2. Part B: Percentage of Participants Achieving a Best Response (Clinical Benefit Rate) [Date of enrollment to date of measured progressive disease up to 18.1 weeks]

    Clinical benefit rate is complete response (CR) + partial response (PR) + stable disease (SD) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Clinical benefit rate is calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.

Secondary Outcome Measures

  1. Part A: Progression-Free Survival [Date of enrollment to date of measured progressive disease or date of death from any cause up to 99.6 weeks]

    Progression-free survival (PFS) is defined as the time from the date of enrollment (first treatment dose) to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is a ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. For participants who had no PD or death or starting new anti-cancer therapy, PFS was censored at their last radiological tumor assessment.

  2. Part B: Progression-Free Survival [Date of enrollment to date of measured progressive disease or date of death from any cause up to 18.1 weeks]

    Progression-free survival (PFS) is defined as the time from the date of enrollment (first treatment dose) to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is a ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. For participants who had no PD or death or starting new anti-cancer therapy, PFS was censored at their last radiological tumor assessment.

  3. Part A: Percentage of Participants Achieving a Best Response (Clinical Benefit Rate) [Date of enrollment to date of measured progressive disease 99.6 weeks]

    Clinical benefit rate is complete response (CR) + partial response (PR) + stable disease (SD) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Clinical benefit rate is calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.

  4. Part B: Percentage of Participants Achieving an Overall Response (Overall Response Rate) [Date of enrollment to date of measured progressive disease up to 18.1 weeks]

    The overall response is complete response (CR) + partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. The overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants treated, then multiplied by 100.

  5. Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307) [Days 1,5 and 9 of Cycle 1 (21-day cycle)]

  6. Part B: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 [Day 3 of Cycle 1 (21-day cycle)]

  7. Part A: Pharmacokinetics - Area Under the Plasma Concentration Versus Time Curve of LY2523355 From Time Zero to Infinity [AUC(0-∞)] [Days 1,5 and 9 of Cycle 1 (21-day cycle)]

    Due to the very limited pharmacokinetic sampling employed in Part A of the study, the AUC(0-∞) of LY2523355 could not be accurately calculated.

  8. Part B: Pharmacokinetics - Area Under the Plasma Concentration Versus Time Curve of LY2523355 From Time Zero to Infinity [AUC(0-∞)] [Day 3 of Cycle 1 (21-day cycle)]

  9. Total Lung Cancer Symptom Scale (LCSS) and Average Symptom Burden Index (ASBI) [Baseline and follow-up up to 104 weeks after the first dose of study drug]

    LCSS is a 9-item questionnaire. Six questions are symptom-specific measures for lung cancer (appetite, fatigue, cough, dyspnea, hemoptysis and pain), and 3 summation items describe total symptomatic distress, activity status, and overall quality of life. Participant responses were measured using visual analogue scales (VAS) with 100-milliliter (mm) lines. The LCSS total score was defined as the mean of the 9 items of the scale, with scores range from 0 (for best outcome) to 100 (for worst outcome). ASBI was calculated as the mean of six symptom-specific questions from the LCSS, with scores range from 0 (for best outcome) to 100 (for worst outcome).

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Have histological or cytological evidence of extensive-disease small-cell lung cancer

  • Have the presence of measurable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1)

  • Have received at least 1 prior chemotherapy regimen with agents known to provide clinical benefit for small-cell lung cancer and be, in the opinion of the investigator, an appropriate candidate for experimental therapy

  • Have discontinued all previous therapies for cancer, including chemotherapy, biologic therapy, hormone therapy, or radiotherapy. Participants must have recovered from the acute effects of therapy (except alopecia and fatigue) before study enrollment

  • Part A: Have a performance status of 0 to 2 on the Eastern Cooperative Oncology Group scale

  • Part B: Have a performance status of 0 to 1 on the Eastern Cooperative Oncology Group scale

Exclusion Criteria:
  • Have received treatment within 28 days of the first dose of LY2523355 with a drug that has not received regulatory approval for any indication

