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Study of Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin Versus Pemetrexed + Carboplatin + Bevacizumab + Placebo in Participants With Non-Small Cell Lung Cancer Who Have Not Been Previously Treated With Chemotherapy

Protocol H6Q-MC-S034(a) Randomized, Double-Blind, Phase 2 Study of Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin Versus Pemetrexed + Carboplatin + Bevacizumab + Placebo in Chemonaive Patients With Stage IIIB or IV Non-Small Cell Lung Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00533429
Enrollment
40
Registered
2007-09-21
Start date
2007-10-31
Completion date
2009-02-28
Last updated
2021-05-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-small Cell Lung Cancer

Brief summary

The purpose of this study is to determine if Pemetrexed plus Carboplatin plus Bevacizumab plus Enzastaurin, followed by maintenance Bevacizumab plus Enzastaurin can extend survival time without disease progression in the first-line treatment of participants with advanced stage non-small cell lung cancer.

Interventions

DRUGenzastaurin

1125 milligram (mg) loading dose then 500 mg, oral, daily until disease progression

DRUGpemetrexed

500 milligrams per square meter (mg/m\^2), intravenously ( IV), Day 8 of cycle 1 - 28 days, Day 1 of subsequent cycles every (q) 21 days x 3 cycles

DRUGcarboplatin

Area under the curve (AUC) 6, IV, Day 8 cycle 1 - 28 days, Day 1 of subsequent cycles q 21 days x 3 cycles

DRUGbevacizumab

15 milligrams/kilogram (mg/kg), IV, Day 8 of cycle 1 - 28 days, Day 1 of subsequent cycles q 21 days x 3 cycles

DRUGPlacebo

oral, daily

Sponsors

Genentech, Inc.
CollaboratorINDUSTRY
Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* participants or their legal representative must have signed an informed consent document for clinical research * have laboratory confirmed diagnosis of advanced, nonsquamous cell non-small cell lung cancer (NSCLC) (Stage IIIB or IV disease) which is not curable * have not received any prior systemic chemotherapy, immunotherapy, targeted therapy, or biological therapy for advanced NSCLC, prior radiation therapy is allowed to less than 25% of the bone marrow * have measurable disease * have adequate organ function and estimated life expectancy of 12 weeks

Exclusion criteria

* have known central nervous system (CNS) disease; major surgery within 28 days; minor surgery within 7 days; serious concomitant systemic disorder; serious cardiac condition; have a serious, nonhealing wound, ulcer, or bone fracture * have received treatment within the last 30 days with any drug that has not received regulatory approval for any indication at the time of study entry * have previously received treatment with enzastaurin, pemetrexed, or bevacizumab * are pregnant or breast-feeding * are unable to swallow tablets

Design outcomes

Primary

MeasureTime frameDescription
Progression-Free Survival (PFS)Randomization to measured PD or death from any cause up to 12.2 monthsPFS was defined as the time from date of randomization to the first observation of progressive disease (PD) or death due to any cause. For participants not known to have died as of the data cutoff date and who did not have objective PD, PFS was censored at the date of the last objective progression-free assessment. For participants who received subsequent anticancer therapy (after discontinuation from all study treatment) prior to objective disease progression or death, PFS was censored at the date of the last objective progression-free assessment prior to the initiation of post-discontinuation anticancer therapy.

Secondary

MeasureTime frameDescription
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate)Randomization to measured progressive disease or death from any cause up to 12.2 monthsTumor response rate was defined as number of participants with overall best response of CR or PR over number of protocol qualified participants using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all tumor lesions. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum of LDs or complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions. In either case, no new lesions may have appeared. Percentage of participants was calculated as: (number of participants with CR or PR/ number of participants qualified for tumor response analysis) × 100.
Overall Survival (OS)Randomization to date of death up to 14.3 monthsOS was defined as the time from the date of randomization to the date of death from any cause. For participants who were not known to have died as of the data cutoff, OS was censored at the last contact date.
Time to Progressive Disease (TTPD)Randomization to measured PD or death from any cause up to 12.2 monthsTTPD was defined as the time from the date of randomization until the first date of objectively determined progressive disease (PD). For participants who died without objective PD (including death from study disease), TTPD was censored at the date of the last objective progression-free disease assessment. For participants not known to have died as of the data cutoff and did not have PD, TTPD was censored at the date of the last objective progression-free disease assessment.
Duration of Response (DoR)Time of response to disease progression or death from any cause up to 12.2 monthsThe duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death from any cause. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions and PR was defined as having at least a 30% decrease in sum of longest diameter (LD) of target lesions taking as reference the baseline sum of LDs. For participants who died without progressive disease or who were alive, DoR was censored at the last contact of progression free assessment. For participants who received subsequent anticancer therapy (after discontinuation from all study treatment) prior to PD, DoR was censored at the date of last progression-free assessment prior to the initiation of post-discontinuation anticancer therapy. Due to early study closure, DoR was not analyzed.
Pharmacology Toxicity and Adverse Events (AEs)Randomization up to 14.3 months and 30-day follow-upClinically significant events were defined as serious AEs (SAEs) and other non-serious AEs. Participants who died due to progressive disease (PD) or an AE while on treatment and or died during the 30 day post-treatment follow-up are included. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

Countries

United States

Participant flow

Pre-assignment details

Participant flow reports those participants who discontinued from study drug.

