ClinicalTrials.gg
CompletedNCT03339843MiMe-AUpdated Mar 15, 2024

Multiorgan Metabolic Imaging Response Assessment of Abemaciclib

A Phase 2 interventional study of Abemaciclib in Esophageal Adenocarcinoma, Esophagus SCC and Cholangiocarcinoma, sponsored by Jules Bordet Institute. Completed at 11 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-15.

Sponsored by Jules Bordet Institute · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
85
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-15

Among 16 studies in Adenocarcinoma Of Esophagus with a site in Belgium — 4 open to participants now, 7 under way, 3 of them phase 3. Adenocarcinoma Of Esophagus · Belgium.

Enrollment
11th of 14
85 · median 334
Started
2018
the only one that year
Phase 2
5 of 16
none open now
Registered
6th of 16
by date
Lead sponsor
2 of 16
Jules Bordet Institute

Among the 16 studies in Adenocarcinoma Of Esophagus with a site in Belgium, this one is the 11th largest by enrollment of the 14 interventional ones that give a count, is the only one that started in 2018, is one of 5 in phase 2, and was the 6th registered.

Adenocarcinoma Of Esophagus

354 studies on the registry are indexed under Adenocarcinoma Of Esophagus; 81 are open to participants now.

Browse Adenocarcinoma Of Esophagus studies →

Open to participants now

4 of the 16 studies in Adenocarcinoma Of Esophagus with a site in Belgium are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Belgium have not opened yet or have stopped. Only those recruiting at a site in Belgium →

Who these studies take

Of the 70 Adenocarcinoma Of Esophagus studies recruiting now, 60 (86%) set no upper age limit and 2 (3%) stop at 75 or younger; 4 take children under 18; 3 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Open-label, phase II, basket trial. This trial is a screening program for abemaciclib efficacy in multiple platinum-resistant tumour types by using metabolic imaging (PERCIST) and RECIST v1.1 criteria.

Based on the rate of FDG-avidity and the absence of deactivation of the Rb gene function in more than 95% of cases, we propose to define 5 tumour types of interest in a preliminary stage:

  1. Platinum-refractory esophageal adenocarcinoma (ADC)
  2. Platinum-refractory esophageal squamous cell carcinoma (SCC)
  3. Platinum-refractory cholangiocarcinoma
  4. Platinum-refractory and progressive after immunotherapy urothelial cancer
  5. Platinum-refractory endometrial cancer
Read the detailed description

In various solid tumour types FDG-PET/CT has been shown to identify treatment-refractory diseases with a high negative predictive value (NPV) through a whole-body quantitative assessment of treatment-induced changes in tumour glucose uptake soon after treatment initiation, before any structural changes are observed. Progress in the standardisation of FDG-PET/CT imaging and response analysis now allow its use in multicentric trials opening the possibilities for trials where treatment allocation will be based on early metabolic response. MiMe has been built on the assumption that a medication which does not induce any metabolic changes in a given clinical setting is unlikely to induce a significant benefit and does consequently not deserve further investigation as a single agent in this setting.

MiMe, by assessing metabolic response early during the treatment course, will hopefully provide useful information about the drug activity in various cancer types, and about mechanisms of resistance through a potential ambitious translational research program with serial collection of circulating-tumour DNA (ct-DNA).

03

Conditions studied

  • Esophageal Adenocarcinoma
  • Esophagus SCC
  • Cholangiocarcinoma
  • Urothelial/Bladder Cancer, Nos
  • Endometrial Cancer

