Prostate CancerPhase 2/3CYCLONE 2NCT03706365
A Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib (LY2835219) in Participants With Prostate Cancer
A Phase 2/3 study testing Abemaciclib, Abiraterone acetate and Prednisone in people with Prostate Cancer, run by Eli Lilly and Company at 112 sites in 11 countries.
Trial summary
This study is being done to see how safe and effective abemaciclib is when given together with abiraterone acetate plus prednisone in participants with metastatic castration resistant prostate cancer. Prednisolone may be used instead of prednisone per local regulation. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer
- What is being tested?
- Abemaciclib, Abiraterone acetate and Prednisone
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 393 participants
- Where
- 112 sitesin 11 countries
- Study dates
- 26 Nov 2018to Dec 2026
- Phase
- Phase 2/3
- 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
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed adenocarcinoma of the prostate.
- Metastatic prostate cancer documented by positive bone scan and/or measurable soft tissue metastatic lesions by CT or magnetic resonance imaging (MRI).
- Progressive disease at study entry demonstrated during continuous androgen-deprivation therapy (ADT)/post orchiectomy defined as one or more of the following:
- PSA progression
- Radiographic progression per Response Evaluation Criteria in Solid Tumors (RECIST)1.1 for soft tissue and/or per Prostate Cancer Working Group 3 (PCWG3) for bone, with or without PSA progression
- Have adequate organ function.
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
Who cannot join
- Prior therapy with cytochrome P450 (CYP)17 inhibitors.
- Prior treatment with abemaciclib or any cyclin-dependent kinase (CDK) 4 \& 6 inhibitors.
- Prior cytotoxic chemotherapy for metastatic castration resistant prostate cancer (participants treated with docetaxel in the metastatic hormone-sensitive prostate cancer [mHSPC] are eligible). Prior radiopharmaceuticals for prostate cancer, or prior enzalutamide, apalutamide, darolutamide or sipuleucel-T. Participants who had prior radiation or surgery to all target lesions.
- Currently enrolled in a clinical study involving an investigational product.
- Gastrointestinal disorder affecting the absorption or ability to swallow large pills.
- Clinically significant heart disease, active or chronic liver disease, moderate/severe hepatic impairment (Child-Pugh Class B and C).
Trial locations and contacts
112 sites in 11 countries.
112 sites in 11 countries
United States33 sites
New York Oncology Hematology (NYOH) - Clifton Park Cancer Center
Albany, New York, 12206
Northside Hospital
Atlanta, Georgia, 30342
CBCC Global Research, Inc.
Bakersfield, California, 93309
Massachusetts General Hospital
Boston, Massachusetts, 02114
The University of Vermont Medical Center Inc.
Burlington, Vermont, 05405
Fort Wayne Medical Oncology And Hematology at Parkview Comprehensive Cancer Center
Fort Wayne, Indiana, 46804
Providence St. Jude Medical Center
Fullerton, California, 92835
Millennium Oncology - Hollywood
Hollywood, Florida, 33024
St. Bernards Medical Center
Jonesboro, Arkansas, 72401
Moores Cancer Center
La Jolla, California, 92093
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89119
Rocky Mountain Cancer Center
Lone Tree, Colorado, 80124
TRIO-US (Translational Research in Oncology-US)
Los Angeles, California, 90024
UCLA Hematology/Oncology - Westwood (Building 100)
Los Angeles, California, 90095
M Health Fairview University of Minnesota Medical Center - East Bank
Minneapolis, Minnesota, 55455
Pacific Cancer Care
Monterey, California, 93940
Research Medical Center
Nashville, Tennessee, 37203
St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85004
Mayo Clinic in Arizona - Phoenix
Phoenix, Arizona, 85054
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Sansum Clinic_Kendle
Santa Barbara, California, 93105
Associated Medical Professionals - Urology
Syracuse, New York, 13210
Baylor Scott & White Medical Center - Temple
Temple, Texas, 76508
New York Oncology Hematology (NYOH) - Clifton Park Cancer Center
The Woodlands, Texas, 77380
Northwest Cancer Specialists PC
The Woodlands, Texas, 77380
Sansum Clinic_Kendle
The Woodlands, Texas, 77380
Texas Oncology - Longview Cancer Center
The Woodlands, Texas, 77380
Texas Oncology Cancer Care and Research Center
The Woodlands, Texas, 77380
Texas Oncology Fort Worth
The Woodlands, Texas, 77380
Texas Oncology-Memorial City
The Woodlands, Texas, 77380
US Oncology
The Woodlands, Texas, 77380
USO-Cancer Care Center of Brevard, Inc.
