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enzastaurin

Phase 3

Glioblastoma | Small molecule | Oncology |Eli Lilly and Company|Last Updated: Aug 6, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment469
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00295815Enzastaurin Versus Lomustine in GlioblastomaPHASE3 COMPLETED 397Jan 1, 2006May 1, 2014Sep 12, 201998 United States, Australia +12
NCT00402116Phase 1/2 Study of Enzastaurin in Newly Diagnosed Glioblastoma Multiforme (GBM) and Gliosarcoma (GS) PatientsPHASE1 COMPLETED 72Sep 1, 2006Dec 1, 2009Aug 6, 20201 United States
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Study Endpoints
Primary Endpoints
The primary objective is to compare Enzastaurin versus Lomustine in patients who for the second time have brain cancer (specifically intracranial glioblastoma) to see what effect the drugs have on keeping the disease from progressing (worsening).
baseline to measured progressive disease (PD)
Phase 1- Determination of the Maximum Tolerated Dose (MTD) of Enzastaurin
Until MTD can be determined (up to 12 cycles, 28 days per cycle)

Phase 1- dose escalation of enzastaurin in 2 cohorts up to 6 participants each in order to assess MTD. After radiation/enzastaurin 250 mg per day/temozolomide 75 mg/m\^2 therapy, if no more than 1 of 6 patients experienced a dose-limiting toxicity (DLT) or tumor progression, participants completed one 28-day cycle. If no significant toxicity after the first cycle, participants received subsequent cycles. If no more than 1 of the 6 patients treated at 250 mg of enzastaurin experienced a DLT, up to 6 more patients could be entered at escalated dose cohort of enzastaurin (500 mg).

Phase 1 and Phase 2 - Overall Survival (OS)
Baseline to death from any cause (Up to 48 weeks)

OS is the time from surgical diagnosis to the date of death from any cause. For participants who were alive, OS was censored at the last contact.

Secondary Endpoints
To measure survival to see how the tumor responded to the therapy and how long the response lasted using MRI (a scanning technique).
time of response to progressive disease
To measure changes in patient's ability to care for themselves (this will be determined through a standard survey).
over entire study
To measure changes from baseline and a neurologic exam.
baseline, each cycle
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
AEXPERIMENTAL -
BACTIVE_COMPARATOR -
Interventions
NameTypeDescription
enzastaurinDRUG1125 mg loading dose then 500 mg, oral, daily, 6 week cycles until PD
lomustineDRUG100-130 mg/m2, oral once, every 6 weeks until PD
temozolomideDRUG75 milligrams per meter squared (mg/m\^2), oral, daily, 6 weeks then 200 mg/m\^2, oral, daily, twelve 28 day cycles
radiation therapyRADIATION1.8-2.0 Gy x 30 fractions, 5 days/week, for 6 weeks
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites98

Inclusion Criteria: 1. Patient presents with histologically confirmed diagnosis of brain cancer (specifically glioblastoma multiforme). 2. Your cancer has returned following therapy. 3. Patient may have undergone prior surgery to remove cancer. 4. Patient must be able to care for self. Exclusion C...

Countries:United StatesAustraliaAustriaBelgiumCanadaFranceGermanyIndiaItalyMexicoNetherlandsPolandSpainUnited Kingdom
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