Keywords

  • cancer
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥ 18 years old
  2. Female or male
  3. performance status ≤ 1
  4. of greater than 12 weeks
  5. Must have confirmed cancer corresponding to the predefined tumour subtypes (esophageal adenocarcinoma, esophageal squamous cell carcinoma, cholangiocarcinoma, urothelial cancer (progressive after immunotherapy), endometrial cancer) and or non-resectable and to standard platinum regimens (and progressive after immunotherapy for the urothelial cancer).
  6. Presence of at least one metabolically measurable tumour lesion on FDG-PET/CT, according to PERCIST. If previously irradiated, must have been more than 2 months before the baseline FDG PET/CT.
  7. according to v 1.1
  8. Serum pregnancy test (for subjects of ) negative
  9. Women of childbearing potential must agree to the use a highly effective method of prior to study entry, during the course of the study and at least 3 months after the last administration of study treatment.
  10. Men with childbearing potential partner must agree to use condom during the course of this study and for at least 3 months after the last administration of the study treatment.
  11. Adequate coagulation: (INR) ≤ 1.5 x unless subject is receiving anticoagulant therapy as long as INR and activated partial thromboplastin time [aPTT] are within therapeutic range of intended use of anticoagulants
  12. Adequate bone marrow function as defined below:

    • ≥ 10 g/dL
    • ≥ 1500/µL or 1.5x109/L
    • ≥ 100000/µL or 100x109/L
    • Leukocytes ≥ 3,000/µL
  13. Adequate liver function as defined below:

    • Serum total within 1.5 × normal institutional limits (except for Gilbert syndrome where direct bilirubin should be \<1.5 institutional ULN)
    • /ALT/ALP) levels \< 3 × institutional upper limit of normal (or ALT and AST \<5 times upper limit of normal if liver metastases are present).
  14. Adequate renal function as defined below: creatine clearance >50ml/min
  15. Completion of all necessary screening procedures
  16. Ability to swallow capsules
  17. Grade ≤ 1 toxicity due to any previous cancer therapy according to the National Cancer Institute Common Terminology Criteria of Adverse Events (, v.4.03). Grade 2 is allowed in case of alopecia and peripheral sensory neuropathy
  18. Availability of primary archived tumour tissue block (1 FFPE tumour tissue)
  19. Signed form (ICF) obtained prior to any study related procedure

Exclusion criteria

Exclusion Criteria:

  1. Subjects meeting one of the following criteria are not eligible for this studyParticipants who have had chemotherapy, radiotherapy, immunotherapy, or targeted therapy within 3 weeks prior study enrolment
  2. Participants receiving concomitantly any other experimental agents
  3. Patients who have received prior therapy with other CDK4/6 inhibitors
  4. Subjects with known ; unless the are asymptomatic and have been stable since at least 2 months prior to treatment start.
  5. Patient with meningeal carcinomatosis
  6. Have had major surgery within 28 days prior to the start of the treatment to allow for post-operative healing of the surgical wound
  7. History of allergic reactions attributed to compounds of similar chemical or biologic composition
  8. Bleeding diathesis, thromboembolic event, history of cardiovascular ischemic disease or cerebrovascular incident within the last six months
  9. Uncontrolled concurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia
  10. Substance abuse, psychiatric illness/social situations, any psychological, familial, sociological, geographical condition, significant medical or surgical condition currently uncontrolled by treatment that would limit compliance with study requirements or interfere with the patient's ability to understand and participation in the study
  11. Pregnant and/or lactating women
  12. Uncontrolled Diabetes
  13. Known history of infection, or active or C requiring treatment with anti-viral therapy
  14. Have received recent (within 28 days prior the enrolment) yellow fever vaccination
  15. Individuals with a history of a different are ineligible except for the following circumstances. Individuals with a history of other malignancies are eligible if they have been disease-free and are deemed by the investigator to be at low risk for recurrence of that malignancy.
Terms in these criteria, in plain language(23)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumor measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumor visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumors on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumor 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorized to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
85 participants (actual)

Study arms

  • Experimental
    Abemaciclib

    This study contains 2 stages; during the 1st stage, a maximum of 17 patients will be enrolled in each tumour type cohort. After 13 evaluable patients have been enrolled, an interim analysis will be performed. If 3 or more patients are seen to have experienced a treatment success, then the cohort will pass into the 2nd stage in which a maximum of 20 more patients are enrolled. If 2 or less patients are seen to have experienced a treatment success, then that cohort will be closed and will not proceed into the 2nd stage. Subjects will receive 200 mg of abemaciclib orally, twice a day, during cycles of 28 days each. The subject will undergo: A baseline FDG-PET/CT and a baseline CT scan and A blinded early FDG-PET/CT at D14 +/- 2 days of study treatment. A treatment success is defined as a patient who has metabolic response according to PERCIST with a response cut off set at 15% at the early FDG-PET/CT and a morphological disease control after 2 cycles measured by RECIST v1.1.

