Non Small Cell Lung CancerPhase 3JUNIPERNCT02152631
A Study of Abemaciclib (LY2835219) in Participants With Previously Treated KRAS Mutated Lung Cancer
A Phase 3 study testing Abemaciclib and Erlotinib in people with Non Small Cell Lung Cancer, run by Eli Lilly and Company at 231 sites in 21 countries.
Trial summary
The main purpose of this study is to evaluate how safe and effective the study drug known as abemaciclib is in participants with lung cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non Small Cell Lung Cancer
- What is being tested?
- Abemaciclib and Erlotinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 453 participants
- Where
- 231 sitesin 21 countries
- Study dates
- 3 Oct 2014to Dec 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have confirmed diagnosis of stage IV non-small cell lung cancer (NSCLC) according to the American Joint Committee on Cancer Staging Handbook.
- Determined to have detectable mutations in codons 12 or 13 of the kirsten rat sarcoma (KRAS) oncogene by an investigational assay at the study central laboratory. A KRAS positive mutation result in codons 12 or 13 of the KRAS oncogene from tumor tissue per local laboratory will be permitted in no more than 10% of randomized participants.
- Have progressed after platinum-based chemotherapy (with or without maintenance therapy) AND have received one additional therapy which may include an immune checkpoint inhibitor or other anti-cancer therapy for advanced and/or metastatic disease OR is judged by the physician as ineligible for further standard second-line chemotherapy. Participants who have progressed after platinum-based chemotherapy and an immune checkpoint inhibitor (immunotherapy) e.g. pembrolizumab or nivolumab alone or in combination with other agents are eligible.
- Have measureable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
- Have a performance status (PS) of 0 to 1 on the Eastern Cooperative Oncology Group (ECOG) scale.
- Have discontinued all previous therapies for cancer (including chemotherapy, radiotherapy, immunotherapy, and investigational therapy) for at least 21 days for myelosuppressive agents or 14 days for nonmyelosuppressive agents prior to receiving study drug.
Who cannot join
- Have received treatment with a drug that has not received regulatory approval for any indication within 14 or 21 days of the initial dose of study drug for a nonmyelosuppressive or myelosuppressive agent, respectively.
- Have a personal history of any of the following conditions: presyncope or syncope of either unexplained or cardiovascular etiology, ventricular arrhythmia (including but not limited to ventricular tachycardia and ventricular fibrillation), or sudden cardiac arrest.
- Have the presence of unstable central nervous system (CNS) metastasis. History of CNS metastasis or stable CNS metastases is allowed (no longer requiring active therapy such as steroid medications). Participants with a history of CNS metastases must have a brain scan (for example, magnetic resonance imaging [MRI]) within 28 days of randomization to document stability, even if there have been no changes in symptoms.
- Have previously completed or withdrawn from this study or any other study investigating a cyclin-dependent kinase 4 (CDK4) and cyclin-dependent kinase 6 (CDK6) inhibitors, or have received treatment with a prior CDK4 and CDK6 inhibitors.
Trial locations and contacts
231 sites in 21 countries.
231 sites in 21 countries
United States54 sites
University Cancer & Blood Center, LLC
Athens, Georgia, 30607
Walter Reed National Military Medical Center
Bethesda, Maryland, 20889
Billings Clinic Research Center
Billings, Montana, 59101
Boca Raton Regional Hospital
Boca Raton, Florida, 33486
University of Vermont Medical Center
Burlington, Vermont, 05401
Roper St. Francis Healthcare
Charleston, South Carolina, 29401
Chattanooga Oncology Hematology Associates
Chattanooga, Tennessee, 37404
Oncology Hematology Care Inc
Cincinnati, Ohio, 45242
Mary Crowley Cancer Research Center
Dallas, Texas, 75230
Halifax Medical Center
Daytona Beach, Florida, 32114
Karmanos Cancer Institute
Detroit, Michigan, 48201
City of Hope National Medical Center
Duarte, California, 91010
Alegent Immanuel Cancer Center
Englewood, Colorado, 80112
Jewish Hospital
Englewood, Colorado, 80112
Oncology Hematology West
Englewood, Colorado, 80112
SMO Catholic Health Initiatives
Englewood, Colorado, 80112
St Joseph Cancer Center
Englewood, Colorado, 80112
St. Francis Medical Center
Englewood, Colorado, 80112
Highlands Oncology Group
Fayetteville, Arkansas, 72703
Metro-West and Greater Boston CNS Research
Framingham, Massachusetts, 01701
Ingalls Memorial Hospital
Harvey, Illinois, 60426
Indiana University School of Medicine
Indianapolis, Indiana, 46202
University of Iowa
Iowa City, Iowa, 52242
Broome Oncology
Johnson City, New York, 13790
St. Bernards Medical Center
Jonesboro, Arkansas, 72401
Kadlec Clinical Hematology & Oncology
Kennewick, Washington, 99336
University of California - San Diego
La Jolla, California, 92037
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Central Baptist Hospital
Lexington, Kentucky, 40503
Loma Linda University School of Medicine
Loma Linda, California, 92350
CBCC Global Research, Inc.
