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A Study for Patients That Have Been Previously Been Treated in Waldenstrom's Macroglobulinemia or Multiple Myeloma
This study is currently recruiting participants.
Verified by Eli Lilly and Company, August 2008
Sponsored by: Eli Lilly and Company
Information provided by: Eli Lilly and Company
ClinicalTrials.gov Identifier: NCT00718419
  Purpose

To determine whether further study of single-agent enzastaurin is warranted in patients with previously treated Waldenstrom's Macroglobulinemia or Multiple Myeloma based on response.


Condition Intervention Phase
Waldenstrom's Macroglobulinemia
Multiple Myeloma
Drug: Enzastaurin
Phase II

Genetics Home Reference related topics: aceruloplasminemia hemophilia
MedlinePlus related topics: Multiple Myeloma
Drug Information available for: Enzastaurin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: An Open Label, Multicenter Phase 2 Study of Single-Agent Enzastaurin HCl in Previously Treated Waldenstrom's Macroglobulinemia or Multiple Myeloma

Further study details as provided by Eli Lilly and Company:

Primary Outcome Measures:
  • Response Rate [ Time Frame: Baseline to measured progressive disease ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Duration of response [ Time Frame: time of response to progressive disease ] [ Designated as safety issue: No ]
  • Time to progressive disease [ Time Frame: baseline to measured progressive disease ] [ Designated as safety issue: No ]
  • Safety and Adverse Events [ Time Frame: every cycle ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 46
Study Start Date: July 2008
Estimated Study Completion Date: January 2011
Estimated Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental Drug: Enzastaurin
Enzastaurin: Cycle 1 Day 1 only: 3, 125-mg tablets three times on Day 1 (Day 1 total dose = 1125 mg) Day 2 onwards and subsequent Cycles: 2, 125-mg tablets orally BID (500 mg total per day) Cycle length (all cycles): 28 Days Patients may stay on drug past 8 cycles, (until the study is closed) or until disease progression.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • At least 18 years of age.
  • Patients must have WM or MM previously treated with at least 1 and no more than 5 prior therapies.
  • Treatment with prior autologous transplant is permitted. If a transplant is used as consolidation following chemotherapy, without intervening disease progression, it will be considered 1 line of treatment with the preceding chemotherapy.
  • Patients with MM must have a monoclonal protein in the serum of greater than or equal to 1 g/dL or monoclonal light chain in the urine protein electrophoresis of greater than or equal to 200 mg/ 24 hours, or measurable plasmacytoma.
  • Patients with WM must have an immunoglobulin M (IgM) paraprotein with a minimum IgM level of > 2 times the upper limit of normal, have detectable lymphoplasmacytic (LPL) cells in the bone marrow, and be symptomatic for WM.
  • ECOG Performance Status (PS) of 0, 1, or 2.
  • The following laboratory values obtained prior to registration:

    • Absolute neutrophil count (ANC) greater than or equal to 1000/microL
    • Platelet (PLT) count greater than or equal to 75,000/microL
    • Total bilirubin less than or equal to 1.5 x upper limit of normal (ULN) (if total is elevated check direct and, if normal, patient is eligible)
    • Aspartate transaminase (AST) less than or equal to 3 x ULN
    • Creatinine less than or equal to 1.5 x ULN
    • Hemoglobin (Hgb) greater than or equal to 8.0 g/dL.
  • Expected survival of greater than 12 weeks.
  • The ability to provide informed consent.
  • Male and female patients with reproductive potential must use an approved contraceptive method, if appropriate (for example, intrauterine device [IUD], birth control pills, or barrier device) during and for 3 months after discontinuation of study treatment. Women with childbearing potential must have a negative serum pregnancy test less than or equal to 3 days prior to study enrollment

Exclusion Criteria:

  • Prior allogeneic hematopoietic stem cell transplant.
  • Are unable to discontinue use of non-EIAEDs, for example carbamazepine, phenobarbital, and phenytoin. Patients on anti-coagulant therapy should be monitored. Ongoing treatment with therapeutic doses of Coumadin is prohibited. However, prophylactic, low dose (less than or equal to 2mg daily) Coumadin for DVT is allowed. In such cases, PT/INR should be closely monitored.
  • Have ECG abnormalities including baseline 12-lead ECG with QTc interval of greater than 450 msec in males or greater than 470 msec in females, or QRS duration of greater than 100 msec. Patients who have a congenital long-QT-syndrome in their own or family medical history should be excluded at the investigator's discretion.
  • Have an uncontrolled infection.
  • Have prior treatment with BCNU 6 weeks, alkylating agent 4 weeks, or other cytotoxic chemotherapy agents 4 weeks prior to registration in this trial. Have prior treatment with biologic therapy less than or equal to 12 weeks or corticosteroids less than or equal to 2 weeks prior to registration in this trial. However, treatment with less than or equal to 10 mg of prednisone as a chronic therapy is allowed.
  • Have radiation therapy less than or equal to 2 weeks prior to treatment in this trial.
  • Are pregnant or breast-feeding.
  • Are being treated with concurrent chemotherapy, immunotherapy, radiotherapy, or any ancillary therapy considered investigational.
  • Are known to be HIV positive.
  • Were previously treated with enzastaurin.
  • Patients who are unable to swallow tablets.
  • Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.
  • Concurrent malignancy that could complicate interpretation of response or safety evaluation. Non-melanoma skin cancer and carcinoma in situ of the cervix are not exclusions.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00718419

Contacts
Contact: There may be multiple sites in this clinical trial. 1-877-CTLILLY 1-317-615-4559

Locations
United States, Massachusetts
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. Recruiting
Boston, Massachusetts, United States, 02115
Contact: Eli Lilly            
France
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. Recruiting
Nantes, France, 44093
Contact: Eli Lilly            
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. Recruiting
Paris, France, 75013
Contact: Eli Lilly            
Sponsors and Collaborators
Eli Lilly and Company
Investigators
Study Director: Call 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
  More Information

Lilly Clinical Trial Registry  This link exits the ClinicalTrials.gov site

Responsible Party: Eli Lilly ( Chief Medical Officer )
Study ID Numbers: 11481, H6Q-MC-S042
Study First Received: July 16, 2008
Last Updated: August 12, 2008
ClinicalTrials.gov Identifier: NCT00718419  
Health Authority: United States: Food and Drug Administration

Keywords provided by Eli Lilly and Company:
Waldenstrom's Macroglobulinemia
Multiple Myeloma

Study placed in the following topic categories:
Immunoproliferative Disorders
Blood Protein Disorders
Hematologic Diseases
Blood Coagulation Disorders
Vascular Diseases
Paraproteinemias
Hemostatic Disorders
Multiple Myeloma
Lymphatic Diseases
Waldenstrom Macroglobulinemia
Hemorrhagic Disorders
Multiple myeloma
Waldenstrom macroglobulinemia
Lymphoproliferative Disorders
Neoplasms, Plasma Cell

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Immune System Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on January 13, 2009