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LY2181308

Phase 2

Acute Myeloid Leukemia | Small molecule | Oncology |Eli Lilly and Company|Trials Updated: Sep 11, 2019

LY2181308 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Dec 2006

LY2181308 target and mechanism

ModalitySmall molecule

Also known as LY2181308 sodium

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment358

FDA Designations

No designations recorded

LY2181308 clinical trials

LY2181308 · 3 trials · 3 indications

Phase 2 3
NCT01107444Study of LY2181308 in Combination With Docetaxel Versus Docetaxel in Patients With Non-Small Cell Lung CancerNon-small Cell Lung Cancer
COMPLETED180 Analytics
NCT00620321A Study of LY2181308 Sodium in Patients With Relapsed or Refractory Acute Myeloid LeukemiaAcute Myeloid Leukemia
COMPLETED24 Analytics
NCT00642018A Study of an Experimental Chemotherapy Combination to Treat Hormone Refractory Prostate CancerProstate Cancer
COMPLETED154 Analytics
PHASE2COMPLETED
Study of LY2181308 in Combination With Docetaxel Versus Docetaxel in Patients With Non-Small Cell Lung Cancer
Non-small Cell Lung CancerUnlock trial analytics
PHASE2COMPLETED
A Study of LY2181308 Sodium in Patients With Relapsed or Refractory Acute Myeloid Leukemia
Acute Myeloid LeukemiaUnlock trial analytics
PHASE2COMPLETED
A Study of an Experimental Chemotherapy Combination to Treat Hormone Refractory Prostate Cancer
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Tumor Size to the End of Cycle 2
Baseline, End of Cycle 2 (1 cycle = 21 days)

The tumor size was defined as the sum of the longest diameters for the target lesions. The sum of lesion diameters was calculated using Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 guidelines. The log ratio of tumor size at the end of Cycle 2 to tumor size at baseline was calculated for each participant.

Number of Participants With Adverse Events (Safety Profile)
Start of treatment to study completion up to 6.7 months

Data are presented as number of participants who experienced serious adverse events (SAE) and possibly drug-related treatment-emergent adverse events (TEAE) during the study including the 21-day follow-up period. A summary of serious adverse events and other nonserious adverse events regardless of causality is located in the Reported Adverse Events section.

Progression-free Survival (PFS) in Participants With Hormone Refractory Prostate Cancer (HRPC) Administered LY2181308 Sodium Plus Docetaxel Compared to Docetaxel Alone
Baseline to measured progressive disease or death due to any cause up to 44.68 months

PFS is defined as the time from date of first dose to the first observation of progression of disease (PD) or death due to any cause. PD was determined using the Response Evaluation Criteria In Solid Tumors (RECIST) criteria. PD is ≥20% increase in sum of longest diameter of target lesions and/or a new lesion. For participants who had no PD or death, PFS was censored at their last contact. Participants were still followed for PFS after they stopped receiving study drug.

Number of Participants With Adverse Events (Safety)
First treatment dose up to 19 months

Data are presented as number of participants who experienced serious adverse events or all other nonserious adverse events during the study including the 30-day follow-up period. A summary of serious adverse events and other nonserious adverse events is located in the Reported Adverse Event section. The participants received maximum 24 cycles of treatment (1cycle = 3 weeks). Safety data were collected up to 24 cycles plus 30 days of follow-up for a total up to 19 months.