  • Have a mixed histological diagnosis of small-cell lung cancer and non-small-cell lung cancer

  • Have serious preexisting medical conditions that, in the opinion of the investigator, would preclude participation in this study

  • Part A: Have symptomatic, untreated, or uncontrolled central nervous system (CNS) metastases. Participants with treated CNS metastases are eligible provided their disease is radiographically stable, asymptomatic, and corticosteroid use has been discontinued for at least 2 weeks prior to the first dose of study drug. Screening of asymptomatic participants without history of CNS metastases is not required

  • Part B: Have symptomatic, untreated, or uncontrolled CNS metastases or a history of CNS metastases. Participants who have received prophylactic radiation are not excluded. Screening of asymptomatic participants without history of CNS metastases is not required

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. Torrington Connecticut United States 06790
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. Athens Georgia United States 30607
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. Marietta Georgia United States 30060
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. Scarborough Maine United States 04074
5 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. Cherry Hill New Jersey United States 08003
6 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. Albuquerque New Mexico United States 87131
7 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. Charleston South Carolina United States 29425
8 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. Memphis Tennessee United States 38138
9 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. Seoul Korea, Republic of 135-710
10 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. Bucharest Romania 022328
11 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. Cluj-Napoca Romania 3400

Sponsors and Collaborators

  • Eli Lilly and Company

Investigators

  • Study Director: Call 1-877-CTLILLY(1-877-285-4559) or 1-317-615-4559 Mon-Fri 9AM-5PM Eastern time(UTC/GMT-5hours, EST), Eli Lilly and Company

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT01025284
Other Study ID Numbers:
  • 12253
  • I1Y-MC-JFBD
First Posted:
Dec 3, 2009
Last Update Posted:
Sep 17, 2019
Last Verified:
Sep 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 This is a nonrandomized, open-label, 2-part study.
Arm/Group Title Part A - 8 mg/m²/Day Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle. 5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle. 6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Period Title: Overall Study
STARTED 38 18 8
Received at Least 1 Dose of Study Drug 38 18 8
COMPLETED 38 16 8
NOT COMPLETED 0 2 0

Baseline Characteristics

Arm/Group Title Part A - 8 mg/m²/Day Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day Total
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle. 5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle. 6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle. Total of all reporting groups
Overall Participants 38 18 8 64
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
64.88
(6.3)
63.33
(8.4)
63.40
(9.1)
64.26
(7.2)
Sex: Female, Male (Count of Participants)
Female
11
28.9%
3
16.7%
2
25%
16
25%
Male
27
71.1%
15
83.3%
6
75%
48
75%
Race/Ethnicity, Customized (participants) [Number]
Asian
12
31.6%
5
27.8%
4
50%
21
32.8%
Black or African American
1
2.6%
0
0%
1
12.5%
2
3.1%
White
25
65.8%
13
72.2%
3
37.5%
41
64.1%
Region of Enrollment (Count of Participants)
United States
17
44.7%
10
55.6%
4
50%
31
48.4%
Romania
9
23.7%
3
16.7%
0
0%
12
18.8%
South Korea
12
31.6%
5
27.8%
4
50%
21
32.8%

Outcome Measures

1. Primary Outcome
Title Part A: Percentage of Participants Achieving an Overall Response (Overall Response Rate)
Description The overall response is complete response (CR) + partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. The overall response rate is calculated as a total number of participants with CR or PR, then divided by the total number of participants treated, then multiplied by 100.
Time Frame Date of enrollment to date of measured progressive disease up to 99.6 weeks

Outcome Measure Data

Analysis Population Description
All participants who received at least 1 dose of study drug in Part A.
Arm/Group Title Part A
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Measure Participants 38
Number (90% Confidence Interval) [percentage of participants]
2.6
6.8%
2. Primary Outcome
Title Part B: Percentage of Participants Achieving a Best Response (Clinical Benefit Rate)
Description Clinical benefit rate is complete response (CR) + partial response (PR) + stable disease (SD) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Clinical benefit rate is calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.
Time Frame Date of enrollment to date of measured progressive disease up to 18.1 weeks