The Woodlands, Texas, 77380
The University of Arizona Cancer Center - North Campus
Tucson, Arizona, 85719
China26 sites
Jilin Province People's Hospital
Changchun, Jilin, 130021
Hunan Provincial People's Hospital
Changsha, Hunan, 410005
Hunan Cancer Hospital
Changsha, Hunan, 410013
Sun Yat-Sen University Cancer Centre
Guangzhou, Guangdong, 510060
The First Affiliated Hospital, Zhejiang University
Hangzhou, Zhejiang, 310003
Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310014
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081
Second Affiliated hospital of Anhui Medical University
Hefei, Anhui, 230000
Lanzhou university second hospital
Lanzhou, Gansu, 730030
The First Affiliated Hospital of Henan University of Science &Technology
Luoyang, Henan, 471003
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Nanchong Central Hospital
Nanchong, Sichuan, 637000
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical SchoolNanjing
Nanjing, Jiangsu, 210000
Nantong Tumor Hospital
Nantong, Jiangsu, 226361
Ningbo First Hospital
Ningbo, Zhejiang, 315010
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
Huashan Hospital Affiliated Fudan University
Shanghai, Shanghai Municipality, 200040
Tianjin Medical University Cancer Institute and Hospital
Tianjin, Tianjin Municipality, 300060
The Second Hospital of Tianjin Medical University
Tianjin, Tianjin Municipality, 300211
Xinjiang Medical University Cancer Hospital - Urumqi
Ürümqi, Xinjiang, 830000
Wuhan Union Hospital
Wuhan, Hubei, 430022
Tongji Hospital Tongji Medical,Science & Technology
Wuhan, Hubei, 430030
Wannan Medical College Yijishan Hospital
Wuhu, Anhui, 241001
Wuxi People's Hospital
Wuxi, Jiangsu, 214023
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710061
Yantai Yuhuangding Hospital
Yantai, Shandong, 264099
Japan13 sites
Gifu University Hospital
Gifu, 501-1112
Hamamatsu University Hospital
Hamamatsu, Shizuoka, 431-3192
Hirosaki University Hospital
Hirosaki, Aomori, 036-8563
Saitama Prefectural Cancer Center
Ina-machi, Saitama, 362-0806
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
Kobe City Medical Center General Hospital
Kobe, Hyōgo, 650-0047
National Hospital Organization Kumamoto Medical Center
Kumamoto, 860-0008
Japanese Red Cross Nagoya Daini Hospital
Nagoya, Aichi-ken, 466-8650
Osaka International Cancer Institute
Osaka, 541-8567
Toho University Sakura Medical Center
Sakura, Chiba, 285-0841
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Showa University Hospital
Shinagawa, Tokyo, 142-8555
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
Germany9 sites
Studienzentrum Bayenthal Urologische Partnerschaft Köln
Cologne, North Rhine-Westphalia, 50968
Private Practice - Dr. Ralf Eckert
Eisleben Lutherstadt, Saxony-Anhalt, 06295
Gesundheitszentrum Holzminden
Holzminden, Lower Saxony, 37603
Private Practice - Dr. Silvio Szymula
Leipzig, Saxony, 4105
Urologie Neandertal - Praxis Mettmann
Mettmann, North Rhine-Westphalia, 40822
Universitätsklinikum Münster - Albert Schweitzer Campus
Münster, North Rhine-Westphalia, 48149
Studienpraxis Urologie
