A Phase 1/2 interventional study of LY2090314 and FOLFOX in Pancreatic Cancer, sponsored by Eli Lilly and Company. Terminated at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-01-15.
Sponsored by Eli Lilly and Company · Phase 1/2, Interventional, and Treatment
Purpose of this phase I/II study is to test how well LY2090314 works in combination with different chemotherapies in treating participants with metastatic pancreatic cancer.
3,235 studies on the registry are indexed under Pancreatic Neoplasms; 899 are open to participants now.
This study's enrollment of 13 is below the median of 46 across 2,424 interventional studies indexed under Pancreatic Neoplasms.
Browse Pancreatic Neoplasms studies →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.
Exclusion Criteria:
LY2090314 given intravenously (IV) on days 1 (at cycle 1 LY2090314 given on day 0 instead of day 1), 8 and 15 in 28 day cycle in combination with 1000 milligram/square meter (mg/m\^2) gemcitabine given IV on days 1, 8 and 15. Cohort closed to new enrollment per protocol addendum.
Drug: LY2090314 · Drug: Gemcitabine
LY2090314 given IV on days 1 (at cycle 1 LY2090314 given on day 0 instead of day 1), and 15 in 28 day cycle in combination with FOLFOX (leucovorin + 5-fluorouracil + oxaliplatin) given IV, on days 1 and 15 in 28 day cycle.
Drug: LY2090314 · Drug: FOLFOX
LY2090314 given IV on days 1 (at cycle 1 LY2090314 given on day 0 instead of day 1), 8 and 15 in 28 day cycle in combination with 1000 mg/m\^2 gemcitabine + 125 mg/m\^2 nab-paclitaxel given IV on days 1, 8 and 15 in 28-day cycle. New cohort opened per protocol amendment.
Drug: LY2090314 · Drug: Gemcitabine · Drug: Nab-paclitaxel
LY2090314 administered IV
FOLFOX administered IV
Also known as: FOLFOX (leucovorin + 5-fluorouracil + oxaliplatin)
Gemcitabine administered IV
Also known as: Gemzar, LY188011
Nab-paclitaxel administered IV
Change From Baseline to 4 Hours Post-Treatment on Day 0 in Glycogen Synthase Phosphorylation
Change in the phosphorylation level of glycogen synthase, a glycogen synthase kinase-3 beta (GSK-3beta) inhibitor, from baseline to 4 hours post-treatment on day 0 using tumor tissue and blood specimens.
Time frame: Baseline, 4 Hours Post-Treatment on Day 0
Overall Survival (OS)
Time frame: Baseline to Date of Death Due to any Cause Up to 21 Months
Percentage of Participants Who Survived at 6 Months
Time frame: Baseline to Date of Death to any cause Up to 6 Months
Progression Free Survival (PFS)
PFS was as the time from enrollment to the earliest documented evidence of disease progression or death,whatever comes first.
Time frame: Baseline to Disease Progression Up to 18 Months
Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)]
Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.1) criteria. CR was defined as the disappearance of all target and non-target lesions and all target and non-target lymph nodes were non-pathological or normal in size \[\<10 millimeter (mm) short axis\]. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions taking as reference the baseline sum diameters. ORR calculated as: (sum of the number of participants with PRs and CRs) divided by (number of evaluable participants) multiplied by 100. A CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart.
Time frame: Baseline Up to 6 Months
| Milestone | LY2090314 + Gemcitabine | LY2090314 + FOLFOX | LY2090314 + Gemcitabine + Nab-paclitaxel |
|---|---|---|---|
| Started | 3 | 10 | 0 |
| Received at least one dose of study drug | 3 | 10 | 0 |
| Completed | 2 | 10 | 0 |
| Not completed | 1 | 0 | 0 |
| Withdrew: Protocol violation | 1 | 0 | 0 |
Change in the phosphorylation level of glycogen synthase, a glycogen synthase kinase-3 beta (GSK-3beta) inhibitor, from baseline to 4 hours post-treatment on day 0 using tumor tissue and blood specimens.
