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OpenTrials
Completed

NCT Number: NCT00586508

Trial of Enzastaurin and Bevacizumab in Participants With Recurrent Malignant Gliomas

The purpose of this study is to evaluate both enzastaurin and bevacizumab in the treatment of recurrent malignant gliomas.

Completed

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

Bethesda, Maryland, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant must be at least 18 years old
  • Participant must have been diagnosed with a recurrent brain tumor by magnetic resonance imaging (MRI) scan
  • Participant must be willing to practice adequate contraception
  • Participant must be able to swallow the enzastaurin tablets whole and receive bevacizumab intravenously
  • Participant must agree to use the study drug only as instructed by your study doctor and staff.

Exclusion criteria

  • Women who are pregnant or breastfeeding
  • Participants who have significant heart, liver, kidney, or psychiatric disease
  • Participants who have an active infection
  • Participants who have any recent bleeding in the brain
  • Participants who are taking any anti-coagulation or anti-platelet medication [including aspirin, non-steroidal anti-inflammatories, Cyclooxygenase-2 (COX-2) inhibitors]

Treatment and study plan

enzastaurin

Drug

1125 milligrams (mg) loading dose then 500 or 875 mg, orally, daily, 4-week cycles with participants evaluated after each cycle. The dose difference is for participants who are on enzyme-inducing antiepileptic drugs (EIAED) versus non-enzyme inducing antiepileptic drugs (NEIAED).

Other names: LY317615

Bevacizumab

Drug

10 milligrams per kilogram (mg/kg), intravenously (IV), every 2 weeks, participants are evaluated after each cycle (4-week cycles).

Enzyme-inducing antiepileptic drugs (EIAED)

Drug

Administered orally

Non-enzyme inducing antiepileptic drugs (NEIAED)

Drug

Administered orally

Primary outcomes

  1. Progression-Free Survival at 6 Months (PFS-6)

    Time frame: Registration to 6 months

    Data presented are the percentage of participants without progressive disease (PD) or death from any cause 6 months after registration. PD was a 25% increase in the sum of products of all measurable lesions (or 2 largest lesions if too numerous) over the smallest sum observed (over baseline if no decrease) or clear worsening of any evaluable disease, or appearance of any new lesion/site, or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer).

  2. Time to Progressive Disease (PD)

    Time frame: Registration to PD, death or date of last contact up to 66.56 months

    Defined as the time from registration to PD, death or date of last contact. PD was a 25% increase in the sum of products of all measurable lesions (or 2 largest lesions if too numerous) over the smallest sum observed (over baseline if no decrease) or clear worsening of any evaluable disease, or appearance of any new lesion/site, or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer). Participants who had no PD or death at the time of the data inclusion cutoff, time to PD was censored at their last tumor assessment prior to the cutoff date.

  3. Number of Participants With Adverse Events (AEs) or Deaths (Safety)

    Time frame: Registration to study completion up to 67.56 months

    Data presented are the number of participants who experienced serious adverse events (SAEs), other non-serious AEs and deaths during the study including the 30-day follow-up. A summary of SAEs and other non-serious AEs, regardless of causality, is located in the Reported Adverse Event module.

Secondary outcomes

  1. Overall Response Rate (ORR)

    Time frame: Registration to date of objective PD or death up to 66.56 months

    Overall response is confirmed complete response (CR) + partial response (PR). CR is complete disappearance of all measurable and evaluable disease, no new lesions, and no evidence of non-evaluable disease. PR is ≥50% decrease compared to baseline in the sum of products of perpendicular diameters of all measurable lesions (or the 2 largest lesions), no progression of evaluable disease and no new lesions. ORR is calculated as (total number of participants with CR or PR from the start of registration until disease progression) / (the total number of participants treated)*100.

  2. To Evaluate Tumor Markers and Genes

    Time frame: Baseline and every cycle (4-week cycles)

  3. Change From Baseline in Health-Related Quality of Life (HRQoL) Subscales

    Time frame: Baseline, Cycles 1-12 (4-week cycles)

    HRQoL was assessed with the Functional Assessment of Cancer Therapy - Brain (FACT-Br) version 4. The instrument consists of 50 items with a 5-point rating scale for each item, where 0 = "not at all" and 4 = "very much." Physical well-being, social/family well-being and functional well-being subscales consist of 7 items each with scores ranging from 0-28. The emotional well-being subscale consists of 6 items with a score ranging from 0-24. The brain cancer-specific subscale consists of 23 items with a score ranging from 0-92. Higher scores in each subscale represent better QoL. Changes from baseline in the 4 core subscales are presented.

Sponsors and collaborators

Lead sponsor

Eli Lilly and Company

Industry

Collaborators

  • Genentech, Inc.

Registry information

Official study title

A Phase II Trial of Enzastaurin in Combination With Bevacizumab in Adults With Recurrent Malignant Gliomas

Important dates

Study start
2007
Primary completion
2013
Study completion
2013
First posted
Jan 4, 2008
Registry last updated
Sep 24, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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