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CompletedNCT00451178Updated Jul 21, 2020Results posted

A Study of Participants With Lymphoma Who Take R-CHOP and Enzastaurin Compared to Participants Who Take R-CHOP Only

A Phase 2 interventional study of enzastaurin and rituximab in Lymphoma, sponsored by Eli Lilly and Company. Completed at 25 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-07-21.

Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
101
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To compare R-CHOP plus enzastaurin versus R-CHOP for progression-free survival (PFS) time measured in participants with intermediate and/or high risk for diffuse large B-cell lymphoma (DLBCL) receiving first-line treatment.

02

Conditions studied

  • Lymphoma

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03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 101 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,048 studies on the registry; 140 are open to participants now.

Of its 521 completed or terminated interventional studies of FDA-regulated products, 341 (65%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Participants must:

  1. Have a histologically confirmed diagnosis of DLBCL based on the World Health Organization classification (Harris et al. 1999) at the time of original diagnosis. Pathology must be reviewed and confirmed prior to enrollment at the investigational site where the participant is entered. Participants with a prior history of an indolent lymphoma or a histological diagnosis of follicular Grade 3 lymphoma will not be eligible for enrollment.
  2. Have received no prior chemotherapy.
  3. Have an International Prognostic Index (IPI) score ≥2 at time of original diagnosis.
  4. Have a performance status of 0, 1, or 2 on the Eastern Cooperative Oncology group (ECOG) scale.
  5. Have adequate organ function as follows:

    • Hepatic: total bilirubin ≤1.5 times the upper limit of normal (x ULN); alanine transaminase (ALT) and aspartate transaminase (AST) ≤1.5 x ULN, (≤5 x ULN, if liver involvement).
    • Renal: serum creatinine ≤1.5 x ULN.
    • Adequate bone marrow reserve: platelets ≥75 x 10\^9 per Liter (L), absolute neutrophil count (ANC) ≥1.0 x 10\^9 per L, unless there is bone marrow involvement.

Exclusion criteria

Exclusion Criteria:

Participants must not:

  1. Have received treatment within the last 30 days with a drug (not including enzastaurin) that has not received regulatory approval for any indication at the time of study entry.
  2. Are receiving concurrent administration of any other systemic anticancer therapy.
  3. Are pregnant or breastfeeding.
  4. Are unable to swallow tablets.
  5. Are unable to discontinue use of carbamazepine, phenobarbital, and phenytoin at least 14 days prior to study enrollment.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
101 participants (actual)

Study arms

  • Experimental
    R-CHOP and Enzastaurin

    R-CHOP includes rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone treatment therapies.

    Drug: enzastaurin · Drug: rituximab · Drug: cyclophosphamide · Drug: doxorubicin · Drug: vincristine · Drug: prednisone

  • Active comparator
    R-CHOP

    R-CHOP includes rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone treatment therapies.

    Drug: rituximab · Drug: cyclophosphamide · Drug: doxorubicin · Drug: vincristine · Drug: prednisone

Interventions

  • Drugenzastaurin

    1125 milligrams (mg) then 500 mg, oral, daily, six 21-day cycles or up to 3 years

    Also known as: LY317615

  • Drugrituximab

    375 milligrams per square meter (mg/m\^2), intravenous (IV), Day 1 every 21 days, six 21-day cycles

  • Drugcyclophosphamide

    750 mg/m\^2, IV, Day 1 every 21 days, six 21-day cycles

  • Drugdoxorubicin

    50 mg/m\^2, IV, Day 1 every 21 days, six 21-day cycles

  • Drugvincristine

    1.4 mg/m\^2, IV, Day 1 every 21 days, six 21-day cycles

  • Drugprednisone

    100 mg, oral, Days 1-5, six 21-day cycles

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS) Time

    PFS time is the elapsed time from the date of randomization to the first date of objectively-determined PD or death from any cause. PD was assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new or increased lymph nodes/masses and reappearance of bone marrow infiltrate. For participants not known to have died as of the data cut-off date and who did not have objective PD, PFS was censored at the date of the last objective progression-free disease assessment. For participants who received subsequent anticancer therapy (other than enzastaurin maintenance therapy) prior to objectively determined disease progression or death, PFS was censored at the date of the last objective progression-free disease assessment prior to the date of subsequent therapy.

