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A Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib (LY2835219) in Participants With Prostate Cancer

A Phase 2/3, Randomized, Double-Blind, Placebo-Controlled Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib in Patients With Metastatic Castration-Resistant Prostate Cancer

Status
Active, not recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03706365
Acronym
CYCLONE 2
Enrollment
393
Registered
2018-10-16
Start date
2018-11-26
Completion date
2026-12-01
Last updated
2026-08-07

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

Conditions

Prostate Cancer

Keywords

Metastatic Castration Resistant Prostate Cancer, mCRPC

Brief summary

This study is being done to see how safe and effective abemaciclib is when given together with abiraterone acetate plus prednisone in participants with metastatic castration resistant prostate cancer. Prednisolone may be used instead of prednisone per local regulation.

Interventions

DRUGAbemaciclib

Administered orally.

DRUGPlacebo

Administered orally.

DRUGAbiraterone acetate

Administered orally.

DRUGPrednisone

Administered orally.

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Histologically confirmed adenocarcinoma of the prostate. * Metastatic prostate cancer documented by positive bone scan and/or measurable soft tissue metastatic lesions by CT or magnetic resonance imaging (MRI). * Progressive disease at study entry demonstrated during continuous androgen-deprivation therapy (ADT)/post orchiectomy defined as one or more of the following: * PSA progression * Radiographic progression per Response Evaluation Criteria in Solid Tumors (RECIST)1.1 for soft tissue and/or per Prostate Cancer Working Group 3 (PCWG3) for bone, with or without PSA progression * Have adequate organ function. * Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.

Exclusion criteria

* Prior therapy with cytochrome P450 (CYP)17 inhibitors. * Prior treatment with abemaciclib or any cyclin-dependent kinase (CDK) 4 \& 6 inhibitors. * Prior cytotoxic chemotherapy for metastatic castration resistant prostate cancer (participants treated with docetaxel in the metastatic hormone-sensitive prostate cancer \[mHSPC\] are eligible). Prior radiopharmaceuticals for prostate cancer, or prior enzalutamide, apalutamide, darolutamide or sipuleucel-T. Participants who had prior radiation or surgery to all target lesions. * Currently enrolled in a clinical study involving an investigational product. * Gastrointestinal disorder affecting the absorption or ability to swallow large pills. * Clinically significant heart disease, active or chronic liver disease, moderate/severe hepatic impairment (Child-Pugh Class B and C).

Design outcomes

Primary

MeasureTime frameDescription
Radiographic Progression Free Survival (rPFS)From Date of Randomization to Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)The rPFS time is measured from the date of randomization to the earliest date of investigator determined radiographic disease progression (by objective radiographic disease assessment per response evaluation criteria in solid tumors (RECIST) version 1.1 for soft tissue AND/OR radionuclide bone scan using prostate cancer working group 3 -PCWG3 criteria for bone) or death from any cause, whichever occurs first.

