Abemaciclib in Newly Diagnosed Meningioma Patients

ConditionMeningioma
Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorNader Sanai

About this trial

This study is being done to learn about how an investigational drug called abemaciclib works in treating patients with a newly-diagnosed grade 3 meningioma. Abemaciclib is a drug that is approved by the FDA, but not for brain tumors.

Participants who consent to the trial will have surgical tissue collected from the planned surgical resection and tested. If the tissue shows positive results for RB cells and participants are qualified, they will be enrolled and receive study treatment two to five weeks after completing standard-of-care radiation therapy.

This is a randomized clinical trial which means that participants will be randomly assigned to a treatment based on chance, like a flip of a coin. Neither the participant nor the researcher chooses the assigned group. Randomization will help the researchers study how the drug works by comparing the difference between the study drug and the placebo and how they work in treating brain tumors. This is a double-blinded study, which means that neither the participant nor the study team will know which treatment the participant is receiving.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants with newly diagnosed intracranial WHO Grade 3 meningioma; or,

Participants with previous lower grade meningioma and histopathologically confirmed newly transformation to Grade 3.

Plan to receive or have received upfront standard of care radiation therapy (RT) for the newly diagnosed WHO Grade 3 meningioma.

No prior treatment for Grade 3 meningioma other than surgical resection or biopsy and upfront RT. If previously diagnosed with a lower grade meningioma, no prior treatment other than surgical resection or biopsy and no prior RT.

Disqualifiers

Prior history of cancer with ongoing treatment of disease.

Pregnancy or breastfeeding.

Known allergic reactions to components of the abemaciclib.

Active infection or fever >38.5°C requiring systemic antibiotic, antifungal or antiviral therapy within 4 weeks of Day 1.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Abemaciclib

    Drug

    Tablet

  • Placebo

    Drug

    Tablet

Treatment groups

72 Participants
are divided into 2 treatment groups
Group A: Active Treatment (Abemaciclib)Experimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Progression-Free Survival Characteristics Over 24 Months

Progression-free survival at 24 months (PFS24) will be analyzed using Kaplan-Meier methods.

Time frame
Date of randomization to date of protocol-defined disease progression, assessed up to 24 months

Secondary outcomes

1

Incidence of Drug-related Toxicities

Safety and tolerability of abemaciclib in participants with meningioma will be assessed.

Time frame
Date of first dose up to 30 days after last dose
2

Incidence of Adverse Events as Assessed by CTCAE v5.0

Safety and tolerability of abemaciclib in participants with meningioma will be assessed.

Time frame
Date of randomization up to 30 days after last dose
3

Incidence of Deaths

Safety and tolerability of abemaciclib in participants with meningioma will be assessed.

Time frame
Date of first dose to date of death due to any cause, assessed over 60 months
4

Incidence of Clinical Laboratory Abnormalities as Assessed by CTCAE v5.0

Safety and tolerability of abemaciclib in participants with meningioma will be assessed.

Time frame
Date of randomization up to 30 days after last dose

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Nader Sanai

Lead sponsor

St. Joseph's Hospital and Medical Center, Phoenix

Sponsor institution

Eli Lilly and Company

Collaborator

Barrow Neurological Institute

Collaborator

Ivy Brain Tumor Center

Collaborator