Los Angeles, California, 90024
Central Coast Medical Oncology Corporation
Los Angeles, California, 90024
Fort Wayne Oncology & Hematology
Los Angeles, California, 90024
SMO TRIO -Translational Research
Los Angeles, California, 90024
St. Joseph Heritage Medical Group
Los Angeles, California, 90024
UCLA Department of Medicine-Hematology/Oncology
Los Angeles, California, 90024
Cancer Care Associates Medical Group
Los Angeles, California, 90095
University of Louisville
Louisville, Kentucky, 40202
Chattanooga Oncology Hematology Associates
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37203
Weill Cornell Medical College
New York, New York, 10065
Medical Oncology Hematology Consultants
Newark, Delaware, 19713
Memorial Cancer Institute
Pembroke Pines, Florida, 33028
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15213
Providence Cancer Center Oncology Hematology Care
Portland, Oregon, 97213
Virginia Commonwealth University
Richmond, Virginia, 23298
Dignity Health Care Institute
Sacramento, California, 95816
Utah Cancer Specialists
Salt Lake City, Utah, 84106
Swedish Medical Center
Seattle, Washington, 98104
Mercy Medical Research Institute
Springfield, Missouri, 65807
H Lee Moffitt Cancer Center
Tampa, Florida, 33612-9497
Oklahoma Cancer Specialists & Research Institute, LLC
Tulsa, Oklahoma, 74146
Cancer Care Northwest
Valley, Washington, 99216
Cancer Center of Kansas, P.A.
Wichita, Kansas, 67214
Japan36 sites
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Amagasaki, 660-0892
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Asahikawa, 070-8644
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Bunkyō City, 113-8431
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Bunkyō City, 113-8677
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Fukuoka, 811-1395
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Habikino, 583-8588
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Hirakata, 573-1191
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Hiroshima, 734-8551
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Hyōgo, 6608550
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Kanazawa, 920-8641
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Kashiwa, 277 8577
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Kishiwada, 596-8501
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Kitaadachi-Gun, 362-0806
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Kobe, 650-0047
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Kōtoku, 135-8550
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Kurashiki, 710-8602
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Matsuyama, 791-0280
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Nagasaki, 852-8501
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Nagoya, 464-8681
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Nagoya, 466-8560
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Natori, 981-1293
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Okayama, 700-8558
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Osaka, 534-0021
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Osaka, 537-8511
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Osaka, 545-8586
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Sakai, 5918555
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Sayama, 589-8511
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Sendai, 980-0873
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Shinjuku-ku, 160-0023
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Sunto-Gun, 411-8777
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Ube, 755-0241
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Utsunomiya, 320-0834
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Wakayama, 641-8510
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Yokohama, 236-0004
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Yonago, 683-0826
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Yufu-shi, 8795593
China12 sites
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Beijing, 100021
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Beijing, 100071
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Beijing, 100730
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Changchun, 130012
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Changzhou, 213000
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Chengdu, 610041
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Haikou, 570311
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Hangzhou, 310022
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Hefei, 230001
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Nanning, 530021
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Shanghai, 200030
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Shenyang, 100042
Germany12 sites
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Berlin, 14165
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Gera, 07548
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Großhansdorf, 22927
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Hamburg, 21075
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Hanover, 30459
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Heidelberg, 69126
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Immenhausen, 34376
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Nuremberg, 90419
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Regensburg, 93053
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Rosenheim, 83022
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Tübingen, 72076
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Ulm, 89081
France11 sites
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Bron, 69677
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Dijon, 21034
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Grenoble, 38043
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Lille, 59037
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Marseille, 13015
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Poitiers, 86021
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Rennes, 35033
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Saint-Brieuc, 22027
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Saint-Priest-en-Jarez, 42270
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Toulouse, 31059
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Vantoux, 57070
Taiwan10 sites
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Chiayi City, 613
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Kaohsiung City, 82445
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Kaohsiung City, 83301
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Taichung, 40447
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Taichung, 404
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Tainan, 70403
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Taipei, 10002
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Taipei, 10449
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Taipei, 11217
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Zhonghe, 235