Secondary

MeasureTime frameDescription
Time to Prostate-Specific Antigen (PSA) ProgressionFrom Date of Randomization to the Date of the First Observation of PSA Progression (Up to 60 Months)The PSA progression is defined as a greater than or equal to (\>=) 25 percentage (%) increase and an absolute increase of \>=2 nanogram/milliliter (ng/mL) above the nadir (or baseline value if baseline is the smallest on study), which is confirmed by a second value obtained 3 or more weeks later.
Radiographic Progression Free Survival (rPFS) Determined by Blinded Independent Central ReviewFrom Date of Randomization Until Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)rPFS is defined as the time from the date of randomization to the earliest date of radiographic disease progression determined by blinded independent central review (BICR) or death from any cause, whichever occurs first.
Objective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR)Baseline to Radiographic Disease Progression (Up to 60 Months)ORR is a summary measure of best overall response (BOR) as defined by RECIST 1.1 for soft tissue per investigator assessment. BOR is derived from time point responses. All time point responses observed while on study treatment and during the short-term follow-up period (but before the initiation of post-discontinuation systemic anticancer therapy) will be included in the derivation. Each patient's BOR will be categorized as complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), or not evaluable (NE). A BOR of CR or PR will require confirmation, but sensitivity analyses of response-based endpoints may be performed where confirmation of a BOR of CR or PR is not required.
Duration of Response (DOR)Date of First Documented CR or PR to Date of Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)The DoR time is defined only for responders (participants with a soft tissue BOR of CR or PR) in the measurable disease population. It is measured from the date of first evidence of soft tissue CR or PR to the earliest date of investigator determined radiographic disease progression or death from any cause, whichever is earlier.
Overall Survival (OS)From Date of Randomization to Date of Death Due to Any Cause (Up to 60 Months)The OS time is measured from the date of randomization to the date of death from any cause. If the participant was alive or lost to follow-up at the time of data analysis, OS data were censored on the last date the participant was known to be alive.
Time to Symptomatic ProgressionFrom Randomization to the Date of the First Documented Symptomatic Progression (Up to 60 Months)Time to symptomatic progression is defined as the time from randomization to any of the following (whichever occurs earlier): 1. Symptomatic Skeletal Event (SSE), defined as symptomatic fracture, surgery or radiation to bone, or spinal cord compression. 2. Pain progression or worsening of disease-related symptoms requiring initiation of a new systemic anti-cancer therapy. 3. Development of clinically significant symptoms due to loco-regional tumor progression requiring surgical intervention or radiation therapy.
Pharmacokinetics (PK): Mean Steady State Exposure of AbemaciclibCycle (C) 1 Day (D) 1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)PK: Mean steady state exposure of abemaciclib.
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)PK: Mean steady state exposure of abemaciclib metabolite LSN2839567.
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)PK: Mean steady state exposure of abemaciclib metabolite LSN3106726.
PK: Mean Steady State Exposure of Abiraterone AcetateC1 D15, Post dosePK: Mean Steady State Exposure of Abiraterone Acetate.
Time to Worst Pain ProgressionFrom Randomization Through Follow-up (Up to 60 months)Time to Worst Pain Progression defined as the time from randomization to any of the following (whichever occurs earlier): For participants without opioid use at baseline (World Health Organization-Analgesic Ladder-WHO-AL ≤ 2):- Worst pain progression (an increase of 2 points from baseline on the Worst Pain Numeric Rating Scale (NRS) item on 2 consecutive evaluations), Initiation of weak or strong opioids (WHO-AL ≥ 3); For participants with weak or strong opioid use at baseline (WHO-AL ≥ 3): Worst pain progression (an increase of 2 points from baseline on the Worst Pain NRS item on 2 consecutive evaluations) without concurrent decreased opioid use (a decrease in WHO-AL of 1 or more) -Increased opioid use (an increase in WHO-AL of 1 or more).

Countries

Australia, China, Denmark, France, Germany, Japan, Netherlands, Romania, South Korea, Spain, United States

Contacts

STUDY_DIRECTORCall 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)

Eli Lilly and Company

Participant flow

Participants by arm

ArmCount
Abemaciclib
Participants received 200 mg abemaciclib BID in combination with standard doses of 1000 mg abiraterone acetate once daily and 5mg prednisone BID administered orally on a continuous dosing schedule on days 1 through 28 of a 28-day cycle until radiographic and/or symptomatic progression or until another discontinuation criterion is met.
206
Placebo
Participants received placebo BID in combination with standard doses of 1000 mg abiraterone once daily and 5 mg prednisone BID administered orally on a continuous dosing schedule on days 1 through 28 of a 28-day cycle until radiographic and/or symptomatic progression or until another discontinuation criterion is met.
187
Total393

Baseline characteristics

CharacteristicAbemaciclibTotalPlacebo
Age, Continuous68.70 years
STANDARD_DEVIATION 8.57
69.10 years
STANDARD_DEVIATION 8.69
69.60 years
STANDARD_DEVIATION 8.81
Ethnicity (NIH/OMB)
Hispanic or Latino
13 Participants20 Participants7 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
186 Participants360 Participants174 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
7 Participants13 Participants6 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
35 Participants80 Participants45 Participants
Race (NIH/OMB)
Black or African American
7 Participants17 Participants10 Participants
Race (NIH/OMB)
More than one race
1 Participants1 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants6 Participants4 Participants
Race (NIH/OMB)
White
161 Participants289 Participants128 Participants
Region of Enrollment
Australia
17 participants35 participants18 participants
Region of Enrollment
China
4 participants13 participants9 participants
Region of Enrollment
Denmark
7 participants17 participants10 participants
Region of Enrollment
France
4 participants9 participants5 participants
Region of Enrollment
Germany
23 participants39 participants16 participants
Region of Enrollment
Japan
15 participants33 participants18 participants
Region of Enrollment
Netherlands
7 participants15 participants8 participants
Region of Enrollment
Romania
10 participants17 participants7 participants
Region of Enrollment
South Korea
14 participants31 participants17 participants
Region of Enrollment
Spain
45 participants75 participants30 participants
Region of Enrollment
United Kingdom
11 participants20 participants9 participants
Region of Enrollment
United States
49 participants89 participants40 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
206 Participants393 Participants187 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
81 / 20672 / 187
other
Total, other adverse events
204 / 206176 / 185
serious
Total, serious adverse events
89 / 20666 / 185

Outcome results

Primary

Radiographic Progression Free Survival (rPFS)

The rPFS time is measured from the date of randomization to the earliest date of investigator determined radiographic disease progression (by objective radiographic disease assessment per response evaluation criteria in solid tumors (RECIST) version 1.1 for soft tissue AND/OR radionuclide bone scan using prostate cancer working group 3 -PCWG3 criteria for bone) or death from any cause, whichever occurs first.