Outcome Measure Data

Analysis Population Description
All participants who received at least 1 dose of study drug in Part B.
Arm/Group Title Part B
Arm/Group Description 5 or 6 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Measure Participants 26
Number (90% Confidence Interval) [percentage of participants]
26.9
70.8%
3. Secondary Outcome
Title Part A: Progression-Free Survival
Description Progression-free survival (PFS) is defined as the time from the date of enrollment (first treatment dose) to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is a ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. For participants who had no PD or death or starting new anti-cancer therapy, PFS was censored at their last radiological tumor assessment.
Time Frame Date of enrollment to date of measured progressive disease or date of death from any cause up to 99.6 weeks

Outcome Measure Data

Analysis Population Description
All participants who received at least 1 dose of study drug in Part A. The numbers of participants censored are 4.
Arm/Group Title Part A
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Measure Participants 38
Median (90% Confidence Interval) [weeks]
5.3
4. Secondary Outcome
Title Part B: Progression-Free Survival
Description Progression-free survival (PFS) is defined as the time from the date of enrollment (first treatment dose) to the first observation of progression of disease (PD) or death due to any cause. PD was determined using Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is a ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. For participants who had no PD or death or starting new anti-cancer therapy, PFS was censored at their last radiological tumor assessment.
Time Frame Date of enrollment to date of measured progressive disease or date of death from any cause up to 18.1 weeks

Outcome Measure Data

Analysis Population Description
All participants who received at least 1 dose of study drug in Part B. The numbers of participants censored are 4.
Arm/Group Title Part B
Arm/Group Description 5 or 6 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Measure Participants 26
Median (90% Confidence Interval) [weeks]
6.1
5. Secondary Outcome
Title Part A: Percentage of Participants Achieving a Best Response (Clinical Benefit Rate)
Description Clinical benefit rate is complete response (CR) + partial response (PR) + stable disease (SD) as classified by the investigator according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease. Clinical benefit rate is calculated as a total number of participants with CR or PR or SD divided by the total number of participants treated, then multiplied by 100.
Time Frame Date of enrollment to date of measured progressive disease 99.6 weeks

Outcome Measure Data

Analysis Population Description
All participants who received at least 1 dose of study drug in Part A.
Arm/Group Title Part A
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Measure Participants 38
Number (90% Confidence Interval) [percentage of participants]
23.7
62.4%
6. Secondary Outcome
Title Part B: Percentage of Participants Achieving an Overall Response (Overall Response Rate)
Description The overall response is complete response (CR) + partial response (PR) as classified by the investigators according to the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines. CR is the disappearance of all target and non-target lesions; PR is a ≥30% decrease in sum of longest diameter of target lesions. The overall response rate is calculated as a total number of participants with CR or PR divided by the total number of participants treated, then multiplied by 100.
Time Frame Date of enrollment to date of measured progressive disease up to 18.1 weeks

Outcome Measure Data

Analysis Population Description
All participants who received at least 1 dose of study drug in Part B.
Arm/Group Title Part B
Arm/Group Description 5 or 6 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Measure Participants 26
Number (90% Confidence Interval) [percentage of participants]
0
0%
7. Secondary Outcome
Title Part A: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355 and Its Metabolite (LSN2546307)
Description
Time Frame Days 1,5 and 9 of Cycle 1 (21-day cycle)

Outcome Measure Data

Analysis Population Description
All participants who received 1 dose of study drug on Days 1, 5, and 9 of Cycle 1 and had Cmax samples collected on Days 1, 5, and 9 of Cycle 1 in Part A.
Arm/Group Title Part A
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Measure Participants 37
LY2523355 Day 1
146
(69.5)
LY2523355 Day 5
157
(91.4)
LY2523355 Day 9
100
(420)
Metabolite Day 1
7.17
(55.4)
Metabolite Day 5
6.29
(50.8)
Metabolite Day 9
6.11
(129)
8. Secondary Outcome
Title Part B: Pharmacokinetics - Maximum Observed Plasma Concentration (Cmax) of LY2523355
Description
Time Frame Day 3 of Cycle 1 (21-day cycle)