    Time frame: Randomization to measured PD or death from any cause (up to 55 months)

Secondary outcomes

  1. Percentage of Participants With Complete Response (CR and CRu) and Objective Response [CR, CRu, and Partial Response (PR)] (Overall Response Rate)

    CR, CRu, and PR were defined using International Working Group recommendations (Cheson et al. 1999). CR is a complete disappearance of all disease with the exception of nodes. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow must be negative if positive at baseline. Normalization of markers. CRu does not qualify for CR above, due to a residual nodal mass or an indeterminate bone marrow. PR is a 50% decrease in the sum of the products of diameters for up to 6 identified dominant lesions, including splenic and hepatic nodules from baseline. No new lesions and no increase in the size of liver, spleen or other nodes. The percentage of participants with complete response (CR/CRu) and objective response (Cr/CRu/PR)=(Number of participants whose best overall response was CR/CRu or Cr/CRu/PR)/(Number of participants treated)\*100.

    Time frame: Baseline through long-term follow-up (up to 2 years post last dose)

  2. Percentage of Participants Alive Progression-Free at Year 2 (2-Year PFS Rate)

    PD was assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new or increased lymph nodes/masses and reappearance of bone marrow infiltrate. Percentage of participants alive progression-free at Year 2=(Number of participants alive progression free at Year 2)/(Number of participants assessed)\*100.

    Time frame: Randomization to measured PD (up to Year 2)

  3. Percentage of Participants With a PET-Negative Scan (PET-Negative Rate)

    The percentage of participants with a PET-negative scan=(Number of participants who had a PET-negative scan at Cycle 6)/(Number of participants who had a PET-positive scan at baseline)\*100.

    Time frame: Cycle 6 (21 days/cycle)

  4. Percentage of Participants With Complete Response (CR/CRu) and/or Post-Baseline PET-Negative Scan (Concordance Between Response and PET Scan)

    Lesion response was assessed according to International Working Group recommendations (Cheson et al. 1999). CR is a complete disappearance of all disease with the exception of nodes. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow must be negative if positive at baseline. Normalization of markers. CRu does not qualify for CR above, due to a residual nodal mass or an indeterminate bone marrow. Percentage of participants with CR/CRu and/or PET-negative scan=(Number of participants with complete response and/or PET-negative scan at Cycle 6)/(Number of participants with a PET-positive scan at baseline)\*100.

    Time frame: Cycle 6 (21 days/cycle)

  5. Event-Free Survival (EFS)

    EFS is the elapsed time from the date of randomization to the first date of objectively-determined PD, institution of a new anticancer treatment (other than maintenance therapy), or death from any cause. PD was assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new or increased lymph nodes/masses and reappearance of bone marrow infiltrate. For participants not known to have died as of the data cut-off date, who did not have objectively determined disease progression, and who were not treated with a new anticancer treatment, EFS was censored at the date of the last objectively determined disease-free assessment.

    Time frame: Randomization to measured PD, start of new therapy, or death from any cause (up to 55 months)

  6. Overall Survival (OS)

    OS is the elapsed time from the date of study enrollment (baseline) to the date of death from any cause. For participants not known to have died as of the data cutoff date, OS was censored at the last contact date or last date known to be alive, whichever was later.

