A Five-Tier, Open-Label Study of IMC-A12 in Advanced Sarcoma

NCT ID: NCT00668148

Last Updated: 2018-07-17

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

113 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2012-02-29

Brief Summary

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This multicenter study will enroll approximately 185 participants with metastatic or advanced sarcoma, to assess the effectiveness and safety of IMC-A12 monotherapy for this indication. Participants will be stratified into five tiers according to diagnosis:

1. Ewing's sarcoma/peripheral neuroectodermal tumor (PNET)
2. rhabdomyosarcoma
3. leiomyosarcoma
4. adipocytic sarcoma
5. synovial sarcoma.

A total of 85 participants will be enrolled initially, 17 in each tier. Participants will receive single agent IMC-A12 every 2 weeks. A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

Safety and response in the initial 17 participants in each tier will be used to determine whether to extend enrollment to the target total of 37 participants per tier.

Detailed Description

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The purpose of this study is to determine the progression-free survival (PFS) rate assessed 12 weeks after the initiation of IMC-A12 monotherapy, administered every 2 weeks to participants with previously-treated, advanced or metastatic soft tissue and Ewing's sarcoma/PNET.

Conditions

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Ewing's Sarcoma /Peripheral Neuroectodermal Tumor (PNET) Rhabdomyosarcoma Leiomyosarcoma Adipocytic Sarcoma Synovial Sarcoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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IMC-A12 (cixutumumab)

Group Type EXPERIMENTAL

IMC-A12 (cixutumumab)

Intervention Type BIOLOGICAL

Ewing's Sarcoma/PNET

10 milligrams per kilogram (mg/kg) intravenous (IV) infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

IMC-A12 (cixutumumab)

Intervention Type BIOLOGICAL

Rhabdomyosarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

IMC-A12 (cixutumumab)

Intervention Type BIOLOGICAL

Leiomyosarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

IMC-A12 (cixutumumab)

Intervention Type BIOLOGICAL

Adipocytic sarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

IMC-A12 (cixutumumab)

Intervention Type BIOLOGICAL

Synovial sarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

Interventions

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IMC-A12 (cixutumumab)

Ewing's Sarcoma/PNET

10 milligrams per kilogram (mg/kg) intravenous (IV) infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

Intervention Type BIOLOGICAL

IMC-A12 (cixutumumab)

Rhabdomyosarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

Intervention Type BIOLOGICAL

IMC-A12 (cixutumumab)

Leiomyosarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

Intervention Type BIOLOGICAL

IMC-A12 (cixutumumab)

Adipocytic sarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

Intervention Type BIOLOGICAL

IMC-A12 (cixutumumab)

Synovial sarcoma

10 mg/kg IV infusion every two weeks.

A treatment cycle will be defined as 6 weeks, with radiological evaluation at every cycle.

Intervention Type BIOLOGICAL

Other Intervention Names

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cixutumumab LY3012217 cixutumumab LY3012217 cixutumumab LY3012217 cixutumumab LY3012217 cixutumumab LY3012217

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically-confirmed sarcoma of one of the following histologies: (1) Ewing's sarcoma / PNET; (2) rhabdomyosarcoma; (3) leiomyosarcoma; (4) adipocytic sarcoma; or (5) synovial sarcoma
* Has measurable disease, at least one lesion ≥ 2 centimeters (cm) on conventional measurement techniques or ≥ 1 cm on spiral computed tomography (CT) scan
* Has at least one measurable lesion located outside of a previously irradiated area
* Has radiographic documentation of disease progression within 6 months prior to study entry
* Has relapsed, refractory, and/or metastatic disease, incurable by surgery, radiotherapy, or other conventional systemic therapy
* Been considered ineligible for systemic chemotherapy or received at least one previous regimen for relapsed, refractory, and/or metastatic disease
* Adequate hematologic function
* Has adequate hepatic function
* Has adequate coagulation function
* Has adequate renal function
* Has fasting serum glucose \< 120 milligrams per deciliter (mg/dL) or below the upper limit of normal (ULN)
* Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation

Exclusion:

* Has uncontrolled brain or leptomeningeal metastases
* Not recovered to grade ≤ 1 from adverse events due to agents administered more than 3 weeks prior to study entry
* Is receiving any other investigational agent(s)
* Major surgery, hormonal therapy (other than replacement), chemotherapy, radiotherapy, or any form of investigational therapy within 3 weeks prior to enrollment
* History of treatment with other agents targeting the insulin-like growth factor-I receptor (IGF-IR)
* History of allergic reactions attributed to compounds of chemical or biologic composition similar to that of IMC-A12
* Has poorly controlled diabetes mellitus
* Is receiving therapy with immunosuppressive agents
* Is pregnant or breastfeeding
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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E-mail: ClinicalTrials@ ImClone.com

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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ImClone Investigational Site

Aurora, Colorado, United States

Site Status

ImClone Investigational Site

Orlando, Florida, United States

Site Status

ImClone Investigational Site

Metairie, Louisiana, United States

Site Status

ImClone Investigational Site

Metairie, Louisiana, United States

Site Status

ImClone Investigational Site

Detroit, Michigan, United States

Site Status

ImClone Investigational Site

St Louis, Missouri, United States

Site Status

ImClone Investigational Site

Columbus, Ohio, United States

Site Status

ImClone Investigational Site

Brussels, , Belgium

Site Status

ImClone Investigational Site

Leuven, , Belgium

Site Status

ImClone Investigational Site

Wilrijk, , Belgium

Site Status

ImClone Investigational Site

Bordeaux, , France

Site Status

ImClone Investigational Site

Lyon, , France

Site Status

ImClone Investigational Site

Paris, , France

Site Status

ImClone Investigational Site

Toulouse, , France

Site Status

ImClone Investigational Site

Dresden, , Germany

Site Status

ImClone Investigational Site

Mannheim, , Germany

Site Status

ImClone Investigational Site

Leiden, , Netherlands

Site Status

ImClone Investigational Site

Warsaw, , Poland

Site Status

ImClone Investigational Site

Barcelona, , Spain

Site Status

ImClone Investigational Site

Barcelona, , Spain

Site Status

ImClone Investigational Site

Barcelona, , Spain

Site Status

ImClone Investigational Site

Barcelona, , Spain

Site Status

Countries

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United States Belgium France Germany Netherlands Poland Spain

References

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Asmane I, Watkin E, Alberti L, Duc A, Marec-Berard P, Ray-Coquard I, Cassier P, Decouvelaere AV, Ranchere D, Kurtz JE, Bergerat JP, Blay JY. Insulin-like growth factor type 1 receptor (IGF-1R) exclusive nuclear staining: a predictive biomarker for IGF-1R monoclonal antibody (Ab) therapy in sarcomas. Eur J Cancer. 2012 Nov;48(16):3027-35. doi: 10.1016/j.ejca.2012.05.009. Epub 2012 Jun 7.

Reference Type DERIVED
PMID: 22682017 (View on PubMed)

Other Identifiers

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2007-006719-21

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CP13-0707

Identifier Type: OTHER

Identifier Source: secondary_id

I5A-IE-JAEC

Identifier Type: OTHER

Identifier Source: secondary_id

13925

Identifier Type: -

Identifier Source: org_study_id

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