Lilly reports improved survival in Verzenio’s MONARCH 2 trial

31st July 2019 (Last Updated August 9th, 2019 15:07)

Eli Lilly has reported positive findings from the Phase III MONARCH 2 clinical trial of Verzenio (abemaciclib) with fulvestrant to treat advanced or metastatic breast cancer.

Lilly reports improved survival in Verzenio’s MONARCH 2 trial
Micrograph of human metastatic breast cancer in the pleural fluid. Credit: Dr. Lance Liotta Laboratory.

Eli Lilly has reported positive findings from the Phase III MONARCH 2 clinical trial of Verzenio (abemaciclib) with fulvestrant to treat advanced or metastatic breast cancer.

A total of 669 pre/peri and postmenopausal women with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) cancer participated in the study.

Interim data revealed statistically significant improvement in overall survival, a secondary endpoint.

The trial was previously found to meet its primary endpoint of a statistically significant improvement in progression-free survival.

Based on this prior data, the combination therapy secured approval in more than 50 countries.

In addition, the latest analysis did not show new safety signals and Verzenio’s safety was observed to be consistent with its established profile.

Lilly Oncology late-stage development vice-president Maura Dickler said: “This definitive overall survival analysis from MONARCH 2 showed significant improvement in overall survival for women living with HR+, HER2- metastatic breast cancer, a complex disease that remains incurable.

“For many doctors and patients, overall survival is the most important endpoint. It’s been difficult in the past to achieve meaningful improvements in this endpoint for women with advanced breast cancer, including those whose cancer progressed after prior endocrine therapy.”

Verzenio is an oral inhibitor of cyclin-dependent kinases (CDK) 4 and 6, which are known to stimulate the retinoblastoma protein (Rb) phosphorylation, cell cycle progression, and cell proliferation.

The randomised, double-blind, placebo-controlled MONARCH 2 study involved patients who progressed on or within 12 months of prior treatment with endocrine therapy.

Verzenio and fulvestrant combination was compared to placebo plus fulvestrant until disease progression or unacceptable toxicity.

The primary endpoint of the trial was progression-free survival (PFS), while key secondary endpoints included overall survival (OS), objective response rate (ORR), and duration of response (DoR).