Time frame: From Date of Randomization to Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)

Population: All randomized participants. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.

ArmMeasureValue (MEDIAN)
AbemaciclibRadiographic Progression Free Survival (rPFS)21.96 Months
PlaceboRadiographic Progression Free Survival (rPFS)20.28 Months
p-value: 0.212395% CI: [0.619, 1.111]Log Rank
Secondary

Duration of Response (DOR)

The DoR time is defined only for responders (participants with a soft tissue BOR of CR or PR) in the measurable disease population. It is measured from the date of first evidence of soft tissue CR or PR to the earliest date of investigator determined radiographic disease progression or death from any cause, whichever is earlier.

Time frame: Date of First Documented CR or PR to Date of Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)

Population: All randomized participants who received at least one dose of the study drug and had CR or PR responses with objective response.

ArmMeasureValue (MEDIAN)
AbemaciclibDuration of Response (DOR)21.27 Months
PlaceboDuration of Response (DOR)15.68 Months
p-value: 0.353195% CI: [0.377, 1.419]Log Rank
Secondary

Objective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR)

ORR is a summary measure of best overall response (BOR) as defined by RECIST 1.1 for soft tissue per investigator assessment. BOR is derived from time point responses. All time point responses observed while on study treatment and during the short-term follow-up period (but before the initiation of post-discontinuation systemic anticancer therapy) will be included in the derivation. Each patient's BOR will be categorized as complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), or not evaluable (NE). A BOR of CR or PR will require confirmation, but sensitivity analyses of response-based endpoints may be performed where confirmation of a BOR of CR or PR is not required.

Time frame: Baseline to Radiographic Disease Progression (Up to 60 Months)

Population: All randomized participants who received at least one dose of the study drug and had CR or PR responses.

ArmMeasureValue (NUMBER)
AbemaciclibObjective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR)45.2 percentage of participants
PlaceboObjective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR)54.8 percentage of participants
Secondary

Overall Survival (OS)

The OS time is measured from the date of randomization to the date of death from any cause. If the participant was alive or lost to follow-up at the time of data analysis, OS data were censored on the last date the participant was known to be alive.

Time frame: From Date of Randomization to Date of Death Due to Any Cause (Up to 60 Months)

Population: All randomized participants. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.

ArmMeasureValue (MEDIAN)
AbemaciclibOverall Survival (OS)38.01 Months
PlaceboOverall Survival (OS)33.21 Months
p-value: 0.650795% CI: [0.669, 1.285]Log Rank
Secondary

Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib

PK: Mean steady state exposure of abemaciclib.

Time frame: Cycle (C) 1 Day (D) 1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)

Population: All participants who received at least one dose of study drug had evaluable PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AbemaciclibPharmacokinetics (PK): Mean Steady State Exposure of AbemaciclibC1 D14.79 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 157
AbemaciclibPharmacokinetics (PK): Mean Steady State Exposure of AbemaciclibC1 D15289 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 58.7
AbemaciclibPharmacokinetics (PK): Mean Steady State Exposure of AbemaciclibC2 D1253 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 65.7
AbemaciclibPharmacokinetics (PK): Mean Steady State Exposure of AbemaciclibC2 D15252 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 68.4
AbemaciclibPharmacokinetics (PK): Mean Steady State Exposure of AbemaciclibC3 D1270 nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 54.5
Secondary

PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567

PK: Mean steady state exposure of abemaciclib metabolite LSN2839567.

Time frame: C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)

Population: All participants who received at least one dose of study drug had evaluable PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567C1 D12.90 ng/mLGeometric Coefficient of Variation 87.4
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567C1 D15125 ng/mLGeometric Coefficient of Variation 50.4
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567C2 D1112 ng/mLGeometric Coefficient of Variation 50.1
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567C2 D15116 ng/mLGeometric Coefficient of Variation 51
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567C3 D1110 ng/mLGeometric Coefficient of Variation 62.2
Secondary

PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726

PK: Mean steady state exposure of abemaciclib metabolite LSN3106726.