Russia9 sites
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, 163045
Private clinic "Evimed"
Chelyabinsk, 454048
Krasnodar regional clinical hospital # 1 n. a. S. V. Ochapovskogo
Krasnodar, 350086
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Kursk, 305035
Russian oncological scientific centre n.a. N.N. Blokhin of RAMS
Moscow, 115478
St-Petersburg scientifical practical center of specialized kinds of medical care (oncological)
Saint Petersburg, 197758
Saint-Petersburg city clinical oncology dispensary
Saint Petersburg, 198255
Republic clinical oncology dispensary of MoH of Bashkortostan Republic
Ufa, 450054
Volgograd regional clinical oncology dispensary
Volzhskiy, 404130
South Korea9 sites
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Goyang-si, 10408
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Incheon, 21565
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Seoul, 03722
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Seoul, 05505
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Seoul, 06351
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Seoul, 06591
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Seowon-Gu, 28644
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Suwon, 16247
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Ulsan, 44033
Spain9 sites
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A Coruña, 15006
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Barcelona, 08003
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L'Hospitalet de Llobregat, 08907
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Madrid, 28040
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Madrid, 28041
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Madrid, 28050
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Málaga, 29010
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Seville, 41013
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Valencia, 46026
Ukraine9 sites
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Dnipropetrovsk, 49102
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Kharkiv, 61070
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Kryvyi Rih, 50048
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Kyiv, 04107
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Lutsk, 63000
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Poltava, 36011
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Sumy, 40005
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Uzhhorod, 88000
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Vinnitsa, 21029
Brazil8 sites
Associação Hospital de Caridade Ijuí
Ijuí, 98700 000
Hospital Bruno Born
Lajeados, 95900-000
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Porto Alegre, 90610-970
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Rio de Janeiro, 20231-050
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Salvador, 41253-190
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Sao Jose Rio Preto, 15090-000
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São Paulo, 01246000
Fundação Antonio Prudente - Hospital do Câncer A.C Camargo
São Paulo, 01509-010
Turkey (Türkiye)8 sites
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Ankara, 06100
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Ankara, 06490
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Antalya, 07059
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Edirne, 22030
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Istanbul, 34020
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Istanbul, 34098
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Istanbul, 34890
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Izmir, 35100
Argentina7 sites
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Berazategui, B1884BBF
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Ciudad Autonoma Buenos Aires, 1025
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Ciudad Autonoma Buenos Aires, 1093
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Ciudad Autonoma Buenos Aires, C1181AAX
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Rosario, 2000
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Rosario, S2000DSV
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Viedma, 8500
Canada6 sites
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Calgary, T2N 4N2
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Edmonton, T6G 1Z2
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Montreal, H2L 4M1
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Toronto, M4N 3M5
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Vancouver, V5Z 4E6
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Winnipeg, R3A 1M3
Israel6 sites
Soroka Medical Center
Beersheba, 8410101
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Holon, 5822012
Hadassah Medical Center - Ein Karem
Jerusalem, 9112001
Meir Medical Center
Kfar Saba, 4428164
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Petah Tikva, 4941492
Sheba Medical Center
Tel HaShomer, 5265601
Greece5 sites
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Athens, 11522
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Athens, 11527
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Athens, 18537
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Heraklion, 71110
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Pátrai, 26504
Italy5 sites
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Catania, 95125
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Genova, 16132
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Livorno, 57124
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Parma, 43100
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Rome, 00152
Poland5 sites
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Gdansk, 80-219
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Lodz, 90-242
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Olsztyn, 10-357
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Radom, 26-617
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Szczecin, 70-891
Romania5 sites
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Baia Mare, 430031
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Bucharest, 022328
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Cluj-Napoca, 400015
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Cluj-Napoca, 400058
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Craiova, 200347
Austria4 sites
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Graz, 8036
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Linz, 4020
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Linz, 4021
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Salzburg, 5020
About this study
Official title: JUNIPER: A Randomized Phase 3 Study of Abemaciclib Plus Best Supportive Care Versus Erlotinib Plus Best Supportive Care in Patients With Stage IV NSCLC With a Detectable KRAS Mutation Who Have Progressed After Platinum-Based Chemotherapy
The main purpose of this study is to evaluate how safe and effective the study drug known as abemaciclib is in participants with lung cancer.