No measurements were reported for this outcome.
| Months | LY2090314 + Gemcitabine | LY2090314 + FOLFOX |
|---|---|---|
| Overall Survival (OS) | 1.8 (1.3 to 1.9) | 7.7 (2.9 to 21.2) |
| Percentage of participants | LY2090314 + Gemcitabine | LY2090314 + FOLFOX |
|---|---|---|
| Percentage of Participants Who Survived at 6 Months | 0 (0 to 0) | 50.0 (26.9 to 92.9) |
PFS was as the time from enrollment to the earliest documented evidence of disease progression or death,whatever comes first.
| Months | LY2090314 + Gemcitabine | LY2090314 + FOLFOX |
|---|---|---|
| Progression Free Survival (PFS) | 1.8 (1.3 to 1.9) | 3.4 (2.3 to 17.5) |
Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.1) criteria. CR was defined as the disappearance of all target and non-target lesions and all target and non-target lymph nodes were non-pathological or normal in size \[\<10 millimeter (mm) short axis\]. PR was defined as having at least a 30% decrease in sum of longest diameter of target lesions taking as reference the baseline sum diameters. ORR calculated as: (sum of the number of participants with PRs and CRs) divided by (number of evaluable participants) multiplied by 100. A CR or PR noted as the objective status on 2 consecutive evaluations at least 4 weeks apart.
| Percentage of Participants | LY2090314 + Gemcitabine | LY2090314 + FOLFOX |
|---|---|---|
| Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)] | 0 (NA to NA) | 10.0 (0.3 to 44.5) |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| LY2090314 + Gemcitabine | — | 3/3 (100%) | 2/3 (66.7%) |
| LY2090314 + FOLFOX | — | 7/10 (70%) | 10/10 (100%) |
| Event | LY2090314 + Gemcitabine | LY2090314 + FOLFOX |
|---|---|---|
| AnemiaBlood and lymphatic system disorders | 1/3 | 1/10 |
| AscitesGastrointestinal disorders | 1/3 | 1/10 |
| DehydrationMetabolism and nutrition disorders | 1/3 | 0/10 |
| DiarrheaGastrointestinal disorders | 1/3 | 0/10 |
| Gastric fistulaGastrointestinal disorders | 1/3 | 0/10 |
| Peritoneal infectionInfections and infestations | 1/3 | 0/10 |
| SepsisInfections and infestations | 1/3 | 0/10 |
| Skin infectionInfections and infestations | 1/3 | 0/10 |
| Small intestinal obstructionGastrointestinal disorders | 1/3 | 0/10 |
| Neutrophil count decreasedInvestigations | 0/3 | 2/10 |
| Event | LY2090314 + Gemcitabine | LY2090314 + FOLFOX |
|---|---|---|
| FatigueGeneral disorders | 0/3 | 9/10 |
| Abdominal painGastrointestinal disorders | 2/3 | 8/10 |
| NauseaGastrointestinal disorders | 2/3 | 6/10 |
| ECG QT corrected interval prolongedInvestigations | 1/3 | 5/10 |
| Platelet count decreasedInvestigations | 0/3 | 5/10 |
| Alanine aminotransferaseInvestigations | 1/3 | 4/10 |
| AnorexiaMetabolism and nutrition disorders | 1/3 | 4/10 |
| Aspartate aminotransferase increasedInvestigations | 1/3 | 4/10 |
| DiarrheaGastrointestinal disorders | 1/3 | 4/10 |
| Peripheral sensory neuropathyNervous system disorders | 0/3 | 4/10 |
All participants who received at least one dose of study drug.
| Age, Continuous(years) | LY2090314 + Gemcitabine | LY2090314 + FOLFOX | Total |
|---|---|---|---|
| Mean | 60.7 ± 8.5 | 64.0 ± 4.9 | 63.2 ± 5.7 |
| Sex: Female, Male(Participants) | LY2090314 + Gemcitabine | LY2090314 + FOLFOX | Total |
|---|---|---|---|
| Female | 1 | 4 | 5 |
| Male | 2 | 6 | 8 |
| Ethnicity (NIH/OMB)(Participants) | LY2090314 + Gemcitabine | LY2090314 + FOLFOX | Total |
|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 |
| Not Hispanic or Latino | 3 | 8 | 11 |
| Unknown or Not Reported | 0 | 2 | 2 |
| Race (NIH/OMB)(Participants) | LY2090314 + Gemcitabine | LY2090314 + FOLFOX | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 |
| White | 3 | 9 | 12 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 1 | 1 |
| Region of Enrollment(participants) | LY2090314 + Gemcitabine | LY2090314 + FOLFOX | Total |
|---|---|---|---|
| United States | 3 | 10 | 13 |
This study is terminated, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.
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