The main purpose of this study is to evaluate how safe and effective the study drug known as abemaciclib is in participants with lung cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
453
Administered orally
Administered orally
Overall Survival (OS)
OS defined as from randomization date to the date of death due to any cause. For each participant who is not known to have died as of the data-inclusion cutoff date for overall survival analysis, OS time was censored on the last date the participant is known to be alive.
Time frame: From Randomization Date to Date of Death from Any Cause (Up to 32 Months)
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])
ORR was the percentage of participants achieving a best overall response (BOR) of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions.
Time frame: From Randomization Date to Objective Progression (Up to 32 Months)
Progression Free Survival (PFS)
PFS defined as the from randomization date to the first evidence of disease progression as defined by RECIST v1.1 or death from any cause. Progressive Disease (PD) was at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. If a participant does not have a complete baseline disease assessment, then the PFS time was censored at the date of first dose, regardless of whether or not objectively determined disease progression or death has been observed for the participant. If a participant was not known to have died or have objective progression as of the data inclusion cutoff date for the analysis, the PFS time was censored at the last adequate tumor assessment date.
Time frame: From Randomization Date until Disease Progression or Death from Any Cause (Up to 32 Months)
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Highlands Oncology Group
Fayetteville, Arkansas, United States
St. Bernards Medical Center
Jonesboro, Arkansas, United States
City of Hope National Medical Center
Duarte, California, United States
University of California - San Diego
La Jolla, California, United States
Loma Linda University School of Medicine
Loma Linda, California, United States
CBCC Global Research, Inc.
Los Angeles, California, United States
Central Coast Medical Oncology Corporation
Los Angeles, California, United States
Fort Wayne Oncology & Hematology
Los Angeles, California, United States
SMO TRIO -Translational Research
Los Angeles, California, United States
St. Joseph Heritage Medical Group
Los Angeles, California, United States
...and 221 more locations
Change From Baseline in MD Anderson Symptom Inventory-Lung Cancer (MDASI-LC) Score
The MDASI-LC included 22 items + 3 additional trial-specific items, resulting in 6 collected and reported single-construct scores including core symptoms (13-item), interference (6-item), lung cancer (3-item), and trial-specific single outcomes for headache, diarrhea, and rash. A 2-construct composite core + lung cancer symptom (16-item) score was calculated. Data for all 7 scores were collected by an 11-point numeric rating scale anchored at 0 (not present or does not interfere) and 10 (as bad as you can imagine or interfered completely). The measurement range was 10 (maximum score-minimum score). Mixed Model Repeated Measure (MMRM) regression with covariates for treatment, visit, treatment\*visit, and baseline score predicted between-group Least Squares (LS) mean differences from baseline. Group-level negative change from baseline indicated group improvement.
Time frame: From Randomization Date through End of Study (Up to 32 Months)
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve During 1 Dosing Interval at Steady State
PK is determined by the area under the plasma concentration versus time curve during 1 dosing interval at steady state
Time frame: Day 1 of Cycle 1 through Cycle 3 (28 Day Cycles)
Change From Baseline in European Quality of Life - 5 Dimensions - 5 Level (EQ-5D-5L) Score
There are 5 response levels on a good-to-bad continuum of 1-5 corresponding to none, slight, moderate, severe, and extreme/unable to. The EuroQol-developed crosswalk method was used to convert the EQ-5D-5L,using United Kingdom (UK) weights, health dimensions(mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) into a single index value; the dimensions are not separately scored. The index is marked missing when ≥1 dimensions are missing. The index scores for the response patterns were anchored on full health to dead with negative values assigned to response patterns/health states considered worse than death. The best pattern is assigned the index value of 1.0; the worst pattern is assigned an index value of -0.594. Between-group differences in regression-predicted change from baseline score were estimated for the index. LS Mean value was controlled for Treatment, visit, Treatment\*Visit and baseline.
Time frame: From Randomization Date through End of Study (Up to 32 Months)
Resource Utilization: Percentage of Participants Who Are Hospitalized
Resource utilization is the percentage of participants who was hospitalized.
Time frame: From Randomization Date through End of Study (Up to 32 Months)