    Time frame: Baseline to death from any cause (up to 55 months)

  7. Duration of Complete Response (CR or CRu)

    Duration of response (DOR) either CR or CRu: Elapsed time from date CR or CRu criteria met to first objectively-determined PD. For responding participants (pts) who died without PD and pts not known to have died as of data cut-off date, who did not have PD, DOR censored at date of last objective progression-free disease assessment. For responding pts who received subsequent systemic anticancer therapy (other than enzastaurin maintenance therapy) prior to PD, DOR was censored at date of last objective progression-free disease assessment prior to subsequent therapy. CR and CRu defined using International Working Group recommendations (Cheson et al. 1999). CR is a complete disappearance of all disease with the exception of nodes. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow (BM) must be negative if positive at baseline. Normalization of markers. CRu does not qualify for CR above, due to a residual nodal mass or an indeterminate BM.

    Time frame: Time of response to PD (up to 55 months)

  8. Participants Who Had Treatment-Emergent Adverse Events (TEAEs) or Died (Evaluate Toxicity and Tolerability of R-CHOP Plus Enzastaurin)

    Data presented are the number of participants who experienced at least 1 TEAE, Grade 3 or 4 Common Terminology Criteria for Adverse Events (CTCAE), serious adverse event (SAE), as well as the number of participants who discontinued due to an adverse event (AE) or SAE, who died on therapy, died within 30 days post treatment or within 60 days of first dose. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

    Time frame: First dose through 30 days post study treatment discontinuation (up to 56 months)

  9. PFS of Participants With High or Low Expression of Protein Biomarkers and Correlation of Biomarkers to PFS

    Reported is PFS of participants (pts) with high or low biomarker expression levels. PFS: time from randomization to first date of PD/death from any cause. PD assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new/increased lymph node/masses and reappearance of bone marrow infiltrate. For pts who had subsequent anticancer therapy, PFS censored at date of last assessment prior to subsequent therapy. Biomarkers and number of pts censored: EIF4EBP1 Cytoplasm (C) 4,3,7,3; EIF4EBP1 Nucleus (N) 0,2,11,4; EIF4E C 5,2,6,4; EIF4E N 0,0,11,6; HDAC2 N 5,1,5,5; PCREB N 5,3,6,4; PEIF3746 C 4,2,7,4; PEIF3746 N 5,2,6,4; PEIFS209 C 5,2,5,4; PEIFS65 N 7,2,4,4; PEIFT70 C 5,2,6,4; PEIFT70 N 6,4,5,2; P GSK3B C 7,3,4,3; PKCb2 C 4,3,7,3; PS6 C 9,4,1,1; PTEN C 5,2,6,4; PTEN N 3,0,8,6. Correlation of biomarkers with PFS (statistical analyses) reported if high expression groups combined and low expression groups combined each had ≥10 pts.

    Time frame: Randomization to measured PD or death from any cause (up to 55 months)]

07

Results

Posted Jul 21, 2020

Participant flow

Chemotherapy (Up To Six 21-Day Cycles)
Participant flow — Chemotherapy (Up To Six 21-Day Cycles)
MilestoneR-CHOP and EnzastaurinR-CHOP
Started5843
Received at least 1 dose study treatment5743
Completed4026
Not completed1817
Withdrew: Adverse event66
Withdrew: Withdrawal by subject43
Withdrew: Protocol violation21
Withdrew: Physician decision12
Withdrew: Death43
Withdrew: Progressive disease (pd)12
Prior to Maintenance Therapy
Participant flow — Prior to Maintenance Therapy
MilestoneR-CHOP and EnzastaurinR-CHOP
Started400
Completed360
Not completed40
Withdrew: Physician decision20
Withdrew: Pd20
Maintenance Therapy (up to 3 Years)
Participant flow — Maintenance Therapy (up to 3 Years)
MilestoneR-CHOP and EnzastaurinR-CHOP
Started360
Completed60
Not completed300
Withdrew: Adverse event40
Withdrew: Withdrawal by subject50
Withdrew: Physician decision10
Withdrew: Death10
Withdrew: Pd100
Withdrew: Continuing maintenance90
Long-Term Follow-Up (Up to 2 Years)
Participant flow — Long-Term Follow-Up (Up to 2 Years)
MilestoneR-CHOP and EnzastaurinR-CHOP
Started626
Completed00
Not completed626
Withdrew: Continuing follow-up626