Outcome Measure Data

Analysis Population Description
All participants who received 1 dose of study drug on Days 1, 2, and 3 of Cycle 1 and had Cmax samples collected on Day 3 of Cycle 1 in Part B.
Arm/Group Title Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day
Arm/Group Description 5 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle. 6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
Measure Participants 17 6
Geometric Mean (Geometric Coefficient of Variation) [nanograms/milliliter (ng/mL)]
128
(82)
258
(32)
9. Secondary Outcome
Title Part A: Pharmacokinetics - Area Under the Plasma Concentration Versus Time Curve of LY2523355 From Time Zero to Infinity [AUC(0-∞)]
Description Due to the very limited pharmacokinetic sampling employed in Part A of the study, the AUC(0-∞) of LY2523355 could not be accurately calculated.
Time Frame Days 1,5 and 9 of Cycle 1 (21-day cycle)

Outcome Measure Data

Analysis Population Description
No participants were analyzed due to the very limited pharmacokinetic sampling employed in Part A that did not allow accurate calculation of the AUC(0-∞) on Days 1, 5, and 9 of Cycle 1.
Arm/Group Title Part A
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle.
Measure Participants 0
10. Secondary Outcome
Title Part B: Pharmacokinetics - Area Under the Plasma Concentration Versus Time Curve of LY2523355 From Time Zero to Infinity [AUC(0-∞)]
Description
Time Frame Day 3 of Cycle 1 (21-day cycle)

Outcome Measure Data

Analysis Population Description
All participants who received 1 dose of study drug on Days 1, 2, and 3 of Cycle 1 and had pharmacokinetic samples collected on Day 3 of Cycle 1 in Part B that enabled calculation of the AUC(0-∞).
Arm/Group Title Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day
Arm/Group Description 5 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle. 6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Measure Participants 17 6
Geometric Mean (Geometric Coefficient of Variation) [nanograms*hour/milliliter (ng*h/mL)]
639
(41)
1220
(38)
11. Secondary Outcome
Title Total Lung Cancer Symptom Scale (LCSS) and Average Symptom Burden Index (ASBI)
Description LCSS is a 9-item questionnaire. Six questions are symptom-specific measures for lung cancer (appetite, fatigue, cough, dyspnea, hemoptysis and pain), and 3 summation items describe total symptomatic distress, activity status, and overall quality of life. Participant responses were measured using visual analogue scales (VAS) with 100-milliliter (mm) lines. The LCSS total score was defined as the mean of the 9 items of the scale, with scores range from 0 (for best outcome) to 100 (for worst outcome). ASBI was calculated as the mean of six symptom-specific questions from the LCSS, with scores range from 0 (for best outcome) to 100 (for worst outcome).
Time Frame Baseline and follow-up up to 104 weeks after the first dose of study drug

Outcome Measure Data

Analysis Population Description
All participants who received at least 1 dose of study drug and had total LCSS and ASBI scores at baseline and follow-up in Part B.
Arm/Group Title Part B
Arm/Group Description 5 or 6 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle.
Measure Participants 24
Total LCSS at Baseline
28.24
(15.2)
Total LCSS at Follow-up
42.61
(14.5)
ASBI at Baseline
26.76
(14.1)
ASBI at Follow-up
36.41
(11.1)

