Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID05940493

A Phase 2 Multicenter, Double-blind, Randomized-Controlled Study of Abemaciclib in Newly Diagnosed RB-Proficient Grade 3 Meningioma Patients

Led by Nader Sanai · Updated on 2026-03-13

72

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

Sponsors

N

Nader Sanai

Lead Sponsor

E

Eli Lilly and Company

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating how the investigational drug abemaciclib works in treating patients with newly diagnosed grade 3 meningioma, a type of brain tumor. Abemaciclib is an FDA-approved drug but not yet approved for brain tumors. This phase 2 randomized clinical trial compares abemaciclib with a placebo to study their effects in treating brain tumors, with neither participants nor researchers knowing which treatment is given to maintain objectivity. Participants who consent will have surgical tissue collected during planned surgery to test for RB-positive cells. Qualified participants will be randomly assigned to receive either abemaciclib or placebo, both given as tablets twice daily for 28 days per cycle. Treatment begins two to five weeks after completing standard-of-care radiation therapy. The study uses a double-blind design, meaning neither participants nor study staff know which treatment is given. During the trial, participants will attend scheduled visits and undergo laboratory tests to monitor their health and treatment effects. Researchers will measure progression-free survival over 24 months as the main outcome, along with monitoring drug-related toxicities, adverse events, deaths, and overall survival for up to 60 months. Participants will be followed closely for safety and treatment response throughout the study period, which starts from randomization.

CONDITIONS

Brief Title

Abemaciclib in Newly Diagnosed Meningioma Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants with newly diagnosed intracranial WHO Grade 3 meningioma or histopathologically confirmed transformation to Grade 3 from a lower grade
  • Plan to receive or have received upfront standard radiation therapy for the newly diagnosed Grade 3 meningioma
  • No prior treatment for Grade 3 meningioma other than surgery and upfront radiation therapy
  • Ability and willingness to sign informed consent
  • Age 18 years or older at time of consent
  • Performance status of 0, 1, or 2 on the Eastern Cooperative Oncology Group (ECOG) scale
  • Ability to swallow oral medications
  • Adequate bone marrow, liver, and organ function as defined by laboratory values
  • Negative serum pregnancy test before treatment or participant no longer of childbearing potential
  • Use of effective contraception during study and for 3 weeks after treatment end for females of reproductive potential
  • Use of effective contraception during study and for 3 weeks after treatment end for males of reproductive potential
Not Eligible

You will not qualify if you...

  • Prior history of cancer with ongoing treatment
  • Pregnancy or breastfeeding
  • Known allergic reactions to abemaciclib components
  • Active infection or fever over 38.5 0C requiring systemic therapy within 4 weeks of treatment start
  • Active or uncontrolled severe infection or liver disease
  • Known active systemic bacterial, fungal, or viral infection
  • Serious or uncontrolled preexisting medical conditions that preclude study participation
  • Prior therapy with any CDK4/6 inhibitor
  • Treatment with another investigational drug within 5 half-lives of the study drug

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Repeated 28-day cycles until disease progression or discontinuation

Participants receive Abemaciclib or placebo tablets twice daily on days 1-28 of each 28-day cycle.

Visits every 28 days during treatment cycles

Follow-up

Duration - Up to 60 months after treatment

Participants are monitored for safety and survival outcomes after treatment ends.

Periodic visits for up to 60 months

Trial Site Locations

Total: 1 location

1

St. Joseph's Hospital and Medical Center

Phoenix, Arizona, United States, 85013

Actively Recruiting

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Research Team

I

Ivy Research Navigator

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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