Outcome measures

PrimaryProgression-Free Survival (PFS) Time

PFS time is the elapsed time from the date of randomization to the first date of objectively-determined PD or death from any cause. PD was assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new or increased lymph nodes/masses and reappearance of bone marrow infiltrate. For participants not known to have died as of the data cut-off date and who did not have objective PD, PFS was censored at the date of the last objective progression-free disease assessment. For participants who received subsequent anticancer therapy (other than enzastaurin maintenance therapy) prior to objectively determined disease progression or death, PFS was censored at the date of the last objective progression-free disease assessment prior to the date of subsequent therapy.

Time frame:
Randomization to measured PD or death from any cause (up to 55 months)
Reported as:
Median · months
Progression-Free Survival (PFS) Time
monthsR-CHOP and EnzastaurinR-CHOP
Progression-Free Survival (PFS) Time36.2 (20.2 to NA)22.6 (8.9 to NA)
SecondaryPercentage of Participants With Complete Response (CR and CRu) and Objective Response [CR, CRu, and Partial Response (PR)] (Overall Response Rate)

CR, CRu, and PR were defined using International Working Group recommendations (Cheson et al. 1999). CR is a complete disappearance of all disease with the exception of nodes. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow must be negative if positive at baseline. Normalization of markers. CRu does not qualify for CR above, due to a residual nodal mass or an indeterminate bone marrow. PR is a 50% decrease in the sum of the products of diameters for up to 6 identified dominant lesions, including splenic and hepatic nodules from baseline. No new lesions and no increase in the size of liver, spleen or other nodes. The percentage of participants with complete response (CR/CRu) and objective response (Cr/CRu/PR)=(Number of participants whose best overall response was CR/CRu or Cr/CRu/PR)/(Number of participants treated)\*100.

Time frame:
Baseline through long-term follow-up (up to 2 years post last dose)
Reported as:
Number · percentage of participants
Percentage of Participants With Complete Response (CR and CRu) and Objective Response [CR, CRu, and Partial Response (PR)] (Overall Response Rate)
percentage of participantsR-CHOP and EnzastaurinR-CHOP
Complete Response51.8 (38.0 to 65.3)42.9 (27.7 to 59.0)
Objective Response83.9 (71.7 to 92.4)85.7 (71.5 to 94.6)
SecondaryPercentage of Participants Alive Progression-Free at Year 2 (2-Year PFS Rate)

PD was assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new or increased lymph nodes/masses and reappearance of bone marrow infiltrate. Percentage of participants alive progression-free at Year 2=(Number of participants alive progression free at Year 2)/(Number of participants assessed)\*100.

Time frame:
Randomization to measured PD (up to Year 2)
Reported as:
Number · percentage of participants
Percentage of Participants Alive Progression-Free at Year 2 (2-Year PFS Rate)
percentage of participantsR-CHOP and EnzastaurinR-CHOP
Percentage of Participants Alive Progression-Free at Year 2 (2-Year PFS Rate)59 (45 to 73)49 (32 to 66)
SecondaryPercentage of Participants With a PET-Negative Scan (PET-Negative Rate)

The percentage of participants with a PET-negative scan=(Number of participants who had a PET-negative scan at Cycle 6)/(Number of participants who had a PET-positive scan at baseline)\*100.