- Conditions
- Non Small Cell Lung Cancer
- Being tested
- Abemaciclib, Erlotinib
- Keywords
- Therapy, Platinum, Kras +
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AbemaciclibDrug
Also called LY2835219
Administered orally
ErlotinibDrug
Administered orally
| Study group | Role | What they receive |
|---|---|---|
| Abemaciclib | Experimental | 200 milligrams (mg) abemaciclib administered, orally, every 12 hours plus best supportive care (BSC) on Days 1 to 28 (28 day cycles). Receives: Drug: Abemaciclib |
| Erlotinib | Active comparator | 150 mg erlotinib administered, orally, every 24 hours plus BSC on Days 1 to 28 (28 day cycles). Receives: Drug: Erlotinib |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
OS defined as from randomization date to the date of death due to any cause. For each participant who is not known to have died as of the data-inclusion cutoff date for overall survival analysis, OS time was censored on the last date the participant is known to be alive.
Measured: From Randomization Date to Date of Death from Any Cause (Up to 32 Months)
Secondary outcomes (6)
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])
ORR was the percentage of participants achieving a best overall response (BOR) of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. CR defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR defined as at least a 30% decrease in the sum of the longest diameters (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions.
Measured: From Randomization Date to Objective Progression (Up to 32 Months)
Progression Free Survival (PFS)
PFS defined as the from randomization date to the first evidence of disease progression as defined by RECIST v1.1 or death from any cause. Progressive Disease (PD) was at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. If a participant does not have a complete baseline disease assessment, then the PFS time was censored at the date of first dose, regardless of whether or not objectively determined disease progression or death has been observed for the participant. If a participant was not known to have died or have objective progression as of the data inclusion cutoff date for the analysis, the PFS time was censored at the last adequate tumor assessment date.
Measured: From Randomization Date until Disease Progression or Death from Any Cause (Up to 32 Months)
Change From Baseline in MD Anderson Symptom Inventory-Lung Cancer (MDASI-LC) Score
The MDASI-LC included 22 items + 3 additional trial-specific items, resulting in 6 collected and reported single-construct scores including core symptoms (13-item), interference (6-item), lung cancer (3-item), and trial-specific single outcomes for headache, diarrhea, and rash. A 2-construct composite core + lung cancer symptom (16-item) score was calculated. Data for all 7 scores were collected by an 11-point numeric rating scale anchored at 0 (not present or does not interfere) and 10 (as bad as you can imagine or interfered completely). The measurement range was 10 (maximum score-minimum score). Mixed Model Repeated Measure (MMRM) regression with covariates for treatment, visit, treatment*visit, and baseline score predicted between-group Least Squares (LS) mean differences from baseline. Group-level negative change from baseline indicated group improvement.
Measured: From Randomization Date through End of Study (Up to 32 Months)
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve During 1 Dosing Interval at Steady State
PK is determined by the area under the plasma concentration versus time curve during 1 dosing interval at steady state
Measured: Day 1 of Cycle 1 through Cycle 3 (28 Day Cycles)
Change From Baseline in European Quality of Life - 5 Dimensions - 5 Level (EQ-5D-5L) Score
There are 5 response levels on a good-to-bad continuum of 1-5 corresponding to none, slight, moderate, severe, and extreme/unable to. The EuroQol-developed crosswalk method was used to convert the EQ-5D-5L,using United Kingdom (UK) weights, health dimensions(mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) into a single index value; the dimensions are not separately scored. The index is marked missing when ≥1 dimensions are missing. The index scores for the response patterns were anchored on full health to dead with negative values assigned to response patterns/health states considered worse than death. The best pattern is assigned the index value of 1.0; the worst pattern is assigned an index value of -0.594. Between-group differences in regression-predicted change from baseline score were estimated for the index. LS Mean value was controlled for Treatment, visit, Treatment*Visit and baseline.
Measured: From Randomization Date through End of Study (Up to 32 Months)
Resource Utilization: Percentage of Participants Who Are Hospitalized
Resource utilization is the percentage of participants who was hospitalized.