Nürtingen, Baden-Wurttemberg, 72622
Universitaetsklinikum Tuebingen
Tübingen, Baden-Wurttemberg, 72076
Private Practice - Dr. Stammel & Dr. Garcia
Wesel, North Rhine-Westphalia, 46483
Spain7 sites
Hospital Universitari Vall d'Hebron
Barcelona, Barcelona [Barcelona], 8035
Hospital Clínic de Barcelona
Barcelona, Catalunya [Cataluña], 8036
Instituto Catalan de Oncologia - Hospital Duran i Reynals
Hospitalet, Barcelona [Barcelona], 8907
Hospital Universitario Ramón y Cajal
Madrid, Madrid, Comunidad de, 28034
Hospital Universitario 12 de Octubre
Madrid, Madrid, Comunidad de, 28041
Hospital General Universitario Gregorio Marañon
Madrid, 28009
Hospital Universitario Virgen de la Victoria
Málaga, Málaga, 29010
Australia6 sites
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
Southside Cancer Care Centre
Kogarah, New South Wales, 2228
Macquarie University
Macquarie University, New South Wales, 2109
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
St Vincent's Hospital
Melbourne, Victoria, 3065
Prince of Wales Hospital
Randwick, New South Wales, 2031
France6 sites
CHU de Bordeaux Hop St ANDRE
Bordeaux, 33075
Henri Mondor Hospital
Créteil, Île-de-France Region
CHD Vendee
La Roche-sur-Yon, Vendée, 85000
Clinique Victor Hugo Le Mans
Le Mans, Pays de la Loire Region, 72000
Centre Leon Berard
Lyon, Auvergne-Rhône-Alpes, 69373
Centre de Cancérologie du Grand Montpellier
Montpellier, Languedoc-Roussillon, 34070
South Korea4 sites
Seoul National University Hospital
Seoul, Seoul-teukbyeolsi [Seoul], 3080
Severance Hospital, Yonsei University Health System
Seoul, Seoul-teukbyeolsi [Seoul], 3722
Samsung Medical Center
Seoul, Seoul-teukbyeolsi [Seoul], 6351
Asan Medical Center
Songpagu, Seoul-teukbyeolsi [Seoul], 5505
Netherlands3 sites
Canisius-Wilhelmina Ziekenhuis
Nijmegen, Gelderland, 6532 SZ
Erasmus Medisch Centrum
Rotterdam, South Holland, 3015 GD
St. Antonius Ziekenhuis, locatie Utrecht
Utrecht, 3543 AZ
Romania3 sites
Gral Medical Diagnostic Center
Bucharest, 31422
Centrul de Oncologie "Sfântul Nectarie"
Craiova, Dolj, 200542
Ovidius Clinical Hospital OCH
Ovidiu, Constanța County, 905900
Denmark2 sites
Rigshospitalet
Copenhagen, Capital Region, 2100
Næstved Sygehus
Næstved, Region Sjælland, 4700
About this study
Official title: A Phase 2/3, Randomized, Double-Blind, Placebo-Controlled Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib in Patients With Metastatic Castration-Resistant Prostate Cancer
This study is being done to see how safe and effective abemaciclib is when given together with abiraterone acetate plus prednisone in participants with metastatic castration resistant prostate cancer. Prednisolone may be used instead of prednisone per local regulation.
- Conditions
- Prostate Cancer
- Being tested
- Abemaciclib, Placebo, Abiraterone acetate, Prednisone
- Keywords
- Metastatic Castration Resistant Prostate Cancer, mCRPC
- Medical subject headings
- Prostatic Neoplasms
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.
PlaceboDrug
Administered orally.
Abiraterone acetateDrug
Administered orally.
PrednisoneDrug
Administered orally.