Time frame:
Cycle 6 (21 days/cycle)
Reported as:
Number · percentage of participants
Percentage of Participants With a PET-Negative Scan (PET-Negative Rate)
percentage of participantsR-CHOP and EnzastaurinR-CHOP
Percentage of Participants With a PET-Negative Scan (PET-Negative Rate)44.6 (31.3 to 58.5)41.0 (25.6 to 57.9)
SecondaryPercentage of Participants With Complete Response (CR/CRu) and/or Post-Baseline PET-Negative Scan (Concordance Between Response and PET Scan)

Lesion response was assessed according to International Working Group recommendations (Cheson et al. 1999). CR is a complete disappearance of all disease with the exception of nodes. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow must be negative if positive at baseline. Normalization of markers. CRu does not qualify for CR above, due to a residual nodal mass or an indeterminate bone marrow. Percentage of participants with CR/CRu and/or PET-negative scan=(Number of participants with complete response and/or PET-negative scan at Cycle 6)/(Number of participants with a PET-positive scan at baseline)\*100.

Time frame:
Cycle 6 (21 days/cycle)
Reported as:
Number · percentage of participants
Percentage of Participants With Complete Response (CR/CRu) and/or Post-Baseline PET-Negative Scan (Concordance Between Response and PET Scan)
percentage of participantsR-CHOP and EnzastaurinR-CHOP
CR/CRu and PET-Negative Post-Baseline26.825.6
CR/CRu or PET-Negative Post-Baseline53.643.6
SecondaryEvent-Free Survival (EFS)

EFS is the elapsed time from the date of randomization to the first date of objectively-determined PD, institution of a new anticancer treatment (other than maintenance therapy), or death from any cause. PD was assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new or increased lymph nodes/masses and reappearance of bone marrow infiltrate. For participants not known to have died as of the data cut-off date, who did not have objectively determined disease progression, and who were not treated with a new anticancer treatment, EFS was censored at the date of the last objectively determined disease-free assessment.

Time frame:
Randomization to measured PD, start of new therapy, or death from any cause (up to 55 months)
Reported as:
Median · months
Event-Free Survival (EFS)
monthsR-CHOP and EnzastaurinR-CHOP
Event-Free Survival (EFS)36.2 (14.6 to NA)22.6 (8.9 to NA)
SecondaryOverall Survival (OS)

OS is the elapsed time from the date of study enrollment (baseline) to the date of death from any cause. For participants not known to have died as of the data cutoff date, OS was censored at the last contact date or last date known to be alive, whichever was later.

Time frame:
Baseline to death from any cause (up to 55 months)
Reported as:
Median · months
Overall Survival (OS)
monthsR-CHOP and EnzastaurinR-CHOP
Overall Survival (OS)NA (NA to NA)NA (32.3 to NA)
SecondaryDuration of Complete Response (CR or CRu)

Duration of response (DOR) either CR or CRu: Elapsed time from date CR or CRu criteria met to first objectively-determined PD. For responding participants (pts) who died without PD and pts not known to have died as of data cut-off date, who did not have PD, DOR censored at date of last objective progression-free disease assessment. For responding pts who received subsequent systemic anticancer therapy (other than enzastaurin maintenance therapy) prior to PD, DOR was censored at date of last objective progression-free disease assessment prior to subsequent therapy. CR and CRu defined using International Working Group recommendations (Cheson et al. 1999). CR is a complete disappearance of all disease with the exception of nodes. No new lesions. Previously enlarged organs must have regressed and not be palpable. Bone marrow (BM) must be negative if positive at baseline. Normalization of markers. CRu does not qualify for CR above, due to a residual nodal mass or an indeterminate BM.

Time frame:
Time of response to PD (up to 55 months)
Reported as:
Median · days
Duration of Complete Response (CR or CRu)
daysR-CHOP and EnzastaurinR-CHOP
Duration of Complete Response (CR or CRu)NA (813 to NA)NA (1053 to NA)
SecondaryParticipants Who Had Treatment-Emergent Adverse Events (TEAEs) or Died (Evaluate Toxicity and Tolerability of R-CHOP Plus Enzastaurin)

Data presented are the number of participants who experienced at least 1 TEAE, Grade 3 or 4 Common Terminology Criteria for Adverse Events (CTCAE), serious adverse event (SAE), as well as the number of participants who discontinued due to an adverse event (AE) or SAE, who died on therapy, died within 30 days post treatment or within 60 days of first dose. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