Measured: From Randomization Date through End of Study (Up to 32 Months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jun 2014 (estimated)
- Study start3 Oct 2014
- Primary completion15 Sep 2017
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Non Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Eli Lilly and CompanyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 453 participants (actual)
Sponsor and investigators
- Lead sponsor
- Eli Lilly and Company
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- 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), Study director, Eli Lilly and Company
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02152631
- Sponsor's protocol ID
- 15296
- Other IDs
- I3Y-MC-JPBK, 2013-004662-33
- Acronym
- JUNIPER
- Status last verified
- Jan 2026
- First submitted
- 23 May 2014
- Last updated
- 6 Feb 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
- Expanded access
- Available
Publications
Goldman JW, Mazieres J, Barlesi F, Dragnev KH, Koczywas M, Goskel T, Cortot AB, Girard N, Wesseler C, Bischoff H, Nadal E, Park K, Lu S, Taus A, Cobo M, Estrem ST, Wijayawardana SR, Turner K, Oakley GJ 3rd, Hurt KC, Chiang AY, Hossain AM, John WJ, Paz-Ares L. A Randomized Phase III Study of Abemaciclib Versus Erlotinib in Patients with Stage IV Non-small Cell Lung Cancer With a Detectable KRAS Mutation Who Failed Prior Platinum-Based Therapy: JUNIPER. Front Oncol. 2020 Oct 26;10:578756. doi: 10.3389/fonc.2020.578756. eCollection 2020.
PubMed 33194700Goldman JW, Shi P, Reck M, Paz-Ares L, Koustenis A, Hurt KC. Treatment Rationale and Study Design for the JUNIPER Study: A Randomized Phase III Study of Abemaciclib With Best Supportive Care Versus Erlotinib With Best Supportive Care in Patients With Stage IV Non-Small-Cell Lung Cancer With a Detectable KRAS Mutation Whose Disease Has Progressed After Platinum-Based Chemotherapy. Clin Lung Cancer. 2016 Jan;17(1):80-4. doi: 10.1016/j.cllc.2015.08.003. Epub 2015 Aug 18.
PubMed 26432508
Study at a glance
From the registry record, last updated by the sponsor on 6 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- JUNIPER: A Randomized Phase 3 Study of Abemaciclib Plus Best Supportive Care Versus Erlotinib Plus Best Supportive Care in Patients With Stage IV NSCLC With a Detectable KRAS Mutation Who Have Progressed After Platinum-Based Chemotherapy
- ClinicalTrials.gov ID
- NCT02152631
- Acronym / sponsor ID
- JUNIPER / 15296
- Conditions
- Non Small Cell Lung Cancer
- Keywords
- Therapy, Platinum, Kras +
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 453 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 3 Oct 2014 (actual)
- Primary completion
- 15 Sep 2017 (actual)
- Study completion
- Dec 2026 (estimated)
- First posted
- 2 Jun 2014 (estimated)
- Results
- Posted 12 Dec 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purpose of this study is to evaluate how safe and effective the study drug known as abemaciclib is in participants with lung cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Abemaciclib | Experimental | Drug: Abemaciclib200 milligrams (mg) abemaciclib administered, orally, every 12 hours plus best supportive care (BSC) on Days 1 to 28 (28 day cycles). |
| Erlotinib | Active comparator | Drug: Erlotinib150 mg erlotinib administered, orally, every 24 hours plus BSC on Days 1 to 28 (28 day cycles). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Have confirmed diagnosis of stage IV non-small cell lung cancer (NSCLC) according to the American Joint Committee on Cancer Staging Handbook.
- Determined to have detectable mutations in codons 12 or 13 of the kirsten rat sarcoma (KRAS) oncogene by an investigational assay at the study central laboratory. A KRAS positive mutation result in codons 12 or 13 of the KRAS oncogene from tumor tissue per local laboratory will be permitted in no more than 10% of randomized participants.
- Have progressed after platinum-based chemotherapy (with or without maintenance therapy) AND have received one additional therapy which may include an immune checkpoint inhibitor or other anti-cancer therapy for advanced and/or metastatic disease OR is judged by the physician as ineligible for further standard second-line chemotherapy. Participants who have progressed after platinum-based chemotherapy and an immune checkpoint inhibitor (immunotherapy) e.g. pembrolizumab or nivolumab alone or in combination with other agents are eligible.
- Have measureable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1).
- Have a performance status (PS) of 0 to 1 on the Eastern Cooperative Oncology Group (ECOG) scale.