| Study group | Role | What they receive |
|---|---|---|
| Abemaciclib | Experimental | Participants received 200 milligrams (mg) abemaciclib twice daily (BID) in combination with standard doses of 1000 mg abiraterone acetate once daily and 5 mg prednisone BID administered orally on a continuous dosing schedule on days 1 through 28 of a 28-day cycle until radiographic and/or symptomatic progression or until another discontinuation criterion is met. Receives: Drug: Abemaciclib; Drug: Abiraterone acetate; Drug: Prednisone |
| Placebo | Placebo comparator | Participants received placebo BID in combination with standard doses of 1000 mg abiraterone acetate once daily and 5 mg prednisone BID administered orally on a continuous dosing schedule on days 1 through 28 of a 28-day cycle until radiographic and/or symptomatic progression or until another discontinuation criterion is met. Receives: Drug: Placebo; Drug: Abiraterone acetate; Drug: Prednisone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Radiographic Progression Free Survival (rPFS)
The rPFS time is measured from the date of randomization to the earliest date of investigator determined radiographic disease progression (by objective radiographic disease assessment per response evaluation criteria in solid tumors (RECIST) version 1.1 for soft tissue AND/OR radionuclide bone scan using prostate cancer working group 3 -PCWG3 criteria for bone) or death from any cause, whichever occurs first.
Measured: From Date of Randomization to Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)
Secondary outcomes (11)
Time to Prostate-Specific Antigen (PSA) Progression
The PSA progression is defined as a greater than or equal to (>=) 25 percentage (%) increase and an absolute increase of >=2 nanogram/milliliter (ng/mL) above the nadir (or baseline value if baseline is the smallest on study), which is confirmed by a second value obtained 3 or more weeks later.
Measured: From Date of Randomization to the Date of the First Observation of PSA Progression (Up to 60 Months)
Radiographic Progression Free Survival (rPFS) Determined by Blinded Independent Central Review
rPFS is defined as the time from the date of randomization to the earliest date of radiographic disease progression determined by blinded independent central review (BICR) or death from any cause, whichever occurs first.
Measured: From Date of Randomization Until Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)
Objective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR)
ORR is a summary measure of best overall response (BOR) as defined by RECIST 1.1 for soft tissue per investigator assessment. BOR is derived from time point responses. All time point responses observed while on study treatment and during the short-term follow-up period (but before the initiation of post-discontinuation systemic anticancer therapy) will be included in the derivation.
Each patient's BOR will be categorized as complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), or not evaluable (NE). A BOR of CR or PR will require confirmation, but sensitivity analyses of response-based endpoints may be performed where confirmation of a BOR of CR or PR is not required.
Measured: Baseline to Radiographic Disease Progression (Up to 60 Months)
Duration of Response (DOR)
The DoR time is defined only for responders (participants with a soft tissue BOR of CR or PR) in the measurable disease population. It is measured from the date of first evidence of soft tissue CR or PR to the earliest date of investigator determined radiographic disease progression or death from any cause, whichever is earlier.
Measured: Date of First Documented CR or PR to Date of Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)
Overall Survival (OS)
The OS time is measured from the date of randomization to the date of death from any cause. If the participant was alive or lost to follow-up at the time of data analysis, OS data were censored on the last date the participant was known to be alive.
Measured: From Date of Randomization to Date of Death Due to Any Cause (Up to 60 Months)
Time to Symptomatic Progression
Time to symptomatic progression is defined as the time from randomization to any of the following (whichever occurs earlier):
- Symptomatic Skeletal Event (SSE), defined as symptomatic fracture, surgery or radiation to bone, or spinal cord compression.
- Pain progression or worsening of disease-related symptoms requiring initiation of a new systemic anti-cancer therapy.
- Development of clinically significant symptoms due to loco-regional tumor progression requiring surgical intervention or radiation therapy.
Measured: From Randomization to the Date of the First Documented Symptomatic Progression (Up to 60 Months)
Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib
PK: Mean steady state exposure of abemaciclib.
Measured: Cycle (C) 1 Day (D) 1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567
PK: Mean steady state exposure of abemaciclib metabolite LSN2839567.
Measured: C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726
PK: Mean steady state exposure of abemaciclib metabolite LSN3106726.
Measured: C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)
PK: Mean Steady State Exposure of Abiraterone Acetate
PK: Mean Steady State Exposure of Abiraterone Acetate.