Secondary Endpoints

Number of Participants With Characterization of Toxicities as Defined by Common Terminology Criteria for Adverse Events (CTCAE) Coding
Randomization through long-term follow up (up to 21.6 months)
Progression Free Survival (PFS)
Randomization to the first date of progressive disease or death from any cause (up to 12.88 months)
Pharmacokinetics: Area Under the Concentration Curve From Zero to 4 Hours (AUC[0-4]) for LY2181309 and Docetaxel
Docetaxel: Cycle(C)1 Day(D)1:0,1,1.25,1.75,3,4 hours(h);LY2181308 + Docetaxel: C1 D-1:3,4 h;D1:0,3,4 h
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LY2181308 + DocetaxelEXPERIMENTALLY2181308: 750 milligrams (mg), intravenous (IV), on Day -2 and Day -1 of a 2 day lead-in period; on Day 1, Day 6, and Day 14 for Cycle 1 (1 cycle = 21 days); and once weekly for Days 1 through 21 for Cycles 2 through 6 (1 cycle = 21 days). After 6 cycles, it was possible to continue therapy until progression of disease, unacceptable toxicity, or another withdrawal criterion was met. Docetaxel: 75 milligrams/square meter (mg/m\^2), intravenous (IV), on Day 1 of Cycle 1 (1 cycle = 21 days) and on Day 1 of Cycles 2 through 6 (1 cycle = 21 days). After 6 cycles, it was possible to continue therapy until progression of disease, unacceptable toxicity, or another withdrawal criterion was met.
DocetaxelACTIVE_COMPARATORDocetaxel: 75 milligrams/square meter (mg/m\^2), intravenous (IV) on Day 1 of Cycles 1 through 6 (1 cycle = 21 days). After 6 cycles, it was possible to continue therapy until progression of disease, unacceptable toxicity, or another withdrawal criterion was met.
LY2181308 sodium, idarubicin, cytarabineEXPERIMENTAL -
A: DocetaxelACTIVE_COMPARATORStandard of care (SOC) docetaxel 75 mg/m² intravenously every 3 weeks and prednisone 5 mg orally twice daily continuously while receiving docetaxel therapy
B: LY2181308 + DocetaxelEXPERIMENTALLY2181308 administered with docetaxel 75 mg/m² intravenously every 3 weeks and prednisone 5 mg orally twice daily continuously while receiving docetaxel

Interventions

NameTypeDescription
DocetaxelDRUGAdministered intravenously
LY2181308DRUGAdministered intravenously
LY2181308 sodiumDRUG750 milligrams (mg) is administered as a 3-hour intravenous infusion on Days 1, 2, 3, 8, 15, 22 of Cycle 1 (28 days) and Days 1, 8, 15, 22 of Cycle 2 (28 days) until disease progression or unacceptable toxicity develops.
cytarabineDRUG1.5 grams per square meter (g/m²) will be administered as a 4-hour intravenous infusion on Days 3, 4, 5 of Cycle 1 (28 days) and Days 1, 2, 3 of Cycle 2 (28 days) until disease progression or unacceptable toxicity develops.
idarubicinDRUG12 milligrams per square meter (mg/m²) will be administered as a 30-minute intravenous infusion on Days 3, 4, 5 of Cycle 1 (28 days) and on Days 1, 2, 3 of Cycle 2 (28 days) until disease progression or unacceptable toxicity develops.
PrednisoneDRUGPrednisone 5 mg given orally twice daily continuously while receiving docetaxel therapy
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites36

Inclusion Criteria: * Participants with non-small cell lung cancer with locally or advanced metastatic disease(Stage IIIB or IV at entry) not amenable to curative therapy and who have progressed after 1 line of chemotherapy * Measureable disease as defined by response evaluation criteria in solid t...

Countries:United StatesBelgiumGermanyItalyPolandUnited KingdomSpain
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Frequently asked questions about LY2181308

What is LY2181308 used for?

LY2181308 is an investigational oncology drug studied in Acute Myeloid Leukemia, Non-small Cell Lung Cancer, and Prostate Cancer. It has been evaluated in Phase 2 clinical trials, including a study in relapsed or refractory Acute Myeloid Leukemia, a trial in Non-small Cell Lung Cancer in combination with docetaxel, and a trial in hormone refractory Prostate Cancer.

Who is developing LY2181308?

LY2181308 is being developed by Eli Lilly and Company, which trades on the New York Stock Exchange under the ticker LLY. The company has sponsored the clinical trials evaluating the drug in Acute Myeloid Leukemia, Non-small Cell Lung Cancer, and Prostate Cancer.

What phase is LY2181308 in?

LY2181308 is in Phase 2 clinical development. It has completed Phase 2 trials in Acute Myeloid Leukemia, Non-small Cell Lung Cancer, and Prostate Cancer, and is not approved by the FDA for any indication.

What clinical trials is LY2181308 in?

LY2181308 has been studied in three completed Phase 2 trials: NCT01107444 in Non-small Cell Lung Cancer comparing LY2181308 plus docetaxel versus docetaxel, NCT00642018 in hormone refractory Prostate Cancer, and NCT00620321 in relapsed or refractory Acute Myeloid Leukemia.

Is LY2181308 the same as LY2181308 sodium?

Yes, LY2181308 sodium is an alternative name for LY2181308. The sodium form is the specific salt used in clinical studies, including the Phase 2 trial NCT00620321 in patients with relapsed or refractory Acute Myeloid Leukemia.