Key exclusion criteria (4 listed)
- Have received treatment with a drug that has not received regulatory approval for any indication within 14 or 21 days of the initial dose of study drug for a nonmyelosuppressive or myelosuppressive agent, respectively.
- Have a personal history of any of the following conditions: presyncope or syncope of either unexplained or cardiovascular etiology, ventricular arrhythmia (including but not limited to ventricular tachycardia and ventricular fibrillation), or sudden cardiac arrest.
- Have the presence of unstable central nervous system (CNS) metastasis. History of CNS metastasis or stable CNS metastases is allowed (no longer requiring active therapy such as steroid medications). Participants with a history of CNS metastases must have a brain scan (for example, magnetic resonance imaging [MRI]) within 28 days of randomization to document stability, even if there have been no changes in symptoms.
- Have previously completed or withdrawn from this study or any other study investigating a cyclin-dependent kinase 4 (CDK4) and cyclin-dependent kinase 6 (CDK6) inhibitors, or have received treatment with a prior CDK4 and CDK6 inhibitors.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AbemaciclibAlso: LY2835219Administered orally | Drug | Abemaciclib |
| ErlotinibAdministered orally | Drug | Erlotinib |
Primary outcome
Overall Survival (OS)
Time frame: From Randomization Date to Date of Death from Any Cause (Up to 32 Months)
OS defined as from randomization date to the date of death due to any cause. For each participant who is not known to have died as of the data-inclusion cutoff date for overall survival analysis, OS time was censored on the last date the participant is known to be alive.
6 secondary outcomes
Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Objective Response Rate [ORR])
Time frame: From Randomization Date to Objective Progression (Up to 32 Months)
Progression Free Survival (PFS)
Time frame: From Randomization Date until Disease Progression or Death from Any Cause (Up to 32 Months)
Change From Baseline in MD Anderson Symptom Inventory-Lung Cancer (MDASI-LC) Score
Time frame: From Randomization Date through End of Study (Up to 32 Months)
Pharmacokinetics (PK): Area Under the Concentration Versus Time Curve During 1 Dosing Interval at Steady State
Time frame: Day 1 of Cycle 1 through Cycle 3 (28 Day Cycles)
Change From Baseline in European Quality of Life - 5 Dimensions - 5 Level (EQ-5D-5L) Score
Time frame: From Randomization Date through End of Study (Up to 32 Months)
Resource Utilization: Percentage of Participants Who Are Hospitalized
Time frame: From Randomization Date through End of Study (Up to 32 Months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Feb 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 33194700Goldman JW, Mazieres J, Barlesi F, Dragnev KH, Koczywas M, Goskel T, Cortot AB, Girard N, Wesseler C, Bischoff H, Nadal E, Park K, Lu S, Taus A, Cobo M, Estrem ST, Wijayawardana SR, Turner K, Oakley GJ 3rd, Hurt KC, Chiang AY, Hossain AM, John WJ, Paz-Ares L. A Randomized Phase III Study of Abemaciclib Versus Erlotinib in Patients with Stage IV Non-small Cell Lung Cancer With a Detectable KRAS Mutation Who Failed Prior Platinum-Based Therapy: JUNIPER. Front Oncol. 2020 Oct 26;10:578756. doi: 10.3389/fonc.2020.578756. eCollection 2020.
- Derived from this study: PubMed 26432508Goldman JW, Shi P, Reck M, Paz-Ares L, Koustenis A, Hurt KC. Treatment Rationale and Study Design for the JUNIPER Study: A Randomized Phase III Study of Abemaciclib With Best Supportive Care Versus Erlotinib With Best Supportive Care in Patients With Stage IV Non-Small-Cell Lung Cancer With a Detectable KRAS Mutation Whose Disease Has Progressed After Platinum-Based Chemotherapy. Clin Lung Cancer. 2016 Jan;17(1):80-4. doi: 10.1016/j.cllc.2015.08.003. Epub 2015 Aug 18.
- A Study of Abemaciclib (LY2835219) in Participants With Previously Treated KRAS Mutated Lung CancerLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
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) study director
Eli Lilly and Company
231 sites in 21 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Abemaciclib and Erlotinib in people with Non Small Cell Lung Cancer, run by Eli Lilly and Company at 231 sites in 21 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 6 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 231 sites in United States, Japan, China, Germany, France and 16 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 12 Dec 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (OS) (time frame: From Randomization Date to Date of Death from Any Cause (Up to 32 Months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02152631, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2026.