Time frame:
First dose through 30 days post study treatment discontinuation (up to 56 months)
Reported as:
Count of participants · Participants
Participants Who Had Treatment-Emergent Adverse Events (TEAEs) or Died (Evaluate Toxicity and Tolerability of R-CHOP Plus Enzastaurin)
ParticipantsR-CHOP and EnzastaurinR-CHOP
At Least 1 TEAE5643
At Least 1 Grade 3/4 CTCAE5030
At Least 1 SAE3518
Discontinued due to AE106
Discontinued due to SAE43
Died on Therapy (all causes)53
Died within 30 days post treatment discontinuation63
Died within 60 days of first dose32
SecondaryPFS of Participants With High or Low Expression of Protein Biomarkers and Correlation of Biomarkers to PFS

Reported is PFS of participants (pts) with high or low biomarker expression levels. PFS: time from randomization to first date of PD/death from any cause. PD assessed according to International Working Group recommendations (Cheson et al. 1999). PD: Enlarging liver/spleen nodules, new/increased lymph node/masses and reappearance of bone marrow infiltrate. For pts who had subsequent anticancer therapy, PFS censored at date of last assessment prior to subsequent therapy. Biomarkers and number of pts censored: EIF4EBP1 Cytoplasm (C) 4,3,7,3; EIF4EBP1 Nucleus (N) 0,2,11,4; EIF4E C 5,2,6,4; EIF4E N 0,0,11,6; HDAC2 N 5,1,5,5; PCREB N 5,3,6,4; PEIF3746 C 4,2,7,4; PEIF3746 N 5,2,6,4; PEIFS209 C 5,2,5,4; PEIFS65 N 7,2,4,4; PEIFT70 C 5,2,6,4; PEIFT70 N 6,4,5,2; P GSK3B C 7,3,4,3; PKCb2 C 4,3,7,3; PS6 C 9,4,1,1; PTEN C 5,2,6,4; PTEN N 3,0,8,6. Correlation of biomarkers with PFS (statistical analyses) reported if high expression groups combined and low expression groups combined each had ≥10 pts.