Time frame: C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)

Population: All participants who received at least one dose of study drug had evaluable PK data.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726C3 D1176 ng/mLGeometric Coefficient of Variation 36.4
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726C1 D12.80 ng/mLGeometric Coefficient of Variation 77.7
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726C1 D15195 ng/mLGeometric Coefficient of Variation 43
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726C2 D1174 ng/mLGeometric Coefficient of Variation 42.8
AbemaciclibPK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726C2 D15174 ng/mLGeometric Coefficient of Variation 44.1
Secondary

PK: Mean Steady State Exposure of Abiraterone Acetate

PK: Mean Steady State Exposure of Abiraterone Acetate.

Time frame: C1 D15, Post dose

Population: All participants who received at least one dose of study drug had evaluable PK data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
AbemaciclibPK: Mean Steady State Exposure of Abiraterone Acetate45.2 ng/mLGeometric Coefficient of Variation 175
PlaceboPK: Mean Steady State Exposure of Abiraterone Acetate40.0 ng/mLGeometric Coefficient of Variation 203
Secondary

Radiographic Progression Free Survival (rPFS) Determined by Blinded Independent Central Review

rPFS is defined as the time from the date of randomization to the earliest date of radiographic disease progression determined by blinded independent central review (BICR) or death from any cause, whichever occurs first.

Time frame: From Date of Randomization Until Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)

Population: All randomized participants. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.

ArmMeasureValue (MEDIAN)
AbemaciclibRadiographic Progression Free Survival (rPFS) Determined by Blinded Independent Central Review24.89 Months
PlaceboRadiographic Progression Free Survival (rPFS) Determined by Blinded Independent Central Review22.88 Months
p-value: 0.289995% CI: [0.611, 1.16]Log Rank
Secondary

Time to Prostate-Specific Antigen (PSA) Progression

The PSA progression is defined as a greater than or equal to (\>=) 25 percentage (%) increase and an absolute increase of \>=2 nanogram/milliliter (ng/mL) above the nadir (or baseline value if baseline is the smallest on study), which is confirmed by a second value obtained 3 or more weeks later.

Time frame: From Date of Randomization to the Date of the First Observation of PSA Progression (Up to 60 Months)

Population: All randomized participants. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.

ArmMeasureValue (MEDIAN)
AbemaciclibTime to Prostate-Specific Antigen (PSA) Progression22.19 Months
PlaceboTime to Prostate-Specific Antigen (PSA) Progression16.60 Months
p-value: 0.002695% CI: [0.474, 0.856]Log Rank
Secondary

Time to Symptomatic Progression

Time to symptomatic progression is defined as the time from randomization to any of the following (whichever occurs earlier): 1. Symptomatic Skeletal Event (SSE), defined as symptomatic fracture, surgery or radiation to bone, or spinal cord compression. 2. Pain progression or worsening of disease-related symptoms requiring initiation of a new systemic anti-cancer therapy. 3. Development of clinically significant symptoms due to loco-regional tumor progression requiring surgical intervention or radiation therapy.

Time frame: From Randomization to the Date of the First Documented Symptomatic Progression (Up to 60 Months)

Population: All randomized participants. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.

ArmMeasureValue (MEDIAN)
AbemaciclibTime to Symptomatic Progression51.39 Months
PlaceboTime to Symptomatic Progression35.74 Months
p-value: 0.180795% CI: [0.522, 1.131]Log Rank
Secondary

Time to Worst Pain Progression

Time to Worst Pain Progression defined as the time from randomization to any of the following (whichever occurs earlier): For participants without opioid use at baseline (World Health Organization-Analgesic Ladder-WHO-AL ≤ 2):- Worst pain progression (an increase of 2 points from baseline on the Worst Pain Numeric Rating Scale (NRS) item on 2 consecutive evaluations), Initiation of weak or strong opioids (WHO-AL ≥ 3); For participants with weak or strong opioid use at baseline (WHO-AL ≥ 3): Worst pain progression (an increase of 2 points from baseline on the Worst Pain NRS item on 2 consecutive evaluations) without concurrent decreased opioid use (a decrease in WHO-AL of 1 or more) -Increased opioid use (an increase in WHO-AL of 1 or more).

Time frame: From Randomization Through Follow-up (Up to 60 months)

Population: All randomized participants. Participants were analyzed according to the treatment arm they were assigned to regardless of what actual treatment they received.

ArmMeasureValue (MEDIAN)
AbemaciclibTime to Worst Pain Progression41.49 Months
PlaceboTime to Worst Pain Progression24.79 Months
p-value: 0.69795% CI: [0.665, 1.314]Log Rank

Source: ClinicalTrials.gov · Data processed: Aug 8, 2026