A Phase 1 interventional study of Abemaciclib and Clarithromycin in Neoplasm and Neoplasm Metastasis, sponsored by Eli Lilly and Company. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-01-07.
Sponsored by Eli Lilly and Company · Phase 1, Interventional, and Basic science
The purpose of this study is to assess how the body handles Abemaciclib when it is given with another drug called clarithromycin. The study doctor will measure the amount of Abemaciclib that is absorbed into the blood stream and the time that it takes to remove Abemaciclib from the body. The safety and tolerability of these drugs will be studied.
Each participant will complete 2 study periods in fixed order. After screening, Period 1 will last approximately 8 days and Period 2 will last approximately 15 days. Participants who complete Period 2 may continue to receive Abemaciclib in 28-day cycles until discontinuation criteria are met.
9,365 studies on the registry are indexed under Neoplasms; 2,486 are open to participants now.
This study's enrollment of 26 is below the median of 50 across 7,250 interventional studies indexed under Neoplasms.
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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:
50 mg single oral dose of Abemaciclib was administered in Period 1 Day 1.
Drug: Abemaciclib
Clarithromycin 500 milligram (mg) orally twice daily for 12 days. Single oral dose of Abemaciclib 50 mg on Period 2 Day 5. Clarithromycin dosing continued for 7 days following the single dose of Abemaciclib.
Drug: Abemaciclib · Drug: Clarithromycin
After completing Period 2, eligible participants continued to receive 200 mg Abemaciclib every 12 hours (Q12H) on a 28-day cycle in a safety-extension phase until discontinuation criteria were met.
Drug: Abemaciclib
Administered orally
Also known as: LY2835219
Administered orally
Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC[0-∞]) of Abemaciclib
Time frame: Period 1: Predose; 1, 2, 4, 6, 8, 10, 24, 48, 72, 96, 120, 144, 168hr, Period 2: 1, 2, 4, 6, 8, 10, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240hr Post dose
PK: Maximum Concentration (Cmax) of Abemaciclib
Time frame: Period 1: Predose; 1, 2, 4, 6, 8, 10, 24, 48, 72, 96,120,144,168hr, Period 2: 1, 2, 4, 6, 8, 10, 24, 48, 72, 96, 120, 144, 168, 192, 216, 240hr Post dose
| Milestone | Abemaciclib Alone Then Abemaciclib + Clarithromycin |
|---|---|
| Started | 26 |
| Received at least 1 dose of study drug | 26 |
| Completed | 24 |
| Not completed | 2 |
| Withdrew: Withdrawal by subject | 1 |
| Withdrew: Adverse event | 1 |
| Milestone | Abemaciclib Alone Then Abemaciclib + Clarithromycin |
|---|---|
| Started | 24 |
| Received at least 1 dose of study drug | 21 |
| Completed | 20 |
| Not completed | 4 |
| Withdrew: Progressive disease | 1 |
| Withdrew: Death | 1 |
| Withdrew: Adverse event | 1 |
| Withdrew: Withdrawal by subject | 1 |
| Milestone | Abemaciclib Alone Then Abemaciclib + Clarithromycin |
|---|---|
| Started | 20 |
| Completed | 0 |
| Not completed | 20 |
| Withdrew: Progressive disease | 12 |
| Withdrew: Physician decision | 1 |
| Withdrew: Death | 3 |
| Withdrew: Withdrawal by subject | 2 |
| Withdrew: Adverse event | 2 |
| nanogram*hour/milliliter(mL) ng*h/mL | Abemaciclib Period 1 | Abemaciclib + Clarithromycin Period 2 |
|---|---|---|
| Pharmacokinetics (PK): Area Under the Concentration Time Curve From Zero to Infinity (AUC[0-∞]) of Abemaciclib | 2230 ± 93 | 6850 ± 66 |