Time frame:
Randomization to measured PD or death from any cause (up to 55 months)]
Reported as:
Median · months
PFS of Participants With High or Low Expression of Protein Biomarkers and Correlation of Biomarkers to PFS
monthsHigh Biomarker Expression (R-CHOP and Enzastaurin)High Biomarker Expression (R-CHOP)Low Biomarker Expression (R-CHOP and Enzastaurin)Low Biomarker Expression (R-CHOP)
Marker: EIF4EBP1 CytoplasmNA (12.9 to NA)9.49 (8.2 to NA)27.96 (10.9 to NA)32.30 (2.4 to 32.3)
Marker: EIF4EBP1 Nucleus—NA (NA to NA)NA (12.9 to NA)10.55 (4.5 to NA)
Marker: EIF4E CytoplasmNA (4.3 to NA)21.42 (2.4 to NA)27.96 (17.1 to NA)NA (4.5 to NA)
Marker: EIF4E Nucleus—4.50 (NA to NA)NA (12.9 to NA)32.30 (8.9 to NA)
Marker: HDAC2 Nucleus27.96 (4.3 to NA)10.55 (8.2 to 32.3)NA (12.9 to NA)NA (2.4 to NA)
Marker: PCREB Nucleus24.10 (4.3 to NA)10.55 (2.4 to NA)NA (12.9 to NA)NA (NA to NA)
Marker: PEIF3746 Cytoplasm27.96 (8.2 to NA)20.90 (4.5 to NA)NA (4.3 to NA)NA (2.4 to NA)
Marker: PEIF3746 NucleusNA (8.2 to NA)NA (4.5 to NA)NA (4.3 to NA)32.30 (2.4 to 32.3)
Marker: PEIFS209 CytoplasmNA (4.3 to NA)9.20 (2.4 to NA)27.96 (8.2 to NA)NA (10.5 to NA)
Marker: PEIFS65 NucleusNA (4.3 to NA)NA (8.9 to NA)27.96 (20.2 to NA)32.30 (2.4 to NA)
Marker: PEIFT70 CytoplasmNA (8.2 to NA)NA (8.9 to NA)27.96 (10.9 to NA)10.55 (2.4 to NA)
Marker: PEIFT70 NucleusNA (4.3 to NA)32.30 (2.4 to NA)27.96 (10.9 to NA)NA (10.5 to NA)
Marker: P GSK3B Cytoplasm27.96 (10.9 to NA)21.42 (2.4 to NA)NA (8.2 to NA)9.49 (4.5 to NA)
Marker: PKCb2 Cytoplasm27.96 (4.3 to NA)10.55 (2.4 to NA)NA (10.9 to NA)20.90 (8.2 to 32.3)
Marker: PS6 CytoplasmNA (10.9 to NA)10.02 (4.5 to NA)16.57 (12.9 to 20.2)NA (2.4 to NA)
Marker: PTEN Cytoplasm27.96 (8.2 to NA)21.42 (4.5 to NA)NA (4.3 to NA)9.49 (2.4 to NA)
Marker: PTEN Nucleus27.96 (10.9 to NA)6.34 (4.5 to 8.2)NA (8.2 to NA)32.30 (8.9 to NA)
Statistical analysis
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 0.989 · 95% CI 0.223 to 4.393Hazard ratio comparing PFS of participants with a high expression of EIF4EBP1 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of EIF4EBP1 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 1.071 · 95% CI 0.316 to 3.628Hazard ratio comparing PFS of participants with a high expression of EIF4E Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of EIF4E Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 1.658 · 95% CI 0.454 to 6.053Hazard ratio comparing PFS of participants with a high expression of HDAC2 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of HDAC2 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 4.082 · 95% CI 0.455 to 36.628Hazard ratio comparing PFS of participants with a high expression of PCREB Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PCREB Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 0.636 · 95% CI 0.180 to 2.253Hazard ratio comparing PFS of participants with a high expression of PEIF3746 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PEIF3746 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 0.362 · 95% CI 0.083 to 1.576Hazard ratio comparing PFS of participants with a high expression of PEIF3746 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PEIF3746 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 1.522 · 95% CI 0.473 to 4.901Hazard ratio comparing PFS of participants with a high expression of PEIFS209 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PEIFS209 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 0.908 · 95% CI 0.223 to 3.699Hazard ratio comparing PFS of participants with a high expression of PEIFS65 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PEIFS65 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 1.843 · 95% CI 0.432 to 7.867Hazard ratio comparing PFS of participants with a high expression of PEIFT70 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PEIFT70 Nucleus \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 0.926 · 95% CI 0.276 to 3.109Hazard ratio comparing PFS of participants with a high expression of P GSK3B Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of P GSK3B Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 0.985 · 95% CI 0.320 to 3.033Hazard ratio comparing PFS of participants with a high expression of PKCb2 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PKCb2 Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].
  • High Biomarker Expression (R-CHOP and Enzastaurin) vs High Biomarker Expression (R-CHOP) vs Low Biomarker Expression (R-CHOP and Enzastaurin) vs Low Biomarker Expression (R-CHOP) · Hazard ratio (hr): 0.817 · 95% CI 0.242 to 2.758Hazard ratio comparing PFS of participants with a high expression of PTEN Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\] versus participants with a low expression of PTEN Cytoplasm \[(R-CHOP and Enzastaurin) and (R-CHOP) combined\].