Measured: C1 D15, Post dose
Time to Worst Pain Progression
Time to Worst Pain Progression defined as the time from randomization to any of the following (whichever occurs earlier): For participants without opioid use at baseline (World Health Organization-Analgesic Ladder-WHO-AL ≤ 2):- Worst pain progression (an increase of 2 points from baseline on the Worst Pain Numeric Rating Scale (NRS) item on 2 consecutive evaluations), Initiation of weak or strong opioids (WHO-AL ≥ 3); For participants with weak or strong opioid use at baseline (WHO-AL ≥ 3): Worst pain progression (an increase of 2 points from baseline on the Worst Pain NRS item on 2 consecutive evaluations) without concurrent decreased opioid use (a decrease in WHO-AL of 1 or more) -Increased opioid use (an increase in WHO-AL of 1 or more).
Measured: From Randomization Through Follow-up (Up to 60 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2018
- Study start26 Nov 2018
- Primary completion2 Jan 2024
- 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 (1)Papers the sponsor has linked to this study.
- Other trials for Prostate 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 393 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
- NCT03706365
- Sponsor's protocol ID
- 16598
- Other IDs
- I3Y-MC-JPCM, 2016-004276-21, 2023-506777-36-00, 2023, 2016
- Acronym
- CYCLONE 2
- Status last verified
- Jul 2026
- First submitted
- 18 Sep 2018
- Last updated
- 7 Aug 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- 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
Smith M, Piulats J, Todenhofer T, Lee JL, Arija JA, Mazilu L, Azad A, Alonso-Gordoa T, McGovern U, Choudhury A, Horvath L, Ye D, Han W, Suzuki H, Uemura H, McKay R, Ades S, Flechon A, Pieczonka C, Fernandes MS, Hulstijn M, Lithio A, Nacerddine K, Agarwal N; CYCLONE 2 investigators. Abemaciclib plus abiraterone in patients with metastatic castration-resistant prostate cancer (CYCLONE 2): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2025 Nov;26(11):1489-1500. doi: 10.1016/S1470-2045(25)00475-9.
PubMed 41167216
Study at a glance
From the registry record, last updated by the sponsor on 7 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3, Randomized, Double-Blind, Placebo-Controlled Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib in Patients With Metastatic Castration-Resistant Prostate Cancer
- ClinicalTrials.gov ID
- NCT03706365
- Acronym / sponsor ID
- CYCLONE 2 / 16598
- Conditions
- Prostate Cancer
- Keywords
- Metastatic Castration Resistant Prostate Cancer, mCRPC
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 393 participants (actual)
- Lead sponsor
- Eli Lilly and CompanyIndustry (pharma, biotech, devices)
- Study start
- 26 Nov 2018 (actual)
- Primary completion
- 2 Jan 2024 (actual)
- Study completion
- Dec 2026 (estimated)
- First posted
- 16 Oct 2018 (actual)
- Results
- Posted 6 Mar 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is being done to see how safe and effective abemaciclib is when given together with abiraterone acetate plus prednisone in participants with metastatic castration resistant prostate cancer. Prednisolone may be used instead of prednisone per local regulation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Abemaciclib | Experimental | Drug: Abemaciclib, Drug: Abiraterone acetate, Drug: PrednisoneParticipants received 200 milligrams (mg) abemaciclib twice daily (BID) in combination with standard doses of 1000 mg abiraterone acetate once daily and 5 mg prednisone BID administered orally on a continuous dosing schedule on days 1 through 28 of a 28-day cycle until radiographic and/or symptomatic progression or until another discontinuation criterion is met. |
| Placebo | Placebo comparator | Drug: Placebo, Drug: Abiraterone acetate, Drug: PrednisoneParticipants received placebo BID in combination with standard doses of 1000 mg abiraterone acetate once daily and 5 mg prednisone BID administered orally on a continuous dosing schedule on days 1 through 28 of a 28-day cycle until radiographic and/or symptomatic progression or until another discontinuation criterion is met. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histologically confirmed adenocarcinoma of the prostate.
- Metastatic prostate cancer documented by positive bone scan and/or measurable soft tissue metastatic lesions by CT or magnetic resonance imaging (MRI).
- Progressive disease at study entry demonstrated during continuous androgen-deprivation therapy (ADT)/post orchiectomy defined as one or more of the following:
- Have adequate organ function.
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
Key exclusion criteria (6 listed)
- Prior therapy with cytochrome P450 (CYP)17 inhibitors.