Participants by arm

ArmCount
Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin
Combination biochemotherapy: Pemetrexed: 500 milligrams per square meter (mg/m\^2) intravenously on Day 8 of Cycle 1 (28 days), then on Day 1 of subsequent cycles every 21 days for 3 cycles Carboplatin: Area under the curve (AUC) 6 intravenously on Day 8 of Cycle 1 (28 days), then on Day 1 of subsequent cycles every 21 days for 3 cycles Bevacizumab: 15 milligrams/kilogram (mg/kg) intravenously on Day 8 of Cycle 1 (28 days), then on Day 1 of subsequent cycles every 21 days for 3 cycles Enzastaurin: 1125 milligram (mg) loading dose on Day 1 of Cycle 1 (28 days), followed by 500 mg oral daily dose for 3 cycles Maintenance therapy: Enzastaurin: 500 mg oral daily dose for 21-day cycles until disease progression Bevacizumab: 15 mg/kg intravenously on Day 1 of every 21-day cycle until disease progression
20
Pemetrexed + Carboplatin + Bevacizumab + Placebo
Combination biochemotherapy: Pemetrexed: 500 mg/m\^2 intravenously on Day 8 of Cycle 1 (28 days), then on Day 1 of subsequent cycles every 21 days for 3 cycles Carboplatin: AUC 6 intravenously on Day 8 of Cycle 1 (28 days), then on Day 1 of subsequent cycles every 21 days for 3 cycles Bevacizumab: 15 mg/kg intravenously on Day 8 of Cycle 1 (28 days), then on Day 1 of subsequent cycles every 21 days for 3 cycles Placebo: Oral tablets daily to complete Cycle 1 (28 days), then subsequent 21-day cycles for 3 cycles Maintenance therapy: Bevacizumab: 15 mg/kg intravenously on Day 1 of every 21-day cycle until disease progression Placebo: Oral tablets daily for 21-day cycles until progressive disease
20
Total40

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event31
Overall StudyDeath10
Overall StudyProgressive Disease1213
Overall StudySymptomatic deterioration12
Overall StudyWithdrawal by Subject20

Baseline characteristics

CharacteristicPemetrexed + Carboplatin + Bevacizumab + PlaceboPemetrexed + Carboplatin + Bevacizumab + EnzastaurinTotal
Age, Continuous61.2 years
STANDARD_DEVIATION 9
62.1 years
STANDARD_DEVIATION 9.3
61.6 years
STANDARD_DEVIATION 9.1
Disease Stage
Stage IIIB
3 Participants3 Participants6 Participants
Disease Stage
Stage IV
17 Participants17 Participants34 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
0 - Fully Active
11 Participants10 Participants21 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1 - Ambulatory, Restricted Strenuous Activity
9 Participants10 Participants19 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants20 Participants40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Prior therapy
No
17 Participants17 Participants34 Participants
Prior therapy
Yes
3 Participants3 Participants6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
20 Participants20 Participants40 Participants
Region of Enrollment
United States
20 Participants20 Participants40 Participants
Sex: Female, Male
Female
10 Participants9 Participants19 Participants
Sex: Female, Male
Male
10 Participants11 Participants21 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
19 / 2020 / 20
serious
Total, serious adverse events
6 / 207 / 20

Outcome results

Primary

Progression-Free Survival (PFS)

PFS was defined as the time from date of randomization to the first observation of progressive disease (PD) or death due to any cause. For participants not known to have died as of the data cutoff date and who did not have objective PD, PFS was censored at the date of the last objective progression-free assessment. For participants who received subsequent anticancer therapy (after discontinuation from all study treatment) prior to objective disease progression or death, PFS was censored at the date of the last objective progression-free assessment prior to the initiation of post-discontinuation anticancer therapy.

Time frame: Randomization to measured PD or death from any cause up to 12.2 months

Population: All randomized participants identified by assigned treatment group. Number of participants censored: Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin = 5; Pemetrexed + Carboplatin + Bevacizumab + Placebo = 2.

ArmMeasureValue (NUMBER)
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinProgression-Free Survival (PFS)3.5 months
Pemetrexed + Carboplatin + Bevacizumab + PlaceboProgression-Free Survival (PFS)4.3 months
p-value: 0.469Log Rank
Secondary

Duration of Response (DoR)

The duration of a complete response (CR) or partial response (PR) was defined as the time from first objective status assessment of CR or PR to the first time of progression or death from any cause. Response was defined using Response Evaluation Criteria In Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all target lesions and PR was defined as having at least a 30% decrease in sum of longest diameter (LD) of target lesions taking as reference the baseline sum of LDs. For participants who died without progressive disease or who were alive, DoR was censored at the last contact of progression free assessment. For participants who received subsequent anticancer therapy (after discontinuation from all study treatment) prior to PD, DoR was censored at the date of last progression-free assessment prior to the initiation of post-discontinuation anticancer therapy. Due to early study closure, DoR was not analyzed.