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
R-CHOP and Enzastaurin—35/57 (61.4%)56/57 (98.2%)
R-CHOP—18/43 (41.9%)43/43 (100%)
Most frequent serious events
Showing 10 of 72
Most frequent serious events
EventR-CHOP and EnzastaurinR-CHOP
Febrile neutropeniaBlood and lymphatic system disorders9/573/43
PyrexiaGeneral disorders3/574/43
SepsisInfections and infestations2/574/43
PneumoniaInfections and infestations5/572/43
AnaemiaBlood and lymphatic system disorders4/571/43
NeutropeniaBlood and lymphatic system disorders2/573/43
HypotensionVascular disorders3/570/43
ThrombocytopeniaBlood and lymphatic system disorders1/572/43
Atrial fibrillationCardiac disorders1/572/43
Urinary tract infectionInfections and infestations2/572/43
Most frequent other events
Showing 10 of 85
Most frequent other events
EventR-CHOP and EnzastaurinR-CHOP
FatigueGeneral disorders30/5729/43
NeutropeniaBlood and lymphatic system disorders33/5726/43
NauseaGastrointestinal disorders29/5719/43
DiarrhoeaGastrointestinal disorders27/5715/43
AlopeciaSkin and subcutaneous tissue disorders26/5717/43
ThrombocytopeniaBlood and lymphatic system disorders16/5718/43
ConstipationGastrointestinal disorders22/5718/43
AnaemiaBlood and lymphatic system disorders22/5714/43
StomatitisGastrointestinal disorders19/5710/43
LeukopeniaBlood and lymphatic system disorders16/5714/43

Baseline characteristics

Randomized participants who received at least 1 dose of enzastaurin or any drug in the R-CHOP regimen.

Age, Continuous
Age, Continuous(years)R-CHOP and EnzastaurinR-CHOPTotal
Mean63.5 ± 13.5563.3 ± 12.3663.4 ± 12.99
Sex: Female, Male
Sex: Female, Male(Participants)R-CHOP and EnzastaurinR-CHOPTotal
Female232144
Male342256
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)R-CHOP and EnzastaurinR-CHOPTotal
Caucasian463985
African639
Hispanic314
East Asian202
West Asian000
Region of Enrollment
Region of Enrollment(Participants)R-CHOP and EnzastaurinR-CHOPTotal
United States5743100
International Prognostic Index (IPI)
International Prognostic Index (IPI)(units on a scale)R-CHOP and EnzastaurinR-CHOPTotal
Mean2.88 ± 0.8032.84 ± 0.8432.86 ± 0.815
08

Study locations

25 sites
  • 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.
    Huntsville, Alabama 35805, United States
  • 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.
    Beverly Hills, California 90211, United States
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    Greenbrae, California 94904, United States
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    Palm Springs, California 92262, United States
  • 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.
    Fort Myers, Florida 33916, United States
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    Jacksonville, Florida 32256, United States
  • 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.
    Chicago, Illinois 60631, United States
  • 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.
    Indianapolis, Indiana 46202, United States
  • 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.
    South Bend, Indiana 46601, United States
  • 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.
    Saint Matthews, Kentucky 40207, United States
  • 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.
    Baltimore, Maryland 21229, United States
  • 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.
    Boston, Massachusetts 02115, United States
  • 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.
    Cincinnati, Ohio 45242, United States
  • 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.
    Columbus, Ohio 43235, United States
  • 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.
    Portland, Oregon 97201, United States
  • 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.
    Philadelphia, Pennsylvania 19107, United States
  • 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.
    Willow Grove, Pennsylvania 19090, United States
  • 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.
    Chattanooga, Tennessee 37404, United States
  • 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 38104, United States
  • 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.
    Nashville, Tennessee 37203, United States
  • 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.
    Houston, Texas 77030, United States
  • 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.
    San Antonio, Texas 78229, United States
  • 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.
    Richmond, Virginia 23230, United States
  • 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.
    Everett, Washington 98201, United States
  • 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.
    La Crosse, Wisconsin 54601, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00451178
Lead sponsor
Eli Lilly and Company
Responsible party
Sponsor
First posted
Mar 23, 2007
Start date
May 2007
Primary completion
Feb 2012
Completion
Jan 2013
Results posted
Jul 21, 2020
Last update
Jul 21, 2020

Study contacts

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

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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