- Prior treatment with abemaciclib or any cyclin-dependent kinase (CDK) 4 \& 6 inhibitors.
- Prior cytotoxic chemotherapy for metastatic castration resistant prostate cancer (participants treated with docetaxel in the metastatic hormone-sensitive prostate cancer [mHSPC] are eligible). Prior radiopharmaceuticals for prostate cancer, or prior enzalutamide, apalutamide, darolutamide or sipuleucel-T. Participants who had prior radiation or surgery to all target lesions.
- Currently enrolled in a clinical study involving an investigational product.
- Gastrointestinal disorder affecting the absorption or ability to swallow large pills.
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 |
| PlaceboAdministered orally. | Drug | Placebo |
| Abiraterone acetateAdministered orally. | Drug | Abemaciclib, Placebo |
| PrednisoneAdministered orally. | Drug | Abemaciclib, Placebo |
Primary outcome
Radiographic Progression Free Survival (rPFS)
Time frame: From Date of Randomization to Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)
The rPFS time is measured from the date of randomization to the earliest date of investigator determined radiographic disease progression (by objective radiographic disease assessment per response evaluation criteria in solid tumors (RECIST) version 1.1 for soft tissue AND/OR radionuclide bone scan using prostate cancer working group 3 -PCWG3 criteria for bone) or death from any cause, whichever occurs first.
11 secondary outcomes
Time to Prostate-Specific Antigen (PSA) Progression
Time frame: From Date of Randomization to the Date of the First Observation of PSA Progression (Up to 60 Months)
Radiographic Progression Free Survival (rPFS) Determined by Blinded Independent Central Review
Time frame: From Date of Randomization Until Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)
Objective Response Rate (ORR): Percentage of Participants With a Complete Response (CR) or Partial Response (PR)
Time frame: Baseline to Radiographic Disease Progression (Up to 60 Months)
Duration of Response (DOR)
Time frame: Date of First Documented CR or PR to Date of Radiographic Disease Progression or Death from Any Cause (Up to 60 Months)
Overall Survival (OS)
Time frame: From Date of Randomization to Date of Death Due to Any Cause (Up to 60 Months)
Time to Symptomatic Progression
Time frame: From Randomization to the Date of the First Documented Symptomatic Progression (Up to 60 Months)
Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib
Time frame: Cycle (C) 1 Day (D) 1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567
Time frame: C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)
PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726
Time frame: C1 D1: Predose, 30 min post-dose; C1 D15, C2 D1, C2 D15, C3 D1: Post dose (28 Days Cycle)
PK: Mean Steady State Exposure of Abiraterone Acetate
Time frame: C1 D15, Post dose
Time to Worst Pain Progression
Time frame: From Randomization Through Follow-up (Up to 60 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Aug 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41167216Smith M, Piulats J, Todenhofer T, Lee JL, Arija JA, Mazilu L, Azad A, Alonso-Gordoa T, McGovern U, Choudhury A, Horvath L, Ye D, Han W, Suzuki H, Uemura H, McKay R, Ades S, Flechon A, Pieczonka C, Fernandes MS, Hulstijn M, Lithio A, Nacerddine K, Agarwal N; CYCLONE 2 investigators. Abemaciclib plus abiraterone in patients with metastatic castration-resistant prostate cancer (CYCLONE 2): a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2025 Nov;26(11):1489-1500. doi: 10.1016/S1470-2045(25)00475-9.
- A Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib (LY2835219) in Participants With Prostate 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
112 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Abemaciclib, Abiraterone acetate and Prednisone in people with Prostate Cancer, run by Eli Lilly and Company at 112 sites in 11 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 7 inclusion and 6 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 7 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 112 sites in United States, China, Japan, Germany, Spain and 6 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 6 Mar 2025). 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?
Radiographic Progression Free Survival (rPFS) (time frame: From Date of Randomization to Radiographic Disease Progression or Death from Any Cause (Up to 60 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 NCT03706365, which also lists 1 linked publication.
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 7 Aug 2026; AzTrials last refreshed its copy on 26 Oct 2026.