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Part A - 8 mg/m²/Day Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day
Arm/Group Description 8 milligrams per square meter (mg/m²) of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 5, and 9 of each 21-day cycle. 5 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus granulocyte colony-stimulating factor (G-CSF) support given per local package insert beginning on Day 4 of each 21-day cycle. 6 mg/m² of LY2523355 per day based on participant's body surface area, administered intravenously as a 1-hour infusion on Days 1, 2, and 3 plus G-CSF support given per local package insert beginning on Day 4 of each 21-day cycle.
All Cause Mortality
Part A - 8 mg/m²/Day Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Part A - 8 mg/m²/Day Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 8/38 (21.1%) 8/18 (44.4%) 8/8 (100%)
Blood and lymphatic system disorders
Febrile neutropenia 1/38 (2.6%) 1 0/18 (0%) 0 0/8 (0%) 0
Neutropenia 1/38 (2.6%) 1 1/18 (5.6%) 1 1/8 (12.5%) 1
Cardiac disorders
Atrial fibrillation 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Coronary artery disease 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Gastrointestinal disorders
Vomiting 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
General disorders
Asthenia 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Chest pain 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Mucosal inflammation 0/38 (0%) 0 0/18 (0%) 0 4/8 (50%) 4
Infections and infestations
Atypical pneumonia 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Pneumonia 3/38 (7.9%) 3 0/18 (0%) 0 2/8 (25%) 3
Sepsis 1/38 (2.6%) 1 0/18 (0%) 0 0/8 (0%) 0
Injury, poisoning and procedural complications
Ankle fracture 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Road traffic accident 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Subdural haematoma 1/38 (2.6%) 1 0/18 (0%) 0 0/8 (0%) 0
Metabolism and nutrition disorders
Decreased appetite 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Dehydration 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Musculoskeletal and connective tissue disorders
Flank pain 1/38 (2.6%) 1 0/18 (0%) 0 0/8 (0%) 0
Muscular weakness 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Nervous system disorders
Headache 1/38 (2.6%) 1 0/18 (0%) 0 0/8 (0%) 0
Spinal cord compression 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Psychiatric disorders
Confusional state 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Mental status changes 1/38 (2.6%) 1 0/18 (0%) 0 0/8 (0%) 0
Respiratory, thoracic and mediastinal disorders
Aspiration 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Chronic obstructive pulmonary disease 0/38 (0%) 0 2/18 (11.1%) 2 0/8 (0%) 0
Dyspnoea 2/38 (5.3%) 2 0/18 (0%) 0 3/8 (37.5%) 3
Haemoptysis 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Hypoxia 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Pleural effusion 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Skin and subcutaneous tissue disorders
Stevens-johnson syndrome 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Other (Not Including Serious) Adverse Events
Part A - 8 mg/m²/Day Part B - 5 mg/m²/Day Part B - 6 mg/m²/Day
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 35/38 (92.1%) 18/18 (100%) 7/8 (87.5%)
Blood and lymphatic system disorders
Anaemia 9/38 (23.7%) 9 3/18 (16.7%) 3 2/8 (25%) 4