Time frame: Time of response to disease progression or death from any cause up to 12.2 months

Population: All randomized participants. Participants censored: Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin = 16; Pemetrexed + Carboplatin + Bevacizumab + Placebo = 14.

ArmMeasureValue (MEDIAN)
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinDuration of Response (DoR)4.7 Months
Pemetrexed + Carboplatin + Bevacizumab + PlaceboDuration of Response (DoR)3.5 Months
Secondary

Overall Survival (OS)

OS was defined as the time from the date of randomization to the date of death from any cause. For participants who were not known to have died as of the data cutoff, OS was censored at the last contact date.

Time frame: Randomization to date of death up to 14.3 months

Population: All randomized participants identified by assigned treatment group. Participants censored: Pemetrexed + Carboplatin + Bevacizumab + Enzastaurin = 12; Pemetrexed + Carboplatin + Bevacizumab + Placebo = 9.

ArmMeasureValue (MEDIAN)
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinOverall Survival (OS)9.1 months
Pemetrexed + Carboplatin + Bevacizumab + PlaceboOverall Survival (OS)7.6 months
p-value: 0.492Log Rank
Secondary

Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate)

Tumor response rate was defined as number of participants with overall best response of CR or PR over number of protocol qualified participants using the Response Evaluation Criteria in Solid Tumors (RECIST v1.0) criteria. CR was defined as the disappearance of all tumor lesions. PR was defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum of LDs or complete disappearance of target lesions, with persistence (but not worsening) of 1 or more non-target lesions. In either case, no new lesions may have appeared. Percentage of participants was calculated as: (number of participants with CR or PR/ number of participants qualified for tumor response analysis) × 100.

Time frame: Randomization to measured progressive disease or death from any cause up to 12.2 months

Population: All randomized participants identified by assigned treatment group.

ArmMeasureValue (NUMBER)
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinPercentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate)20.0 percentage of participants
Pemetrexed + Carboplatin + Bevacizumab + PlaceboPercentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate)30.0 percentage of participants
p-value: 0.462Fisher Exact
Secondary

Pharmacology Toxicity and Adverse Events (AEs)

Clinically significant events were defined as serious AEs (SAEs) and other non-serious AEs. Participants who died due to progressive disease (PD) or an AE while on treatment and or died during the 30 day post-treatment follow-up are included. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Events module.

Time frame: Randomization up to 14.3 months and 30-day follow-up

Population: All randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinPharmacology Toxicity and Adverse Events (AEs)Deaths Due to PD0 Participants
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinPharmacology Toxicity and Adverse Events (AEs)Deaths Due to AEs1 Participants
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinPharmacology Toxicity and Adverse Events (AEs)Deaths within 30-days after treatment0 Participants
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinPharmacology Toxicity and Adverse Events (AEs)Non-serious AEs19 Participants
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinPharmacology Toxicity and Adverse Events (AEs)Serious AEs6 Participants
Pemetrexed + Carboplatin + Bevacizumab + PlaceboPharmacology Toxicity and Adverse Events (AEs)Serious AEs7 Participants
Pemetrexed + Carboplatin + Bevacizumab + PlaceboPharmacology Toxicity and Adverse Events (AEs)Non-serious AEs20 Participants
Pemetrexed + Carboplatin + Bevacizumab + PlaceboPharmacology Toxicity and Adverse Events (AEs)Deaths Due to AEs1 Participants
Pemetrexed + Carboplatin + Bevacizumab + PlaceboPharmacology Toxicity and Adverse Events (AEs)Deaths Due to PD0 Participants
Pemetrexed + Carboplatin + Bevacizumab + PlaceboPharmacology Toxicity and Adverse Events (AEs)Deaths within 30-days after treatment0 Participants
Secondary

Time to Progressive Disease (TTPD)

TTPD was defined as the time from the date of randomization until the first date of objectively determined progressive disease (PD). For participants who died without objective PD (including death from study disease), TTPD was censored at the date of the last objective progression-free disease assessment. For participants not known to have died as of the data cutoff and did not have PD, TTPD was censored at the date of the last objective progression-free disease assessment.

Time frame: Randomization to measured PD or death from any cause up to 12.2 months

Population: All randomized participants.

ArmMeasureValue (MEDIAN)
Pemetrexed + Carboplatin + Bevacizumab + EnzastaurinTime to Progressive Disease (TTPD)4.3 Months
Pemetrexed + Carboplatin + Bevacizumab + PlaceboTime to Progressive Disease (TTPD)4.8 Months

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026