| nanogram/milliliter (ng/mL) | Abemaciclib Period 1 | Abemaciclib + Clarithromycin Period 2 |
|---|---|---|
| PK: Maximum Concentration (Cmax) of Abemaciclib | 70.0 ± 73 | 84.3 ± 55 |
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Abemaciclib | — | 1/26 (3.8%) | 13/26 (50%) |
| Clarithromycin | — | 1/24 (4.2%) | 7/24 (29.2%) |
| Abemaciclib + Clarithromycin | — | 1/21 (4.8%) | 10/21 (47.6%) |
| Safety Extension Abemaciclib | — | 15/20 (75%) | 19/20 (95%) |
| Event | Abemaciclib | Clarithromycin | Abemaciclib + Clarithromycin | Safety Extension Abemaciclib |
|---|---|---|---|---|
| Small intestinal obstructionGastrointestinal disorders | 0/26 | 0/24 | 0/21 | 3/20 |
| Atrial fibrillationCardiac disorders | 0/26 | 0/24 | 0/21 | 2/20 |
| AnaemiaBlood and lymphatic system disorders | 0/26 | 0/24 | 1/21 | 1/20 |
| Sinus tachycardiaCardiac disorders | 0/26 | 0/24 | 0/21 | 1/20 |
| Abdominal painGastrointestinal disorders | 0/26 | 0/24 | 0/21 | 1/20 |
| AscitesGastrointestinal disorders | 0/26 | 0/24 | 0/21 | 1/20 |
| DiarrhoeaGastrointestinal disorders | 0/26 | 0/24 | 0/21 | 1/20 |
| Gastrointestinal haemorrhageGastrointestinal disorders | 0/26 | 0/24 | 0/21 | 1/20 |
| NauseaGastrointestinal disorders | 0/26 | 0/24 | 0/21 | 1/20 |
| VomitingGastrointestinal disorders | 0/26 | 0/24 | 0/21 | 1/20 |
| Event | Abemaciclib | Clarithromycin | Abemaciclib + Clarithromycin | Safety Extension Abemaciclib |
|---|---|---|---|---|
| FatigueGeneral disorders | 1/26 | 1/24 | 1/21 | 14/20 |
| AnaemiaBlood and lymphatic system disorders | 3/26 | 0/24 | 2/21 | 12/20 |
| DiarrhoeaGastrointestinal disorders | 0/26 | 0/24 | 1/21 | 12/20 |
| NauseaGastrointestinal disorders | 3/26 | 1/24 | 1/21 | 9/20 |
| Neutrophil count decreasedInvestigations | 0/26 | 1/24 | 0/21 | 9/20 |
| Blood creatinine increasedInvestigations | 2/26 | 0/24 | 1/21 | 8/20 |
| HypokalaemiaMetabolism and nutrition disorders | 0/26 | 0/24 | 1/21 | 8/20 |
| VomitingGastrointestinal disorders | 1/26 | 2/24 | 1/21 | 7/20 |
| HypomagnesaemiaMetabolism and nutrition disorders | 1/26 | 0/24 | 0/21 | 5/20 |
| Abdominal painGastrointestinal disorders | 2/26 | 0/24 | 1/21 | 4/20 |
| Age, Customized(years) | Abemaciclib Then Abemaciclib + Clarithromycin |
|---|---|
| Mean | 60.0 ± 9.2 |
| Sex/Gender, Customized(Participants) | Abemaciclib Then Abemaciclib + Clarithromycin |
|---|---|
| Female | 19 |
| Male | 7 |
| Race/Ethnicity, Customized(Participants) | Abemaciclib Then Abemaciclib + Clarithromycin |
|---|---|
| Hispanic or Latino | 1 |
| Not Hispanic or Latino | 25 |
| Unknown or Not Reported | 0 |
| Race/Ethnicity, Customized(Participants) | Abemaciclib Then Abemaciclib + Clarithromycin |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 1 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 6 |
| White | 19 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
| Region of Enrollment(Participants) | Abemaciclib Then Abemaciclib + Clarithromycin |
|---|---|
| United States | 26 |
| Body Mass Index (BMI)(kilogram/square meter (kg/m2)) | Abemaciclib Then Abemaciclib + Clarithromycin |
|---|---|
| Mean | 27.62 ± 6.04 |
| Eastern Cooperative Oncology Group (ECOG) Scale(participants) | Abemaciclib Then Abemaciclib + Clarithromycin |
|---|---|
| ECOG= 0 | 18 |
| ECOG= 1 | 8 |
This study is completed, as verified in Dec 2018. You cannot join it, but the record below documents what was studied.
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