Febrile neutropenia 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Leukopenia 5/38 (13.2%) 6 0/18 (0%) 0 0/8 (0%) 0
Lymphopenia 2/38 (5.3%) 2 0/18 (0%) 0 0/8 (0%) 0
Neutropenia 29/38 (76.3%) 74 11/18 (61.1%) 17 3/8 (37.5%) 5
Thrombocytopenia 2/38 (5.3%) 3 1/18 (5.6%) 1 1/8 (12.5%) 1
Cardiac disorders
Atrial fibrillation 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Atrial tachycardia 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Sinus tachycardia 1/38 (2.6%) 1 1/18 (5.6%) 1 0/8 (0%) 0
Tachycardia 1/38 (2.6%) 1 1/18 (5.6%) 1 1/8 (12.5%) 1
Ear and labyrinth disorders
Tinnitus 1/38 (2.6%) 1 1/18 (5.6%) 1 0/8 (0%) 0
Eye disorders
Dry eye 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Vision blurred 1/38 (2.6%) 1 0/18 (0%) 0 2/8 (25%) 2
Gastrointestinal disorders
Abdominal pain 4/38 (10.5%) 4 2/18 (11.1%) 2 0/8 (0%) 0
Abdominal pain upper 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Constipation 6/38 (15.8%) 6 4/18 (22.2%) 6 3/8 (37.5%) 6
Diarrhoea 7/38 (18.4%) 9 1/18 (5.6%) 1 2/8 (25%) 2
Dry mouth 0/38 (0%) 0 2/18 (11.1%) 2 0/8 (0%) 0
Dysphagia 1/38 (2.6%) 1 1/18 (5.6%) 1 1/8 (12.5%) 1
Gastrooesophageal reflux disease 2/38 (5.3%) 2 1/18 (5.6%) 1 0/8 (0%) 0
Glossodynia 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Nausea 8/38 (21.1%) 8 2/18 (11.1%) 2 3/8 (37.5%) 4
Oral pain 0/38 (0%) 0 0/18 (0%) 0 2/8 (25%) 2
Stomatitis 1/38 (2.6%) 1 4/18 (22.2%) 4 0/8 (0%) 0
Vomiting 3/38 (7.9%) 5 3/18 (16.7%) 4 1/8 (12.5%) 3
General disorders
Asthenia 0/38 (0%) 0 0/18 (0%) 0 2/8 (25%) 2
Chest discomfort 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Chest pain 2/38 (5.3%) 2 1/18 (5.6%) 2 2/8 (25%) 2
Fatigue 10/38 (26.3%) 12 7/18 (38.9%) 9 4/8 (50%) 4
Gait disturbance 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Mucosal inflammation 0/38 (0%) 0 2/18 (11.1%) 7 2/8 (25%) 3
Non-cardiac chest pain 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Oedema peripheral 1/38 (2.6%) 1 0/18 (0%) 0 1/8 (12.5%) 1
Immune system disorders
Drug hypersensitivity 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Infections and infestations
Fungal skin infection 0/38 (0%) 0 1/18 (5.6%) 2 0/8 (0%) 0
Skin infection 0/38 (0%) 0 2/18 (11.1%) 2 0/8 (0%) 0
Urinary tract infection 2/38 (5.3%) 2 0/18 (0%) 0 1/8 (12.5%) 1
Injury, poisoning and procedural complications
Fall 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Investigations
Alanine aminotransferase increased 1/38 (2.6%) 1 1/18 (5.6%) 1 1/8 (12.5%) 1
Aspartate aminotransferase increased 0/38 (0%) 0 1/18 (5.6%) 1 1/8 (12.5%) 1
Blood alkaline phosphatase increased 1/38 (2.6%) 1 1/18 (5.6%) 1 1/8 (12.5%) 1
Blood bilirubin increased 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Blood creatine increased 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Blood creatinine increased 1/38 (2.6%) 1 1/18 (5.6%) 1 0/8 (0%) 0
Blood lactate dehydrogenase increased 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Neutrophil count decreased 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Platelet count decreased 1/38 (2.6%) 1 2/18 (11.1%) 2 0/8 (0%) 0
Weight decreased 0/38 (0%) 0 2/18 (11.1%) 2 2/8 (25%) 2
White blood cell count decreased 0/38 (0%) 0 3/18 (16.7%) 3 0/8 (0%) 0
Metabolism and nutrition disorders
Decreased appetite 8/38 (21.1%) 8 4/18 (22.2%) 4 3/8 (37.5%) 4
Dehydration 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 2
