A Study of IMC-A12 Every 2 Weeks in Patients With Tumors Who No Longer Respond to Treatment or No Treatment is Available

NCT ID: NCT00785941

Last Updated: 2011-10-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

16 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2007-11-30

Brief Summary

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The purpose of this study is to determine if IMC-A12 is safe for patients, and also to determine the best dose of IMC-A12 to give to patients.

Detailed Description

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The purpose of this study is to establish the safety profile and maximum tolerated dose (MTD) of the anti-IGF-IR monoclonal antibody IMC-A12 administered every other week in patients with advanced solid tumors who no longer respond to standard therapy or for whom no standard therapy is available.

Conditions

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Advanced Solid Tumors

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Blinding Strategy

NONE

Study Groups

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IMC-A12

All patients will receive intravenous infusions of IMC-A12, with the dose depending on which cohort they are enrolled into a minimum of three patients will be enrolled in each Cohort. When all patients complete a cohort, dose escalation to the next Cohort will occur.

A treatment cycle will consist of IMC-A12 administered intravenously, once every other week for 4 weeks, for a total of 2 doses; followed by a 2-week observation period.

Group Type EXPERIMENTAL

IMC-A12

Intervention Type BIOLOGICAL

Cohort 1

6 mg/kg I.V., once every other week for 4 weeks

IMC-A12

Intervention Type BIOLOGICAL

Cohort 2

10 mg/kg I.V., once every other week for 4 weeks

IMC-A12

Intervention Type BIOLOGICAL

Cohort 3

15 mg/kg I.V., once every other week for 4 weeks

IMC-A12

Intervention Type BIOLOGICAL

Cohort 4

21 mg/kg I.V., once every other week for 4 weeks

IMC-A12

Intervention Type BIOLOGICAL

Cohort 5

27 mg/kg I.V., once every other week for 4 weeks

Interventions

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IMC-A12

Cohort 1

6 mg/kg I.V., once every other week for 4 weeks

Intervention Type BIOLOGICAL

IMC-A12

Cohort 2

10 mg/kg I.V., once every other week for 4 weeks

Intervention Type BIOLOGICAL

IMC-A12

Cohort 3

15 mg/kg I.V., once every other week for 4 weeks

Intervention Type BIOLOGICAL

IMC-A12

Cohort 4

21 mg/kg I.V., once every other week for 4 weeks

Intervention Type BIOLOGICAL

IMC-A12

Cohort 5

27 mg/kg I.V., once every other week for 4 weeks

Intervention Type BIOLOGICAL

Other Intervention Names

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Cixutumumab Cixutumumab Cixutumumab Cixutumumab Cixutumumab

Eligibility Criteria

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Inclusion Criteria

* Patients with histopathologically-documented, measurable, advanced primary or recurrent solid tumors who no longer respond to standard therapy or for whom no standard therapy is available
* A life expectancy of \>3 months
* Adequate hematologic function
* Adequate hepatic function
* Adequate renal function
* Use of effective contraception, if procreative potential exists.
* At least 28 days must have elapsed from major surgery, prior chemotherapy, prior treatment with an investigational agent or device, prior radiation therapy (palliative radiation therapy is allowed), an open biopsy, or a significant traumatic injury to allow for adequate recovery
* At least 6 weeks must have elapsed from nitrosoureas, mitomycin C, or monoclonal antibody therapy to allow for adequate recovery
* Accessible for treatment and follow-up. Patients enrolled in this trial must be treated at the participating center

Exclusion Criteria

* Any concurrent malignancy other than non-melanomatous skin cancer or carcinoma in situ of the cervix. Patients with a previous malignancy but without evidence of disease for ≥3 years will be allowed to enter the trial
* Uncontrolled intercurrent illness including, but not limited to:

* ongoing or active infection requiring parenteral antibiotics
* symptomatic congestive heart failure (class III or IV of the New York Heart Association classification for heart disease)
* unstable angina pectoris, angioplasty, stenting, or myocardial infarction within 6 months
* uncontrolled hypertension (systolic blood pressure \>160 mm Hg, diastolic blood pressure \>100 mm Hg, found on two consecutive measurements separated by a 1-week period despite adequate medical support)
* clinically significant cardiac arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia that is symptomatic or requires treatment \[National Cancer Institute {NCI}-Common Terminology Criteria for Adverse Events {CTCAE}, Version 3.0, grade 3\] or asymptomatic sustained ventricular tachycardia)
* psychiatric illness/social situations that would compromise patient safety or limit compliance with study requirements
* patients with symptomatic brain metastases (patients with a history of brain metastases must be clinically stable and not taking steroids; anticonvulsants are allowed)
* A serious or nonhealing active wound, ulcer, or bone fracture
* Known human immunodeficiency virus-positive
* A history of a hemorrhagic or thrombotic disorder within 9 months
* Pregnant or breast feeding
* A history of prior treatment with other agents specifically targeting IGFRs.
* Known diabetes
* Inability or unwillingness to interrupt steroidal or hormonal therapy for the duration of treatment with IMC-A12
* A positive anti-IMC-A12 antibody response
* A history of allergic reactions to monoclonal antibodies or other therapeutic proteins
* Employees of the investigator or study center with direct involvement in this study or other studies under the direction of the investigator or study center, as well as family members of the employees
Minimum Eligible Age

18 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_CHAIR

Eli Lilly and Company

Locations

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ImClone Investigational Site

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Higano CS, Berlin J, Gordon M, LoRusso P, Tang S, Dontabhaktuni A, Schwartz JD, Cosaert J, Mehnert JM. Safety, tolerability, and pharmacokinetics of single and multiple doses of intravenous cixutumumab (IMC-A12), an inhibitor of the insulin-like growth factor-I receptor, administered weekly or every 2 weeks in patients with advanced solid tumors. Invest New Drugs. 2015 Apr;33(2):450-62. doi: 10.1007/s10637-015-0217-7. Epub 2015 Mar 7.

Reference Type DERIVED
PMID: 25749986 (View on PubMed)

Other Identifiers

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CP13-0502

Identifier Type: OTHER

Identifier Source: secondary_id

I5A-IE-JAEI

Identifier Type: OTHER

Identifier Source: secondary_id

13933

Identifier Type: -

Identifier Source: org_study_id