    Drug: Abemaciclib

Interventions

  • Subjects will receive 200 mg of abemaciclib orally, two times a day, during cycles of 28 days each. An early FDG-PET/CT will be performed at cycle 1 day 14 to search for any new lesions.

    Also known as: FDG-PET/CT

06

What researchers measure

Primary outcomes

  1. Evaluate the anti-tumour activity of abemaciclib in the five tumour types studied in this trial using FDG-PET/CT during the first cycle of therapy (early FDG- PET/CT).

    Therapy success rate defined as: PERCIST 15%-assessed Metabolic Response at early FDG-PET/CT (D12-D16)

    Time frame: 2 months

  2. Evaluate the anti-tumour activity of abemaciclib in the five tumour types studied in this trial using RECISTv1.1 after 2 cycles of therapy as a screening tool.

    Therapy success rate defined as: RECISTv1.1-assessed Disease Control (DC) after 2 treatment cycles (CR or PR or SD)

    Time frame: 2 Months

Secondary outcomes

  1. Evaluate Progression-free survival (PFS define as the time from treatment start until disease progression or death) at 24 weeks from treatment start

    RECIST v1.1-based radiological response assessment performed at 24 weeks from the treatment start to determine the PFS

    Time frame: 6 months

  2. Evaluate Overall Survival (OS defined as the time from treatment start until death) at 24 weeks from treatment start

    RECIST v1.1-based radiological response assessment performed at 24 weeks from the treatment start to determine the OS.

    Time frame: 6 months

  3. To evaluate median progression-free survival (PFS)

    Progression Free Survival

    Time frame: 42 months

  4. Evaluate median overall survival (OS)

    Overall Survival

    Time frame: 42 months

  5. To evaluate toxicity profile

    Toxicity profile according to CTCAE version 4.03

    Time frame: 6 months

  6. Evaluate the correlation of early metabolic response using FDG-PET/CT with morphological response to treatment assessed by RECIST

    RECIST v1.1-based radiological response assessment performed at 24 weeks from the treatment start to determine the PFS and OS

    Time frame: 6 months

07

Study locations

11 sites
  • Universitair Ziekenhuis
    Antwerpen, Belgium
  • Institut Jules Bordet
    Bruxelles, 1000, Belgium
  • Algemeen Ziekenhuis Groeninge
    Kortrijk, 8500, Belgium
  • CHC Saint-Joseph
    Liège, 4000, Belgium
  • CHU Ambroise Paré
    Mons, 7000, Belgium
  • CHU UCL Namur Sainte-Elisabeth
    Namur, 5000, Belgium
  • Centre Oscar Lambret
    Lille, 59000, France
  • Institut Paoli-Calmettes
    Marseille, 13009, France
  • Centre Henri Becquerel
    Rouen, 76038, France
  • Hôpital universitaire de Strasbourg - ICANS
    Strasbourg, 67000, France
  • IUCT Oncopole - Institut Claudius Regaud
    Toulouse, 31059, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2018 to primary completion in Nov 2021, 34 months.

Of 51 non-industry phase 2 interventional studies under Adenocarcinoma Of Esophagus, half reached primary completion within 61 months of starting (the median), counting those still running; a quarter within 41 and three quarters within 82. This study's 34 months is below that.

Counting every sponsor, half of 60 studies reached it within 55 months; a quarter within 41 and three quarters within 80.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 5, 2017
First posted
Nov 13, 2017
StartActual
Dec 19, 2018
Primary completionActual
Nov 12, 2021
CompletionActual
Dec 20, 2023
Last update
Mar 15, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03339843
Responsible party
Sponsor
First posted
Nov 13, 2017
Start date
Dec 19, 2018
Primary completion
Nov 12, 2021
Completion
Dec 20, 2023
Last update
Mar 15, 2024

Study contacts

Laura Polastro, MD
study chair · Jules Bordet Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Abemaciclib

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