Hyperglycaemia 1/38 (2.6%) 1 2/18 (11.1%) 3 1/8 (12.5%) 3
Hyperkalaemia 1/38 (2.6%) 1 0/18 (0%) 0 2/8 (25%) 2
Hypoalbuminaemia 0/38 (0%) 0 2/18 (11.1%) 2 0/8 (0%) 0
Hypocalcaemia 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Hypokalaemia 0/38 (0%) 0 1/18 (5.6%) 1 1/8 (12.5%) 1
Hypomagnesaemia 2/38 (5.3%) 2 1/18 (5.6%) 1 2/8 (25%) 2
Hyponatraemia 1/38 (2.6%) 1 0/18 (0%) 0 1/8 (12.5%) 1
Musculoskeletal and connective tissue disorders
Arthralgia 1/38 (2.6%) 1 2/18 (11.1%) 2 0/8 (0%) 0
Back pain 2/38 (5.3%) 2 2/18 (11.1%) 2 1/8 (12.5%) 1
Bone pain 3/38 (7.9%) 4 2/18 (11.1%) 2 1/8 (12.5%) 1
Muscle spasms 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Muscular weakness 2/38 (5.3%) 2 1/18 (5.6%) 1 0/8 (0%) 0
Musculoskeletal chest pain 0/38 (0%) 0 2/18 (11.1%) 2 0/8 (0%) 0
Musculoskeletal pain 2/38 (5.3%) 2 1/18 (5.6%) 1 0/8 (0%) 0
Myalgia 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Neck pain 1/38 (2.6%) 1 1/18 (5.6%) 1 1/8 (12.5%) 1
Nervous system disorders
Dizziness 4/38 (10.5%) 5 3/18 (16.7%) 4 1/8 (12.5%) 1
Dysgeusia 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Headache 1/38 (2.6%) 1 0/18 (0%) 0 1/8 (12.5%) 2
Neuropathy peripheral 2/38 (5.3%) 2 2/18 (11.1%) 2 0/8 (0%) 0
Presyncope 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Syncope 2/38 (5.3%) 3 0/18 (0%) 0 1/8 (12.5%) 1
Psychiatric disorders
Agitation 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Anxiety 2/38 (5.3%) 3 0/18 (0%) 0 0/8 (0%) 0
Confusional state 5/38 (13.2%) 5 0/18 (0%) 0 0/8 (0%) 0
Depression 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Insomnia 4/38 (10.5%) 4 0/18 (0%) 0 2/8 (25%) 2
Sleep disorder 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Renal and urinary disorders
Dysuria 0/38 (0%) 0 1/18 (5.6%) 1 1/8 (12.5%) 2
Micturition disorder 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Respiratory, thoracic and mediastinal disorders
Cough 8/38 (21.1%) 9 2/18 (11.1%) 2 0/8 (0%) 0
Dysphonia 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Dyspnoea 6/38 (15.8%) 6 2/18 (11.1%) 2 2/8 (25%) 2
Haemoptysis 1/38 (2.6%) 1 1/18 (5.6%) 1 1/8 (12.5%) 1
Hypoxia 2/38 (5.3%) 2 0/18 (0%) 0 1/8 (12.5%) 1
Nasal congestion 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Oropharyngeal pain 1/38 (2.6%) 1 1/18 (5.6%) 1 2/8 (25%) 2
Pneumonitis 2/38 (5.3%) 2 0/18 (0%) 0 0/8 (0%) 0
Productive cough 1/38 (2.6%) 1 0/18 (0%) 0 2/8 (25%) 2
Wheezing 2/38 (5.3%) 2 1/18 (5.6%) 1 0/8 (0%) 0
Skin and subcutaneous tissue disorders
Alopecia 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Blister 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Hyperhidrosis 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1
Pruritus 7/38 (18.4%) 8 0/18 (0%) 0 0/8 (0%) 0
Rash 3/38 (7.9%) 3 2/18 (11.1%) 2 2/8 (25%) 2
Skin discolouration 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Sunburn 0/38 (0%) 0 1/18 (5.6%) 1 0/8 (0%) 0
Vascular disorders
Hypotension 2/38 (5.3%) 2 3/18 (16.7%) 3 2/8 (25%) 2
Orthostatic hypotension 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 2
Superior vena cava syndrome 0/38 (0%) 0 0/18 (0%) 0 1/8 (12.5%) 1

Limitations/Caveats

[Not Specified]

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
Responsible Party:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT01025284
Other Study ID Numbers:
  • 12253
  • I1Y-MC-JFBD
First Posted:
Dec 3, 2009
Last Update Posted:
Sep 17, 2019
Last Verified:
Sep 1, 2019